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Tympanic Membrane Haematoma in a RivaroxabanTreated Patient: A Case Report

Saldanha, Inês; Matos, Ricardo; Órfão, Tiago; Santos, Margarida

New generation oral anticoagulants — rivaroxaban, apixaban and edoxaban — represent an important medical achievement. Their therapeutic effectiveness and ease of use make them essential in the management of thromboembolic conditions. However, as warfarin, they have known haemorrhagic risks. This paper reports the case of a 50-year-old female who presented with ear pain and spontaneous blood discharge in her rig...

Data: 2019   |   Origem: Acta Médica Portuguesa

Evaluation of otorhinolaryngology knowledge in primary care residents

Órfão, Tiago; Camacho da Corte, Filipa; Aires Pereira, Raquel; Silveira, Helena; Spratley, Jorge; Santos, Margarida

Introduction: Otorhinolaryngology is one of the most significant areas in Primary Care practice. The main objective of the present study consists in the evaluation of Otorhinolaryngology knowledge in Primary Care Residents (PCR).Methods: An enquiry including eight theoretical and ten otoscopy images was presented to PCR (n=102). Results were associated to the attendance of an Otorhinolaryngology rotation, the r...


Hearing loss and meadle ear status in children with cleft palate, 3 to 4 years-old

Órfão, Tiago; Cardoso, Vítor; Maia, Ana; Moura, Carla Pinto; Santos, Margarida

Introduction: Cleft palate (CP) patients have a high prevalence of middle ear disease. The present study aims to identify and characterize auditory pathology in CP children during their first 3-4 years of life.Methods: A retrospective study was performed analyzing the audiologic characteristics of 27 infants followed by the lip and/or palate cleft multidisciplinary team of Centro Hospitalar de São João.Results:...


Functional results: Titanium prosthesis versus autologous bone

Órfão, Tiago; Ramos, Filipe; Silveira, Helena; Santos, Margarida

Introduction: Functional rehabilitation with hearing improvement in chronic otitis media (COM) is a surgical challenge. The purpose of this study is to analyze the audiometric outcomes of ossicular reconstruction with titanium prosthesis versus shaped autologous bone.Material and Methods: Retrospective review was performed for the period from October 2008 to July 2010 analyzing the audiometric results of ossicu...


Sensibility and specificity of indirect laryngoscopy and laryngeal nasofibrosco...

Ramos, Filipe M.; Órfão, Tiago; Laranjeiro, João; Ribeiro, Manuel Garcia; Santos, Margarida

Introduction: Indirect laryngoscopy complemented by the laryngeal nasofibroscopy is the most frequent method evaluating neoplastic laryngeal pathology. We intended to determine the sensibility and specificity of these methods and understand their impact in the therapeutic strategy.Material and Methods: We analysed retrospectively the clinical data of 314 patients performing diagnostic and therapeutic direct lar...


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