The children that underwent adenotonsillectomy acquired a higher weight-height growth potential in relation to those children who were not operated.
The daily clinical observation of weight-height growth delays in children with obstructive hypertrophy of the pharyngeal and palatine tonsils is a workaday practice in pediatric otorhinolaryngology, and the surgical correction of this condition, when properly done in time, through adenotonsillectomy, can lead to a "catch up growth". Aim: To investigate the real weight-height gain present in this population when they are surgically treated. Materials and Methods: Through a clinical prospective study, two groups of children carrying pharyngopalatine hypertrophy were followed up: group 1 was submitted to surgical intervention, and group 2 was not. All patients underwent standardization of anthropometrical measurements (weight and height), including their age-related percentiles, in the beginning and at the end of 06 (six) months. Results: While group 1 increased its height average in relation to the initial average in 6.66cm, the control group increased its average in 1.9cm (p=0.0004). In relation to weight, group 1 increased 2150g in average, while group 2 presented an average increase of 690g (p=0.0010). Conclusions: The children that underwent adenotonsillectomy acquired a higher weight-height growth potential in relation to those children who were not operated.
Objectives: The study aims to present the face and content validation of the LEAPA instrument, proposing a systematization for static description of the laryngoscopic findings of the benign organic lesions of the vocal folds with emphasis on the use of key elements of the morphological description (location / L / , extension / E /, organic aspect / A /, plurality / P /, associations / A /). The importance of this instrument is that dysphonia is highly prevalent world wide and in about 50% of cases it occurs due to benign vocal fold injuries. Thus, the morpho-functional visualization of the larynx through laryngoscopy and the ability to write a reliable technical report of the examination findings are essential for the correct diagnosis of dysphonia. Methods: A face evaluation was developed by 13 laryngology specialists to analyze the reliability of the lesion description method using Cronbach's alpha coefficient using 17 thought-provoking questions. Results: the LEAPA instrument obtained high internal consistency and high reliability (alpha 0.94). Conclusion: LEAPA allows the morphological description of benign vocal fold injuries, contributing to the preparation of concise laryngoscopic reports, with a uniform, reliable and correct diagnostic impression for this group of injuries.
A 47-year-old man, with complaints of dysphonia and snoring for 10 years, sought medical assistance and underwent physical evaluation and complementary tests that showed a non-infiltrative, well-delimited, approximately 3 cm-large nodular lesion in the supraglottic region, occluding the laryngeal aditus during inspiration. It evolved with need for tracheostomy, followed by lateral pharyngotomy for excision of the lesion. Histologic and immunohistochemical examinations confirmed the rare diagnosis of pleomorphic adenoma of the minor salivary gland located in the larynx. The patient is being followed up with improvement of the symptomatology and absence of lesion recurrence. Pleomorphic adenomas (PA) are heterogeneous benign tumors originating in the salivary gland.
Introduction: Obstructive sleep apnea syndrome (OSAS) is characterized by recurrent collapses of the pharyngeal region during sleep, resulting in a substantial reduction in airflow (apnea and hypopnea), despite respiratory efforts. Objective: To report the profile of patients referred to the Sleep Apnea Outpatient Clinic of Hospital Universitário Onofre Lopes (HUOL), emphasizing on the main risk factors associated with OSAS. Methodology: It is retrospective study, cross-sectional, in which data obtained by reviewing medical records of patients seen at the sleep apnea outpatient clinic between 2017 and 2019 were used. Results: Medical records of 43 patients were evaluated, being (62, 8%) male and (37.2%) female. All patients underwent previous screening before polysomnography, being divided into three groups: Group I - with mild OSAS: 8 patients (18.6%); Group II - with moderate OSAS: 18 patients (41.8%); Group III - with severe OSAS: 17 patients (39.5%). Conclusion: Sleep apnea syndrome is commonly correlated with metabolic syndrome.
A imobilidade laríngea é uma doença geralmente associada ao comprometimento do nervo laríngeo recorrente, que pode ter causa traumática, tumoral, infecciosa, dentre outras. Em sua apresentação clínica temos a disfonia com seus impactos sociais e econômicos levando a sua importância de diagnóstico e tratamento adequados. O objetivo deste relato de caso é descrever o quadro clínico de uma paciente jovem do sexo feminino com disfonia por paresia de prega vocal esquerda, possivelmente consequente à infecção por arbovírus (Dengue e/ou Chikungunya) e que se obteve melhora clínica importante após o tratamento com fonoterapia. Esta complicação atípica da arbovirose nunca descrita, apoia-se na descrição de neuropatias e paralisias em outros nervos já publicadas. Como conclusão, sugere-se que a pesquisa da sorologia para as arboviroses entre no arsenal para avaliação das etiologias possíveis da imobilidade laríngea, quando houver epidemiologia que justifique, assim como, reitera-se a importância da fonoterapia no tratamento destes pacientes com imobilidade laríngea.
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