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    1977 results match your criteria Brazilian Journal of Otorhinolaryngology [Journal]

    1 OF 40

    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

    Breaking paradigms in severe epistaxis: the importance of looking for the S-point.
    Braz J Otorhinolaryngol 2018 Jan 20. 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 S-point. Read More

    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

    Septum pyramidal adjustment and repositioning - a conservative and effective rhinoplasty technique.
    Braz J Otorhinolaryngol 2017 Dec 26. Epub 2017 Dec 26.
    Universidade Federal da Fronteira Sul (UFFS), Hospital São Vicente de Paulo, Departamento de Otorrinolaringologia, Passo Fundo, RS, Brazil.
    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

    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

    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

    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

    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

    Effect of caffeine on vestibular evoked myogenic potential: a systematic review with meta-analysis.
    Braz J Otorhinolaryngol 2017 Dec 24. Epub 2017 Dec 24.
    Universidade Estadual de Ciências da Saúde de Alagoas (UNCISAL), Maceió, AL, Brazil.
    Introduction: Caffeine can be considered the most consumed drug by adults worldwide, and can be found in several foods, such as chocolate, coffee, tea, soda and others. Overall, caffeine in moderate doses, results in increased physical and intellectual productivity, increases the capacity of concentration and reduces the time of reaction to sensory stimuli. On the other hand, high doses can cause noticeable signs of mental confusion and error induction in intellectual tasks, anxiety, restlessness, muscle tremors, tachycardia, labyrinthine changes, and tinnitus. Read More

    Degree of tinnitus improvement with stapes surgery - a review.
    Braz J Otorhinolaryngol 2018 Jan 5. Epub 2018 Jan 5.
    Universidade de Brasília (UnB), Ciências Médicas, Brasilia, DF, Brazil; Harvard Medical School, Otology and Neurotology, Boston, United States; Universidade de Brasília (UnB), Faculdade de Ciências da Saúde, Brasilia, DF, Brazil. Electronic address:
    Introduction: Otospongiosis is temporal bone osteodystrophy, characterized by disordered bone resorption and neoformation in genetically predisposed individuals. Clinically, otospongiosis is characterized by progressive conductive and/or mixed hearing loss and by tinnitus.

    Objective: A review of the last two decades of publications that report the degree of tinnitus improvement with stapes surgery. Read More

    Overexpression of CDC7 in malignant salivary gland tumors correlates with tumor differentiation.
    Braz J Otorhinolaryngol 2017 Dec 26. Epub 2017 Dec 26.
    School of Dentistry, Department of Oral and Maxillofacial Pathology, Shiraz University of Medical Sciences, Shiraz, Iran.
    Introduction: Cell division cycle-7 protein is a serine/threonine kinase that has a basic role in cell cycle regulation and is a potential prognostic or therapeutic target in some human cancers.

    Objectives: This study investigated the expression of cell division cycle-7 protein in benign and malignant salivary gland tumors and also its correlation with clinicopathologic factors.

    Methods: Immunohistochemical expression of cell division cycle-7 was evaluated in 46 cases, including 15 adenoid cystic carcinoma, 12 mucoepidermoid carcinoma, 14 pleomorphic adenoma, and 5 normal salivary glands. Read More

    A comparative study of osteopontin and MMP-2 protein expression in peripheral and central giant cell granuloma of the jaws.
    Braz J Otorhinolaryngol 2017 Dec 27. Epub 2017 Dec 27.
    Oral and Maxillofacial Disease Research Center, Zahedan University of Medical Science, School of Dentistry, Department of Oral & Maxillofacial Pathology, Zahedan, Iran. Electronic address:
    Introduction: Oral peripheral and central giant cell granulomas are lesions with little-known etiology and pathogenesis.

    Objective: The aim of this study was to compare matrix metalloproteinases-2 and osteopontin protein expression in the multinucleated giant cells and mononuclear cells of the peripheral and central giant cell granuloma lesions.

