2,019 results match your criteria Brazilian Journal of Otorhinolaryngology [Journal]


Is fine needle aspiration biopsy reliable in the diagnosis of parotid tumors? Comparison of preoperative and postoperative results and the factors affecting accuracy.

Braz J Otorhinolaryngol 2018 Jun 11. Epub 2018 Jun 11.

Otolaryngology Department, Haseki Training and Research Hospital, Health Sciences University, Istanbul, Turkey.

Introduction: Fine needle aspiration biopsy is a valuable tool in preoperative evaluation of head and neck tumors. However, its accuracy in management of salivary gland tumors is debatable.

Objective: We aimed to investigate the efficacy and the accuracy of fine needle aspiration biopsy in parotid gland tumors. Read More

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The evaluation of pretreatment neutrophil-lymphocyte ratio and derived neutrophil-lymphocyte ratio in patients with laryngeal neoplasms.

Braz J Otorhinolaryngol 2018 Jun 8. Epub 2018 Jun 8.

Manisa Celal Bayar University, Department of Otolaryngology-Head and Neck Surgery, Manisa, Turkey.

Introduction: Systemic inflammatory biomarkers are promising predictive and prognostic factors for solid cancers. The neutrophil-lymphocyte ratio and derived neutrophil-lymphocyte ratio are used to predict inflammation and used as biomarker in several malignancies.

Objective: The purpose of this study was to demonstrate the diagnostic, predictive and prognostic role of neutrophil-lymphocyte ratio and derived neutrophil-lymphocyte ratio in patients with laryngeal neoplasms. Read More

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Cervical paragangliomas: experience of 114 cases in 14 years.

Braz J Otorhinolaryngol 2018 Jun 11. Epub 2018 Jun 11.

Yuzuncu Yil University Faculty of Medicine, Department of Otorhinolaryngology, Van, Turkey.

Introduction And Objective: To report a single center experience with carotid body paraganglioma cases that were treated by the same surgeon in a city with high prevalence of paragangliomas due to high altitude.

Methods: We retrospectively investigated the demographic, clinicopathological and radiological data of 104 patients diagnosed with cervical paragangliomas between 2003 and 2017. The patients were classified according to the Shamblin classification. Read More

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Diagnostic role of ultrasound elastography on lymph node metastases in patients with head and neck cancer.

Braz J Otorhinolaryngol 2018 Feb 16. Epub 2018 Feb 16.

Eskişehir Osmangazi University, Faculty of Medicine, Department of Biostatistics, Meselik, Turkey.

Introduction: Ultrasonography is the easiest non-invasive method to diagnose lymph node metastases in patients with head and neck cancer. However, since CT scans are often preferred in the evaluation of primary tumours of these patients, information about lymphatic metastases may also available in these patients. Therefore, ultrasound is not routinely employed in the evaluation of these patients. Read More

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February 2018

Study of brainstem auditory evoked potentials in early diagnosis of congenital toxoplasmosis.

Braz J Otorhinolaryngol 2018 Apr 22. Epub 2018 Apr 22.

Universidade Federal de Minas Gerais (UFMG), Faculdade de Medicina, Departamento de Fonoaudiologia, Belo Horizonte, MG, Brazil.

Introduction: Congenital toxoplasmosis is an infectious disease with high prevalence in tropical countries. It is characterized by neurological, ophthalmological and auditory sequelae.

Objective: The aim of this study was to evaluate and describe the brainstem auditory evoked potential in infants aged 1-3 months diagnosed with congenital toxoplasmosis and to compare them with infants of the same age group without the infection. Read More

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Effects of turbinoplasty versus outfracture and bipolar cautery on the compensatory inferior turbinate hypertrophy in septoplasty patients.

Braz J Otorhinolaryngol 2018 May 18. Epub 2018 May 18.

Istanbul Kemerburgaz University, Medical Faculty, Department of Otorhinolaryngology, Tarsus, Turkey.

Introduction: The most common cause of septoplasty failure is inferior turbinate hypertrophy that is not treated properly. Several techniques have been described to date: total or partial turbinectomy, submucosal resection (surgical or with a microdebrider), with turbinate outfracture being some of those.

Objective: In this study, we compared the pre- and postoperative lower turbinate volumes using computed tomography in patients who had undergone septoplasty and compensatory lower turbinate turbinoplasty with those treated with outfracture and bipolar cauterization. Read More

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Benefit and predictive factors for speech perception outcomes in pediatric bilateral cochlear implant recipients.

Braz J Otorhinolaryngol 2018 May 18. Epub 2018 May 18.

