for Journals by Title or ISSN
for Articles by Keywords
Followed Journals
Journal you Follow: 0
Sign Up to follow journals, search in your chosen journals and, optionally, receive Email Alerts when new issues of your Followed Jurnals are published.
Already have an account? Sign In to see the journals you follow.
Journal Cover   International Archives of Otorhinolaryngology
  [SJR: 0.162]   [H-I: 2]   [3 followers]  Follow
  This is an Open Access Journal Open Access journal
   ISSN (Print) 1809-9777 - ISSN (Online) 1809-4864
   Published by Thieme Publishing Group Homepage  [158 journals]
  • Foreign Body in Jugal Mucosa

    • Authors: Serrano; Thiago Luís Infanger, Pauna, Henrique Furlan, Hazboun, Igor Moreira, Dal Rio, Ana Cristina, Correa, Maria Elvira Pizzigatti, Nicola, Ester Maria Danielli
      Abstract: Introduction Foreign body in the oral cavity may be asymptomatic for long time and only sometimes it can lead to a typical granulomatous foreign body reaction. Some patients may complain of oral pain and present signs of inflammation with purulent discharge. A granuloma is a distinct, compact microscopic structure composed of epithelioid-shaped macrophages typically surrounded by a rim of lymphocytes and filled with fibroblasts and collagen. Nowadays, the increase of cosmetic invasive procedures such as injection of prosthetic materials in lips and cheeks may lead to unusual forms of inflammatory granulomas. Objectives Describe an unusual presentation of a foreign body reaction in the buccal mucosa due to previous injection of cosmetic agent. Resumed Report A 74-year-old woman was referred to the Department of Otorhinolaryngology, Head and Neck Surgery to investigate the presence of multiple painless, bilateral nodules in the buccal mucosa, with progressive growth observed during the previous 2 months. The histologic results showed a foreign body inflammatory reaction. Conclusion Oral granulomatosis lesions represent a challenging diagnosis for clinicians and a biopsy may be necessary. Patients may feel ashamed to report previous aesthetic procedures, and the clinicians must have a proactive approach.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-03-13T20:47:19+0100
      DOI: 10.1055/s-0035-1547522
  • Rhinosinusal Polyposis and Inverted Papilloma: A Morphometric Comparative

    • Authors: Andrade; Gabriel Costa, Fujise, Luciana Harumi, Fernandes, Atílio Maximino, Azoubel, Reinaldo
      Abstract: Introduction Nasal obstruction is one of the main rhinologic complaints, and two diseases must be investigated as differential diagnosis: rhinosinusal polyposis and inverted papilloma. Using traditional methods, the differential diagnosis between these diseases may be difficult. The morphometric study may be a useful tool for differential diagnosis and to define prognosis. Objective Calculate the morphometric values of rhinosinusal polyposis and inverted papilloma and compare the average of variables obtained between the groups. Methods The nasal mucus of 10 patients who had surgery in the Department of Otorhinolaryngology and Surgery of Head and Neck was studied; 5 had rhinosinusal polyposis and 5 had inverted papilloma. After the capture and print of corresponding data of each slide, the largest and smallest diameters of the nuclei were measured and the morphometric variables were calculated: average diameter, perimeter, ratio between largest and smallest diameter, volume, area, ratio of volume to area, form coefficient, contour index, and eccentricity. Results We found a significant difference (p 
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-03-12T14:52:00+0100
      DOI: 10.1055/s-0035-1547521
  • Study of the Hearing Threshold of Dance Teachers

    • Authors: Nehring; Cristiane, Bauer, Magda Aline, Teixeira, Adriane
      Abstract: Introduction High sound pressure levels can cause hearing loss, beginning at high frequencies. Objective To analyze the hearing thresholds of dance teachers. Methods This study had a cross-sectional, observational, prospective, and descriptive design. Conventional and high-frequency hearing evaluations were performed with dance teachers and subjects in the control group. Results In all, 64 individuals were assessed, 32 in the research group and 32 in the control group. Results showed that individuals in the research group had hearing loss at frequencies between 4 and 8 kHz, but no significant difference was found between groups. Frequency analysis showed that individuals in the control group had higher thresholds than individuals in the research group at the frequency of 0.25 kHz. In the control group, men showed higher thresholds than women at the frequency of 9 kHz. Conclusion A low prevalence of hearing loss was found, with no difference between teachers and subjects from the control group. No difference was found for hearing thresholds at high frequencies between groups. Results have been partially affected by sex.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-03-10T17:40:20+0100
      DOI: 10.1055/s-0035-1547519
  • Angiosarcoma of the Head and Neck

    • Authors: Mullins; Brandon, Hackman, Trevor
      Abstract: Introduction Angiosarcoma of the head and neck is a rare vascular sarcoma associated with high rates of local recurrence and distant metastasis and a poor prognosis. Objective We describe our experience treating patients with angiosarcoma of the head and neck to evaluate the outcomes, patterns of failure, and current treatments. Methods We identified six patients with angiosarcoma of the head and neck and treated at our institution between 2000 and 2013. We compared our results to the literature from 1979 to 2013. Results Mean follow-up was 42 months. Local recurrence rate was 50% with disease-specific survival and 2-year disease-free survival rates of 33.3 and 20%, respectively. Prognostic factors included tumor size > 5 cm and surgical margin status, with no correlation between histologic grade and survival. Combined-modality therapy was only used for aggressive tumors with positive surgical margins but is suggested to improve local control and overall survival. Conclusions Our data series supports that angiosarcoma of the head and neck has a high rate of recurrence and is associated with a poor prognosis, despite current combined-modality therapy. The study highlights the importance of attaining negative margins during surgical resection, the utility of adjuvant therapies, as well as the need for continued research in developing new management strategies.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-03-10T17:40:20+0100
      DOI: 10.1055/s-0035-1547520
  • Aspects of Oral Language, Speech, and Written Language in Subjects with
           Temporal Lobe Epilepsy of Difficult Control

    • Authors: Berberian; Ana Paula, Hopker, Christiane, Mazzarotto, Ingrid, Cunha, Jenane, Guarinello, Ana Cristina, Massi, Giselle, Crippa, Ana
      Abstract: Introduction About 50 million people have epilepsy and 30% of them have epilepsy that does not respond to properly conducted drug treatment. Objective Verify the incidence of language disorders in oral language, speech, and written language of subjects with difficult to control temporal lobe epilepsy (TLE) and compare the occurrence of these disorders in subjects before and after surgery. Methods Cross-sectional study with quantitative analysis, exploratory type. A questionnaire for data collection was administered covering the following aspects: oral language, speech complaints, and writing production and comprehension. Criteria for inclusion of subjects were a diagnosis of TLE refractory to drug treatment and at least 4 years of schooling. Results The sample of 63 patients with TLE was divided into two groups: presurgical (n = 31) and postsurgical (n = 32). In the postsurgical group, there was a higher frequency of left lobectomy (75%) than right (25%). Conclusion Statistical analysis was performed with the chi-square test (significance level of 0.05). Complaints related to speech-language attention were more predominant in postsurgical subjects. Analysis of oral language, speech, and written language in subjects with epilepsy who underwent temporal lobectomy or not showed findings consistent with symptoms related to transient aphasia, with the presence of paraphasias, as well as changes in speech prosody and melody. These symptoms appeared more associated with recurrence after having a temporal lobectomy.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-03-10T17:40:19+0100
      DOI: 10.1055/s-0035-1547524
  • Thickened Pituitary Stalk Associated with a Mass in the Sphenoidal Sinus:
           An Alarm to Suspect Hypophysitis by Immunoglobulin G4'

