Ret rospective study aiming at evaluating the interference of associate diseases in the evolution and prognosis of idiopathic sudden sensorineural hearing loss.
Materials and methods:Case-Control Study. Thirty-five patients with idiopathic sudden sensorineural hearing loss were divided in two groups, one of them with associate diseases (hypertension, diabetes mellitus and dyslipidemias), and another one without co-occurrence of such diseases. The groups were evaluated regarding: age, gender, associate diseases, presence of tinnitus, dizziness and ear fullness sensation, presence of cerebral microangiopathy observed in magnetic resonance imaging, ophthalmoscopic findings, treatment onset, improvements in audiometric findings and at speech discrimination tests. Statistical analysis of data was performed.
Results:The associate disease group showed higher ages, cerebral microangiopathy observed in magnetic resonance imaging and later improvement in speech discrimination tests, being this difference statistically significant.
Conclusion:Idiopathic sudden sensorineural hearing loss co-occurring with hypertension, diabetes mellitus or dyslipidemias, in older patients, is associated with a higher prevalence of cerebral microangiopathy, revealed by magnetic resonance imaging, and associated with a slower hearing recovering, showed by later improvements in speech discrimination tests. Braz J Otorhinolaryngol. 2010;76(3):363-9.
ORIGINAL ARTICLE
BJORL
Objective: To prospectively evaluate the results from a series of patients who underwent surgical treatment for rhizarthrosis using the technique of trapezium resection associated with interposition of yarn from the long abductor tendon of the thumb. Methods: From May to August 2005, ten patients underwent surgical treatment for rhizarthrosis. Patients with primary osteoarthrosis of the trapezium-metacarpal joint, in stages II, III and IV of the Eaton classification, with persistent pain that was refractory to clinical treatment, were included. For the functional assessment, the visual analogue scale, DASH questionnaire and Buck-Gramcko score were used. For the overall assessment on the patients, strength measurements were made for palm grip, pulp to pulp pinch, lateral pinch, three-point pinch, opposition and radial and palmar abductions. The migration index for the first metacarpal was also determined on radiographs at rest and under stress. Results: The pain relief was considered to be good (p = 0.005), with functional improvements in modules 2 (p = 0.02) and 3 (p = 0.022) of DASH. The Buck-Gramcko score showed one excellent and three very good results. There was an improvement in almost all of the overall assessment and was only non-significant regarding lateral pinch and abduction. For all patients, there was migration of the first metacarpal. Conclusion: Trapeziectomy associated with interposition of yarn from the long abductor tendon of the thumb was shown to be a relatively simple and effective technique for pain relief and functional improvement.
RESUMOObjetivo: Há muita discussão em relação ao tratamento do pé torto congênito equino-cavo-varo e atualmente a sistemática proposta por Ponseti parece ser a mais racional oferecendo altas taxas de resultados satisfatórios em detrimento à metodologia
Objective. The objective of this study is to evaluate and compare hemostatic and anti-adherent efficacy of the bi-component carboxymethylcellulose-polysaccharide B to the standard of electocauterization at the gracilis and semitendinosis harvest site in patients undergoing anterior cruciate ligament (ACL) reconstruction. Methods. In this randomized control trial, 32 patients undergoing ACL reconstruction were randomly divided into two groups. In group 1 (control), hemostasis was achieved via electrocoagulation at the gracilis and semitendinosis harvest site, and in group 2 (intervention) the bi-component was used to control bleeding at the same site. Results. There was no statistical difference between the groups in the pain assessments postoperatively, and the patients in group 2 had lower incidence of hematoma than the patients in group 1 on the first day postoperatively. There was a statistically significant difference between the groups in terms of postoperative range of motion (ROM) during the study period (p = 0.022). Patients in group 1 gained 17.8 degrees, patients in group 2 increased ROM by 34 degrees. No statistically significant difference was found in the incidence of hypoesthesia between the groups (p = 0.870). Conclusion. Bi-component carboxymethylcellulose-polysaccharide B showed better outcomes in terms of hematoma prevention and postoperative ROM than standard electrocoagulation in the immediate postoperative period for patients undergoing ACL reconstruction. Surgeons should consider using this compound to achieve hemostasis at the gracilis and semitendinosis harvest site during ACL reconstruction.
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