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Texto completo SciELO Brasil
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Id: lil-785820
Autor: Garcia, Leandro de Borborema; Moussalem, Guilherme Figner; Andrade, José Santos Cruz de; Mangussi-Gomes, João; Cruz, Oswaldo Laércio Mendonça; Penido, Norma de Oliveira; Testa, José Ricardo Gurgel.
Título: Transcanal endoscopic myringoplasty: a case series in a university center / Miringoplastia endoscópica transcanal: série de casos em um serviço universitário
Fonte: Braz. j. otorhinolaryngol. (Impr.);82(3):321-325tab, graf.
Idioma: en.
Resumo: ABSTRACT INTRODUCTION: Transcanal myringoplasty has the advantages of demanding lower operative time and minimal external incisions. It can be performed using the microscopic or endoscopic approach. In the last decade, the use of endoscopes in ear surgery has increased significantly. This technique may allow "around the corner" visualization of small recesses, through narrow spaces, without the aid of canalplasty in unfavorable ear canals. OBJECTIVE: To describe a case series of transcanal endoscopic myringoplasty performed in a university service. The characteristics, advantages, and disadvantages of this technique are also discussed. METHODS: A case series study, based on the chart review of patients submitted to transcanal endoscopic myringoplasty in the period from January of 2012 to October of 2014. RESULTS: Data from 22 patients were analyzed. Tympanic perforation closure three months after surgery was observed in 86.4% of all patients. There was statistically significant improvement in pure tone average thresholds after surgery (p < 0.001). CONCLUSION: Transcanal endoscopic myringoplasty is a feasible, safe, and effective procedure; it can be an alternative to microscopic surgery.

Resumo Introdução: A miringoplastia realizada por via transcanal possui como vantagens a maior rapidez do procedimento e menor incisão externa, podendo ser realizada com auxílio de microscópio ou endoscópio. Na última década tem sido observado um aumento do uso de endoscópios na cirurgia otológica. Essa técnica pode permitir melhor visibilização de espaços encobertos e estreitos, sem necessidade canaloplastia em meatos desfavoráveis. Objetivo: Descrever uma série de casos de miringoplastia endoscópica transcanal, em um serviço universitário, discutindo suas particularidades, vantagens e desvantagens. Método: Estudo de série de casos, baseado na revisão de prontuários dos pacientes submetidos a miringoplastia com uso exclusivo de endoscópio rígido, no período de Janeiro de 2012 a Outubro de 2014. Resultados: Foram analisados os dados de 22 pacientes. Na otoscopia pós-operatória, foi observado fechamento da perfuração timpânica em 86,4% dos pacientes, após 3 meses da intervenção. Para a amostra estudada, foi observada melhora funcional estatisticamente significante da média dos limiares tonais (PTA) após a cirurgia (p < 0,001). Conclusão: A miringoplastia endoscópica transcanal é um procedimento seguro, factível e efetivo, podendo ser realizado como alternativa à cirurgia microscópica.
Descritores: Procedimentos Cirúrgicos Otológicos/métodos
Perfuração da Membrana Timpânica/cirurgia
Meato Acústico Externo/cirurgia
Endoscopia/métodos
Miringoplastia/métodos
-Estudos Transversais
Estudos de Coortes
Resultado do Tratamento
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Hospitais Universitários
Microcirurgia/métodos
Limites: Humanos
Masculino
Feminino
Criança
Adulto
Responsável: BR1.1 - BIREME


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Texto completo SciELO Brasil
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Id: biblio-1039276
Autor: Valente, João Paulo.
Título: The role of the endoscope in otologic surgery / O papel do endoscópio na cirurgia otológica
Fonte: Braz. j. otorhinolaryngol. (Impr.);85(5):543-545, Sept.-Oct. 2019. graf.
Idioma: en.
Descritores: Procedimentos Cirúrgicos Otológicos/instrumentação
Endoscópios
Limites: Humanos
Tipo de Publ: Editorial
Responsável: BR1.1 - BIREME


