19 research outputs found
Stapedial reflex and recruitment: What is the relationship with tinnitus?
No full textTinnitus is characterized by an auditory perception of sound, with no stimuli from the external environment. Tinnitus is an increasingly significant complaint, affecting 10-17% of the world population. As a symptom, it should always be considered with pathology in the auditory system. Our study aims to assess the relationship of this symptom with the presence of a stapedial reflex and the phenomenon of recruitment. Medical records of patients complaining of subjective tinnitus during their first consultation in the Outpatient Clinic of the Unicamp Teaching Hospital, in Brazil, between 2011 and 2012 were analyzed. We carried out a study with 65 non-randomized tinnitus individuals using questionnaires, clinical and audiological evaluations. The visual analogue scale was used to characterize the degree of disturbance caused by tinnitus. Statistical tests were performed using the IBM SPSS Statistics 19. No association was found between tinnitus and the presence of acoustic reflex or phenomenon of recruitment. We concluded that there is no relationship between tinnitus, the phenomenon of recruitment or the presence of an acoustic reflex
Hyperbaric Oxygen In The Treatment Of Perichondritis Of The Pinna.
No full textPerichondritis is a condition characterized by pain, swelling and purulent discharge from the external ear, which may progress to a deformity of the pinna. The presence of co-morbidities such as diabetes mellitus may aggravate the situation. The main aetiological agent is Pseudomonas aeruginosa and treatment consists of antibiotics combined with surgical drainage of the ear. We present the case of a diabetic patient with recurrent perichondritis of the pinna treated with hyperbaric oxygen therapy, with successful healing. Hyperbaric oxygen therapy has proved beneficial as adjunctive therapy of lesions in diabetic patients with foot ulcers, acting in the regeneration of intracellular free radicals and promotion of wound-healing factors. Thus, owing to its mechanisms of action, its effect on other injuries such as perichondritis in diabetic patients may be beneficial and lead to improvement.43166-
Extensive Frontoparietal Abscess: Complication of Frontal Sinusitis (Pott’s Puffy Tumor)
Get PDFFirst described in 1768, the Pott’s puffy tumor is a subperiosteal abscess associated with frontal bone osteomyelitis, resulting from trauma or frontal sinusitis. The classic clinical presentation consists of purulent rhinorrhea, fever, headache, and frontal swelling. The diagnosis is confirmed by CT scan and treatment requires intravenous antibiotics, analgesia, and surgical intervention. Early diagnosis and aggressive medical and surgical approach are essential for a good outcome. It rare and the early diagnosis is important; we describe the case of a 14-year-old adolescent with Pott’s puffy tumor who was initially treated inadequately, evolving with extensive frontoparietal abscess. The patient underwent surgical treatment with endoscopic endonasal and external approaches combined. Intravenous antibiotics were prescribed for a prolonged time, with good outcome and remission of the complaints
Achados otorrinolaringológicos em um grupo de pacientes com doenças reumatológicas
No full textIntrodução: As manifestações otorrinolaringológicas de doenças reumáticas representam um grande desafio não só ao médico generalista, mas também ao otorrinolaringologista e ao reumatologista. Frequentemente representam manifestações iniciais de uma desordem autoimune que exige um tratamento imunossupressor imediato e agressivo. Sintomas auditivos, nasais, laríngeos e oculares podem ser a primeira manifestação de doenças reumáticas, e sua correta avaliação auxilia o médico a identificar sinais de atividade da doença. O objetivo deste trabalho foi identificar as manifestações otorrinolaringológicas em pacientes com doenças reumáticas em um hospital de alta complexidade, no que se refere a facilitar diagnóstico e tratamento precoces. Métodos: Foram realizadas avaliações clínicas e otorrinolaringológicas completas em pacientes selecionados no ambulatório de reumatologia, no segundo semestre do ano de 2010, de forma padronizada e com utilização de um formulário de preenchimento normatizado. Resultados: No grupo estudado, pacientes com LES apresentaram predominantemente manifestações laríngeas, enquanto pacientes com síndrome de Sjögren apresentaram predomínio das manifestações otológicas (100% dos casos). As alterações de exames audiométricos são encontradas em 53% dos casos portadores de GW, 80% de PR, 33% de LES e 50% de SCS. Quanto às alterações nasais, estas foram encontradas de forma prevalente em todas as patologias, principalmente a síndrome de Churg-Strauss. Discussão e conclusão: Este estudo demonstrou que a maioria dos pacientes em seguimento em nosso serviço apresenta os sinais e sintomas otorrinolaringológicos comumente relacionados em trabalhos prévios sobre doenças reumáticas, porém novos estudos com um número maior de pacientes devem ser feitos para comprovar tais relações
Larynx cancer: quality of life and voice after treatment
Get PDFAbstractIntroductionTreatments for patients with laryngeal cancer often have an impact on physical, social, and psychological functions.ObjectiveTo evaluate quality of life and voice in patients treated for advanced laryngeal cancer through surgery or exclusive chemoradiation.MethodsRetrospective cohort study with 30 patients free from disease: ten total laryngectomy patients without production of esophageal speech (ES); ten total laryngectomy patients with tracheoesophageal speech (TES), and ten with laryngeal speech. Quality of life was measured by SF-36, Voice-Related Quality of Life (V-RQOL), and Voice Handicap Index (VHI) protocols, applied on the same day.ResultsThe SF-36 showed that patients who received exclusive chemoradiotherapy had better quality of life than the TES and ES groups. The V-RQOL showed that the voice-related quality of life was lower in the ES group. In the VHI, the ES group showed higher scores for overall, emotional, functional, and organic VHI.DiscussionQuality of life and voice in patients treated with chemoradiotherapy was better than in patients treated surgically.ConclusionThe type of medical treatment used in patients with laryngeal cancer can bring changes in quality of life and voice
Otorhinolaryngological Findings In A Group Of Patients With Rheumatic Diseases.