    • Authors: Batista; Rafael Loch, Ramos, Luciano Silva, Cescato, Valter Angelo, Musolino, Nina Rosa Castro, Borba, Clarissa Groberio, Silva, Gilberto Ochman, Moreno, Lilian Hupfeld, Cunha Neto, Malebranche Bernardo Carneiro
      Abstract: Introduction Hypophysitis is a chronic inflammation of the pituitary gland of complex and still incompletely defined pathogenesis. It belongs to the group of non-hormone-secreting sellar masses, sharing with them comparable clinical presentation and radiographic appearance. Objectives Describe the case of immunoglobulin G4 (IgG4)-related hypophysitis presenting as a mass in the sphenoid sinus. Resumed Report A 40-year-old Brazilian man had a diagnosis of central diabetes insipidus since 2001 associated with pituitary insufficiency. Pituitary magnetic resonance imaging revealed a centered pituitary stalk with focal nodular thickening and the presence of heterogeneous materials inside the sphenoid sinus. The patient was treated with testosterone replacement therapy. Laboratory results revealed increased IgG4 serum. Conclusion IgG4-related hypophysitis should be considered in patients with pituitary insufficiency associated with sellar mass and/or thickened pituitary stalk. IgG4 serum measurement for early diagnosis of IgG4-related hypophysitis should be performed.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-03-05T13:13:36+0100
      DOI: 10.1055/s-0034-1397333
  • Transient Evoked and Distortion Product Otoacoustic Emissions in a Group
           of Neonates

    • Authors: Silva; Giovanna Cesar, Delecrode, Camila Ribas, Kemp, Adriana Tahara, Martins, Fabiana, Cardoso, Ana Claudia Vieira
      Abstract: Introduction The most commonly used method in neonatal hearing screening programs is transient evoked otoacoustic emissions in the first stage of the process. There are few studies comparing transient evoked otoacoustic emissions with distortion product, but some authors have investigated the issue. Objective To correlate the results of transient evoked and distortion product otoacoustic emissions in a Brazilian maternity hospital. Methods This is a cross-sectional, comparative, and prospective study. The study included 579 newborns, ranging from 6 to 54 days of age, born in a low-risk maternity hospital and assessed for hearing loss. All neonates underwent hearing screening by transient evoked and distortion product otoacoustic emissions. The results were analyzed using the Spearman correlation test to relate the two procedures. Results The pass index on transient evoked otoacoustic emissions was 95% and on distortion product otoacoustic emissions was 91%. The comparison of the two procedures showed that 91% of neonates passed on both procedures, 4.5% passed only on transient evoked otoacoustic emissions, 0.5% passed only on distortion product otoacoustic emissions, and 4% failed on both procedures. The inferential analysis showed a significant strong positive relationship between the two procedures. Conclusion The failure rate was higher in distortion product otoacoustic emissions when compared with transient evoked; however, there was correlation between the results of the procedures.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-03-02T13:40:46+0100
      DOI: 10.1055/s-0035-1546431
  • Voice Outcome after Gore-Tex Medialization Thyroplasty

    • Authors: Elnashar; Ismail, El-Anwar, Mohammad, Amer, Hazem, Quriba, Amal
      Abstract: Introduction Although medialization thyroplasty utilizing Gore-Tex (Gore and Associates, Newark, Delaware, United States) has been discussed in the literature, few reports have assessed voice quality afterward, and they did not use a full assessment protocol. Objective To assess the improvement in voice quality after medialization thyroplasty utilizing Gore-Tex in patients with glottic insufficiency of variable etiology. Methods Eleven patients with glottic insufficiency of different etiologies that failed compensation were operated by type 1 thyroplasty utilizing Gore-Tex. Pre- and postoperative (1 week, 3 months, and 6 months) voice assessment was done and statistical analysis was performed on the results. Results In all postoperative assessments, there was significant improvement in the grade of dysphonia (p 
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-02-26T13:09:50+0100
      DOI: 10.1055/s-0034-1397339
  • Surfactant Protein A Expression in Chronic Rhinosinusitis and Atrophic

    • Authors: El-Anwar; Mohammad Waheed, Hamed, Atef A., Mohamed, Abd ElRaof Said, Nofal, Ahmad Abdel-Fattah, Mohamed, Maha A., Abdel-Aziz, Hesham R.
      Abstract: Introduction Surfactant protein A (SP-A) exhibits antimicrobial properties and interacts with a variety of respiratory tract pathogens. Objective The objective of this study was to detect the presence of SP-A and measure its alterations in chronic rhinosinusitis (CRS) and primary atrophic rhinitis (PAR) versus healthy controls. Methods Inferior turbinate and sinus mucosal biopsies were taken from 30 patients with CRS, 30 patients with PAR, and 20 healthy controls. Immunohistochemical staining for SP-A and polymerase chain reaction (PCR) amplification of SP-A messenger RNA were performed on nasal tissue samples. Results Immunostaining localized SP-A to the mucosa and submucosal glands in CRS specimens but failed to localize it in PAR specimens. Quantitative PCR showed a high, statistically significant increase in the SP-A levels of patients with CRS when compared with controls (p 
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-02-20T14:43:46+0100
      DOI: 10.1055/s-0035-1546432
  • Mercury Exposure in a Riverside Amazon Population, Brazil: A Study of the
           Ototoxicity of Methylmercury

    • Authors: Hoshino; Ana, Pacheco-Ferreira, Heloisa, Sanchez, Gabriela, Carvallo, Renata, Cardoso, Nathália, Perez, Maurício, Câmara, Volney de Magalhães
      Abstract: Introduction Mercury poisoning causes hearing loss in humans and animals. Acute and long-term exposures produce irreversible peripheral and central auditory system damage, and mercury in its various forms of presentation in the environment is ototoxic. Objective We investigated the otoacoustic emissions responses in a riverside population exposed to environmental mercury by analyzing the inhibitory effect of the medial olivocochlear system (MOCS) on transient otoacoustic emissions (TEOAE). Methods The purpose of the research was to evaluate the entire community independently of variables of sex and age. All of the participants were born and lived in a riverside community. After otolaryngologic evaluation, participants were received tympanometry, evaluation of contralateral acoustic reflexes, pure tone audiometry, and recording of TEOAEs with nonlinear click stimulation. Hair samples were collect to measure mercury levels. Results There was no significant correlation between the inhibitory effect of the MOCS, age, and the level of mercury in the hair. Conclusions The pathophysiological effects of chronic exposure may be subtle and nonspecific and can have a long period of latency; therefore, it will be important to monitor the effects of mercury exposure in the central auditory system of the Amazon population over time. Longitudinal studies should be performed to determine whether the inhibitory effect of the MOCS on otoacoustic emissions can be an evaluation method and diagnostic tool in populations exposed to mercury.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-02-19T18:02:19+0100
      DOI: 10.1055/s-0034-1544115
  • Aglossia: Case Report

