Brazilian journal of otorhinolaryngology
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Braz J Otorhinolaryngol · May 2008
Review Case ReportsRendu-Osler-Weber Syndrome: case report and literature review.
Hereditary Hemorrhagic Telangiectasia or Rendu-Osler-Weber Disease is a rare fibrovascular dysplasia that makes vascular walls vulnerable to trauma and rupture, causing skin and mucosa bleeding. It is of dominant autosomal inheritance, characterized by recurrent epistaxis and telangiectasia on the face, hands and oral cavity; visceral arteriovenous malformations and positive family history. Epistaxis is often the first and foremost manifestation. ⋯ There are possible hematologic, neurologic, pulmonary, dermatologic and gastrointestinal complications. Treatment is supportive and helps prevent complications. This study is a case report of a patient with this syndrome who came to the ENT Outpatient Ward of the Faculdade de Medicina de Marília; and we have done a bibliographic review of the disease's etiopathogenesis, clinical manifestations and clinical-surgical treatment options.
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Braz J Otorhinolaryngol · Jan 2008
Comparative StudyComparison between general anesthesia and superficial cervical plexus block in partial thyroidectomies.
Thyroidectomy under the effect of superficial cervical plexus block (SCPB) has met resistance. ⋯ Although the incidence of bradycardia was higher (23.8%), SCPB was done for the resection of tumors measuring up to 348 cm3, at a lower cost and with no laryngotracheal injuries; these were present in 51% of patients undergoing GA.
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Braz J Otorhinolaryngol · May 2007
Randomized Controlled Trial Comparative StudyA comparative study between ketorolac and ketoprofen in postoperative pain after uvulopalatopharyngoplasty.
Postoperative pain is a serious problem, requiring an appropriate response from the medical doctor. In otolaryngology special attention is needed after uvulopalatopharyngoplasty (UP3). ⋯ We concluded that ketorolac is more effective compared to ketoprofen in the treatment of immediate postoperative pain after UP3, as patients using ketorolac had less pain and used opioids to a lesser degree.
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Braz J Otorhinolaryngol · Nov 2006
Brazilian Portuguese Language version of the "Tinnitus Handicap Inventory": validity and reproducibility.
Tinnitus can greatly impact an individual's life quality and it is very difficult to quantify. ⋯ The Brazilian Portuguese version of THI is a valid and reproducible tool used to quantify how tinnitus impacts the life quality of those Brazilian patients who complain of this symptom.
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Congenital and acquired airway diseases are responsible for upper respiratory distress and stridor in children. In neonatal intensive care units, we have seen increased survival in premature babies, but also a high incidence of airway complications related to intubation, which present as stridor. ⋯ Neonatal stridor has many causes; those related to tracheal intubation are more frequent in hospitals that treat more complex diseases. Pediatricians and otorhinolaryngologists should know the main causes of stridor and perform detailed clinical evaluations to determine case severity. The endoscopic examination, must be meticulous.