    Methods: In this retrospective study, the presence of matrix metalloproteinases-2 and osteopontin in 37 cases of central giant cell granuloma and 37 cases of peripheral giant cell granuloma paraffin blocks were assessed by streptavidin-biotin immunohistochemistry. Read More

    Tinnitus and sound intolerance: evidence and experience of a Brazilian group.
    Braz J Otorhinolaryngol 2017 Dec 24. Epub 2017 Dec 24.
    Hospital Otorrinos, Feira de Santana, BA, Brazil.
    Introduction: Tinnitus and sound intolerance are frequent and subjective complaints that may have an impact on a patient's quality of life.

    Objective: To present a review of the salient points including concepts, pathophysiology, diagnosis and approach of the patient with tinnitus and sensitivity to sounds.

    Methods: Literature review with bibliographic survey in LILACS, SciELO, Pubmed and MEDLINE database. Read More

    Electroacoustic verification of frequency modulation systems in cochlear implant users.
    Braz J Otorhinolaryngol 2017 Dec 26. Epub 2017 Dec 26.
    Universidade de São Paulo (USP), Faculdade de Odontologia de Bauru (FOB), Departamento de Fonoaudiologia, Bauru, SP, Brazil.
    Introduction: The frequency modulation system is a device that helps to improve speech perception in noise and is considered the most beneficial approach to improve speech recognition in noise in cochlear implant users. According to guidelines, there is a need to perform a check before fitting the frequency modulation system. Although there are recommendations regarding the behavioral tests that should be performed at the fitting of the frequency modulation system to cochlear implant users, there are no published recommendations regarding the electroacoustic test that should be performed. Read More

    The anatomic analysis of the vidian canal and the surrounding structures concerning vidian neurectomy using computed tomography scans.
    Braz J Otorhinolaryngol 2017 Dec 26. Epub 2017 Dec 26.
    Selcuk University, Faculty of Medicine, Department of Radiology, Konya, Turkey.
    Introduction: The type of endoscopic approach chosen for vidian neurectomy can be specified by evaluating the vidian canal and the surrounding sphenoid sinus structures.

    Objective: The variations and morphometry of the vidian canal were investigated, focusing on the functional correlations between them which are crucial anatomical landmarks for preoperative planning.

    Methods: This study was performed using paranasal multidetector computed tomography images that were obtained with a section thickening of 0. Read More

    Expanding the limits of endoscopic intraorbital tumor resection using 3-dimensional reconstruction.
    Braz J Otorhinolaryngol 2017 Dec 26. Epub 2017 Dec 26.
    Massachusetts Eye and Ear Infirmary, Department of Otolaryngology-Head and Neck Surgery, Boston, USA; Harvard Medical School, Department of Otology and Laryngology, Boston, USA.
    Introduction: Endoscopic orbital surgery is a nascent field and new tools are required to assist with surgical planning and to ascertain the limits of the tumor resectability.

    Objective: We purpose to utilize three-dimensional radiographic reconstruction to define the theoretical lateral limit of endoscopic resectability of primary orbital tumors and to apply these boundary conditions to surgical cases.

    Methods: A three-dimensional orbital model was rendered in 4 representative patients presenting with primary orbital tumors using OsiriX open source imaging software. Read More

    Factors associated with voice disorders among the elderly: a systematic review.
    Braz J Otorhinolaryngol 2017 Dec 26. Epub 2017 Dec 26.
    Universidade Federal do Rio Grande do Norte (UFRN), Programa de Pós-graduação em Saúde Coletiva (PPGSCol), Natal, RN, Brazil.
    Introduction: During the aging process, natural modifications occur in the larynx and the structures involved in phonation which explain the specific characteristics found in the voices of elderly persons. When, at any moment, a voice fails and there is interference with communication, a voice disorder has occurred. This can generate disadvantages in communicative efficiency and have a negative impact on quality of life, compromising mechanisms of socialization, the maintenance of autonomy, and the sense of well-being. Read More