Sungkyunkwan University School of Medicine, Samsung Medical Center, Department of Otorhinolaryngology-Head and Neck Surgery, Seoul, South Korea. Electronic address:

Introduction: Despite recent advancement in the prediction of cochlear implant outcome, the benefit of bilateral procedures compared to bimodal stimulation and how we predict speech perception outcomes of sequential bilateral cochlear implant based on bimodal auditory performance in children remain unclear.

Objectives: This investigation was performed: (1) to determine the benefit of sequential bilateral cochlear implant and (2) to identify the associated factors for the outcome of sequential bilateral cochlear implant.

Methods: Observational and retrospective study. Read More

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May 2018
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Computed tomography based analysis of the lamina papyracea variations and morphology of the orbit concerning endoscopic surgical approaches.

Braz J Otorhinolaryngol 2018 May 18. Epub 2018 May 18.

Selcuk University, Faculty of Medicine, Department of Radiology, Konya, Turkey.

Introduction: Radiologic evaluation is mandatory to assess the type of endoscopic approach concerning sinonasal pathology and reconstruction of fractured defects before any treatment modalities are instituted related to medial wall of the orbit.

Objective: The goal was to provide improved understanding of the lamina papyracea variations and the relationship with the orbital morphometry.

Methods: This retrospective study was performed using computed tomography scans of 200 orbits and results were compared with respect to age, sex, laterality and LP variations. Read More

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Gender differences in binaural speech-evoked auditory brainstem response: are they clinically significant?

Braz J Otorhinolaryngol 2018 May 17. Epub 2018 May 17.

Universiti Sains Malaysia, School of Health Sciences, Audiology and Speech Pathology Programme, Kelantan, Malaysia. Electronic address:

Introduction: Binaurally evoked auditory evoked potentials have good diagnostic values when testing subjects with central auditory deficits. The literature on speech-evoked auditory brainstem response evoked by binaural stimulation is in fact limited. Gender disparities in speech-evoked auditory brainstem response results have been consistently noted but the magnitude of gender difference has not been reported. Read More

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May 2018
1 Read

Use of remote control in the intraoperative telemetry of cochlear implant: multicentric study.

Braz J Otorhinolaryngol 2018 May 18. Epub 2018 May 18.

Biomedical Engineer, Cochlear Latin America, Panama City, Panama.

Introduction: The conventional evaluation of neural telemetry and impedance requires the use of the computer coupled to an interface, with software that provides visualization of the stimulus and response. Recently, a remote control (CR220) was launched in the market, that allows the performance of intraoperative tests with minimal instrumentation.

Objective: To evaluate the agreement of the impedance values and neural telemetry thresholds, and the time of performance in the conventional procedure and by the remote control. Read More

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May 2018
2 Reads

Chronic laryngopharyngeal vagal neuropathy.

Braz J Otorhinolaryngol 2018 Apr 24. Epub 2018 Apr 24.

Otorrinolaringologia, Rio de Janeiro, RJ, Brazil.

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The role of nasopharyngeal examination and biopsy in the diagnosis of malignant diseases.

Braz J Otorhinolaryngol 2018 May 15. Epub 2018 May 15.

University of Health Sciences, Ankara Training and Research Hospital, Department of Pathology, Ankara, Turkey.

Introduction: In direct proportion to the increasing rate of nasopharynx examinations applied, the early diagnosis and treatment of lesions in this region is possible. At times the clinical findings and the biopsy results are not consistent, so biopsies may have to be repeated.

Objectives: The aim of this study was to evaluate the distribution of pathology test results obtained from cases of nasopharynx biopsy, to determine with which methods determination most often was made, and to investigate which kinds of cases required the biopsy to be repeated. Read More

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May 2018
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Steroid vs. antibiotic impregnated absorbable nasal packing for wound healing after endoscopic sinus surgery: a randomized, double blind, placebo-controlled study.

Braz J Otorhinolaryngol 2018 May 10. Epub 2018 May 10.

Nicolaus Copernicus University, Faculty of Medicine, Department of Otolaryngology and Laryngological Oncology Collegium Medicum, Toruń, Poland. Electronic address:

Introduction: Endoscopic sinus surgery can lead to crusting or synechiae formation, which can affect the healing process.

Objective: The aim of our study was to compare the influence of steroid versus antibiotic versus saline solution impregnated absorbable nasal spacers on postoperative wound healing and patient satisfaction.

Methods: Eighty patients, 33 women and 47 men, were enrolled in this study. Read More

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Surgical treatment strategy in Warthin tumor of the parotid gland.

