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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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Texto completo SciELO Brasil
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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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Texto completo SciELO Brasil
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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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Texto completo SciELO Brasil
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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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Texto completo SciELO Brasil
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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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Texto completo SciELO Brasil
Texto completo
Id: lil-788015
Autor: El-Anwar, Mohammad Waheed; ElAassar, Ahmed Shaker; Foad, Yaser Ahmad.
Título: Non-mastoidectomy Cochlear Implant Approaches: A Literature Review
Fonte: Int. arch. otorhinolaryngol. (Impr.);20(2):180-184tab.
Idioma: en.
Resumo: Abstract Introduction Posterior tympanotomy approach for cochlear implant (CI) surgery, has been the most commonly used worldwide with current 0.7% rate of facial nerve injury. Non-mastoidectomy CI approaches include the suprameatal approach (SMA) and its modifications, the transcanal approach and its modifications and the pericanal approach for electrode insertion. Objectives The objective of this study was to review the literature regarding nonmastoidectomy CI approaches. Data Synthesis A search was performed in the LILACS, MEDLINE, SciELO, PubMed databases and Cochrane Library in February 2015, and the key words used in the search were CI, SMA, transcanal approach, pericanal approach, or electrode extrusion. About 30 studies that met the criteria described in "Study Selection" were read in full. The studies showed 1014 patients that underwent CI by SMA or its modifications, 266 CI patients treated by transcanal approach or its modifications, and 15 patients implanted by the pericanal approach. Reported complication with SMA was 99 (9.8%) minor and 13 (1.3%) major. With transcanal, there were 24 complications; 19 (7.1%) minor and 5 (1.9%) major. No post-operative complication was reported in pericanal approach. Studies showed no reported facial nerve paresis or paralysis in all non-mastoidectomy approaches. Conclusion Complications rates with non-mastoidectomy approaches are similar to those found in the mastoidectomy approach. Thus, non-mastoidectomy approaches may be an alternative in cases where the conventional mastoidectomy approach is difficult to perform. It would be helpful for CI surgeons to become familiarized with these approaches.
Descritores: Implante Coclear
Procedimentos Cirúrgicos Otológicos
Complicações Pós-Operatórias/prevenção & controle
-Traumatismos Faciais
Limites: Humanos
Masculino
Feminino
Pré-Escolar
Criança
Adulto
Tipo de Publ: Revisão
Responsável: BR1.1 - BIREME


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Id: lil-778830
Autor: Secco, Leonardo Gabeira; Ogata, Dacio Yoshikasu; Pagnocelli, Bruno Henrique; Ribeiro, Raidel Deucher; Paccanaro, Rafael Camargo; Miranda, Ricardo Eustachio de; Sodré, Roberto Luiz; Gragnani Filho, Alfredo; Bercial, Marcos Eduardo; Calil, José Augusto.
Título: Medida do grau de correção das orelhas proeminentes utilizando algoritmo de tratamento padronizado / Assessment of the degree of correction of prominent ears using a standardized treatment algorithm
Fonte: Rev. bras. cir. plást;28(4):570-576, july-sept. 2013.
Idioma: en.
Resumo: The goal of aesthetic otoplasty is the correction of ear deformities by creating harmonious and symmetrical external ears, without visible scars. Otoplasty techniques based on the excision of postauricular skin are associated with high recurrence rates. Modern otoplasty is based on cartilage-cutting and cartilage-sparing techniques, alone or in combination, which lead to lower recurrence rates. Objective: We evaluated the efficacy of otoplasty combined with other techniques in the correction of ear deformities, based on a modified version of the "algorithm for otoplasty at the Craniofacial Center at Texas Children's Hospital". Methods: Forty patients, who underwent otoplasty for prominent ears in our institution between March and September of 2009, were prospectively assessed. The mastoid-helix distance was measured preoperatively (baseline) and at 1, 3, and 6 months postoperatively. Results: The most common deformities were scaphoconchal angle greater than 90° (51.3%, 41/80 ears) and conchal hypertrophy > 2.5 cm (46.3%, 37/80 ears). Recurrence occurred in 2 (5%) patients and partial stenosis of the ear canal in 1 (2.5%). Significant reductions in the mastoid-helix distance were observed at the three time points compared with baseline (P
O objetivo da otoplastia estética é a correção de deformidades da orelha, criando orelhas externas harmoniosas e simétricas. As técnicas de otoplastia, baseadas na excisão da pele pós-auricular, estão associados com a recorrência elevada. A otoplastia moderna é baseada nas técnicas de ressecção e/ou modelagem da cartilagem, que levam que menores taxas de recorrência. Objetivo: Foi avaliada a eficácia da otoplastia com técnica combinada na correção de deformidades da orelha, baseado numa versão modificada do "algoritmo para otoplastia", na Centro Craniofacial do Hospital Infantil do Texas". Método: Quarenta pacientes submetidos à otoplastia por orelhas proeminentes, entre março e setembro de 2009, foram avaliados prospectivamente. A distância mastoide-hélice foi medida no pré-operatório e após 1, 3 e 6 meses após a cirurgia. Resultados: As deformidades mais comuns foram ângulo escafo_concha I maior que 90° (51,3%, 41/80 orelhas) e hipertrofia de concha> 2,5cm (46,3%, 37/80 orelhas). Reduções significativas na distância mastoide_hélice foram observadas nos três períodos em comparação com os valores basais (P
Descritores: Técnicas e Procedimentos Diagnósticos
Procedimentos Cirúrgicos Otológicos
Orelha Externa/anormalidades
Orelha Externa/cirurgia
Otopatias/cirurgia
Cuidados Pós-Operatórios
-Estética
Métodos
Pacientes
Estudos Retrospectivos
Cirurgia Plástica
Terapêutica
Limites: Humanos
Masculino
Feminino
Criança
Adolescente
Adulto Jovem
Tipo de Publ: Estudo Comparativo
Estudo de Avaliação
Responsável: BR32.1 - Serviço de Biblioteca e Informação Biomédica



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