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Id: biblio-1153
Autor: Alencar, Ernani Coelho; Lucena, José Ricardo Silva de; Carvalho Filho, Rubens Antonio Silvestre de; Oliveira, Katarina Paula de Freitas; Almeida, Carlos Lacerda de Andrade.
Título: Correção cirúrgica de orelhas em abano: associação das técnicas de Furnas e Mustardè / Surgical correction of prominent ears: association of the Furnas and Mustardé techniques
Fonte: Rev. bras. cir. plást;30(3):439-445, 2015. ilus.
Idioma: en; pt.
Resumo: INTRODUÇÃO: Orelha proeminente, popularmente conhecida como orelha em abano, é uma afecção muito frequente em nosso meio. Constitui a deformidade mais comum da cabeça e pescoço, prevalecendo em aproximadamente 5% da população em geral. O trabalho tem como objetivo demonstrar que, com a junção de técnicas cirúrgicas simples, é possível corrigir as deformidades e obter um ótimo índice de satisfação dos pacientes. MÉTODO: Um total de 60 pacientes de ambos os sexos, entre 11 e 40 anos foram submetidos à otoplastia bilateral entre fevereiro de 2009 e dezembro de 2010. RESULTADOS: Em todos os casos se realizou otoplastia bilateral. Não houve casos de hematomas, infecção de sítio cirúrgico ou cicatriz hipertrófica. Cicatrizes visíveis ou granulomas de corpo estranho na face posterior da orelha foram constatados em 5 casos (8,3%). Houve 1 caso de condrite. O índice de deformidade residual com 1 ano de pós-operatório ocorreu em 3 casos, sendo todos bilaterais. Recidiva total foi presenciada em 1 caso (1,7%). Após um ano da cirurgia, 56 pacientes (93,3%) consideraram o resultado como bom e estavam satisfeitos, 3 pacientes sofreram reintervenção por deformidade residual e em 1 caso ocorreu a recidiva total, em que o mesmo não desejou correção. CONCLUSÃO: O presente estudo vem demonstrar que a associação das técnicas de Mustardè com a de Furnas traz alto grau de satisfação, baixo índice de complicações, podendo ser realizada com tranquilidade em nível ambulatorial e com baixo custo.

INTRODUCTION: Prominent ears, popularly known as bat ears, are the most common deformity of the head and neck, occurring in approximately 5% of the general population. This study aims to demonstrate that, with the use of simple surgical techniques, it is possible to correct the deformity and achieve optimal patient satisfaction. METHOD: A total of 60 patients of both sexes, aged between 11 and 40 years, underwent bilateral otoplasty between February 2009 and December 2010. RESULTS: In all cases, bilateral otoplasty was performed. There were no cases of hematomas, surgical site infection, or hypertrophic scars. In 5 cases (8.3%) visible scars or foreign body granulomas were found in the posterior surface of the ear. Chondritis occurred in one patient. Bilateral residual deformity occurred in 3 cases at 1 year post-surgery. Total recurrence was observed in 1 case (1.7%). After one year of surgery, 56 patients (93.3%) considered the result as good and were satisfied, 3 patients underwent reintervention for residual deformity, and total recurrence occurred in 1 case, which the patient did not wish to correct. CONCLUSION: The present study demonstrates that concurrent use of the Mustardé and Furnas otoplasty techniques results in a high degree of satisfaction and a low rate of complications. The procedure can easily be performed at the outpatient level and at a low cost.
Descritores: Recidiva
Procedimentos Cirúrgicos Otológicos
Estudo Comparativo
Estudo de Avaliação
Orelha
Deformidades Adquiridas da Orelha
-Procedimentos Cirúrgicos Otológicos/métodos
Orelha/cirurgia
Deformidades Adquiridas da Orelha/cirurgia
Limites: Humanos
Masculino
Feminino
Criança
Adolescente
Adulto
História do Século XXI
Tipo de Publ: Relatos de Casos
Estudo Comparativo
Revisão
Estudo de Avaliação
Responsável: BR32.1 - Serviço de Biblioteca e Informação Biomédica