Braz J Otorhinolaryngol 2018 May 16. Epub 2018 May 16.

Chonnam National University Medical School, Department of Otolaryngology-Head and Neck Surgery, Hwasun, South Korea; Chonnam National University Hwasun Hospital, Hwasun, South Korea.

Introduction: Warthin tumors are the second most common benign tumors of the parotid gland. We examined the clinical features of Warthin tumors in our hospital, and analyzed the consistency within the literatures.

Objective: The aim of this study is to analyze the clinical features of Warthin tumors in our 10-year experience of 118 Warthin tumors undergoing surgery at a single institute. Read More

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May 2018
1 Read

Endoscope-assisted retrosigmoid approach in hemifacial spasm: our experience.

Braz J Otorhinolaryngol 2018 May 9. Epub 2018 May 9.

University of Perugia, Permanent Anatomical Dissection Laboratory of Otorhinolaryngology, Perugia, Italy.

Introduction: The use of surgical decompression of facial hemispasm due to the loop in the internal auditory canal is not always accepted due to the risk related to the surgical procedure. Currently a new surgical technique allows surgeons to work in safer conditions.

Objective: To report the results with endoscope-assisted retrosigmoid approach for facial nerve microvascular decompression in hemifacial spasm due to neurovascular conflict. Read More

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Comparison of the efficacy of vocal training and vocal microsurgery in patients with early vocal fold polyp.

Braz J Otorhinolaryngol 2018 May 9. Epub 2018 May 9.

Jinhua Central Hospital, Department of Otolaryngology, Jinhua, China.

Introduction: Vocal fold polyp is a benign proliferative disease in the superficial lamina propria of the vocal fold, and vocal microsurgery can improve the voice quality of patients with vocal fold polyp. In preliminary studies, we found that vocal training could improve the vocal quality of patients with early vocal fold polyp.

Objective: This study aimed to compare the efficacies of vocal training and vocal microsurgery in patients with early vocal fold polyp. Read More

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Frequency of GJB2 mutations in patients with nonsyndromic hearing loss from an ethnically characterized Brazilian population.

Braz J Otorhinolaryngol 2017 Nov 21. Epub 2017 Nov 21.

Hospital Universitário Clementino Fraga Filho (HUCFF-UFRJ), Campus do Fundão, Rio de Janeiro, RJ, Brazil.

Introduction: In different parts of the world, mutations in the GJB2 gene are associated with nonsyndromic hearing loss, and the homozygous 35delG mutation (p.Gly12Valfs*2) is a major cause of hereditary hearing loss. However, the 35delG mutation is not equally prevalent across ethnicities, making it important to study other mutations, especially in multiethnic countries such as Brazil. Read More

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November 2017

Are computed tomography 3D measurements of the upper airways in mouth-breathing children in agreement with the ENT clinical diagnosis of obstruction?

Braz J Otorhinolaryngol 2018 Mar 11. Epub 2018 Mar 11.

Pontifícia Universidade Católica de Minas Gerais (PUC-Minas), Odontologia, Belo Horizonte, MG, Brazil.

Introduction: Imaging studies have hystorically been used to support the clinical otorhinolaryngological evaluation of the upper respiratory tract for the diagnosis of obstructive causes of oral breathing.

Objective: The objective of this study was to compare 3D volumetric measurements of nasal cavity, nasopharynx and oropharynx of obstructed mouth-breathing children with measurements of non-obstructed mouth-breathing children.

Methods: This retrospective study included 25 mouth-breathing children aged 5-9 years evaluated by otorhinolaryngological clinical examination, flexible nasoendoscopy and full-head multi-slice computed tomography. Read More

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March 2018
3 Reads

Applied anatomy of round window and adjacent structures of tympanum related to cochlear implantation.

Braz J Otorhinolaryngol 2018 Apr 19. Epub 2018 Apr 19.

Department of Otorhinolaryngology and Heand and Neck Surgery, Jawahar Lal Nehru Medical College, Datta Meghe Institute of Medical Sciences (DU), Sawangi(M), Wardha, Maharashtra, India.

Introduction: Various aspects of the round window anatomy and anatomy of posterior tympanum have relevant implications for designing cochlear implant electrodes and visualizing the round window through facial recess. Preoperative information about possible anatomical variations of the round window and its relationships to the adjacent neurovascular structures can help reduce complications in cochlear implant surgery.

