Navegando por Palavras-chave "ear, middle"
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- ItemAcesso aberto (Open Access)Facial nerve grafting and end-to-end anastomosis in the middle ear - tympanic cavity and mastoid(Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial, 2013-07-01) Cruz Filho, Nelson Alvares; Aquino, Jose Evandro Andrade Prudente de [UNIFESP]; Oliveira, Luis Francisco de; Universidade de São Paulo (USP); Beneficiencia Portuguesa Hosp; Universidade Federal de São Paulo (UNIFESP)Sectioned facial nerves can be repaired with grafting or end-to-end anastomosis.Objective: To discuss these repair procedures and what can be expected of them.Method: Seven patients with sectioned facial nerves were included in the study. Four underwent grafting and three were offered end-to-end anastomosis. Facial nerve palsy was iatrogenic in five patients and was caused by bullet wounds in two. Assessment of motor function recovery was based on Janssen's scale.Results: Mean motor recovery was rated at 72.5% for subjects offered grafting and 73.3% for patients submitted to anastomosis.Conclusion: 1. Grafting and anastomosis are proper solutions to repair sectioned facial nerves; complete recovery is never attained; synkinesis may occur. 2. in principle anastomosis is the procedure of choice, but when there is minimal traction in the facial nerve stump grafting is preferred. 3. Both procedures yielded mean motor recovery rates above 70% (72.5% for grafting and 73.3% for anastomosis).
- ItemAcesso aberto (Open Access)Influência do tipo de amamentação nas condições de orelha média de lactentes(Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, 2012-02-01) Garcia, Michele Vargas [UNIFESP]; Azevedo, Marisa Frasson de [UNIFESP]; Testa, Jose Ricardo Gurgel [UNIFESP]; Luiz, Cyntia Barbosa Laureano [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Infants should be submitted to hearing screening upon birth, and for the results to be complete, it is necessary to assess middle ear conditions. OBJECTIVE: To check whether the type of breastfeeding in infants between zero and four months can impact middle ear conditions my means an ENT assessment and acoustic immittance comparing neonates who were submitted to hearing screening with those who failed it. Materials and METHODS: Otoacoustic emissions (OAE) was carried out in 60 infants between zero and four months. They were distributed in two groups; group I had the infants with OAE and those infants in group II did not have OAE. They were submitted to tympanometry with a 1000 Hz test tone and ENT assessment. RESULTS: Bottle fed infants or those who were fed in a mixed way had more changes to their audiometry and ENT assessment, with a statistically significant difference. The breastfed infants had a higher occasion of normal tympanometries and normal otorhinolaryngological assessment, with statistically significant difference. CONCLUSION: We then concluded that those breastfed implants had less ENT changes and as well as less acoustic immittance change, thus enabling OAEs. Breastfeeding alone can be considered a protection factor against middle ear changes.