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Corrective saccades with normal VOR gain in Vestibular Schwannoma

Tavares Correia, João; Alves de Sousa, Francisco; Silva Carvalho, Isabel; Meireles, Luís; Reis Rego, Ângela

The Video Head Impulse Test (vHIT) is used to assess vestibular function. It has been shown to be valuable in patients with Vestibular Schwannoma (VS). We present a case of a 64-year-old male with a 6mm VS in the left internal acoustic canal, detected incidentally on a brain Magnetic Resonance Imaging. The patient denied experiencing any vestibular or auditory symptoms. Physical examination revealed mild left s...


Parapharyngeal lipoma causing airway obstruction - case report

Dias, Joana Ida; Azevedo, Sara Raquel; Pereira, Ana Isabel; Pereira Silva, Ana; Carvalho, Rita; Meireles, Luís; Feliciano, Telma

Parapharyngeal lipomas are rare benign tumors, accounting for less than 0.5% of all parapharyngeal space neoplasms. Its proximity to critical anatomical structures requires careful diagnostic evaluation and surgical management. We report a clinical case of a 69-year-old woman presenting to our hospital with progressive dysphagia, snoring and shortness of breath. Clinical examination and imaging studies revealed...


Tranexamic acid versus hot saline irrigations in endoscopic sinus surgery: a re...

Alves de Sousa, Francisco; Santos, Mariline; Branco, Paula; Ida Dias, Joana; Costa, Sara; Nóbrega Pinto, Ana; Meireles, Luís; Gonçalves Ferreira, Miguel

Objectives: Intraoperative bleeding may compromise the results of functional endoscopic sinus surgery (FESS). Tranexamic acid (TXA) and hot saline irrigations (HSI) are potentially useful in reducing blood loss during FESS. To date, no review comprehensively compared outcomes between TXA and HSI. The objective was to bring an insight between these two modalities in FESS. Study design: Systematic review and meta...


Nosing beyond the stone age: deciphering nasal evolution from Neanderthals to m...

Alves de Sousa, Francisco; Dias, Joana Ida; Teixeira Carvalho, Rita; Serdoura Alves, Clara; Nóbrega Pinto, Ana; Santos, Mariline; Meireles, Luís

Introduction: Neanderthals, our extinct relatives, exhibited distinct nasal morphology compared to Homo sapiens. Objectives: This study explores these differences through a comparative analysis of cranionasal measurements. Material and Methods: Data on Neanderthal nasal features were obtained from existing paleoanthropological literature, focusing on 16 hominid fossils. A parallel sample of 38 modern human CT s...


Neuro-olfactory dynamics: electroencephalographic insights into dysfunction

Alves de Sousa, Francisco; Costa, Sara; Tavares Correia, João; Azevedo, Sara; Nóbrega Pinto, Ana; Santos, Mariline; Meireles, Luís

Introduction: Olfaction is linked to cognition. Understanding brain activity during olfactory dysfunction (OD) could improve knowledge about olfaction itself and associated treatments like olfactory training (OT). Objectives: To study how OD affects brain activity in response to scents Methods: In order to produce a prospective study, a sample of OD and healthy controls was recruited. Participants inhaled scent...


Olfactory Cleft Length: A Possible Risk Factor for Persistent Post-COVID-19 Olf...

Sousa, Francisco Alves De; Tarrio, João; Sousa-Machado, André; Costa, Joana Raquel; Pinto, Catarina; Nóbrega Pinto, Ana; Moreira, Bruno; Meireles, Luís

Introduction: To date, little is known about predisposing factors for persistent COVID-19-induced olfactory dysfunction (pCIOD). The objective was to determine whether olfactory cleft (OC) measurements associate with pCIOD risk. Material and methods: Three subgroups were recruited: group A included patients with pCIOD, group B included patients without olfactory dysfunction following SARS-CoV-2 infection (ntCIO...


Visual Analog Scale and Olfactory Objective Tests in Hyposmia Patients: Is Ther...

Sousa-Machado, André; Sousa, Francisco Alves de; Silva, Ana; Meireles, Luís

Introduction Olfactory dysfunction (OD) is often a devaluated sensorial affection. The objective evaluation of this dysfunction does not evaluate its compromise in patients' daily life. It is unclear to what extent there is a correlation between the objective evaluation of OD and patient-reported impairment. Objective We aim to search if Sniffin Sticks® correlates with the Visual Analog Scale (VAS) of Hyposmia ...


Intrasphenoidal Rathke’s Cleft Cyst: An Uncommon Feat

Sousa-Machado, André; Silva, Ana; Sá Silva, José; Brandão, José R; Meireles, Luís

Usually occurring entirely intrasellarly or extending suprasellarly (intra-suprasellar), Rathke's cleft cysts (RCCs) can present with an intrasphenoidal location. Extrasellar positions are rare. To date, only seven patients with intrasphenoidal RCC have been reported in the literature. Despite the rarity of the condition and the lack of pathognomonic radiological features, preoperative diagnosis remains challen...


Case Report of a Challenging Diagnosis of Nasal Tuberculosis

Ida Dias, Joana; Nóbrega Pinto, Ana; Sousa Vieira, Francisco; Meireles, Luís

N/a.; N/a.

Date: 2023   |   Origin: Acta Médica Portuguesa

Adaptation and validation of Portuguese version of Tonsil Adenoid Health Status...

Sousa-Machado, André; Sousa, Francisco; Azevedo, Sara; Silva, Ana; Meireles, Luís

Objective: Validation and cross-cultural adaptation of the Tonsil and Adenoid Health Status Instrument, in Portuguese. Methods: A prospective study was carried out to evaluate and to compare 51 consecutive patients who underwent tonsillectomy or adenotonsillectomy operation (pre-operative and 6 months post-operative) and 49 asymptomatic controls. Results: The Mann-Whitney test showed a statistically significant...


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