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Search Results: 1 - 10 of 112647 matches for " Abr?o;Chagas "
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Avalia??o da abordagem palpebral subtarsal no tratamento cirúrgico das fraturas zigomático-orbitais
Timóteo, Carlos Alberto;Chagas, José Francisco de Salles;Rapoport, Abro;Denardin, Odilon Victor Porto;
Revista do Colégio Brasileiro de Cirurgi?es , 2009, DOI: 10.1590/S0100-69912009000500005
Abstract: objective: to evaluate the complications, advantages and disadvantages of the subtarsal approach when used to exposure the orbital rim and orbital floor in orbitozygomatic fractures. methods: retrospective study of the 41 subtarsal incisions that were used in 39 patients with fractures of the zygomatic complex and/or orbital floor, of blowout type, between january 2002 and december 2006. results: the observed complications were conjunctivitis, epiphora and noticeable scar, in six (14,6%), five (12,2%) and two (4.9%) of the cases, respectively. there was no ectropion, entropion or scleral show in the patients reevaluated. conclusions: the main advantages of this approach are the esthetic result together with the transoperative benefits.
Viabilidade do retalho miofascial (RMF) de grande peitoral em cabe?a e pesco?o: estudo de 14 casos
Camargo, José Gonzaga Teixeira;Rapoport, Abro;Chagas, José Francisco Salles;Aquino, José Luis Braga;
Revista do Colégio Brasileiro de Cirurgi?es , 1999, DOI: 10.1590/S0100-69911999000500009
Abstract: the great incidence of advanced squamous cell carcinoma of the mouth, pharynx, larynx and neck, justifies the extensive resections that are carried out by the authors at the head and neck service of hospital celso pierro puccamp - s?o paulo. major pectoralis myofascial flap were used to manage 14 patients with advanced head and neck squamous cell carcinoma of the mouth (ten cases), pharynx (two cases); larynx (one case) and neck (one case). there was no complications in 81.2% and in 18.8% total necrosis of the flap was observed. we conclude that viability, age and necrosis or fibrosis were not associated with the success of this procedure (p=1.0), and previous treatment (chemoradiotheraphy and or radiotherapy alone) had no significant relation with flap viability (p=0.547).
Reabilita o vocal de laringectomizados com prótese traqueoesofágica
Costa Claudiney C.,Rapoport Abro,Chagas José Francisco S.,Oliveira Iara B.
Revista Brasileira de Otorrinolaringologia , 2001,
Abstract: Material: No período de 23 de fevereiro de 1999 a junho de 2000 foram estudados 23 pacientes submetidos à laringectomia total que receberam a prótese traqueoesofágica do tipo Blom-Singer Indeweling Low Presure, sendo 22 pacientes do sexo masculino, com faixa etária variando de 40 a 80 anos. O tempo de acompanhamento variou de 150 a 462 dias. Um paciente era do estádio clínico I, com comprometimento da comissura posterior; um, do estádio II, com les o na subglote; 13, do estádio III; e sete do IV. Forma de estudo: Prospectivo clínico n o randomizado. Método: A prótese foi locada concomitante à laringectomia em sete pacientes; secundariamente, com anestesia geral, em cinco; e, por endoscopia digestiva alta, sob seda o e anestesia local, em quatorze. Foram estudadas as complica es decorrentes da coloca o e uso da prótese vocal, avalia o da qualidade da voz e da inteligibilidade de fala, utilizando parametro perceptivo-auditivo, antes e depois da fonoterapia e do tempo necessário para reabilita o vocal. Resultados: Houve três complica es pós-operatórias relacionadas com procedimento cirúrgico terapêutico, que impossibilitaram a reabilita o vocal; dos vinte possíveis de serem reabilitados com a prótese, dezoito se reabilitaram com índice de 90% de sucesso. O tempo médio para reabilita o variou de um a 65 dias. Conclus o: Concluímos que as complica es decorrentes da coloca o e uso da prótese n o inviabilizaram o sucesso do método; o tempo médio para aquisi o da voz foi de sete dias; a qualidade vocal e a inteligibilidade de fala apresentaram melhora após a realiza o da fonoterapia, sem diferen a estatística significativa; e a coloca o secundária da prótese vocal, utilizando nova técnica, por endoscopia digestiva alta, mostrou-se mais eficaz em rela o às técnicas convencionais.
Prevalência dos sintomas otológicos na desordem temperomandibular: estudo de 126 casos
Pascoal Maria I. N.,Rapoport Abro,Chagas José F. S.,Pascoal Maria B.N.