    Hypoparathyroidism: what is the best calcium carbonate supplementation intake form?
    Braz J Otorhinolaryngol 2017 Nov 15. Epub 2017 Nov 15.
    Universidade Estadual Paulista "Júlio de Mesquita Filho" (Unesp), Faculdade de Medicina de Botucatu, Departamento de Medicina Interna, Botucatu, SP, Brazil. Electronic address:
    Introduction: In hypoparathyroidism, calcium supplementation using calcium carbonate is necessary for the hypocalcemia control. The best calcium carbonate intake form is unknown, be it associated with feeding, juice or in fasting.

    Objective: The objective was to evaluate the calcium, phosphorus and Calcium×Phosphorus product serum levels of hypoparathyroidism women after total thyroidectomy, following calcium carbonate intake in three different forms. Read More

    IV Brazilian Consensus on Rhinitis - an update on allergic rhinitis.
    Braz J Otorhinolaryngol 2017 Nov 2. Epub 2017 Nov 2.
    Associação Brasileira de Alergia e Imunologia, São Paulo, SP, Brazil; Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, Departamento de Pediatria - Divisão de Alergia, Imunologia Clínica e Reumatologia, São Paulo, SP, Brazil.
    Introduction: The guidelines on allergic rhinitis aim to update knowledge about the disease and care for affected patients. The initiative called "Allergic Rhinitis and its Impact on Asthma", initially published in 2001 and updated in 2008 and 2010, has been very successful in disseminating information and evidence, as well as providing a classification of severity and proposing a systemized treatment protocol. In order to include the participation of other medical professionals in the treatment of allergic rhinitis, it is important to develop algorithms that accurately indicate what should and can be done regionally. Read More

    Nasal patency and otorhinolaryngologic-orofacial features in children.
    Braz J Otorhinolaryngol 2017 Nov 21. Epub 2017 Nov 21.
    Universidade Federal de Santa Maria, Departamento de Fisioterapia, Santa Maria, RS, Brazil.
    Introduction: Nasal obstruction is a common symptom in childhood, related to rhinitis and pharyngeal tonsil hypertrophy. In the presence of nasal obstruction, nasal patency may be reduced, and nasal breathing is replaced by mouth breathing. Orofacial and otorhinolaryngologic changes are related to this breathing mode. Read More

    Long-term follow-up of tonsillectomy efficacy in children with PFAPA syndrome.
    Braz J Otorhinolaryngol 2017 Nov 21. Epub 2017 Nov 21.
    Umraniye Training and Research Hospital, Department of Otolaryngology, Istanbul, Turkey.
    Introduction: The role of tonsillectomy in the periodic fever, aphthous stomatitis, pharyngitis, and adenitis, PFAPA syndrome, is controversial. Although some studies reported high success rates with tonsillectomy, further investigations are needed with larger numbers of patients.

    Objective: To seek the long-term outcomes of tonsillectomy in PFAPA syndrome. Read More

    Evaluation of postoperative patient satisfaction after covering the nasal dorsum with upper lateral cartilage: "upper lateral closing".
    Braz J Otorhinolaryngol 2017 Nov 16. Epub 2017 Nov 16.
    Baskent University Adana Seyhan Hospital, ENT Department, Seyhan, Turkey. Electronic address:
    Introduction: Following nasal hump removal during septorhinoplasty, the middle vault should be reconstructed to avoid functional and esthetic problems. Middle vault reconstruction, however, may result in widening of the middle vault and may need a camouflage graft to cover dorsal irregularities.

