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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...


Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Qual...

Sousa, Francisco Alves de; Santos, Mariline; Azevedo, Sara; Pinto, Ana; Freitas, Susana Vaz; Coutinho, Miguel; Almeida e Sousa, Cecília

To date, little is known about the long-term predictors of quality of life (QoL) in unilateral vocal fold paralysis (UVFP). The main objective of this study was to evaluate the predictors of long-term QoL in UVFP patients submitted to voice therapy (VT) exclusively. Data from patients diagnosed with UVFP who followed a VT program between 2013 and 2019 were reviewed. Video laryngoscopy (VL) records were obtained...


Use of platelet rich plasma in persistent olfactory dysfunction after COVID-19:...

Alves de Sousa, Francisco; de Sousa Machado, André; Costa, Joana Raquel; Tavares Correia, João; Castro, Afonso; Nóbrega Pinto, Ana; Silva, Ana

Introduction: A promising technique to treat persistent olfactory impairment has recently been explored: platelet rich plasma (PRP) injection into the olfactory mucosa. Objectives: This study aimed to determine efficacy, safety, and feasibility of a new PRP injection protocol in treating persistent COVID-19 induced olfactory dysfunction (pCIOD). Material and Methods: Patients with pCIOD lasting for ≥ 12 months ...


Geriatric otoneurology: Old concepts, current challenges

Serdoura Alves, Clara; Santos, Mariline; Reis Rego, Ângela; Azevedo, Sara; Lino, João; Meireles, Luis

Objective: to determine the prevalence of otoneurologic symptoms among geriatric patients referred for otolaryngology evaluation. Methods: Retrospective observational study including patients aged 65 and older referred from Primary Care to Otolaryngology during 2019 and 2020. Information regarding symptoms underlaying the referral were collected from the referral file. Results: 1304 patients were included, with...


Geriatric Dysphonia and the most frequent diagnosis

Serdoura Alves, Clara; Santos, Mariline; Azevedo, Sara; Casanova, Maria; Lino, João; Meireles, Luís

Introduction: Aging is associated with a decline in voice quality, predisposing older adults to social withdrawal and introversion. It is therefore increasingly important to better understand the magnitude of dysphonia among geriatric patients and what laryngeal alterations are most commonly associated with the symptom. Objective: to determine the prevalence of dysphonia among elderly patients referred from pri...


Geriatric otorhinolaryngology: reasons for outpatient referrals from generalist...

Alves, Clara Serdoura; Santos, Mariline; Castro, Afonso; Lino, João; Freitas, Susana Vaz; Almeida e Sousa, Cecília; da Silva, Álvaro Moreira

Purpose: To determine the main symptoms leading to referral of geriatric patients from primary care to otorhinolaryngology. Methods: Retrospective, observational study performed on patients aged 65 and older, referred from Primary Care to the Otorhinolaryngology and Head and Neck Surgery department of a tertiary centre during 2019 and 2020. Symptoms leading to otorhinolaryngological referral were categorized as...


Hyperacusis and stapes surgery: An observation in fifty patients after stapedotomy

Santos, Mariline; Reis-Rego, Angela; Lino, João; Coutinho, Miguel; Sousa, Cecília Almeida

Objective: To assess hyperacusis after stapedotomy and its possible influencing factors. Study design: Prospective, interventional, and longitudinal study. Setting: A tertiary referral center. Patients: Fifty consecutive patients (35 females, mean age = 46.8 years). Intervention: All patients underwent stapedotomy. The validated Portuguese version of the "Hyperacusis Questionnaire" (HQ) was administered before ...


Escolas entre o público e o privado: uma análise crítica das perceções sobre a ...

Santos, Mariline; Neto-Mendes, António

A expansão do modelo de gestão privatizada na escola pública em diversos países tem sido encarada como próprio da evolução das organizações fazendo surgir, dentro do espectro da descentralização e alinhado com a chamada Nova Gestão Pública, a transferência de competências, neste caso, para o privado. Partindo da análise do modelo charter school (Estados Unidos da América), observar-se-ão, ainda que à distância,...


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