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Id: biblio-1090557
Autor: Mangia, Lucas Resende Lucinada; Santos, Vanessa Mazanek; Mansur, Thaisa Muniz; Wiemes, Gislaine Richter Minhoto; Hamerschmidt, Rogerio.
Título: Facial Nerve Intraoperative Monitoring in Otologic Surgeries under Sedation and Local Anesthesia - A Case Series and Literature Review
Fonte: Int. arch. otorhinolaryngol. (Impr.);24(1):11-17, Jan.-Mar. 2020. tab, graf.
Idioma: en.
Resumo: Abstract Introduction Local anesthesia with sedation has been employed for an increasingly number of otolaryngology procedures, and might be associated with lower surgical morbidity and costs. Facial nerve monitoring is often advisable in otology to minimize the risks of injuries to this cranial nerve, but the principles, techniques and parameters involved have only been studied for procedures under general anesthesia. Objective To report the preliminary outcomes of intraoperative facial nerve moni- toring during otologic procedures under sedation and local anesthesia. Methods A total of five procedures and their respective intraoperative electrophysi- ological main findings were described. Facial neuromonitoring was performed using the same device by an electrophysiologist. The monitor sensitivity was set at 100 mV, and a stimulating probe was used whenever needed. Results Progressively decreasing low-amplitude baseline values were usually obtained as the level of anesthesia increased, with isolated oscillations possibly related to some degree of voluntary muscular activity. These oscillations could be easily distinguished from those of the surgical manipulation or electrical stimulation of the nerve, which tended to be of much greater amplitude and shorter latency, occurring during specific surgical steps. Conclusion With a surgical team with proper procedural knowledge and broad expertise regarding the technique, intraoperative facial nerve monitoring under local anesthesia with sedation seemed both feasible and reliable. Thus, the need for intraoperative neuromonitoring should not be an obstacle for otologic procedures under less aggressive anesthetic management.
Descritores: Procedimentos Cirúrgicos Otológicos/métodos
Monitorização Intraoperatória/métodos
Nervo Facial/fisiologia
Anestesia Local
-Resultado do Tratamento
Estimulação Elétrica
Eletromiografia
Limites: Humanos
Masculino
Feminino
Adulto
Pessoa de Meia-Idade
Idoso
Tipo de Publ: Relatos de Casos
Revisão
Responsável: BR66.1 - Divisão de Biblioteca e Documentação


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Bento, Ricardo Ferreira
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Id: biblio-1024494
Autor: Bento, Ricardo Ferreira; Rocha, Bruno Aragão; Freitas, Edson Leite; Balsalobre, Fernando de Andrade.
Título: Otobone ®: Three-dimensional printed Temporal Bone Biomodel for Simulation of Surgical Procedures
Fonte: Int. arch. otorhinolaryngol. (Impr.);23(4):451-454, Out.-Dez. 2019. ilus.
Idioma: en.
Resumo: Introduction: The anatomy of the temporal bone is complex due to the large number of structures and functions grouped in this small bone space, which do not exist in any other region in the human body. With the difficulty of obtaining anatomical parts and the increasing number of ear, nose and throat (ENT) doctors, there was a need to create alternatives as real as possible for training otologic surgeons. Objective: Developing a technique to produce temporal bone models that allow them to maintain the external and internal anatomical features faithful to the natural bone. Methods: For this study, we used a computed tomography (CT) scan of the temporal bones of a 30-year-old male patient, with no structural morphological changes or any other pathology detected in the examination, which was later sent to a 3D printer in order to produce a temporal bone biomodel. Results: After dissection, the lead author evaluated the plasticity of the part and its similarity in drilling a natural bone as grade "4" on a scale of 0 to 5, in which 5 is the closest to the natural bone and 0 the farthest from the natural bone. All structures proposed in the method were found with the proposed color. Conclusion: It is concluded that it is feasible to use biomodels in surgical training of specialist doctors. After dissection of the bone biomodel, it was possible to find the anatomical structures proposed, and to reproduce the surgical approaches most used in surgical practice and training implants (AU)
Descritores: Osso Temporal/cirurgia
Simulação por Computador
Impressão Tridimensional
Modelos Anatômicos
-Procedimentos Cirúrgicos Otológicos/métodos
Osso Temporal/diagnóstico por imagem
Tomografia Computadorizada por Raios X
Educação Médica
Treinamento por Simulação
Limites: Humanos
Masculino
Adulto
Responsável: BR66.1 - Divisão de Biblioteca e Documentação