    • Authors: Bommarito; Silvana, Zanato, Luciana Escanoela, Vieira, Marilena Manno, Angelieri, Fernanda
      Abstract: Introduction Aglossia is a rare condition caused by failure of the tongue embryogenesis process (in the fourth to eighth weeks of gestation). The tongue is an organ used in different activities such as sucking, swallowing, chewing, and talking. It is also responsible for shaping palate dental arches (in its absence, they become atrophic). There are few similar cases reported in the literature. Objective To describe a rare case of aglossia and the multidisciplinary professionals working together for 5 years to treat the patient. Resumed Report An 8-year-old girl with aglossia had an assessment comprising: (1) clinical assessment of the stomatognathic system related to resting posture, tonus, and mobility; (2) orthodontic assessment; (3) surface electromyography of the chewing muscles; (4) swallowing videofluoroscopy. Conclusion The authors confirmed the need of multidisciplinary cooperation to improve the patient's quality of life, because agenesia implicates many activities/functions that depend on the tongue to fully work. Multiprofessional cooperation helps the patient learn compensation mechanisms.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-01-30T12:20:35+0100
      DOI: 10.1055/s-0034-1544116
  • Differential Diagnosis and Treatment of Isolated Pathologies of the
           Sphenoid Sinus: Retrospective Study of 46 Cases

    • Authors: Marcolini; Thomas Ribeiro, Safraider, Maryane Cristine, Socher, Jan Alessandro, Lucena, Guilherme Olinto
      Abstract: Introduction Isolated disease of the sphenoid is rare and has often been overlooked due to its remote location and difficult access. Objective A retrospective study of the main causes of isolated sphenoid sinus diseases with discussion of the most appropriate methods of diagnosis and treatment. Methods A total of 46 cases of isolated sphenoid disease treated between January 2008 and December 2013 were evaluated by objective ear, nose, and throat examination and video endoscopy, computed tomography of the paranasal sinuses, and, in some cases, magnetic resonance imaging. In each case, we decided between drug and/or endoscopic treatment. Results We identified 12 cases of isolated sphenoiditis (26.1%), 3 cases of fungal sphenoiditis (6.5%), 3 cases of sphenochoanal polyps (6.5%), 22 cases of mucocele (47.8%), 2 cases of cerebrospinal fluid leak (4.3%), and 1 case each of meningoencephalocele (2.1%), inverted papilloma (2.1%), fibrous dysplasia (2.1%), and squamous cell carcinoma (2.1%). Conclusion A prevalence of inflammatory and infectious diseases was found, and endoscopic surgery for the sphenoid sinus approach is effective in treating various diseases of the isolated sphenoid, whether complicated or not.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-01-28T12:31:31+0100
      DOI: 10.1055/s-0034-1397337
  • Health Promotion in Obstructive Sleep Apnea Syndrome

    • Authors: Corrêa; Camila de Castro, Blasca, Wanderléia Quinhoneiro, Berretin-Felix, Giédre
      Abstract: Introduction Obstructive sleep apnea syndrome (OSAS), which is commonly underdiagnosed, has a high occurrence in the world population. Health education concerning sleep disorders and OSAS should be implemented. Objectives The objective was to identify studies related to preventive actions on sleep disorders, with emphasis on OSAS. Data Synthesis A literature review was conducted using Lilacs, Medline, PubMed, and Scopus by combining the following keywords: “Health Promotion,” “Sleep Disorders,” “Primary Prevention,” “Health Education,” and “Obstructive Sleep Apnea Syndromes.” Initially, 1,055 papers, from 1968 to 2013, were located, with the majority from the Scopus database. The inclusion criteria were applied, and four articles published between 2006 and 2012 were included in the present study. Conclusions The studies on preventive actions in sleep disorders, with emphasis on OSAS, involved the general population and professionals and students in the health field and led to increased knowledge on sleep disorders and more appropriate practices.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-01-26T13:52:48+0100
      DOI: 10.1055/s-0034-1390327
  • Teleducation about Cleft Lip and Palate: An Interdisciplinary Approach in
           the Promotion of Health

    • Authors: Corrêa; Camila de Castro, Freire, Thais, Zabeu, Júlia Speranza, Martins, Aline, Ferreira, Rafael, Francisconi, Paulo Afonso Silveira, Dutka, Jeniffer de Cássia Rillo , Blasca, Wanderléia Quinhoeiro
      Abstract: Introduction The Young Doctor Project (YDP) uses Telehealth and Interactive Teleducation instruments to promote the integration of different areas of health and to build knowledge. This methodology can also foster public awareness on various issues related to health. In this context, the objective of this study was to emphasize cleft lip and palate (CLP), which is one of the most common birth defects in Brazil. Objective The study aimed to apply a model of education regarding CLP, based on the dynamics of the YDP, and to evaluate the participants' knowledge acquired after participating in the YDP. Methods The participants were 41 students, 13 to 15 years of age and at the eight- and ninth-grade levels in a private elementary school in Bauru (Brazil). To analyze the performance of the participants, a questionnaire was administered before and after the completion of the training program. The training program was structured in three steps using: (1) interactive teleducation classes, (2) a cybertutor, and (3) practical activities. Results There was a statistically significant difference between the pre- and postparticipation questionnaire results. The improved performance of participants is evidenced by the increase in the rate of correct answers on all issues. Conclusion The YDP on CLP was applied in the school setting following the three steps recommended by the project, and, after the implementation of the training program, there was a significant increase in participants' knowledge of CLP. The YDP on CLP proved an effective tool in promoting health education.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-01-19T17:17:34+0100
      DOI: 10.1055/s-0034-1544114
  • Reflux Laryngitis: Correlation between the Symptoms Findings and Indirect

    • Authors: Silva; Carlos Eduardo Dilen da, Niedermeier, Bruno Taccola, Portinho, Fernando
      Abstract: Introduction The indirect laryngoscopy has an important role in the characterization of reflux laryngitis. Although many findings are nonspecific, some strongly suggest that the inflammation is the cause of reflux. Objective The aim of this study was to evaluate the correlation between reflux symptoms and the findings of indirect laryngoscopy. Methods We evaluated 27 patients with symptoms of pharyngolaryngeal reflux disease. Results Laryngoscopy demonstrated in all patients the presence of hypertrophy of the posterior commissure and laryngeal edema. The most frequent symptoms were the presence of dry cough and foreign body sensation. Conclusion There was a correlation between the findings at laryngoscopy and symptoms of reflux.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-01-09T14:23:44+0100
      DOI: 10.1055/s-0034-1399794
  • An Aggressive Plasmablastic Lymphoma of the Oral Cavity as Primary
           Manifestation of Acquired Immunodeficiency Syndrome: Case Report and
           Literature Review