Objective: The present study was undertaken to assess the common variations in round window anatomy and the relationships to structures of the tympanum that may be relevant for cochlear implant surgery. Read More

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Use of the long-term quality of life assessment in the decision to indicate surgery in patients with chronic rhinosinusitis.

Braz J Otorhinolaryngol 2018 Apr 22. Epub 2018 Apr 22.

Instituto de Otorrinolaringologia Otorrinos Associados (INOOA), Salvador, BA, Brazil.

Introduction: Quality-of-life questionnaires have been used to support decision-making in patients with chronic rhinosinusitis in the past decade. The choice of treatment in practice, however, also considers the patient's decision.

Objective: To assess the long-term quality of life of patients with chronic rhinosinusitis who decided to avoid surgery. Read More

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Histopathological changes in parotid gland following submandibular gland failure: an experimental animal study.

Braz J Otorhinolaryngol 2018 Apr 24. Epub 2018 Apr 24.

Elazig Education and Research Hospital, Department of Otorhinolaryngology, Elazig, Turkey.

Introduction: Submandibular glands are exposed to many effects due to diseases and therapeutic interventions. A study evaluating the effect of submandibular gland dysfunction on the parotid gland has not been presented in the literature.

Objective: The aim of this study was to evaluate the histopathological changes in the parotid gland following submandibular gland failure. Read More

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April 2018
2 Reads

Endoscopic endonasal double flap technique for reconstruction of large anterior skull base defects: technical note.

Braz J Otorhinolaryngol 2018 Apr 19. Epub 2018 Apr 19.

Hospital Central e Faculdade de Medicina da Santa Casa de Misericórdia de São Paulo, Departamento de Otorrinolaringologia, São Paulo, SP, Brazil.

Introduction: One of the main concerns in endoscopic endonasal approaches to the skull base has been the high incidence and morbidity associated with cerebrospinal fluid leaks. The introduction and routine use of vascularized flaps allowed a marked decrease in this complication followed by a great expansion in the indications and techniques used in endoscopic endonasal approaches, extending to defects from huge tumours and previously inaccessible areas of the skull base.

Objective: Describe the technique of performing endoscopic double flap multi-layered reconstruction of the anterior skull base without craniotomy. Read More

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Translation, validation and cultural adaptation of "The Eustachian Tube Dysfunction Questionnaire-7" (ETDQ-7) to Brazilian Portuguese (BR).

Braz J Otorhinolaryngol 2018 Apr 19. Epub 2018 Apr 19.

Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.

Introduction: Chronic Eustachian tube dysfunction can cause several symptoms and middle ear conditions that can impact patient quality of life. It is estimated to be relatively frequent, affecting approximately 5% of adults. The diagnostic tools for this condition are still inadequate. Read More

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April 2018
1 Read

Clinical and polysomnographic predictors of laryngopharyngeal reflux in obstructive sleep apnea syndrome.

Braz J Otorhinolaryngol 2018 Apr 14. Epub 2018 Apr 14.

Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina (EPM), Medicina em Otorrinolaringologia, São Paulo, SP, Brazil; Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORLCCF), Departamento de Medicina do Sono, São Paulo, SP, Brazil; Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina (EPM), Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço - Ambulatório de Distúrbios do Sono, São Paulo, SP, Brazil; Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina (EPM), Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço - Setor de Rinologia, São Paulo, SP, Brazil.

Introduction: Obstructive sleep apnea syndrome and laryngopharyngeal reflux are diseases with a high prevalence in the overall population; however, it remains unclear whether they are diseases with the same risk factors present in the same populations or if there is any association between them.

Objectives: To evaluate and determine the prevalence of laryngopharyngeal reflux in patients with moderate and severe obstructive apnea syndrome and also to determine its predictive factors.

Methods: Historical cohort, cross-sectional study of patients aged 18-70 years, referred to a tertiary service Otorhinolaryngology outpatient clinic with a polysomnographic diagnosis of moderate or severe obstructive sleep apnea syndrome. Read More

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Incidence of reactive hyperplastic lesions in the oral cavity: a 10 year retrospective study in Santa Catarina, Brazil.

Braz J Otorhinolaryngol 2018 Apr 17. Epub 2018 Apr 17.

Department of Pathology, Federal University of Santa Catarina, Florianópolis, SC, Brazil.

Introduction: Reactive hyperplastic lesions develop in response to a chronic injury simulating an exuberant tissue repair response. They represent some of the most common oral lesions including inflammatory fibrous hyperplasia, oral pyogenic granuloma, giant cell fibroma, peripheral ossifying fibroma, and peripheral giant cell lesions.