No full textOtorhinolaryngological manifestations of rheumatologic diseases represent a great challenge not only to the generalistphysician but also to the ENT doctor andrheumatologist. They often represent early manifestations of an autoimmune disorder which requires prompt and aggressive immunosuppressive treatment. Auditory, nasal, laryngeal and eye symptoms can be the first manifestation of rheumatic diseases and their proper assessment helps the doctor to identify signs of disease activity. The objective of this study is to identify the ENT manifestations in patients with rheumatic diseases in a high complexity hospital, regarding facilitating an early diagnosis and treatment. We performed clinical and complete otorhinolaryngological evaluations in patients selected from the outpatient rheumatology in a standardized manner by the use of a standardized form filling during the secondhalf of 2010. In the study group, systemic lupus erythematosus (SLE) patients had predominantly laryngeal manifestations, while patients with Sjögren's syndrome showed a higher prevalence of otologic manifestations. Changes in audiometric tests were found in 53% of Wegener's granulomatosis (WG) patients, 80% of relapsing polychondritis (RP), 33% of systemic lupus erythematosus (SLE) and 50% of Churg-Strauss syndrome (SCS). Regarding nasal alterations, these were found so prevalent in all conditions, especially Churg-Strauss syndrome. This study demonstrated that most patients treated in our hospital has the ENT signs and symptoms commonly associated in previous studies on rheumatic diseases, but further studies with a larger number of patients must be made to establish such relations.54172-
Otorhinolaryngological findings in a group of patients with rheumatic diseases
No full textAbstractIntroductionOtorhinolaryngological manifestations of rheumatologic diseases represent a great challenge not only to the generalistphysician but also to the ENT doctor andrheu- matologist. They often represent early manifestations of an autoimmune disorder which requires prompt and aggressive immunosuppressive treatment. Auditory, nasal, laryngeal and eye symptoms can be the first manifestation of rheumatic diseases and their proper assessment helps the doctor to identify signs of disease activity. The objective of this study is to identify the ENT manifestations in patients with rheumatic diseases in a high comple- xity hospital, regarding facilitating an early diagnosis and treatment.MethodsWe performed clinical and complete otorhinolaryngological evaluations in pa- tients selected from the outpatient rheumatology in a standardized manner by the use of a standardized form filling during the secondhalf of 2010.ResultsIn the study group, systemic lupus erythematosus (SLE) patients had predomi- nantly laryngeal manifestations, while patients with Sjögren's syndrome showed a higher prevalence of otologic manifestations. Changes in audiometric tests were found in 53% of Wegener's granulomatosis (WG) patients, 80% of relapsing polychondritis (RP), 33% of systemic lupus erythematosus (SLE) and 50% of Churg-Strauss syndrome (SCS). Regarding nasal alterations, these were found so prevalent in all conditions, especially Churg-Strauss syndrome.Discussion and conclusionThis study demonstrated that most patients treated in our hospi- tal has the ENT signs and symptoms commonly associated in previous studies on rheuma- tic diseases, but further studies with a larger number of patients must be made to establish such relations
Deep neck abscesses: study of 101 cases
No full textAbstract Introduction: Although the incidence of Deep Cervical Abscess (DCA) has decreased mainly for the availability of antibiotics, this infection still occurs with considerable frequency and can be associated with high morbidity and mortality. Objective: This study aimed to present our clinical-surgical experience with deep neck abscesses. Methods: A retrospective study analyzed 101 patients diagnosed with deep neck abscesses caused by multiple etiologies, assisted at a medical school hospital during 6 years. One hundred one patients were included and 27 (26.7%) were younger than 18 years old (the children group), 