    • Authors: Corti; Marcelo, Minué, Gonzalo, Campitelli, Ana, Narbaitz, Marina, Gilardi, Leonardo
      Abstract: Introduction Plasmablastic lymphoma is a rare entity that was first described in the jaws and the oral cavity of patients with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS). Plasmablastic lymphoma is considered as a diffuse, large, B-cell lymphoma with a unique phenotype and a predilection for the oral cavity. Objective The authors describe a case of an aggressive plasmablastic lymphoma of the oral cavity as the primary manifestation of AIDS. Resumed Report We report a case of plasmablastic lymphoma involving only the oral cavity as the first manifestation of AIDS. Diagnosis was confirmed by the oral lesion biopsy and the histopathologic examination that showed a dense infiltrate composed of atypical lymphocytes with numerous plasmocytes that expressed the plasma cell markers MUM-1 and CD138 and that were negative for the B-cell markers CD3, CD20, and CD45. Immunohistochemical and in situ hybridization revealed the Epstein-Barr virus genome in the atypical cells. Polymerase chain reaction was also positive for human herpesvirus-8 RNA. Conclusion The HIV serologic status should be evaluated in all patients with plasmablastic lymphoma of the oral cavity or extraoral sites.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-01-08T16:08:14+0100
      DOI: 10.1055/s-0034-1397335
  • Ortner's Syndrome: Secondary Laryngeal Paralysis Caused by a Great
           Thoracic Aorta Aneurysm

    • Authors: Zangirolami; Ana Claudia Alves, Oliveira, Frederico Vieira de, Tepedino, Miguel Soares
      Abstract: Introduction Recurrent laryngeal nerve injury caused by cardiovascular disease is a rare condition, and often it is the only prominent sign of an imminent break of an aortic artery aneurysm. Objective To report left laryngeal paralysis caused by a great aortic arch aneurysm and to highlight the importance of an otorhinolaryngologic evaluation along with a thoracic radiologic study. Resumed Report A 42-year-old man complained of thickness of his voice and dysphagia for 3 months, but no thoracic pain or other relevant complaints. Video laryngoscopy revealed immobility of his left vocal fold in the paramedian position. Imaging was obtained for investigation, including magnetic resonance imaging of his thorax, which showed a fusiform aneurysm in the aortic arch, leading to recurrent compression of the left laryngeal nerve. The patient was successfully treated with endovascular repair of the aneurysm. At 2-month follow-up, there was still no recovery of the laryngeal mobility. Conclusion An aortic artery aneurysm can suddenly break, requiring emergency heart surgery, and the results can be fatal in many cases. We suggest routine exam of the vocal folds in all patients with a heart condition, and we review the literature and suggest the use of imaging to reduce the number of emergency procedures.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-01-05T11:10:39+0100
      DOI: 10.1055/s-0034-1397331
  • Monitoring the Hearing Handicap and the Recognition Threshold of Sentences
           of a Patient with Unilateral Auditory Neuropathy Spectrum Disorder with
           Use of a Hearing Aid

    • Authors: Lima; Aline Patrícia, Mantello, Erika Barioni, Anastasio, Adriana Ribeiro Tavares
      Abstract: Introduction Treatment for auditory neuropathy spectrum disorder (ANSD) is not yet well established, including the use of hearing aids (HAs). Not all patients diagnosed with ASND have access to HAs, and in some cases HAs are even contraindicated. Objective To monitor the hearing handicap and the recognition threshold of sentences in silence and in noise in a patient with ASND using an HA. Resumed Report A 47-year-old woman reported moderate sensorineural hearing loss in the right ear and high-frequency loss of 4 kHz in the left ear, with bilateral otoacoustic emissions. Auditory brainstem response suggested changes in the functioning of the auditory pathway (up to the inferior colliculus) on the right. An HA was indicated on the right. The patient was tested within a 3-month period before the HA fitting with respect to recognition threshold of sentences in quiet and in noise and for handicap determination. After HA use, she showed a 2.1-dB improvement in the recognition threshold of sentences in silence, a 6.0-dB improvement for recognition threshold of sentences in noise, and a rapid improvement of the signal-to-noise ratio from +3.66 to −2.4 dB when compared with the same tests before the fitting of the HA. Conclusion There was a reduction of the auditory handicap, although speech perception continued to be severely limited. There was a significant improvement of the recognition threshold of sentences in silence and in noise and of the signal-to-noise ratio after 3 months of HA use.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2015-01-05T11:08:17+0100
      DOI: 10.1055/s-0034-1397338
  • International Archives of Otorhinolaryngology—New Developments!
    • Int. Arch. Otorhinolaryngol. 2014; 18: 337-337
      DOI: 10.1055/s-0034-1390025

      Thieme Publicações Ltda Rio de Janeiro, Brazil

      Article in Thieme eJournals:
      Table of contents     open access Full text

      Int. Arch. Otorhinolaryngol. 2014; 18: 337-3372014-10-10T15:31:33+01:00
      Issue No: Vol. 18, No. 04 (2014)
  • Comparing Voice Self-Assessment with Auditory Perceptual Analysis in
           Patients with Multiple Sclerosis

    • Authors: Bauer; Vladimir, Aleric, Zorica, Jancic, Ervin
      Abstract: Introduction Disordered voice quality could be a symptom of multiple sclerosis (MS). The impact of MS on voice-related quality of life is still controversial. Objectives The aim of this study was to compare the results of voice self-assessment with the results of expert perceptual assessment in patients with MS. Methods The research included 38 patients with relapse-remitting MS (23 women and 15 men; ages 21 to 83, mean = 44). All participants filled out a Voice Handicap Index (VHI), and their voice sample was analyzed by speech and language professionals using the Grade Roughness Breathiness Asthenia Strain scale (GRBAS). Results The patients with MS had significantly higher VHI than control group participants (mean value 16.68 ± 16.2 compared with 5.29 ± 5.5, p = 0.0001). The study established a notable level of dysphonia in 55%, roughness and breathiness in 66%, asthenia in 34%, and strain in 55% of the vocal samples. A significant correlation was established between VHI and GRBAS scores (r = 0.3693, p = 0.0225), and VHI and asthenia and strain components (r = 0.4037 and 0.3775, p = 0.012 and 0.0195, respectively). The female group showed positive and significant correlation between claims for self-assessing one's voice (pVHI) and overall GRBAS scores, and between pVHI and grade, roughness, asthenia, and strain components. No significant correlation was found for male patients (p > 0.05). Conclusion A significant number of patients with MS experienced voice problems. The VHI is a good and effective tool to assess patient self-perception of voice quality, but it may not reflect the severity of dysphonia as perceived by voice and speech professionals.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-12-30T18:10:44+0100
      DOI: 10.1055/s-0034-1397332
  • Foreign Bodies in the Ear, Nose and Throat: An Experience in a Tertiary
           Care Hospital in Central Nepal