Objective: The incidence of those lesions was investigated in an oral pathology service, and the clinical characteristics, associated etiological factors, concordance between the clinical and histopathological diagnostic was determined. Read More

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April 2018
3 Reads

Association between facial nerve second genu angle and facial canal dehiscence in patients with cholesteatoma: evaluation with temporal multidetector computed tomography and surgical findings.

Braz J Otorhinolaryngol 2018 Apr 14. Epub 2018 Apr 14.

Ondokuz Mayis University Faculty of Medicine, Department of Radiology, Samsun, Turkey.

Introduction: Otitis media, mastoiditis or the pressure effect of tumorous lesions such as cholesteatoma can be the cause of facial canal dehiscence and facial nerve paralysis. The most common segment involved in dehiscence is the tympanic segment and the second most common is the lateral aspect of the facial canal in the oval window area.

Objective: To determine the prevalence of the facial canal dehiscence and the relationship between the angle at the second genu of the facial nerve and facial canal dehiscence. Read More

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Treatment of post-intubation laryngeal granulomas: systematic review and proportional meta-analysis.

Braz J Otorhinolaryngol 2018 Apr 14. Epub 2018 Apr 14.

Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Faculdade de Medicina de Botucatu, Departamento de Cirurgia, Botucatu, SP, Brazil.

Introduction: Laryngeal granulomas post intubation are benign but recurrent lesions. There is no consensus for its treatment.

Objective: To describe the effectiveness of different treatment modalities for primary or recurrent laryngeal granulomas resulting from endotracheal intubation. Read More

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April 2018
1 Read

The role of red cell distribution width in the locoregional recurrence of laryngeal cancer.

Braz J Otorhinolaryngol 2018 Apr 13. Epub 2018 Apr 13.

Hopa State Hospital, Department of Otolaryngology, Artvin, Turkey.

Introduction: Although the red cell distribution width has been reported as a reliable predictor of prognosis in several types of cancer, to our knowledge few reports have focused on the prognostic value of red cell distribution width in laryngeal carcinoma.

Objective: We aimed to explore whether the pretreatment red cell distribution width predicted recurrence in laryngeal cancer patients is a simple, reproducible, and inexpensive prognostic biomarker.

Methods: All laryngeal cancer patients who underwent curative surgery (n=132) over a 7 year study period were evaluated. Read More

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April 2018
3 Reads

Precision medicine.

Authors:
Marcio Nakanishi

Braz J Otorhinolaryngol 2018 May - Jun;84(3):263-264. Epub 2018 Feb 24.

Universidade de Brasília, Faculdade de Medicina da Universidade de Brasília (FM-UnB), Departamento de Cirurgia - Programa de Pós-Graduação em Ciências Médicas, Brasília, DF, Brazil. Electronic address:

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February 2018
6 Reads

Evaluation of selective attention in patients with misophonia.

Braz J Otorhinolaryngol 2018 Mar 21. Epub 2018 Mar 21.

Instituto Ganz Sanchez, São Paulo, SP, Brazil; Universidade de São Paulo (USP), Faculdade de Medicina, Departamento de Otorrinolaringologia, São Paulo, SP, Brazil.

Introduction: Misophonia is characterized by the aversion to very selective sounds, which evoke a strong emotional reaction. It has been inferred that misophonia, as well as tinnitus, is associated with hyperconnectivity between auditory and limbic systems. Individuals with bothersome tinnitus may have selective attention impairment, but it has not been demonstrated in case of misophonia yet. Read More

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March 2018
1 Read

Protective effect of gallic acid against cisplatin-induced ototoxicity in rats.

Braz J Otorhinolaryngol 2018 Apr 7. Epub 2018 Apr 7.

Ataturk University, Faculty of Medicine, Department of Biochemistry, Erzurum, Turkey.

Introduction: Cisplatin is an antineoplastic agent widely used in the treatment of a variety of cancers. Ototoxicity is one of the main side-effects restricting the use of cisplatin.

Objective: The purpose of this study was to investigate the protective efficacy of gallic acid, in biochemical, functional and histopathological terms, against ototoxicity induced by cisplatin. Read More

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April 2018
1 Read

Burnt sugarcane harvesting is associated with rhinitis symptoms and inflammatory markers.

Braz J Otorhinolaryngol 2018 Apr 5. Epub 2018 Apr 5.

Department of Physiotherapy, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, São Paulo, Brazil.

Introduction: Burnt sugarcane harvesting requires intense physical exertion in an environment with high temperatures and exposure to particulate matter.