74 patients (73.3%) were older than 18 years old (the adults group). The following clinical features were analyzed and compared: age, gender, clinical symptoms, leukocyte count, the affected cervical area, lifestyle habits, antibiotic therapy, comorbidities, etiology, bacterial culture, time of hospitalization, the need of tracheostomy and complications. Results: There was predominance in the male gender (55.5%) and young people (mean age 28.1 years). All of the 51 patients with associated disease comorbidity were adults. The most frequent etiologies were bacterial tonsillitis (31.68%) and odontogenic infections (23.7%). The most common cervical areas affected were the peritonsillar (26.7%), submandibular/mouth floor (22.7%) and parapharyngeal spaces (18.8%). In children group, the site most commonly involved was the peritonsillar space (10 patients, 37%). In adults group, the site most commonly involved was multispace (31 patients, 41.8%). Streptococcus pyogenes (23.3%) was the most common microorganism present. Amoxicillin associated with clavulanate (82.1%) was the more used antibiotic. The main complications of abscesses were septic shock (16.8%), pneumonia (10.8%) and mediastinitis (1.98%). Tracheostomy was necessary in 16.8% of patients. The mortality rate was 1.98%. Conclusion: The clinical features and severity of DCA varied according to different age groups, perhaps due to the location of the infection and a higher incidence of comorbidity in adults. Thus, DCA in adults is more facile to have multispace involvement and lead to complications and seems to be more serious than that in children
Imágenes de la presencia extranjera en México: una aproximación cuantitativa 1894-1950. Dimensión Antropológica Vol. 6 Año 3 (1996) enero-abril
No full textAlonso, Angelina, Los libaneses y la industria textil en Puebla, México, CIESAS (Cuadernos de la Casa Chata 89),1983.Anuario comercial de la República mexicana 1928, México, Editores Somolinos y Montesinos, 1928.Bockser, Judith (dir.), Imágenes de un encuentro. La presencia judía en México durante la primera mitad del siglo, México, UNAM, Tribuna Israelita, Comité Central Israelita de México, Probursa, 1992.Bonfil Batalla, Guillermo (comp.), Simbiosis de culturas. Los inmigrantes y su cultura en México, México, CNCA/FCE (Sección de Obras de Historia), 1993.Echanove Trujillo, Carlos A. (ed.), Manual del extranjero, 14a. ed. al día, México, Porrúa, 1974.Fagen, Patricia, Transterrados y ciudadanos. Los republicanos españoles en México, México, FCE, 1975.Gojman, Alicia (coord.), Generaciones judías en México, vol. 7, México, Comunidad Ashkenazi de México, A.C., 1994.Gómez Izquierdo, Jorge, El movimiento antichino en México (1871-1934). Problemas del racismo y del nacionalismo durante la Revolución mexicana, México, INAH (Colección Divulgación), 1991.González Navarro, Moisés, Los extranjeros en México y los mexicanos en el extranjero, 1821-1970, México, El Colegio de México, vol. 1, 1993, vols. 2 y 3,1994.____________, La colonización en México. 1877-1910, México, Editorial Talleres de Impresión de Estampillas y Valores (s.f).Haber, Stephen H., Industria y subdesarrollo. La industrialización de México, 1890 -1940, México, Alianza Editorial, 1992.Illades, Carlos, Presencia española en la Revolución mexicana (1910 -1915), México, FFyL-UNAM/Instituto Mora, 1991.____________, “Poblamiento y colonización; las políticas públicas, 1854 –1910”, en El poblamiento de México. Una visión histórico demográfica. México en el siglo XIX, t. III, México, Secretaría de Gobernación, CONAPO, 1993, pp. 134-147.Katz, Friederich, La guerra secreta en México. Europa, Estados Unidos y la Revolución mexicana, México, Ediciones Era, 1982.Kenny, Michael, Virginia García A., Carmen Icazuriaga M., Clara Elena Suárez A. y Gloria Artís E., Inmigrantes y refugiados españoles en México, siglo XX, México, Centro de Estudios Superiores del INAH (Cuadernos de la Casa Chata, 8),1979.Knight, Alan, U. S. -Mexican Relations, 1910-1940, San Diego, Center for U.S.