    Objective: To present the results of reconstructing the middle vault with a technique that covers the nasal dorsum with upper lateral cartilage, from the viewpoint of patient satisfaction. Read More

    Does the reduction of inferior turbinate affect lower airway functions?
    Braz J Otorhinolaryngol 2017 Nov 6. Epub 2017 Nov 6.
    Sisli Hamidiye Etfal Training and Research Hospital, Clinic of Otorhinolaryngology, Istanbul, Turkey.
    Introduction: Although the nose and lungs are separate organs, numerous studies have reported that the entire respiratory system can be considered as a single anatomical and functional unit. The upper and lower airways affect each other either directly or through reflex mechanisms.

    Objective: In this study, we aimed to evaluate the effects of the radiofrequency ablation of persistent inferior turbinate hypertrophy on nasal and pulmonary function. Read More

    Vocal assessment of addicts on methadone therapy via the RBH scale and objective acoustic parameters.
    Braz J Otorhinolaryngol 2017 Nov 10. Epub 2017 Nov 10.
    University of Novi Sad, Faculty of Medicine, Novi Sad, Vojvodina, Serbia; Clinical Centre of Vojvodina, Otorhinolaryngology Clinic, Department of Phoniatrics, Novi Sad, Vojvodina, Serbia. Electronic address:
    Introduction: A large number of people around the world struggle daily to become free of their addiction to illegal psychoactive substances. In order to create an atmosphere of improved supervision, established communication and improved quality of life for drug addicts, centers have been set up to provide methadone as a substitute.

    Objective: The aim of the research was to assess the vocal features of drug addicts on methadone therapy via subjective and objective parameters, to ascertain if vocal damage has occurred and to determine whether subjective and objective acoustic vocal parameters are related, and how. Read More

    The protective effects of whortleberry extract against cisplatin-induced ototoxicity in rats.
    Braz J Otorhinolaryngol 2017 Nov 10. Epub 2017 Nov 10.
    Recep Tayyip Erdogan University, Medical Faculty, Department of Otorhinolaryngology, Rize, Turkey.
    Introduction: Cisplatin is one of the main chemotherapeutic agents used for the treatment of many types of cancer. However, ototoxicity, one of the most serious side effects of cisplatin, restricts its usage.

    Objective: We aimed to investigate the protective effects of whortleberry extract against cisplatin-induced ototoxicity by evaluating hearing and histopathological cochlear damage and by measuring the biochemical parameters affected byoxidative stress. Read More

    Downregulation of Notch4 - a prognostic marker in distinguishing oral verrucous carcinoma from oral squamous cell carcinoma.
    Braz J Otorhinolaryngol 2017 Oct 31. Epub 2017 Oct 31.
    SRM University, School of Bioengineering, Department of Genetic Engineering, Kattankulathur, India. Electronic address:
    Introduction: Oral verrucous carcinoma is a special form of well-differentiated squamous cell carcinoma which possesses specific clinical, morphologic and cytokinetic features that differ from other types of oral cancers and hence diagnosis requires immense experience in histopathology. Hence it is certainly important to distinguish such a lesion from other oral tumors as treatment strategies vary widely between them.

    Objective: In search of a critical diagnostic marker in distinguishing oral verrucous carcinoma from oral squamous cell carcinoma, Notch4 receptor, one of the key regulatory molecules of the Notch signaling family has been aberrantly activated in the progression of several types of tumors. Read More

    A predictive model to distinguish malignant and benign thyroid nodules based on age, gender and ultrasonographic features.
    Braz J Otorhinolaryngol 2017 Nov 4. Epub 2017 Nov 4.
    Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Departamento de Informática, Porto Alegre, RS, Brazil.
    Introduction: A discussion in literature about a standardized decision support tool for the management of thyroid nodules remains.

    Objective: The purpose of this study was to create a statistical prediction model for thyroid nodules management.