Objective: To evaluate the effects of burnt sugarcane harvesting on rhinitis symptoms and inflammatory markers in sugarcane workers.

Methods: 32 male sugarcane workers were evaluated with questionnaire for rhinitis symptoms, and for inflammatory markers on peripheral blood and nasal lavage, in the non-harvesting, and 3 and 6 months into the sugarcane harvesting period. Read More

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April 2018
2 Reads

Hoarseness and vocal tract discomfort and associated risk factors in air traffic controllers.

Braz J Otorhinolaryngol 2018 Apr 5. Epub 2018 Apr 5.

Universidade Federal de São Paulo (UNIFESP), Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.

Introduction: An air traffic controller is a professional who performs air traffic control functions in air traffic control units and is responsible for controlling the various stages of a flight.

Objective: To compare hoarseness and vocal tract discomfort and their risk factors among air traffic controllers in the approach control of São Paulo.

Methods: In a cross-sectional survey, a voice self-evaluation adapted from to self-evaluation prepared by the Brazilian Ministry of Labor for teachers was administered to 76 air traffic controllers at approach control of São Paulo, Brazil. Read More

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April 2018
2 Reads

Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flap.

Braz J Otorhinolaryngol 2018 Apr 5. Epub 2018 Apr 5.

Universitat Autònoma de Barcelona, Hospital de la Santa Creu i Sant Pau, Otorhinolaryngology Department, Barcelona, Spain.

Introduction: The pectoralis major flap is a reconstructive option to consider in the treatment of pharyngocutaneous fistula after a total laryngectomy. There are not large studies assessing variables related to pharyngocutaneous fistula recurrence after removal of the larynx. Our objectives were to review the results obtained with this type of treatment when pharyngocutaneous fistula appears in laryngectomized patients, and to evaluate variables related to the results. Read More

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April 2018
2 Reads

Preservation of residual hearing after cochlear implant surgery: an exploration of residual hearing function in a group of recipients at cochlear implant units.

Braz J Otorhinolaryngol 2018 Mar 24. Epub 2018 Mar 24.

University of the Witwatersrand, School of Human and Community Development, Department of Speech Pathology and Audiology, Johannesburg, South Africa.

Introduction: The preservation of residual hearing is becoming increasingly important in cochlear implant surgery. Conserving residual hearing is a positive prognostic indicator for improved hearing abilities.

Objective: The primary aim of the study was to explore the preservation of residual hearing following cochlear implantation in a group of recipients at two major cochlear implant centers. Read More

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March 2018
3 Reads

Comparison of long-term functional results between standard supracricoid laryngectomy and modified technique with sternohyoid muscle.

Braz J Otorhinolaryngol 2018 Mar 24. Epub 2018 Mar 24.

Istanbul University, Faculty of Medicine, Department of Otolaryngology Head and Neck Surgery, Istanbul, Turkey.

Introduction: Laryngeal cancer is the most common cancer of the upper respiratory tract. The main methods of treatment included surgery (partial laryngectomy and total laryngectomy) and radiation therapy. Laryngeal dysfunction is seen after both treatment modalities. Read More

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March 2018
3 Reads

Procedures for central auditory processing screening in schoolchildren.

Braz J Otorhinolaryngol 2018 Mar 22. Epub 2018 Mar 22.

Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Centro de Investigação em Pediatria (CIPED) - Departamento de Desenvolvimento Humano e Reabilitação, Campinas, SP, Brazil.

Introduction: Central auditory processing screening in schoolchildren has led to debates in literature, both regarding the protocol to be used and the importance of actions aimed at prevention and promotion of auditory health. Defining effective screening procedures for central auditory processing is a challenge in Audiology.

Objective: This study aimed to analyze the scientific research on central auditory processing screening and discuss the effectiveness of the procedures utilized. Read More

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March 2018
1 Read

Cholesteatoma labyrinthine fistula: prevalence and impact.

Braz J Otorhinolaryngol 2018 Mar 9. Epub 2018 Mar 9.

Universidade Federal do Rio Grande do Sul (UFRGS), Clinica Hospital, Departamento de Oftalmologia e Otorrinolaringologia, Porto Alegre, RS, Brazil.

Introduction: Labyrinthine fistula is one of the most common complications associated with cholesteatoma. It represents an erosive loss of the endochondral bone overlying the labyrinth. Reasons for cholesteatoma-induced labyrinthine fistula are still poorly understood. Read More

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March 2018
6 Reads

How to avoid the inappropriate use of antibiotics in upper respiratory tract infections? A position statement from an expert panel.