- Mexican Studies, University of California, 1987.Krause, Corinne, Los judíos en México. Una historia con énfasis especial en el periodo 1857 a 1930, Ariela Katz de C. (trad., present. y notas), México, Departamento de Historia, UIA, 1987.Landa y Piña, Andrés, El servicio de migración en México, México, Secretaría de Gobernación, 1930.Lida, Clara E. (coord.), Tres aspectos de la presencia española en México durante el Porfiriato, México, El Colegio de México, 1981.____________, Una inmigración privilegiada. Comerciantes, empresarios y profesionistas españoles en México, en los siglos XIX y XX, Madrid, Alianza Editorial, 1994.Loyo, Gilberto, La política demográfica de México, México, Instituto de Estudios Sociales, Políticos y Económicos del PNR, Secretaría de Prensa y Propaganda, 1935.MacGregor, Josefina, México y España: del Porfiriato a la Revolución, México, NEHRM, 1992.Mentz, Brígida von, Ricardo Pérez Montfort, Verena Radkau y Daniela Spenser, Los empresarios alemanes, el Tercer Reich y la oposición de derecha a Cárdenas, 2 vols. México, CIESAS (Colección Miguel Othón de Mendizábal, 10 y 11), 1988.Mentz, Brígida von, Ricardo Pérez Montfort y Verena Radkau, Fascismo y antifascismo en América Latina y México (apuntes históricos), México, CIESAS (Cuadernos de la Casa Chata, 104), 1984.México, Dirección General de Estadística, Anuarios Estadísticos, México, Dirección General de Estadística, 1894 -1907, 1930, 1939, 1940 -1941, 1943-1945, 1946-1950, 1951-1952.____________, I Censo General de la República mexicana. Verificado el 20 de octubre de 1895, A cargo del Dr. Antonio Peñafiel, 30 vols., México, Oficina Tipográfica de la Secretaría de Fomento, 1897-1899.____________, I Censo Industrial. 15 de mayo de 1930, 6 vols., México, Talleres Gráficos de la Nación.____________, I Censo Agrícola y Ganadero, 15 de mayo de 1930, 3 vols., México, Talleres Gráficos de la Nación.____________, II Censo de la República mexicana. Verificado el 28 de octubre de 1900. Conforme a las instrucciones del Dr. Antonio Peñafiel, 32 vols., México, Imprenta y Fototipia de la Secretaría de Fomento, 1901-1907.____________, III Censo de Población de los Estados Unidos Mexicanos. Verificado el 27 de octubre de 1910, 3 vols., México, Secretaría de Agricultura y Fomento, 1918-1920.____________, IV Censo General de Habitantes. 30 de noviembre de 1921, 32 vols., México, Talleres Gráficos de la Nación, 1925 -1928.____________, V Censo General de Población. 15 de mayo de 1930, 33 vols., México, Talleres Gráficos de la Nación, 1932 -1936.____________, VI Censo General de Población de los Estados Unidos Mexicanos. 6 de marzo de 1940, 32 vols., México, Ediciones de la Secretaría de Economía Nacional, 1943 -1948.____________, VII Censo General de Población. 6 de junio de 1950, 33 vols., México, Talleres Gráficos de la Nación.México, Dirección General de Estadística, VIII Censo General de Población. 1960.Resumen general, datos comparativos 1930, 1940, 1950 y 1960, Secretaría de Industria y Comercio, 1962.____________, Estadística de Inmigración, 1909, México, Oficina Tipográfica de la Secretaría de Fomento, 1909.Meyer, Lorenzo, Su Majestad Británica contra la Revolución mexicana, 1900-1950. El fin de un imperio informal, México, El Colegio de México, 1991.____________, México y Estados Unidos en el conflicto petrolero, 1917-1942, 2a. ed., México, El Colegio de México, 1972.Nuguent, Walter, Crossings, The Great Transatlantic Migrations, 1870 -1914, USA, Indiana University Press, 1992.Ota Mishima, María Elena, Siete migraciones japonesas a México, 1890 -1978, México, El Colegio de México, 1985.Páez Oropeza, Carmen Mercedes, Los libaneses en México: asimilación de un grupo étnico, México, INAH (Colección Científica), 1984.Parra, Alma L., “Los orígenes de la industria eléctrica en México: la compañía británica de electricidad (1900 -1929)”, en Historias, 19, México, DEH-INAH, octubre-mayo 1988.Pérez Montfort, Ricardo, Hispanismo y Falange. Los sueños imperialistas de la derecha española, México, FCE (Sección de Obras de Historia), 1992.Pla, Dolores, “Características del exilio en México en 1939”, en Clara Lida (coord.), Una inmigración privilegiada. Comerciantes, empresarios y profesionistas españoles en México, en los siglos XIX y XX, Madrid, Alianza Editorial (Alianza América Monografías), 1994.Pla, Dolores, Guadalupe Zárate, Mónica Palma, Jorge Gómez, Rosario Cardiel y Delia Salazar, Extranjeros en México (1821-1990). Bibliografía, México, INAH (Colección Fuentes), 1994.Plana, Manuel, El reino del algodón en México, la estructura agraria de La Laguna (1855 -1910), México, R. Ayuntamiento de Torreón, 1991-1993, Patronato del Teatro Isauro Martínez, CNCA, PCDLF, NBA, 1991.Proal, Maurice y Pierre Martin Charpenel, L Empire del Barcelonettes au Mexique, Francia, Editions Jeanne Laffitte, 1986.Puig, Juan, Entre el río Perla y el Nazas, La china decimonónica y sus braceros emigrantes, la colonia china de Torreón y la matanza de 1911, México, CNCA,
