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.
A paralisia de Bell é uma paralisia facial periférica com alta incidência, que apresenta alguns fatores associados, como a gravidez, diabetes mellitus e hipertensão arterial, além da infecção por alguns subtipos do vírus do herpes, o herpes simples e o herpes zoster sine herpete. Uma característica comum aos pacientes com a paralisia de Bell é a ocorrência da cefaleia dias antes da instalação da paralisia, do mesmo lado e em localização periauricular. Questiona-se, portanto, se é possível a identificação de um padrão característico da dor associada à paralisia e, assim, evitar a progressão da doença ou atenuação do possível desenvolvimento do déficit motor por se iniciar um adequado e imediato tratamento com supressão do processo inflamatório responsável pelo acometimento do nervo facial. Relatamos o caso de um homem de 50 anos de idade, com paralisia facial do lado direito, com dor na região retroauricular ipsilateral "em queimor", sem apresentar piora durante esforço, sem náusea, vômito, foto ou fonofobia. Aos 15 anos de idade, relatou ter apresentado paralisia facial também do lado direito, com forte dor retroauricular, semelhante à recidiva atual. Estamos propondo critérios diagnósticos para a cefaleia retroauricular associada à paralisia facial periférica idiopática.
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