The accumulation of secretions in the hypopharynx, glottis, and/or trachea is a cardinal sign of dysphagia and is of great clinical and therapeutic relevance. To evaluate the residual accumulation of secretions, Murray et al. created the Secretion Severity Rating Scale in 1996. The aim of this study was the translation, adaptation and validation of this scale into European Portuguese through intra- and inter-ju...
Canal wall-up timpanoplasty is increasing its popularity as the preferred treatment for cholesteatoma. Nevertheless, the significant recurrence rate of this disease turns the choice for surgical treatment controversial and difficult. Aiming to analyze tympanomastoidectomy success rate in Hospital São José’s Otolaryngology Department, to establish eventual predictive factors for failure and to evaluate the compu...
The laryngeal hematoma is a rare event in patients with hemophilia A that may compromise the airway and is usually associated with persistent cough as a result of a respiratory infection. If there is clinical stability, the treatment of the relying cause, the cough abolition, the reposition of the clotting factors and a tight surveillance are enough for the disappearing of the hematoma and normalization of the ...
Mucormycosis is a life-threatening fungal infection, commonly with fatal evolution. This fungus is a saprophytic organism which can become pathogenic in specific conditions, particularly in immunocompromised patients (diabetes mellitus, especially those with ketoacidosis; solid malignancies, haematologic malignancies, patients undergoing treatment with glucocorticosteroid). The disease process starts with inhal...
Endoscopic dacryocystorhinostomy (DCR) is increasing its popularity as the preferred treatment for lachrymal duct blockage, due to its high success rate, fast healing and avoidance of facial scar.Aiming to analyse endoscopic DCR success rate in Hospital de São José’s Otolaryngology Department and to establish eventual predictive factors for failure, we present a retrospective study of the last four years.Our gl...
Given the complexity, deep location and significant morbidity of deep neck space infections, their diagnosis and treatment remain an important medico-surgical challenge. As these infections are frequently caused by tonsillar and pharyngeal infections, Otolaryngologists are often called to lead with difficult problems.Aiming to analyze deep neck space infections occurred during the last five years in Hospital de...
Objectives: Identify factors that might influence post-operative results in stapes surgery, as the computed tomography (CT) images.Patients and Methods: Retrospective study of 42 patients. Statistical analysis with the T Student and the Pearson Correlation studies.Results: The medium air-bone gap (GAO) pre and post-operative was 42 dB and 13 dB respectively. From the 11 CT evaluated, 4 had active focus and 5 ha...
The hypopharynx and cervical oesophagus are particularly vulnerable areas of injury resulting from endotracheal intubation. These anaesthesia accidents are uncommon, rarely reported and its incidence is higher in the emergency situation. The pharyngoesophageal perforations may stay unnoticed until characteristic signs and symptoms are present, such as cervical pain, fever, dysphagia, leukocytosis, subcutaneous ...