Braz J Otorhinolaryngol 2018 May - Jun;84(3):265-279. Epub 2018 Feb 25.

Universidade de São Paulo (USP), Faculdade de Medicina de Ribeirão Preto (FMRP), Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Ribeirão Preto, SP, Brazil. Electronic address:

Introduction: Bacterial resistance burden has increased in the past years, mainly due to inappropriate antibiotic use. Recently it has become an urgent public health concern due to its impact on the prolongation of hospitalization, an increase of total cost of treatment and mortality associated with infectious disease. Almost half of the antimicrobial prescriptions in outpatient care visits are prescribed for acute upper respiratory infections, especially rhinosinusitis, otitis media, and pharyngotonsillitis. Read More

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June 2018
6 Reads

The use of tDCS as a therapeutic option for tinnitus: a systematic review.

Braz J Otorhinolaryngol 2018 Mar 9. Epub 2018 Mar 9.

Escola Bahiana de Medicina e Saúde Pública, Fisioterapia, Salvador, BA, Brazil; Universidade Federal da Bahia (UFBA), Gerontologia, Salvador, BA, Brazil; Universidade Federal do Rio de Janeiro (UFRJ), Ciências Morfológicas, Rio de Janeiro, RJ, Brazil; Universidade Federal da Bahia (UFBA), Ciências da Saúde, Salvador, BA, Brazil.

Introduction: Due to the subjectivity of the tinnitus diagnosis and its diverse etiologies, establishing an effective treatment is complex. In this context, transcranial direct current stimulation, a noninvasive option, is available for most patients and has shown good results in the treatment of other symptoms such as chronic pain.

Objective: To evaluate the therapeutic response of tinnitus to transcranial direct current stimulation. Read More

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March 2018
2 Reads

The role of intraoperative narrow-band imaging in transoral laser microsurgery for early and moderately advanced glottic cancer.

Braz J Otorhinolaryngol 2018 Mar 1. Epub 2018 Mar 1.

Poznan University of Medical Sciences, Department of Otolaryngology, Head and Neck Surgery, Poznan, Poland.

Introduction: Trans-oral laser microsurgery is an established technique for the treatment of early and moderately advanced laryngeal cancer.

Objective: The authors intend to test the usefulness of narrow-band imaging in the intraoperative assessment of the larynx mucosa in terms of specifying surgical margins.

Methods: Forty-four consecutive T1-T2 glottic cancers treated with trans-oral laser microsurgery Type I-VI cordectomy were presented. Read More

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March 2018
3 Reads

Cochlear implant revision surgeries in children.

Braz J Otorhinolaryngol 2018 Feb 16. Epub 2018 Feb 16.

Universidade de São Paulo (USP), Faculdade de Medicina de Ribeirão Preto, Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Ribeirão Preto, SP, Brazil.

Introduction: The surgery during which the cochlear implant internal device is implanted is not entirely free of risks and may produce problems that will require revision surgeries.

Objective: To verify the indications for cochlear implantation revision surgery for the cochlear implant internal device, its effectiveness and its correlation with certain variables related to language and hearing.

Methods: A retrospective study of patients under 18 years submitted to cochlear implant Surgery from 2004 to 2015 in a public hospital in Brazil. Read More

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February 2018
2 Reads

Diagnostic validity of methods for assessment of swallowing sounds: a systematic review.

Braz J Otorhinolaryngol 2018 Feb 3. Epub 2018 Feb 3.

Universidade Federal de Santa Catarina (UFSC), Departamento de Odontologia, Brazilian Centre for Evidence-based Research, Florianópolis, SC, Brazil.

Introduction: Oropharyngeal dysphagia is a highly prevalent comorbidity in neurological patients and presents a serious health threat, which may lead to outcomes of aspiration pneumonia, ranging from hospitalization to death. This assessment proposes a non-invasive, acoustic-based method to differentiate between individuals with and without signals of penetration and aspiration.

Objective: This systematic review evaluated the diagnostic validity of different methods for assessment of swallowing sounds, when compared to Videofluroscopic of Swallowing Study (VFSS) to detect oropharyngeal dysphagia. Read More

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February 2018
2 Reads

Breaking paradigms in severe epistaxis: the importance of looking for the S-point.

Braz J Otorhinolaryngol 2018 May - Jun;84(3):290-297. Epub 2018 Jan 20.

Complexo Hospitalar Edmundo Vasconcelos, Centro de Otorrinolaringologia e Fonoaudiologia, São Paulo, SP, Brazil.