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Texto completo SciELO Chile
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Id: biblio-902796
Autor: Cabrera, Natalia S; Dentone, Luis S; Stott, Carlos C; Délano R, Paul H.
Título: Laberintectomía quirúrgica / Surgical labyrinthectomy
Fonte: Rev. otorrinolaringol. cir. cabeza cuello;77(4):412-416, dic. 2017. ilus.
Idioma: es.
Resumo: El tratamiento quirúrgico del vértigo se puede dividir en dos grandes grupos: no ablativos y ablativos, dentro de éstos últimos se encuentra la laberintectomía quirúrgica, técnica con la cual se produce cofosis. Su principal indicación es la sintomatología vestibular periférica invalidante, unilateral, que no mejora con medidas farmacológicas ni con terapia psiquiátrica, asociado a hipoacusia sensorioneural severa a profunda. Existen dos tipos de abordajes para realizar la laberintectomía quirúrgica: transmastoidea y transcanal, siendo la primera el gold standard para eliminar la función vestibular. Se presentarán dos casos clínicos de pacientes sometidos a estos procedimientos, uno por vía transmastoidea y otro por vía transcanal.

The surgical treatment of vertigo can be classified into two main groups: non-ablative and ablative. The surgical labyrinthectomy is an ablative treatment in which no hearing is preserved. Its main indication is the disabling peripherical and unilateral vestibular symptoms that do not improve with pharmacological measures or with psychiatric therapy, in patients with severe to profound sensorineural hearing loss. There are two types of approaches for labyrinthectomy, transmastoid and transcanal, the first is the gold standard to eliminate the vestibular function. Here, we present two cases of patients undergoing these procedures, one by transmastoid approach and the other by transcanal approach.
Descritores: Procedimentos Cirúrgicos Otológicos
Vertigem/cirurgia
Orelha Interna/cirurgia
Doença de Meniere/cirurgia
Limites: Humanos
Masculino
Feminino
Pessoa de Meia-Idade
Tipo de Publ: Relatos de Casos
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-872018
Autor: Piazentin-Penna, Silvia Helena Alvarez; Jorge, José Carlos.
Título: Avaliação e tratamento dos distúrbios da audição / Hearing disorders evaluation and treatment
Fonte: In: Trindade, Inge Elly Kiemi; Silva Filho, Omar Gabriel. Fissuras labiopalatinas: uma abordagem interdisciplinar. São Paulo, Santos, 2007. p.165-172, ilus, graf.
Idioma: pt.
Descritores: Fenda Labial
Fissura Palatina
Transtornos da Audição
Procedimentos Cirúrgicos Otológicos
Técnicas de Diagnóstico Otológico
Transtornos da Audição/diagnóstico
Transtornos da Audição/terapia
Responsável: BR28.1 - Serviço de Biblioteca e Documentação Professor Doutor Antônio Gabriel Atta
BR28.1; 616.043, Fi545


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Id: biblio-840782
Autor: Crosara, Paulo Fernando Tormin Borges; Nunes, Flávio Barbosa; Rodrigues, Danilo Santana; Figueiredo, Ana Rosa Pimentel; Becker, Helena Maria Gonçalves; Becker, Celso Goncalves; Guimarães, Roberto Eustáquio Santos.
Título: Rhinoplasty Complications and Reoperations: Systematic Review
Fonte: Int. arch. otorhinolaryngol. (Impr.);21(1):97-101, Jan.-Mar. 2017. tab, graf.
Idioma: en.
Resumo: Abstract Introduction This article is related to complications of rhinoplasty and its main causes of reoperations. Objectives The objective of this study is to perform a systematic review of literature on complications in rhinoplasty. Data Synthesis The authors conducted a survey of articles related to key terms in the literature by using three important databases within 11 years, between January 2002 and January 2013. We found 1,271 abstracts and selected 49 articles to this review. Conclusion Themain results showed that the number of primary open rhinoplasty was 7902 (89%) and 765 closed (11%) and the percentage of reoperations in primary open complete rhinoplasties was 2.73% and closed complete was 1.56%. The statistical analysis revealed a value of p = 0.071. The standardization of terms can improve the quality of scientific publications about rhinoplasty. There is no difference between primary open or closed rhinoplasty techniques in relation to reoperations.
Descritores: Procedimentos Cirúrgicos Otológicos
Reoperação
Rinoplastia/efeitos adversos
-Complicações Pós-Operatórias
Tipo de Publ: Revisão
Responsável: BR1.1 - BIREME


