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Elective Revision Surgery in Head and Neck Cancer Patients: A Retrospective Ana...

Sousa-Machado, André; Monteiro, Eurico

Introduction Elective revision surgery in head and neck cancer is crucial for refining and optimizing outcomes, ensuring complete tumor removal, and enhancing both functional and aesthetic aspects, ultimately improving the overall quality of life for patients. The aim of this study is to analyze the overall survival (OS) of head and neck cancer patients who underwent elective revision surgery with or without ad...


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...


Effect of Anesthesia on Endoscopic Sinus Surgery Hemostasis: a State-of-the-Art...

Sousa-Machado, André

Endoscopic sinus surgery (ESS) is the gold standard for the management of chronic rhinosinusitis, nasal polyposis, and other pathology involving paranasal sinus as tumors. Intraoperative bleeding during ESS can be challenging due to the narrow sinonasal surgical field, single working hand, and the use of endoscopic instruments, which may affect hemostasis. There is a role for the type of anesthesia technique us...


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 ...


Nasal Polyposis and Serum Albumin: Systemic Effects of Local Inflammation

Sousa-Machado, André; Rosa, Francisco; Silva, Ana; Meireles, Luis

Introduction The genesis of chronic rhinosinusitis is always a topic of debate. A polyp is a pale, edematous tissue emerging mostly from the middle meatus. An epithelial injury caused by continuous inflammation of the nasal mucosa is considered to be a possible cause of the genesis of nasosinusal polyps. Objective To understand the link between serum albumin levels and nasal polyposis. Methods A retrospective s...


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...


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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