Introduction: Since the introduction of nasal endoscopy into the field of Otorhinolaryngology, the treatment paradigm for cases of severe epistaxis has shifted toward early and precise identification of the bleeding site. Although severe epistaxis is usually considered to arise from posterior bleeding, an arterial vascular pedicle in the superior portion of the nasal septum, around the axilla projection of the middle turbinate, posterior to the septal body, frequently has been observed. That vascular pedicle was named the Stamm's S-point. Read More

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June 2018
4 Reads

Automated cortical auditory evoked potentials threshold estimation in neonates.

Braz J Otorhinolaryngol 2018 Feb 2. Epub 2018 Feb 2.

Faculdade de Ciências Médicas da Santa Casa de São Paulo, Escola de Fonoaudiologia e Audiologia, São Paulo, SP, Brazil. Electronic address:

Introduction: The evaluation of Cortical Auditory Evoked Potential has been the focus of scientific studies in infants. Some authors have reported that automated response detection is effective in exploring these potentials in infants, but few have reported their efficacy in the search for thresholds.

Objective: To analyze the latency, amplitude and thresholds of Cortical Auditory Evoked Potential using an automatic response detection device in a neonatal population. Read More

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February 2018
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Septum pyramidal adjustment and repositioning - a conservative and effective rhinoplasty technique.

Braz J Otorhinolaryngol 2017 Dec 26. Epub 2017 Dec 26.

Hospital São Vicente de Paulo, Departamento de Otorrinolaringologia, Passo Fundo, RS, Brasil.

Introduction: In rhinoplasty, the nasal dorsum has important relevance regarding the esthetic and functional aspects of the surgery. Its reduction should be performed with maximum accuracy and controlled resection to prevent or minimize potential complications. The Septum Pyramidal Adjustment and Repositioning consists of a conservative surgical technique of the nasal dorsum, which does not require the detachment of the upper lateral cartilages of the nasal septum, allowing the remodeling of the nasal dorsum while maintaining esthetic lines and nasal function, potentially reducing frequent complications in more traditional surgeries. Read More

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December 2017
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The Portuguese version of "The Utrecht Questionnaire for outcome assessment in aesthetic rhinoplasty": validation and clinical application.

Braz J Otorhinolaryngol 2017 Dec 26. Epub 2017 Dec 26.

Centro Hospitalar do Porto, Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Porto, Portugal.

Introduction: The evaluation of surgical outcomes measured by patient satisfaction or quality of life is very important, especially in plastic surgery. There is increasing interest in self-reporting outcomes evaluation in plastic surgery.

Objective: The aim of this study was to perform the translation, cross-cultural adaptation and validation of "The Utrecht Questionnaire for Outcome Assessment in Aesthetic Rhinoplasty" from English to Portuguese. Read More

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December 2017
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Wideband acoustic absorbance in children with Down syndrome.

Braz J Otorhinolaryngol 2018 Jan 10. Epub 2018 Jan 10.

Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), Curso de Medicina de Otorrinolaringologia, São Paulo, SP, Brazil.

Introduction: Tympanometry is currently the most frequently used tool for assessing the status of the middle ear, commonly assessed using a single 226Hz tone. However, the use of the Acoustic Immittance Measures with a wideband stimulus is a promising high-resolution evaluation, especially in individuals known to have middle ear alterations, such as Down syndrome patients.

Objective: The aim of this study was to analyze the acoustic absorbance measurements in children with Down syndrome. Read More

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January 2018
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Body balance at static posturography in vestibular migraine.

Braz J Otorhinolaryngol 2017 Dec 27. Epub 2017 Dec 27.

Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina (EPM), São Paulo, SP, Brazil.

Introduction: Migraine is one of the most frequent and incapacitating headaches, with a high degree of impairment in quality of life. Its association with vestibular symptoms is common, including imbalance and postural instability.

Objective: To evaluate the body balance of patients with vestibular migraine through a static posturography test. Read More

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December 2017
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Comparison of anxiety and child-care education characteristics of mothers who have children with or without speech delays.

Braz J Otorhinolaryngol 2018 Jan 5. Epub 2018 Jan 5.

Istanbul Medipol University, Faculty of Health Sciences, Audiology Department, Istanbul, Turkey.

Introduction: Speech delay in a child could be the cause and/or result of the emotional disorder. The child rearing attitude that the parents have accepted could have both positive and negative effects on the personality of the child.

Objective: The current study aimed to investigate the sociodemographic features and the mothers' anxiety of children with speech delay. Read More

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January 2018
5 Reads