Navegando por Palavras-chave "otitis media"
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- ItemAcesso aberto (Open Access)Complicações intratemporais das otites médias(Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, 2013-04-01) Maranhão, André Souza de Albuquerque [UNIFESP]; Andrade, José Santos Cruz de [UNIFESP]; Godofredo, Valéria Romero [UNIFESP]; Matos, Rafaella Caruso [UNIFESP]; Penido, Norma de Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Otitis media (OM) is considered a potentially severe disease due to the risk of complications. OBJECTIVE: To establish the annual incidence of intratemporal complications (ITC) resulting from OM and to prospectively assess patients for epidemiological and clinical factors. METHOD: This prospective cohort study included patients admitted during one year at a university hospital diagnosed with intratemporal complications of OM. Patients were analyzed for age, gender, type of intratemporal complication, treatment, and clinical outcome. The overall incidence of complications and the specific incidence rates of each type of complication were determined. RESULTS: 1,816 patients were diagnosed with OM; 592 (33%) had chronic OM; 1224 (67%) had acute OM. Fifteen patients were diagnosed with OM ITC, adding up to an annual incidence of 0.8%. Nineteen diagnoses of ITC were made in 15 patients. Seven (36.8%) patients were diagnosed with labyrinthine fistula, five (26.3%) with mastoiditis, four (21.1%) with peripheral facial palsy, and three (15.8%) with labyrinthitis. CONCLUSION: The incidence of intratemporal complications remains significant when compared to the rates seen in developed countries. Chronic cholesteatomatous otitis media is the most frequent etiology of intratemporal complications. Labyrinthine fistula is the most common intratemporal complication.
- ItemAcesso aberto (Open Access)Epidemiology of Intratemporal Complications of Otitis Media(Fundação Otorrinolaringologia, 2014-04-01) Maranhão, André Souza de Albuquerque [UNIFESP]; Andrade, José Santos Cruz de [UNIFESP]; Godofredo, Valéria [UNIFESP]; Matos, Rafaela [UNIFESP]; Penido, Norma de Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)IntroductionDespite the advent of antibiotics and immunizations in the last century, complications of otitis media remain quite frequent, have high morbidity and mortality rates, and pose a challenge to the otorhinolaryngologist. ObjectiveTo establish the annual incidence of intratemporal complications of otitis media and prospectively evaluate patients via an analysis of epidemiologic and clinical aspects. MethodProspective, observational study. Between February 2010 and January 2011, patients admitted to a tertiary care, university-based otology practice with diagnosis of otitis media and an associated intratemporal complication (ITC) were included in the study. The following data were evaluated: age, sex, type of ITC, treatment, imaging tests findings, type and degree of hearing loss, and clinical outcome. The overall incidence of all complications and of each complication individually was determined. ResultA total of 1,816 patients were diagnosed with otitis media. For 592 (33%) individuals, the diagnosis was chronic otitis media; for 1,224 (67%), the diagnosis was acute otitis media. ITCs of otitis media were diagnosed in 15 patients; thus, the annual incidence of intratemporal complications was 0.8%. We identified 19 ITC diagnoses in 15 patients (3 patients had more than one diagnosis). Labyrinthine fistulae were diagnosed in 7 (36.8%) individuals, mastoiditis in 5 (26.3%), facial palsy in 4 (21.1%), and labyrinthitis in 3 (15.8%). ConclusionThe incidence of intratemporal complications in Brazil remains significant when compared with developed countries. Chronic otitis media with cholesteatoma is the most frequent etiology of intratemporal complications. Labyrinthine fistula is the most common intratemporal complication.
- ItemAcesso aberto (Open Access)Paralisia facial associada à otite média aguda(ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2009-04-01) Yonamine, Fernando Kaoru [UNIFESP]; Tuma, Juliane [UNIFESP]; Silva, Rogério Fernandes Nunes da [UNIFESP]; Soares, Maria Claudia Mattos [UNIFESP]; Testa, Jose Ricardo Gurgel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Acute otitis media with facial paralysis is not a very frequent association. AIM: the goal of the present investigation was to asses the evolution of facial paralysis caused by acute otitis media. STUDY FORMAT: clinical-retrospective. MATERIALS AND METHODS: we studied 40 patients with this association, from a total of 2758 cases of facial paralysis seen during this time in the department of facial nerve disorders. All the patients were clinically assessed and had epidemiological data, prognostics and evolution. RESULTS AND CONCLUSION: the paralysis was of sudden onset in 95% of the cases. Recovery was of 85% for grade I (House-Brackman) and 15% for grade II (House-Brackman). Treatment was clinical, with antibiotics and steroids - yielding good results. In those patients with electrical bad prognosis, facial nerve decompression turned their evolution into a favorable one.
- ItemAcesso aberto (Open Access)Paralisiado nervo abducente como complicação de otite média aguda(ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2002-03-01) Neves, Beatrice M. J. [UNIFESP]; Weckx, Luc Louis Maurice [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The abducens paralysis is a rare complication of otitis media. In this paper, the authors reviewed the literature concerning otitis media complication and report one case of abducens paralysis and acute otitis media.
