EDITORIALOne year ago, we had the honor of writing our first Editorial for the Brazilian Journal of Otorhinolaryngology, entitled "The Challenge of the Past". The text attempted to convey the responsibility of managing the Publications Department of our Journal, and continue this long and successful tradition of our major means of scientific disclosure. We thought we could anticipate the challenge we would have ahead of us. However, it was only after one year of work that we could appreciate the true size of such challenge and the repercussions of our actions.
The leading symptoms were improved by functional endoscopic sinus surgery but not so much we expect. Allergic rhinitis presenting, not using nasal spray, poor ambient control influenced this result. Polyps patient achieved better symptoms outcome and quality of life responses on the most of symptoms than CRS patients.
Funct ional endoscopic sinus surgery is the preferred treatment for chronic rhinosinusitis currently. Success on symptoms relief and quality of life improvement are the study leading objectives. Study design: retrospective clinical trial. Methods: Questionnaires were given to the patients referred to Hospital das Clinicas-UFPE to chronic rhinosinusitis (CRS) functional endoscopic sinus intervention during [2003][2004]. Symptoms outcome before and after surgery were compared and analyzed using a five-pointranking scale. Results: Twenty-four pacients answered the questions. Eleven pacientes had CRS and 13 had CRS associated with nasal polypos. Quality of life was restricted by CRS in everyone, with a good improvement in 54,2% cases. All patients could recommend functional endoscopic sinus surgery to someone with same nasal problems and only 3 would not get surgery again. The best symptoms relif results were: nasal obstruction (83,3%), cacosmia/halitosis (80%), hyposmia/anosmia (63,15%), headache (62%). Patients with polyps achieved better symptomatic response than patients with only CRS. Conclusions: The leading simptoms were improved by functional endoscopic sinus surgery but not so much we expect. Allergic rhinits presenting, not using nasal spray, poor ambient control influenced this result. Polyps patient achivied better symptoms outcome and quality of life responses on the most of symptoms than CRS pacients.
Condrossarcoma é o sarcoma mais frequente da laringe. Sua incidência é maior na cartilagem cricóide do que nas outras cartilagens da laringe, sendo raro que ele se origine na epiglote. Relatamos no texto um caso de condrossarcoma originado na epiglote, no qual foi realizada laringectomia subtotal com circo-hioidopexia <FONT FACE=Symbol>¾</FONT>e realizamos revisão da literatura.
Myri ngosclerosis is characterized by hyaline changes of the lamina propria of the tympanic membrane. Experimental studies have used otomicroscopy or histology to evaluate myringosclerosis in animals, but they do not correlate precisely these two methods. Aim: The present study evaluates the accuracy of otomicroscopy in the diagnosis of myringosclerosis in rats. Study design: experimental. Material and Method: Myringosclerosis was induced by transtympanic inoculation of Streptococcus pneumoniae in 25 Wistar rats, which were examined weekly through otomicroscopy and sacrificed after eight weeks for histologic study of their tympanic membranes. Results: From the comparison of the otomicroscopic data in relation to the histologic findings, we could observe sensibility of 80% and specificity of 75% for the otomicroscopy. Conclusion: Considering the results in this study, otomicroscopy did not represent a good method to evaluate myringosclerosis in this experimental model.
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