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Epidemiology of deep neck infection submitted to surgery in a portuguese tertia...

Viana Pinto, João; Andrade, António; Vales, Fernando; Pinto Moura, Carla

Objective: Assess epidemiological data and clinical predictors of mediastinitis in deep neck infections (DNI) submitted to surgery. Study Design: Retrospective observational Methods: Data analysis of every DNI patient submitted to surgery from January 2015 to December 2021 in the Otorhinolaryngology department of a tertiary hospital center. Results: A total of 165 patients with a mean age of presentation of 48,...


Predictive Factors of Progression to Carcinoma in Vocal Fold Leucoplakia

Viana Pinto, João; Ruas, José João; Andrade, António; Aragão Rodrigues, João; Pinto, Isabel; Mendes Leal, Manuel; Vales, Fernando; Pinto Moura, Carla

Objectives: To assess possible risk factors for progression in vocal fold leucoplakia. Study Design: Observational retrospective study. Material and Methods: Clinical data analysis of every patient submitted to microlaryngoscopy (MLS) with biopsy, excisional whenever possible, of vocal fold leucoplakia from January 2010 to December 2020 in the Otorhinolaryngology department of a tertiary hospital centre. Result...


Ortner Syndrome: a rare cause of dysphonia

de Sousa, Mafalda; Coutinho, Gil; Silveira, Helena; Vales, Fernando; Santos, Margarida

Ortner’s syndrome is a rare entity, characterized by dysphonia caused by recurrent laryngeal nerve (RLN) palsy, secondary to cardiovascular disorders. This work reports two cases of Ortner’s Syndrome. A 81-year-old male presented with dysphonia for a week. Physical examination showed left vocal fold palsy. Computed tomography (CT) revealed left atrial dilation. A 76-year-old male, had complaints of dysphonia fo...


Bilateral cavernous sinus thrombosis by Zygomycetes and Enterococcus

Matos, Ricardo; Sousa, Mafalda; Marques, Pedro; Vales, Fernando; Santos, Margarida

We present a case of acute rhinosinusitis complicated with bilateral thrombosis of the cavernous sinus in the adult, aim to alert to its clinical presentation and need for a high index of suspicion. We describe a 53-year-old man presenting with cough and rhinorrhea, with 15 days of evolution, followed by holocranial pulsatile headache, refractory to analgesia, as well as a paresis of the left abducens nerve. Af...


European position paper on rhinosinusitis and nasal polyps (EPOS) 2012: Clinica...

Santos, Natacha; Vales, Fernando; Moura, Carla Pinto; Santos, Margarida

The first EPOS document, published in 2005, was revised in 2007 and March 2012. This article aims to do a critical revision of the main differences from the previous document and summarize the recommendations of EPOS 2012 for clinical practice. Important changes were introduced, including the criteria for diagnosis of rhinosinusitis in children, temporal and etiological classification of acute rhinosinusitis, c...


Immediate recovery of vision after marsupialization of a posterior ethmoidal mu...

Marques, Pedro; Vales, Fernando; Spratley, Jorge; Santos, Margarida

Objectives: Mucoceles are pseudocystic slow-growing processes that arise within the paranasal sinuses. Location in the posterior ethmoid is infrequent, accounting less than 20% of all paranasal mucoceles. Frequently, mucoceles are only diagnosed when symptoms arise due to the progressive compression of the surrounding structures, like the optic nerves or intracranial structures. This paper reports an unusual pr...


ACUTE INVASIVE RHINOSINUSITIS: CASE REPORT

Marques, Pedro; Santos, Margarida; Vales, Fernando; Pais Clemente, Laudelina; Pais Clemente, M.

Invasive Fungal Sinusitis is a disease which incidence has been rising, because of the intimate affinity with different types of immunologically compromised patients. This pathologic entity has different forms of presentation according to each specific type of histopathology. These different presentations have distincttreatment and prognosis.Due to the complications of the disease, the diagnosis must be done as...


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