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Introduction  Altered lingual frenum modifies the normal tongue mobility, which may influence the stomatognathic functions, resulting in anatomical, physiological and social damage to the subject. It is necessary that health professionals are aware of the process of evaluation, diagnostics and treatment used today, guiding their intervention.Objective  To perform a systematic review of what are the treatment methods used in cases of lingual frenum alteration.Data Synthesis  The literature searches were conducted in MEDLINE, LILACS, SciELO, Cochrane and IBECS, delimited by language (Portuguese, English, Spanish), date of publication (January 2000 to January 2014) and studies performed in humans. The selection order used to verify the eligibility of the studies were related to: full text availability; review the abstract; text analysis; final selection. Of the total 443 publications, 26 remained for analysis. The surgical approach was used in all studies, regardless of the study population (infants, children and adults), with a range of tools and techniques employed; speech therapy was recommended in the post surgical in 4 studies. Only 4 studies, all with infants, showed scientific evidence.Conclusion  Surgical intervention is effective for the remission of the limitations caused by the alteration on lingual frenum, but there is a deficit of studies with higher methodological quality. The benefits of speech therapy in the post surgical period are described from improvement in the language of mobility aspects and speech articulation.

Introduction Hearing screening allows the identification of individuals with hearing loss. Aim To determine the sensitivity and specificity of a portable hearing screening device in middle-aged and older adults using the manufacturer scoring and a scoring system proposed by the researchers. Methods In this transversal study, participants underwent anamnesis, otoscopy, and hearing screening using portable equipment. After this, a pure tone audiometry was performed, with participants classified into two groups: with and without hearing loss. The sensitivity and specificity of the hearing screening were calculated for the right and left ears using two methods of interpretation: the original method recommended by the manufacturer (criteria 1) and the method proposed by researchers (criteria 2). Results The sample consisted of 55 individuals, 83.6% (n = 46) of whom were women. Per criteria 1, the sensitivities were 26.3 (right ear) and 21.4% (left ear). The specificity was 100% for both ears. Using criteria 2, the sensitivity was 94.7 (right ear) and 100% (left ear). The specificity was 74.3 (right ear) and 65.9% (left ear). Conclusion This study showed that the criteria proposed by the manufacturer presented low sensitivity in the hearing screening. The criteria proposed by the researchers to achieve a more efficient performance reached high and balanced values for sensitivity and specificity.

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O carcinoma de células escamosas ou carcinoma epidermóide é uma neoplasia maligna de origem epidérmica. O 5-fluorouracil é um agente antineoplásico comumente administrado pela via parenteral, também sendo descrito seu uso tópico em humanos. Este trabalho relata dois casos de carcinoma de células escamosas em cães que apresentavam nódulos na região abdominal ventral. Em ambos os casos, os animais foram submetidos à quimioterapia antineoplásica neoadjuvante com 5-fluorouracil, para reduzir o tamanho dos nódulos e facilitar a exérese dos mesmos. Em um dos pacientes, utilizou-se 5-fluorouracil pomada como tratamento local e, em outro, foi feita a administração por via endovenosa. Em ambos os casos, ocorreu remissão parcial dos tumores, a qual viabilizou a realização da cirurgia com maiores margens de segurança. Este estudo demonstra que o uso de 5-fluorouracil em cães é um procedimento seguro, devendo ser considerado em casos de tumores avançados, nos quais a cirurgia imediata não é possível.