    • Authors: Parajuli; Ramesh
      Abstract: Introduction A foreign body (FB) is an object or substance foreign to the location where it is found. FBs in the ear, nose, and throat are a common problem frequently encountered in both children and adults. Objective To analyze FBs in terms of type, site, age, and gender distribution and method of removal. Methods A retrospective study was performed in a tertiary care hospital in the central part of Nepal. The study period was from June 2013 to May 2014. The information was obtained from hospital record books. Results A total of 134 patients had FBs in the ear, nose, or throat; 94 were males and 40 were females. Of the 134 patients, 70 (52.23%) had FB in the ear, 28 (20.89%) in the nose, and 36 (26.86%) in the throat. The FB was animate (living) in 28 (40%) patients with FB in the ear and 1 (3.5%) patient with FB in the nose, but the FB was inanimate (nonliving) in any patient with FB in the throat, in 42 (60%) patients with FB in the ear FB, and in 27 (96.4%) patients with FB of the nose. The FB was removed with or without local anaesthesia (LA) in 98 (73.13%) patients, and only 36 patients (26.86%) required general anaesthesia (GA). The most common age group affected was
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-12-30T18:06:59+0100
      DOI: 10.1055/s-0034-1397336
  • Parotid Incidentaloma Identified by Positron Emission/Computed Tomography:
           When to Consider Diagnoses Other than Warthin Tumor

    • Authors: Bothe; Carolina, Fernandez, Alejandro, Garcia, Jacinto, Lopez, Montserrat, León, Xavier, Quer, Miquel, Lop, Joan
      Abstract: Introduction Parotid gland incidentalomas (PGIs) are unexpected hypermetabolic foci in the parotid region that can be found when scanning with whole-body positron emission/computed tomography (PET/CT). These deposits are most commonly due to benign lesions such as Warthin tumor. Objective The aim of this study was to determine the prevalence of PGIs identified in PET/CT scans and to assess the role of smoking in their etiology. Methods We retrospectively reviewed all PET/CT scans performed at our center in search of PGIs and identified smoking status and standardized uptake value (SUVmax) in each case. We also analyzed the database of parotidectomies performed in our department in the previous 10 years and focused on the pathologic diagnosis and the presence or absence of smoking in each case. Results Sixteen cases of PGIs were found in 4,250 PET/CT scans, accounting for 0.4%. The average SUVmax was 6.5 (range 2.8 to 16). Cytology was performed in five patients; it was benign in four cases and inconclusive in one case. Thirteen patients had a history of smoking. Of the parotidectomies performed in our center with a diagnosis of Warthin tumor, we identified a history of smoking in 93.8% of those patients. Conclusions The prevalence of PGIs on PET/CT was similar to that reported by other authors. Warthin tumor is frequently diagnosed among PGIs on PET/CT, and it has a strong relationship with smoking. We suggest that a diagnosis other than Warthin tumor should be considered for PGIs in nonsmokers.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-12-29T12:23:52+0100
      DOI: 10.1055/s-0034-1397334
  • A Rare Location of Angiofibroma in the Inferior Turbinate in Young Woman

    • Authors: Salimov; Asif, Ozer, Serdar
      Abstract: Introduction Juvenile nasopharyngeal angiofibroma is a rare benign neoplasm in the nasopharynx. The tumor tends to be locally aggressive and is typically seen in adolescent boys. Extranasopharyngeal angiofibromas have been reported sporadically in the literature. They most commonly originate from the maxillary sinus. Objectives A 26-year-old woman was referred to our clinic with intermittent epistaxis from the right nasal passage for the previous 2 months. Maxillofacial magnetic resonance imaging showed a lobular, contoured mass originating from the right inferior turbinate and hanging in the right nasal cavity, with dense contrast enhancement denoting hypervascularity. Resumed Report Vascular feeding of the mass was seen from the right internal maxillary artery with angiography, and this branch was embolized. On the following day, the patient underwent transnasal endoscopic excision of the mass. An approximately 3-cm-diameter mass was excised by partial turbinectomy, and the posterior edge of the remaining turbinate was cauterized. Conclusion Extranasopharyngeal angiofibromas are rarely seen, and the inferior turbinate is an extremely rare location for them. This young woman is the first case reported in the English literature of angiofibroma originating from the inferior turbinate. We should consider these neoplasms can be found in female, nonadolescent patients with extranasopharyngeal localization, and we should not perform biopsy because of its massive bleeding.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-12-29T12:05:44+0100
      DOI: 10.1055/s-0034-1398471
  • The Effects of Unilateral Adaptation of Hearing Aids on Symptoms of
           Depression and Social Activity Constraints of Elderly

    • Authors: Santos; Fernanda Dutra dos, Teixeira, Adriane Ribeiro
      Abstract: Introduction Hearing loss is one of the most common problems in the elderly population. Besides compromising oral communication, it directly affects social relations and prevents elderly patients from living actively in society, possibly leading to the onset of depression or other conditions. Objective To analyze the effects of unilateral adaptation of hearing aids on symptoms of depression and the social activity constraints of elderly subjects with hearing impairment. Methods The sample consisted of elderly subjects with hearing loss who did not use hearing aids. Data were collected in two phases. Initially, all participants underwent an audiological assessment and answered the Hearing Handicap Inventory for Elderly (summarized version) and the Geriatric Depression Scale. All subjects participated in the selection and hearing aid adaptation processes and became monaural hearing aid users. After 30 days of hearing aid use, they were assessed with the same instruments. The results of the questionnaires before and after hearing aid adaptation were compared. Results The sample consisted of 13 individuals, between 60 and 90 years old (mean 72.85 ± 11.05 years). Data analysis showed that there was significant improvement in social activity constraints (p 
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-12-22T18:19:36+0100
      DOI: 10.1055/s-0034-1396792
  • Intralabyrinthine Penetrating Ventilation Tube with Preservation of
           Hearing: An Unusual Clinical Situation

    • Authors: Raoelina; Tantely Razafimahefa, Elziere, Maya, Michel, Justin, Devèze, Arnaud
      Abstract: Introduction Traumatic perilymphatic fistula is not a rare event with regards to sport activities or traffic accident. However, iatrogenic damage to the inner ear can occur following the common use of grommets and ventilation tube insertion. Objectives To report an unusual case of insertion of aeration tube into the vestibule trough the stapes footplate. Resumed Report A 62-year-old woman experienced iatrogenic penetration into the vestibule from a ventilation tube inserted for retraction pocket management. The event was misdiagnosed both by the surgeon and by the emergency room physicians, leading to delay in the management. However, preservation of the hearing function lasted for 2 weeks prior to deafness, thanks to the valve of Bast, which preserved the cochlear fluid. Conclusion This case gives us the opportunity to stress the need for systematic clinical examination of traumatic injury to the ear and to recommend performing multiplanar millimetric computed tomography scan with accurate interpretation. Traumatic injuries should be referred to a dedicated traumatic emergency referral center.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-12-12T18:13:08+0100
      DOI: 10.1055/s-0034-1386505
  • Massive Plexiform Neurofibroma of the Neck and Larynx