    Methods: Two hundred and four benign and 57 malignant thyroid nodules were selected for a retrospective study. Read More

    The first postoperative-stimulated serum thyroglobulin is a prognostic factor for thyroid microcarcinomas.
    Braz J Otorhinolaryngol 2017 Oct 31. Epub 2017 Oct 31.
    Universidade Estadual Paulista "Júlio de Mesquita Filho" (Unesp), Faculdade de Medicina de Botucatu, Departamento de Medicina Interna, Botucatu, SP, Brazil. Electronic address:
    Introduction: Endogenous thyroid-stimulating hormone-stimulated thyroglobulin collected after total thyroidectomy is a useful predictor of better prognosis in patients with differentiated thyroid carcinomas in general, but studies with microcarcinomas are scarce.

    Objective: To assess whether the first postoperative stimulated thyroglobulin measurement is a prognostic factor in patients with microcarcinoma.

    Methods: The medical data of 150 differentiated thyroid carcinoma patients were studied retrospectively, and 54 (36%) cases with microcarcinoma were selected. Read More

    Comparison between chloral hydrate and propofol-ketamine as sedation regimens for pediatric auditory brainstem response testing.
    Braz J Otorhinolaryngol 2017 Oct 28. Epub 2017 Oct 28.
    Indiana University Health, Indiana University School of Medicine and Riley Hospital for Children, Department of Pediatrics - Section of Pediatric Critical Care Medicine, Indianapolis, IN, United States.
    Introduction: The use of diagnostic auditory brainstem response testing under sedation is currently the "gold standard" in infants and young children who are not developmentally capable of completing the test.

    Objective: The aim of the study is to compare a propofol-ketamine regimen to an oral chloral hydrate regimen for sedating children undergoing auditory brainstem response testing.

    Methods: Patients between 4 months and 6 years who required sedation for auditory brainstem response testing were included in this retrospective study. Read More

    Identification and management of inverted or everted edges of traumatic tympanic membrane perforations.
    Braz J Otorhinolaryngol 2017 Oct 28. Epub 2017 Oct 28.
    Xinxiang Medical University, Department of Clinical Medicine, Xinxiang City, China.
    Introduction: Most of traumatic tympanic membrane perforations have inverted or everted edges, however, the effects of inverted and everted edges on the spontaneous healing of the eardrum remain controversial.

    Objective: We investigated the influence of inverted or everted edges on the spontaneous healing of traumatic tympanic membrane perforations.

    Methods: The clinical records of patients with a traumatic tympanic membrane perforations who met the study criteria were retrieved and categorized into two groups, based on whether the eardrum was inverted or everted. Read More

    Neutrophil-lymphocyte ratios in the prognostication of primary non-metastatic Nasopharyngeal Carcinoma.
    Braz J Otorhinolaryngol 2017 Oct 19. Epub 2017 Oct 19.
    Universiti Malaya, Faculty of Medicine, Department of Otorhinolaryngology, Kuala Lumpur, Malaysia.
    Introduction: Nasopharyngeal carcinoma is a geographically and racially variable disease which has a high incidence in Malaysia. Based on current concepts in tumour related inflammation the inflammatory marker, neutrophil-lymphocyte ratio was tested to find its relationship with prognosis in nasopharyngeal carcinoma.

    Objective: To investigate the effect of the neutrophil-lymphocyte ratio on prognosis in non-metastatic primary nasopharyngeal carcinoma patients and to further refine the cut off between high and low neutrophil-lymphocyte ratio values. Read More

    Side effects of intraoral devices for OSAS treatment.
    Braz J Otorhinolaryngol 2017 Oct 14. Epub 2017 Oct 14.
    Universidade do Estado do Rio de Janeiro (FO-UERJ), Faculdade de Odontologia, Ortodontia, Rio de Janeiro, RJ, Brazil; North Carolina State University, Chapel Hill, USA.
    Introduction: Intraoral devices have increasingly assumed a key role in the treatment of Obstructive Sleep Apnea Syndrome, but there are limitations to their indication and side effects that result from their continuous use, as well as the use of the Continuous Positive Airway Pressure device.

    Objectives: To evaluate the changes in dental positioning caused by the continuous use of mandibular advancement devices.

