Considering the results attained, this method of tympanoplasty should be considered a good treatment option for tympanic membrane perforation in children.
Objective:The postoperative period of a tonsillectomy is usually very painful, requiring the use of painrelieving drugs. The aim of this study was to evaluate the efficacy of low-level laser therapy in post-tonsillectomy pain control.Methods: 18 children aged 5 to 15 years undergoing adenotonsillectomy between June 2005 and October 2006 were randomized to receive either local application of therapeutic laser immediately after surgery and 24 hours postoperatively (n=9) or routine analgesic drug therapy, if necessary. Pain was assessed by visual analog scale scores, need for analgesics, and acceptance of diet during the postoperative period.Results: Patients undergoing laser applications had lower median pain scores and required less analgesic medication postoperatively than the control group. Acceptance of diet was similar in both groups.Conclusions: Preliminary results showed that low-level laser therapy is effective in the reduction of post-tonsillectomy pain, minimizing the need of analgesic medication in children and adolescents.Key-words: laser therapy; tonsillectomy; pain; child.
RESUMOObjetivo: O pós-operatório da tonsilectomia é, em geral, bastante doloroso e os pacientes necessitam de analgésicos. Este estudo visou avaliar a eficácia da aplicação do laser terapêutico no controle da dor no pós-operatório de tonsilectomia.Métodos: 18 crianças de cinco a 15 anos de idade foram submetidas à adenotonsilectomia, no período de junho de 2005 a outubro de 2006, sendo randomizadas para receber aplicações de laser terapêutico na área cirúrgica imediatamente após o procedimento e 24 horas após a cirurgia (n=9) ou seguir a rotina, com analgesia farmacológica, se necessário. A avaliação da dor foi realizada por escala analógica de dor, pela necessidade de analgésicos e pela aceitação da dieta no pós-operatório.Resultados: Os pacientes submetidos à aplicação do laser apresentaram medianas das notas da escala de avaliação da dor menores e utilizaram menos analgésicos no pós-operatório em comparação aos pacientes controles. A aceitação da dieta nos dois grupos não foi diferente.Conclusões: Os resultados preliminares mostraram que o laser terapêutico foi eficaz na diminuição da dor e na redução de uso de analgésicos no pós-operatório de tonsilectomias em crianças e adolescentes.
Two types of nerve compression caused severe initial facial paralysis followed by gradual recovery until normal levels were reached at the end of the evaluation period. Injury induced by nerve resection was followed by a complete lack of facial movement recovery.
It is known that in less than a third of patients presenting sudden hearing loss, the disorder can be attributed to viral infection, trauma, neoplasms, and vascular and autoimmune diseases. However, the role of the HIV in the onset of this disease has not yet been well described. A 46-year-old female, in an immunosuppression state induced by HIV infection, presented with sudden bilateral hearing loss, with no improvement despite treatment. Several mechanisms were reported by which the virus could induce damage to the auditory pathway. However, little is known regarding the prevention and treatment of this morbidity.
Increased expression of AQP2 was shown in the affected FN compared with its corresponding control at day 1 after compression, simultaneously with the appearance of facial palsy.
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