    • Authors: Mobashir; Mohammad Kamal, Mohamed, Abd ElRaof Said, El-Anwar, Mohammad Waheed, El Sayed, Ahmad Ebrahim, Fouad, Mouhamad A.
      Abstract: Introduction Laryngeal neurofibromas are extremely rare, accounting for only 0.03 to 0.1% of benign tumors of the larynx. Objectives To report the first case of massive neck plexiform neurofibroma with intralaryngeal (supraglottic) extension in a 5-year-old boy with neurofibromatosis type 1 and to describe its treatment. Resumed Report This massive plexiform neurofibroma was surgically removed, relieving its significant respiratory obstructive symptoms without recurrence to date. Conclusion Massive neck plexiform neurofibroma with supraglottic part was found in a child with neurofibromatosis type 1; it should be included in differential diagnosis of stridor and neck mass in children. It was diagnosed and removed in early in childhood without recurrence.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-12-12T17:59:12+0100
      DOI: 10.1055/s-0034-1396793
  • The Video Head Impulse Test in a Case of Suspected Bilateral Loss of
           Vestibular Function

    • Authors: Albernaz; Pedro L. Mangabeira, Cusin, Flavia Salvaterra
      Abstract: Introduction A patient who had no symptoms suggestive of bilateral loss of vestibular function presented no responses in rotational and caloric tests. Objectives To demonstrate the importance of the video head impulse test in neuro-otologic diagnosis. Resumed Report This patient had a neuro-otologic evaluation and presented no responses in torsion swing tests, caloric tests, and rotational tests in a Bárány chair. The video head impulse test elicited responses in four of the six semicircular canals. Conclusion Absent responses in caloric and rotatory tests alone are not sufficient to diagnose bilateral loss of vestibular function.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-12-10T16:41:36+0100
      DOI: 10.1055/s-0034-1395999
  • Lipidomic Profiling of Mastoid Bone and Tissue from Patients with Chronic

    • Authors: Fazlollahi; Farbod, Kongmanas, Kessiri, Tanphaichitr, Nongnuj, Suh, Jeffrey, Faull, Kym, Gopen, Quinton
      Abstract: Introduction Chronic otomastoiditis causes pain, otorrhea, and hearing loss resulting from the growth of tissue within the normally hollow mastoid cavity. Objectives In this report, we used a lipidomics approach to profile major mastoid bone and tissue lipids from patients with and without otomastoiditis. Methods The bone dust created during mastoidectomy, as well as the mastoid tissue, was analyzed from seven patients. Bone dust was also collected and analyzed in an additional four otologic cases (parotidectomy requiring mastoidectomy). Samples were subjected to a modified Bligh/Dyer lipid extraction, then high-performance thin-layer chromatography (HPTLC), combined gas chromatography/electron impact-mass spectrometry (GC/EI-MS), and flow-injection/electrospray ionization-tandem mass spectrometry (FI/ESI-MSMS). Data were analyzed for identification and profiling of major lipid components. Results HPTLC revealed the presence of various lipid classes, including phosphatidylcholines, cholesterol, and triacylglycerols. GC/EI-MS analysis revealed the presence of cholesterol and several fatty acids. FI/ESI-MSMS analysis revealed a host of phosphatidylcholines, phosphatidylethanolamines, and cholesteryl esters. Conclusion We used a lipidomics approach to develop an efficient (both in time and tissue amount) methodology for analysis of these tissues, identify the most abundant and common lipid species, and create a base of knowledge from which more focused endeavors in biomarker discovery can emerge. In an effort toward improved patient categorization and individualized intervention, the ultimate goal of this work is to correlate these lipid molecules to disease state and progression. This is the first reported study of its kind on these tissues.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-12-08T16:23:59+0100
      DOI: 10.1055/s-0034-1396522
  • Preoperative Imaging Modalities to Predict the Risk of Regional Nodal
           Recurrence in Well-Differentiated Thyroid Cancers

    • Authors: AlNoury; Mohammed K., Almuhayawi, Saad M., Alghamdi, Khalid B., Al-Noury, Khaled I.
      Abstract: Introduction Thyroid cancer incidence has increased in the previous 2 decades. Preoperative identification of lymph node metastasis is a suggested risk factor associated with recurrence following thyroidectomy. Objectives We aimed to evaluate the accuracy of preoperative radiologic investigations of nodal status in determining the postoperative risk of regional nodal recurrence in cases of well-differentiated thyroid cancer. Methods This is a case series. We retrospectively reviewed data, including preoperative ultrasonography and/or computed tomography results, on patients who underwent total thyroidectomy for thyroid cancer at our hospital between 2006 and 2012. Prognostic factors for predicting recurrence, including age, sex, tumor diameter, and nodal diameter, were evaluated. Results Total thyroidectomy was performed on 24 male and 74 female patients (median age, 43 years). The median follow-up time was 21 months. Sixty-eight patients had papillary thyroid cancer, and 30 had follicular cancer. Nodal recurrence was evident in 30% of patients, and 4% of patients died. Identification of lymph node involvement during preoperative radiologic investigations was strongly prognostic for recurrence: 35.3% of patients with positive preoperative ultrasonography findings and 62.5% of those with positive preoperative computed tomography findings had recurrence (p = 0.01). Conclusions Preoperative identification of lymph node metastasis on radiologic studies was correlated with an increased risk of regional nodal recurrence in well-differentiated thyroid cancer. Computed tomography was superior to ultrasonography in detecting metastatic nodal involvement preoperatively and is therefore recommended for preoperative assessment and postoperative follow-up.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-12-08T16:15:19+0100
      DOI: 10.1055/s-0034-1396521
  • Characterization of Hearing Thresholds from 500 to 16,000 Hz in
           Dentists: A Comparative Study

    • Authors: Gonçalves; Claudia Giglio de Oliveira, Santos, Luciana, Lobato, Diolen, Ribas, Angela, Lacerda, Adriana Bender Moreira, Marques, Jair
      Abstract: Introduction High-level noise exposure in dentists' workplaces may cause damages to the auditory systems. High-frequency audiometry is an important tool in the investigation in the early diagnosis of hearing loss. Objectives To analyze the auditory thresholds at frequencies from 500 to 16,000 Hz of dentists in the city of Curitiba. Methods This historic cohort study retrospectively tested hearing thresholds from 500 to 16,000 Hz with a group of dentists from Curitiba, in the state of Paraná, Brazil. Eighty subjects participated in the study, separated into a dentist group and a control group, with the same age range and gender across groups but with no history of occupational exposure to high levels of sound pressure in the control group. Subjects were tested with conventional audiometry and high-frequency audiometry and answered a questionnaire about exposure to noise. Results Results showed that 81% of dentists did not receive any information regarding noise at university; 6 (15%) dentists had sensorineural hearing impairment; significant differences were observed between the groups only at frequencies of 500 Hz and 1,000, 6,000 and 8,000 Hz in the right ear. There was no significant difference between the groups after analysis of mean hearing thresholds of high frequencies with the average hearing thresholds in conventional frequencies; subjects who had been working as dentists for longer than 10 years had worse tonal hearing thresholds at high frequencies. Conclusions In this study, we observed that dentists are at risk for the development of sensorineural hearing loss especially after 10 years of service.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-11-28T15:32:40+0100
      DOI: 10.1055/s-0034-1390138
  • Telephone Usage and Cochlear Implant: Auditory Training Benefits