    Methods: A prospective longitudinal study with a sample of 15 patients, with evaluation of complete documentation after a mean time of 6. Read More

    Revision rhinoplasty: physician-patient aesthetic and functional evaluation.
    Braz J Otorhinolaryngol 2017 Sep 14. Epub 2017 Sep 14.
    Associação Paranaense de Otorrinolaringologia (ASPO), Liga de Otorrinolaringologia, Curitiba, PR, Brazil; Universidade Positivo, Curitiba, PR, Brazil.
    Introduction: Approximately 5-15% of patients submitted to rhinoplasty operations undergo revision surgery. Those patients have varied functional and aesthetic complaints that should receive a detailed assessment that includes all the expectations the patient had before the previous procedure.

    Objective: To draw the profile of the main aesthetic-functional complaints reported by patients to be submitted to revision rhinoplasty and to correlate them with the internal and external objective nasal evaluation performed by the surgeon. Read More

    Biofeedback in dysphonia - progress and challenges.
    Braz J Otorhinolaryngol 2017 Aug 19. Epub 2017 Aug 19.
    Universidade Federal de Pernambuco (UFPE), Pernanbuco, PE, Brazil.
    Introduction: There is evidence that all the complex machinery involved in speech acts along with the auditory system, and their adjustments can be altered.

    Objective: To present the evidence of biofeedback application for treatment of vocal disorders, emphasizing the muscle tension dysphonia.

    Methods: A systematic review was conducted in Scielo, Lilacs, PubMed and Web of Sciences databases, using the combination of descriptors, and admitting as inclusion criteria: articles published in journals with editorial committee, reporting cases or experimental or quasi-experimental research on the use of biofeedback in real time as additional source of treatment monitoring of muscle tension dysphonia or for vocal training. Read More

    Effects of diabetes mellitus and systemic arterial hypertension on elderly patients' hearing.
    Braz J Otorhinolaryngol 2017 Sep 21. Epub 2017 Sep 21.
    Universidade de São Paulo (USP), Hospital Universitário (HU), São Paulo, SP, Brazil.
    Introduction: Chronic diseases can act as an accelerating factor in the auditory system degeneration. Studies on the association between presbycusis and diabetes mellitus and systemic arterial hypertension have shown controversial conclusions.

    Objective: To compare the initial audiometry (A1) with a subsequent audiometry (A2) performed after a 3 to 4-year interval in a population of elderly patients with diabetes mellitus and/or systemic arterial hypertension, to verify whether hearing loss in these groups is more accelerated when compared to controls without these clinical conditions. Read More

    Behavioural and objective vestibular assessment in persons with osteoporosis and osteopenia: a preliminary investigation.
    Braz J Otorhinolaryngol 2017 Sep 21. Epub 2017 Sep 21.
    All India Institute of Speech and Hearing, Department of Audiology, Manasagangothri, Karnataka, India.
    Introduction: Calcium is vital for the functioning of the inner ear hair cells as well as for the neurotransmitter release that triggers the generation of a nerve impulse. A reduction in calcium level could therefore impair the peripheric vestibular functioning. However, the outcome of balance assessment has rarely been explored in cases with osteopenia and osteoporosis, the medical conditions associated with reduction in calcium levels. Read More

    Laryngeal and vocal alterations after thyroidectomy.
    Braz J Otorhinolaryngol 2017 Sep 21. Epub 2017 Sep 21.
    Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Disciplina de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Botucatu, SP, Brazil. Electronic address:
    Introduction: Dysphonia is a common symptom after thyroidectomy.

    Objective: To analyze the vocal symptoms, auditory-perceptual and acoustic vocal, videolaryngoscopy, the surgical procedures and histopathological findings in patients undergoing thyroidectomy.