1992.Py, Pierre, Francia y la Revolución mexicana, 1910-1920 o la desaparición de una potencia mediana, México, CEMCA/FCE (Sección de Obras de Historia), 1991.Rosenzwieg, Fernando, “El desarrollo económico de México de 1877 a 191 l”, en El trimestre económico, vol. XXXII, núm. 127, jul.-sep. de 1985.Salazar Anaya, Delia, La población extranjera en México 1895-1990, un recuento con base en los censos generales de población, México, INAH (Colección Fuentes), 1996.Salazar Anaya, Delia, “Baja California y sus inmigrantes extranjeros”, en Eslabones, vol. 2, núm. 10, México, jul.-dic. 1995.Síndico, Doménico E., “Inmigración europea y desarrollo industrial, el caso de Monterrey, México”, ponencia presentada en la VI reunión del AHILA, Estocolmo 25-28 de mayo de 1981.Spenser, Daniela, “Economía y movimiento laboral en las fincas cafetaleras del Soconusco”, en B. von Mentz et al., Los empresarios alemanes, el Tercer Reich y la oposición de derecha a Cárdenas, vol. 1.United States Bureau of the Census, The Statistical History of the United States. From Colonial Times to the Present, Nueva York, Basic Books, Inc., Publishers, 1976.Vallarta, Luz del Carmen, “El dilema de ser extranjeros en tierra propia. Los refugiados de la guerra de castas”, en Eslabones, vol. 2, núm. 91, 10, México, jul.-dic. 1995.Zárate Miguel, Guadalupe, México y la diáspora judía, México, INAH, 1986.Este trabajo pretende mostrar algunas imágenes cuantitativas de la presencia extranjera en México tales como su número, origen, ritmo de crecimiento, estructura sociodemográfica y distribución regional, para después pasar a analizar algunos aspectos sobre su actividad ocupacional y económica a largo plazo. Mediante este análisis cuantitativo de carácter general se pretende adelantar algunas hipótesis sobre la importancia cualitativa que tuvieron los extranjeros en México en determinados procesos de la historia nacional. Nuestro corte temporal inicia en el Porfiriato, con la llegada de ciertas corrientes migratorias intercontinentales que se vieron favorecidas por una política demográfica de puertas abiertas a la inmigración extranjera, y culmina al finalizar la década de los cuarenta, cuando disminuye el flujo migratorio a raíz de la terminación de la Segunda Guerra Mundial, momento en el que se observa una política demográfica altamente restrictiva hacia la inmigración internacional. Debido a la ausencia de fuentes estadísticas anteriores, nuestro análisis del Porfiriato inicia hasta 1894
Digisonic SP® Binaural cochlear implant: the coronal tunneled approach
No full textAbstractCochlear implants represent a significant breakthrough in the treatment of hearing loss. Evidence indicates bilateral hearing brings significant benefits to patients, particularly when binaural hearing is offered.ObjectiveTo describe the first case of implantation of a Digisonic SP® Binaural Neurelec device in Brazil (the third implant placed in the Americas, after Mexico and Colombia) and the chosen surgical approach.MethodDescription of a surgical approach.ResultsThe procedure was successfully completed.DiscussionThe squelch effect, binaural summation, location of the sound source, and the shadow effect of the head are listed among the reasons to explain the superiority of binaural rehabilitation. Cost of treatment must be considered in the development of public health policies.ConclusionThe cost of cochlear implants has been one of the main impediments to bilateral rehabilitation. The Digisonic SP® Binaural Neurelec device addresses this issue and exposes patients to less risk through a minimally invasive implantation procedure