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Id: lil-795200
Autor: Miranda, Priscilla Poliseni; Cardoso, Carolina Louise; Gomes, Erissandra.
Título: Interventions in the Alteration on Lingual Frenum: Systematic Review
Fonte: Int. arch. otorhinolaryngol. (Impr.);20(3):275-280, July-Sept. 2016. tab, ilus.
Idioma: en.
Resumo: Abstract Introduction Altered lingual frenum modifies the normal tongue mobility, which may influence the stomatognathic functions, resulting in anatomical, physiological and social damage to the subject. It is necessary that health professionals are aware of the process of evaluation, diagnostics and treatment used today, guiding their intervention. Objective To perform a systematic review of what are the treatment methods used in cases of lingual frenum alteration. Data Synthesis The literature searches were conducted in MEDLINE, LILACS, SciELO, Cochrane and IBECS, delimited by language (Portuguese, English, Spanish), date of publication (January 2000 to January 2014) and studies performed in humans. The selection order used to verify the eligibility of the studies were related to: full text availability; review the abstract; text analysis; final selection. Of the total 443 publications, 26 remained for analysis. The surgical approach was used in all studies, regardless of the study population (infants, children and adults), with a range of tools and techniques employed; speech therapy was recommended in the post surgical in 4 studies. Only 4 studies, all with infants, showed scientific evidence. Conclusion Surgical intervention is effective for the remission of the limitations caused by the alteration on lingual frenum, but there is a deficit of studies with higher methodological quality. The benefits of speech therapy in the post surgical period are described from improvement in the language of mobility aspects and speech articulation.
Descritores: Freio Lingual
Procedimentos Cirúrgicos Otológicos
Fonoterapia
Limites: Humanos
Tipo de Publ: Revisão
Responsável: BR1.1 - BIREME


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Id: lil-788021
Autor: Yazdanshenas, Hamed; Ashouri, Anousheh; Kaufman, Galen.
Título: Neurovestibular Compensation following Ototoxic Lesion and Labyrinthectomy
Fonte: Int. arch. otorhinolaryngol. (Impr.);20(2):114-123tab, graf, ilus.
Idioma: en.
Projeto: Clinical Research Education and Career Development; . NIH-NIMHD and Accelerating Excellence in Translational Sciences (AXIS) grant NIHNIMHD.
Resumo: Abstract Introduction Unilateral labyrinthectomy and intra-tympanic gentamycin have been employed in the treatment of Ménière's disease, but the efficacy of these techniques has not been well established. Objective The objective of this study is to measure the time course of recovery from a unilateral labyrinthectomy either after ipsilateral topical treatment with gentamicin to the inner ear or without the previous insult. Methods Twenty-nine adult Mongolian gerbils were randomized into two experimental groups. Group 1 (n=17) received a right ear gentamicin drug-induced lesion by unilateral labyrinthectomy (UL). Group 2 (n=12) only received a right unilateral labyrinthectomy lesion. We measured the horizontal vestibulo-ocular responses in gerbils before and after the lesion. The gerbils received an angular acceleration stimulus and their eye movements were recorded. Results The gentamicin lesion resulted in a quicker recovery. Experimental groups underwent a similar time course of recovery. Statistical analysis showed no significant difference between the two groups. Both groups displayed adaptation to the lesion by day 21, but long-term compensation did not completely revert to the original pre-lesion state. Conclusions In a lesion requiring both static and dynamic compensation as in UL, the need for a static compensation may alter pre-existing compensation from a previous dynamic insult and require a new compensation. A previous lesion and adaptation is not preserved for a second lesion and the subject has to re-compensate. Therefore, surgical treatment in Meniere's disease such as UL can be considered without prior gentamicin treatment. Static and dynamic compensations do not appear to be as independent as previous studies have suggested.
Descritores: Procedimentos Cirúrgicos Otológicos
Vertigem/terapia
Doenças Vestibulares
-Modelos Animais
Roedores
Limites: Animais
Responsável: BR1.1 - BIREME



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