    Methods: Prospective study. Read More

    Buccinator myomucosal flap for the treatment of velopharyngeal insufficiency in patients with cleft palate and/or lip.
    Braz J Otorhinolaryngol 2017 Sep 12. Epub 2017 Sep 12.
    Hospital SOBRAPAR, Instituto de Cirurgia Plástica Craniofacial, Campinas, SP, Brazil. Electronic address:
    Introduction: The interpretation of the speech results obtained with the buccinator myomucosal flap in the treatment of velopharyngeal insufficiency in patients with cleft palate has been limited by the restriction in the number of patients and the time of postoperative follow-up.

    Objective: To evaluate the effect of the buccinator myomucosal flap on speech hypernasality in the treatment of patients with cleft palate and velopharyngeal insufficiency.

    Methods: Patients with repaired cleft palate (± lip) who were submitted to surgical correction of velopharyngeal insufficiency using the bilateral buccinator myomucosal flap were assessed. Read More

    Temporomandibular disorder: otologic implications and its relationship to sleep bruxism.
    Braz J Otorhinolaryngol 2017 Aug 23. Epub 2017 Aug 23.
    Universidade Federal de Pernambuco, Recife, PE, Brazil. Electronic address:
    Introduction: Temporomandibular disorder is an umbrella term for various clinical problems affecting the muscles of mastication, temporomandibular joint and associated structures. This disorder has a multifactor etiology, with oral parafunctional habits considered an important co-factor. Among such habits, sleep bruxism is considered a causal agent involved in the initiation and/or perpetuation of temporomandibular disorder. Read More

    Hashimoto's thyroiditis - an independent risk factor for papillary carcinoma.
    Braz J Otorhinolaryngol 2017 Sep 14. Epub 2017 Sep 14.
    Comenius University, Jessenius Faculty of Medicine, Department of Otorhinolaryngology, Head and Neck Surgery, Martin, Slovakia.
    Introduction: The link between Hashimoto's thyroiditis and thyroid carcinoma has long been a topic of controversy.

    Objective: The aim of our study was to determine the prevalence of thyroid carcinoma and Hashimoto's thyroiditis coexistence in histopathologic material of thyroidectomized patients.

    Methods: In a retrospective study, the clinicohistopathologic data of 2117 patients (1738 females/379 males), who underwent total or partial thyroidectomy for thyroid gland disorder at a single institution from the 1st of January 2005 to the 31st of December 2014 were analyzed. Read More

    Predictive factors for oropharyngeal dysphagia after prolonged orotracheal intubation.
    Braz J Otorhinolaryngol 2017 Sep 13. Epub 2017 Sep 13.
    Universidade Federal de Minas Gerais (UFMG), Faculdade de Medicina, Departamento de Fonoaudiologia, Belo Horizonte, MG, Brazil.
    Introduction: Lesions in the oral cavity, pharynx and larynx due to endotracheal intubation can cause reduction in the local motility and sensitivity, impairing the swallowing process, resulting in oropharyngeal dysphagia.

    Objective: To verify the predictive factors for the development of oropharyngeal dysphagia and the risk of aspiration in patients with prolonged orotracheal intubation admitted to an intensive care unit.

    Methods: This is an observational, analytical, cross-sectional and retrospective data collection study of 181 electronic medical records of patients submitted to prolonged orotracheal intubation. Read More

    Computed tomography evaluation of the morphometry and variations of the infraorbital canal relating to endoscopic surgery.
    Braz J Otorhinolaryngol 2017 Sep 8. Epub 2017 Sep 8.
    Necmettin Erbakan University, Meram Faculty of Medicine, Department of Anatomy, Konya, Turkey.
    Introduction: The course of the infraorbital canal may leave the infraorbital nerve susceptible to injury during reconstructive and endoscopic surgery, particularly when surgically manipulating the roof of the maxillary sinus.

    Objective: We investigated both the morphometry and variations of the infraorbital canal with the aim to show the relationship between them relative to endoscopic approaches.

    Methods: This retrospective study was performed on paranasal multidetector computed tomography images of 200 patients. Read More

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