    • Authors: Sousa; Aline Faria de, Carvalho, Ana Claudia Martinho de, Couto, Maria Ines Vieira, Tsuji, Robinson Koji, Goffi-Gomez, Maria Valéria Schmidt, Bento, Ricardo Ferreira, Matas, Carla Gentile, Befi-Lopes, Debora Maria
      Abstract: Introduction Difficulties with telephone use by adult users of cochlear implants (CIs) are reported as a limitation in daily life. Studies to improve the speech understanding of CI users on the telephone are scarce in the Brazilian scientific literature. Objective To develop and evaluate the effectiveness of a training program of auditory abilities on the telephone for an adult CI user. Resumed Report The subject was a 55-year-old woman with a degree in accounting who used a CI for 24 months. The program consisted of three stages: pretraining evaluation, eight sessions of advanced auditory abilities training, and post-training evaluation. Auditory abilities with CI were evaluated before and after training in three conditions: sound field, telephone with the speech processor in the microphone function, and telephone with the speech processor in the telecoil function. Speech recognition was assessed by three different lists: one with monosyllabic and dissyllabic words, another with nonsense syllables, and another one with sentences. The Client Oriented Scale of Improvement (COSI) was used to assess whether the needs established by the CI user in everyday telephone use situations improved after training. The auditory abilities training resulted in a relevant improvement in the percentage of correct answers in speech tests both in the telephone use conditions and in the sound field condition. Conclusion The results obtained with the COSI inventory indicated a performance improvement in all situations presented at the beginning of the program.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-11-28T15:29:14+0100
      DOI: 10.1055/s-0034-1390301
  • Auditory Neuropathy/Dyssynchrony: A Retrospective Analysis of 15 Cases

    • Authors: Unal; Murat, Vayisoglu, Yusuf
      Abstract: Introduction Auditory neuropathy/dyssynchrony (AN/AD) comprises a spectrum of pathology affecting the auditory pathways anywhere from the inner hair cells to the brainstem. It is characterized by an absent or atypical auditory brainstem response (ABR) with preservation of the cochlear microphonics and/or otoacoustic emissions (OAEs). Objective Retrospective analysis of patients with AN/AD. Methods Fifteen patients with AN/AD were included in this study and their records were retrospectively investigated. Results Possible etiology of AN/AD was neonatal hyperbilirubinemia in three patients, family history of hearing loss in three patients, consanguineous marriage in two patients, head trauma in two patients, mental motor retardation in one patient, cerebrovascular disease in one patient, and there was no apparent cause in three patients. Conclusion Otolaryngologists should keep in mind the diagnosis of AN/AD especially in patients complaining of difficulty in hearing and speech and audiological evidence of disassociation between pure tone and speech audiometry. ABR and OAE testing is recommended in these patients for AN/AD diagnosis.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-11-28T15:19:54+0100
      DOI: 10.1055/s-0034-1390328
  • Relationship between Otolaryngologic Complaints and Systemic Comorbidities
           Observed in a Group of Hearing Aid Users

    • Authors: Ribas; Angela, Silvestre, Renata, Mottecy, Carla Meller, Kozlowski, Lorena, Marques, Jair Mendes
      Abstract: Introduction Optimization of the selection, adaptation, and benefit of hearing aids is necessary to characterize and manage hearing loss, user expectations, otolaryngologic symptoms, and systemic comorbidities. Objective To compare the occurrence of otologic complaints, systemic diseases, and effective use of hearing aids in men and women with deafness. Methods Patients from a Unified Health System–accredited hearing health service, who reported problems in adapting to their hearing aids, were evaluated by a physician and audiologist. An anamnesis, ENT evaluation, and audiological evaluation were performed. Results During the data collection period, 278 subjects came in for follow-up visits; of these, 61 (21%) reported otologic or operational problems with their equipment. The most prevalent type of hearing loss was basocochlear, a characteristic of presbycusis, in both men and women; the most frequently reported comorbidities were hypercholesterolemia (more significant in women) and hypertension (more significant in men). Fourteen subjects reported using their device discontinuously, with no significant difference between genders; the reasons for discontinuation of use were itching and ringing, with more complaints from women. Conclusion The incidence of systemic and audiological complaints is high in this population. These patients should be evaluated thoroughly, as resolutions of these complaints can contribute to improving the quality of life and assist in the process of hearing aid fitting.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-11-28T15:12:14+0100
      DOI: 10.1055/s-0034-1395997
  • Cochlear Implantation in Isolated Large Vestibular Aqueduct Syndrome:
           Report of Three Cases and Literature Review

    • Authors: Pradhananga; Rabindra, Natarajan, Kiran, Devarasetty, AmarNath, Kameswaran, Mohan
      Abstract: Introduction Large vestibular aqueduct syndrome (LVAS) is characterized by the enlargement of the vestibular aqueduct associated with sensorineural hearing loss. It is the most common radiographically detectable inner ear anomaly in congenital hearing loss. LVAS may occur as an isolated anomaly or in association with other inner ear malformations. Objective To report three cases of isolated LVAS with a focus on preoperative assessment, surgical issues, and short-term postoperative follow-up with preliminary auditory habilitation outcomes. Resumed Report One girl and two boys with LVAS were assessed and cochlear implantation was performed for each. Various ways of intraoperative management of cerebrospinal fluid gusher and postoperative care and outcomes are reported. Conclusion Cochlear implantation in the deaf children with LVAS is feasible and effective.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-11-14T14:40:14+0100
      DOI: 10.1055/s-0034-1395791
  • Olfaction in Neurologic and Neurodegenerative Diseases: A Literature

    • Authors: Godoy; Maria Dantas Costa Lima, Voegels, Richard Louis, Pinna, Fábio de Rezende, Imamura, Rui, Farfel, José Marcelo
      Abstract: Introduction Loss of smell is involved in various neurologic and neurodegenerative diseases, such as Parkinson disease and Alzheimer disease. However, the olfactory test is usually neglected by physicians at large. Objective The aim of this study was to review the current literature about the relationship between olfactory dysfunction and neurologic and neurodegenerative diseases. Data Synthesis Twenty-seven studies were selected for analysis, and the olfactory system, olfaction, and the association between the olfactory dysfunction and dementias were reviewed. Furthermore, is described an up to date in olfaction. Conclusion Otolaryngologist should remember the importance of olfaction evaluation in daily practice. Furthermore, neurologists and physicians in general should include olfactory tests in the screening of those at higher risk of dementia.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-11-14T14:36:57+0100
      DOI: 10.1055/s-0034-1390136
  • Wegener Granulomatosis: Otologic Manifestation as First Symptom