- ItemSomente MetadadadosSequelas auditivas da otite média aguda(Universidade Federal de São Paulo (UNIFESP), 2015-11-27) Cordeiro, Francisco Polanski [UNIFESP]; Penido, Norma de Oliveira Penido [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: Acute otitis media is an inflammatory process in the middle ear, of infectious nature or note, recognized by the Health World Organization as a world problem of public health, for its incidence and prevalence in all of the world. The difficulties to define consensus, most of studies done in pediatric groups and researches regarding complications of chronic otitis may reduce medical attention for a group with sequelae with minor potencial or morbidy, however with a great chance to prevail in daily practice: the sensorial hearing loss post-infeccious. Objective: to stablish and describe the profile of hearing losses in patients with a diagnosis of acute otitis media with clinical and audiological criteria and follow their evolution during 6 months or surveillance. Method: Prospective cohort study with evaluation of the normal contralateral ear as a control, performed between 2014, January and 2015, March, with patients from the Emergency Departament of Hospital São Paulo (Escola Paulista de Medicina ? Universidade Federal de São Paulo), with a diagnosis of unilateral acute middle ear otitis, with five days of evolution, maximum. The patients were evaluated by the anamnesis, physicam examination, conventional audiometry and high frequency audiometry. Results: Even after the normalization of hearing thresholds in the conventional audiometry, there were hearing losses noted in the high-frequency audiometry, mainly in 12500 Hz. The related tinnitus had association with hearing sequelae, even without a complain of hypoacusis. Conclusion: After the treatment of the infection, there was a persistence of hearing losses in the high-frequency audiometry, even with normal thresolds in the conventional audiometry. There is correlation between the existence of tinnitus and the maintenance of hearing loss in high frequencies even after the infection was took over.
- ItemAcesso aberto (Open Access)A study on the hearing of children with non-syndromic cleft palate/lip(Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial, 2010-03-01) Ramos do Amaral, Maria Isabel; Martins, Jose Eduardo; Colella dos Santos, Maria Francisca [UNIFESP]; Universidade Estadual de Campinas (UNICAMP); Universidade Federal de São Paulo (UNIFESP)Children with cleft lip/palate often present otitis media as a result of anatomic and/or functional alterations of the Eustachian tube. Aim: to analyze the results of Basic Audiologic Evaluation (BAE) and Auditory Processing Screening (APS) in children with cleft lip/palate. Study design: prospective cross-sectional cohort. Materials and methods: Forty-four male and female children, within the 8 to 14 age range with non-syndromic cleft lip/palate, referred by the institution where the study was carried out. The BAE was made up by an interview, otoscopy, threshold tonal audiometry, logoaudiometry and impedance test. The APS was made up of 3 basic tests: Sound Localization Test, Sequential Memory for verbal and non-verbal sounds and Dichotic Listening Test. Results: The BAE revealed that 77.27% of the children presented normal hearing; 13.6% had conductive hearing loss and 2.2% presented mixed hearing loss. 21.2% of the children had type C tympanometry curve; 7.1% had a type B curve and 3.5% had an Ad curve. The APS was altered in 72.7% of the children and 45.5% of them presented altered results on the Dichotic Listening Test. Conclusion: children with cleft lip/palate had altered results on BAE and APS, which justifies audiological and medical follow-up.
- ItemAcesso aberto (Open Access)Trombose do seio sigmóide associada à otite média crônica(ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2007-04-01) Penido, Norma de Oliveira [UNIFESP]; Toledo, Ronaldo Nunes [UNIFESP]; Silveira, Paula Angélica Lorenzon [UNIFESP]; Munhoz, Mário Sérgio Lei [UNIFESP]; Testa, Jose Ricardo Gurgel [UNIFESP]; Cruz, Oswaldo Laércio Mendonça [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Otogenous lateral sinus thrombosis (OLST) is a rare disease and presents a controversial treatment. AIM: Clinical aspects and treatment were reported based on our experience. METHODS: Retrospective study. Six cases of OLST were treated in our institution in the last ten years. Clinical and imaging data were analyzed. RESULTS: All six patients had the lateral sinus thrombosis detected during image evaluation for other symptoms related to chronic otitis media (COM) complications. Fever, headache and facial paralysis were the main clinical manifestation related to mastoiditis, meningitis and cerebellar abscess. We could not identify, in any case, specific features of lateral sinus thrombosis. In all cases a mastoidectomy was associated with large spectrum antibiotics maintained for 3 months. In three cases anticoagulation therapy was introduced and in three cases anticoagulation was not indicated. All cases presented a good clinical evolution, without sequelae. CONCLUSIONS: OLST is almost always associated with other complications of COM. It is diagnosed almost by accident during the investigative image study. We believe such disease is underestimated. In our experience, OLST presents a benign course, and mastoidectomy with antibiotics is the treatment of choice.