    • Authors: Costa; Carla Fabiane da, Polanski, Jose Fernando
      Abstract: Introduction Wegener granulomatosis is a systemic vasculitis affecting small and medium-sized vessels of the upper and lower respiratory tract and kidneys. Objective To describe a case of Wegener disease with atypical manifestation. Resumed Report We describe the case of a 50-year-old woman with chronic otitis media and sensorineural hearing loss as the primary symptoms, without other manifestations. Conclusion In cases of acute ear manifestations with or without hearing loss and with poor response to usual treatments, Wegener granulomatosis should be included among the possible etiologies. After adequate diagnoses and treatment of this rare disease, there was favorable evolution.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-11-11T16:07:21+0100
      DOI: 10.1055/s-0034-1387164
  • Ambient Noise in Emergency Rooms and Its Health Hazards

    • Authors: Filus; Walderes, Lacerda, Adriana Bender Moreira de, Albizu, Evelyn
      Abstract: Introduction The occupational risk due to high levels of noise in the hospital environment has been recognized, and the National Agency of Sanitary Surveillance of the Ministry of Health recommends evaluation and control of noise in hospital areas. Objectives To assess the sound environment in the emergency ward of a general trauma reference hospital in the city of Curitiba, Parana State, Brazil. Methods In this descriptive study, noise levels were assessed on mornings, afternoons, and evenings using an integrating Bruel & Kjaer (Denmark) calibrated sound level meter, type 2230. Ten indoor points in the emergency ward were assessed; the helicopter as well as several available pieces of equipment in the ward were assessed individually. Results Noise levels in sound pressure level ambiance [dBA] ranged from 56.6 to 68.8. The afternoon period was the noisiest. The helicopter at 119 dBA and the cast saw at 90 dBA were the noisiest equipment, and the lowest noise level found was the activated oximeter at 61.0 dBA. Conclusion In all assessed points, noise levels were above the comfort levels recommended by the Brazilian Association of Technical Standards (1987), which may harm users' and professionals' health as well as influence professional performance in the emergency ward. Sound pressure levels of the helicopter and cast saw reach high hearing hazard levels, requiring professionals to use individual protection equipment, and point to the need for creation and implementation of effective control measures of noise levels in emergency wards.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-08-25T14:01:09+01:00
      DOI: 10.1055/s-0034-1387165
  • Hearing Aid Use and Adherence to Treatment in a Publicly-Funded Health
           Service from the City of São Paulo, Brazil

    • Authors: Iwahashi; Juliana Harumi, Jardim, Isabela de Souza, Shirayama, Yoshihisa, Yuasa, Motoyuki, Bento, Ricardo Ferreira
      Abstract: Introduction Periodic follow-up appointments are important to ensure long-term effectiveness of rehabilitation with hearing aids. However, not all users are able to maintain adherence to recommendations prescribed during the fitting process and some do not attend those appointments, which compromises the effectiveness of treatment. Objective Compare hearing aid use after 1 year between subjects who did not attend a follow-up evaluation appointment at a publicly-funded health service (nonattenders) and those who attended the appointment (attenders). Reasons for nonuse of hearing aids and unscheduled appointments were also analyzed. Methods Prospective observational cross-sectional study. Nonattenders and attenders in a follow-up evaluation appointment were interviewed by telephone about hearing aid use, reasons for nonuse, and unscheduled appointments. Results The nonattenders group consisted of 108 subjects and the attenders group had 200 subjects; in both groups, most users kept bilateral use but the nonuse rate was higher in nonattenders. The main reason for nonuse of hearing aids among nonattenders was health problems; fitting problems was the main reason for nonuse in the attenders group. Health problems and issues like unavailable companion and transportation difficulties were the reasons for unscheduled follow-up appointments. Conclusion Nonattenders had a greater nonuse rate and were more likely to abandon hearing aid use. Measures to increase hearing aid use and adherence to prescribed recommendations are also necessary to ensure long-term effectiveness of rehabilitation with hearing aids.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-07-28T15:28:21+01:00
      DOI: 10.1055/s-0034-1384816
  • The Study of Otoacoustic Emissions and the Suppression of Otoacoustic
           Emissions in Subjects with Tinnitus and Normal Hearing: An Insight to
           Tinnitus Etiology

    • Authors: Serra; Lucieny, Novanta, Gabriela, Sampaio, Andre Lopes, Augusto Oliveira, Carlos, Granjeiro, Ronaldo, Braga, Silvia Cristina
      Abstract: Introduction Analysis of the suppression effect is a simple method to evaluate cochlear status and central auditory mechanisms and, more specifically, the medial olivocochlear system. This structure may be involved in the generation of mechanisms that cause tinnitus and in the pathophysiology of tinnitus in patients with tinnitus and normal hearing. Objective To review the literature of the etiology of tinnitus on the lights of otoacoustic emissions in patients with normal hearing. Data Synthesis Individuals with tinnitus and normal hearing have a higher prevalence of alterations in transient-evoked otoacoustic emissions and distortion-product otoacoustic emissions than normal subjects. This fact suggests that dysfunctions of the outer hair cells (OHCs) might be important in the generation of the tinnitus; however, this feature is not always present in those who have the symptoms of tinnitus. Final Comments These findings suggest that OHC dysfunction is not necessary for tinnitus development—that is, there might be mechanisms other than OHC damage in the tinnitus development. On the other hand, OHC dysfunction alone is not sufficient to cause the symptom, because a great many individuals with OHC dysfunction did not complain about tinnitus.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-06-18T16:50:05+01:00
      DOI: 10.1055/s-0034-1374648
  • Auditory Brainstem Response in Term and Preterm Infants with Neonatal
           Complications: The Importance of the Sequential Evaluation

    • Authors: Silva; Daniela da, Lopez, Priscila, Mantovani, Jair Cortez
      Abstract: Introduction Literature data are not conclusive as to the influence of neonatal complications in the maturational process of the auditory system observed by auditory brainstem response (ABR) in infants at term and preterm. Objectives Check the real influence of the neonatal complications in infants by the sequential auditory evaluation. Methods Historical cohort study in a tertiary referral center. A total of 114 neonates met inclusion criteria: treatment at the Universal Neonatal Hearing Screening Program of the local hospital; at least one risk indicator for hearing loss; presence in both evaluations (the first one after hospital discharge from the neonatal unit and the second one at 6 months old); all latencies in ABR and transient otoacoustic emissions present in both ears. Results The complications that most influenced the ABR findings were Apgar scores less than 6 at 5 minutes, gestational age, intensive care unit stay, peri-intraventricular hemorrhage, and mechanical ventilation. Conclusion Sequential auditory evaluation is necessary in premature and term newborns with risk indicators for hearing loss to correctly identify injuries in the auditory pathway.
      Citation: Int. Arch. Otorhinolaryngol. ; : -
      PubDate: 2014-05-28T14:43:02+01:00
      DOI: 10.1055/s-0034-1378137
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Tel: +00 44 (0)131 4513762
Fax: +00 44 (0)131 4513327
About JournalTOCs
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-2015