Revista Brasileira de Otorrinolaringologia , 2001,
Abstract: Introdu o: A presen a de sintomas otológicos associados à desordem temporomandibular (DTM) é discutida há seis décadas; entretanto, sua etiologia ainda permanece obscura. Forma de estudo: Prospectivo clínico randomizado. Objetivo: Neste estudo foram avaliadas a prevalência de sintomas otológicos na DTM, sua correla o com a dor muscular e a ausência de dentes posteriores. Material e Método: Foram avaliados 126 pacientes portadores de DTM, através de questionário subjetivo dos sintomas, palpa o dos músculos de mastiga o, temporal, masséter, pterigóideo lateral, pterigóideo medial, digástrico, tend o do músculo temporal e dos músculos esternocleidomastóideo e trapézio. Foram feitas radiografias panoramica e transcraniana e modelos de gesso das arcadas superior e inferior dos pacientes. Os dados obtidos foram analisados através do Teste Exato de Fisher, com percentil de significancia menor que 0,05. Resultados: Houve presen a de sintomas otológicos em 80% dos pacientes, sendo que 50% apresentavam dor referida em ouvido; 52%, plenitude auricular; 50%, tinitus; 34%, tontura; 9%, sensa o de vertigem; e 10% relataram hipoacusia. O músculo pterigóideo lateral foi o músculo mais sensível em 94% dos pacientes, seguido do músculo temporal em 69%, masséter em 62%, digástrico em 60%, pterigóideo medial em 50%, tend o do músculo temporal e esternocleidomastóideo em 49% e trapézio em 42% dos pacientes. Houve significancia para dor muscular, e a presen a de sintomas otológicos, nos músculos masséter e esternocleidomastóideo. Os sintomas tinitus, plenitude auricular e dor referida em ouvido apresentaram alta correla o de significancia entre si. N o houve significancia para a ausência de denti o e sintomas otológicos. Conclus o: 1) Dor referida em ouvido, tínitus, plenitude auricular e tontura foram prevalentes; 2) os sintomas otológicos presentes na DTM podem estar relacionados com a dor muscular em masséter e esternocleidomastóideo; 3) n o houve correla o entre os sintomas otológicos e a ausência de dentes posteriores.
Evaluation of the use of an intranasal metallic dilator in patients with obstructive sleep apnea syndrome using CPAP
Mekhitarian Neto, Levon,Chagas, José Francisco de Salles,Dedivitis, Rogério Aparecido,Rapoport, Abro
International Archives of Otorhinolaryngology , 2009,
Abstract: Introduction: The obstructive sleep apnea-hyponea syndrome (OSAHS) is a chronic and progressive disease with a high morbidity. The application of positive pressure mask in the airways, connected to a CPAP (nasal continuous positive airway pressure) is an efficient method, but with side effects relating to the mask and to the pressure. Objective: To determine the possible reduction of the CPAP pressure, with the use of a metallic intranasal dilator. Method: We carried out a multicentric prospective study of 15 patients, from November 2003 through June 2006, with patients using CPAP, divided into two groups: 10 with adhesion problems and five without adhesion problems, all examined for inclusion. We performed another polissonography for classification of the pressure with the use of the intranasal dilator in both groups. Results: Out of 10 patients with treatment adhesion problems, all had a reduction on the classification pressure, in the polissonography made with the use of the intranasal dilator. Out of five patients without adhesion problems in two the pressure didn't change, but they mentioned the sensation of comfort improved; in two, the pressure increases; and in one the pressure decreased. Conclusion: The use of the intranasal dilator diminishes the CPAP classification pressure.
Avalia o do uso de um dilatador intranasal metálico em pacientes com síndrome da apneia obstrutiva do sono em uso de CPAP
Mekhitarian Neto, Levon,Chagas, José Francisco de Salles,Dedivitis, Rogério Aparecido,Rapoport, Abro
Arquivos Internacionais de Otorrinolaringologia , 2009,
Abstract: Introdu o: A síndrome da apneia-hiponeia do sono (SAHOS) é doen a cr nica e evolutiva, com alta morbidade. A aplica o de máscara com press o positiva nas vias aéreas, ligada a compressor de ar, nasal continuous positive airway pressure (CPAP), é um método eficiente, porém, com efeitos colaterais relacionados à máscara e à press o. Objetivo: Determinar a possível diminui o da press o do CPAP, com a utiliza o de um dilatador intranasal metálico. Método: Foi realizado um estudo prospectivo multicêntrico de 15 pacientes, de novembro de 2003 a junho de 2006, com pacientes em uso de CPAP, divididos em dois grupos: 10 com problemas de ades o e cinco sem problemas de ades o, todos examinados para inclus o. Foi realizada nova polissonografia para titula o da press o com o uso do dilatador intranasal nos dois grupos. Resultados: Dos 10 pacientes com problemas de ades o ao tratamento, todos tiveram redu o na press o de titula o, na polissonografia feita com o uso do dilatador intranasal. Dos cinco pacientes sem problemas de ades o, em dois a press o n o mudou, porém, afirmaram que a sensa o de conforto melhorou; em dois, a press o aumentou; e, em um, a press o diminuiu. Conclus o: A utiliza o do dilatador intranasal diminui a press o de titula o do CPAP.
Decis o terapêutica e metas
Frida Liane Plavnik,Antonio Felipe Sanjuliani,Abro Cury,Antonio Carlos Palandri Chagas
Jornal Brasileiro de Nefrologia , 2010, DOI: 10.1590/s0101-28002010000500006
Abstract:
Reabilita??o vocal de laringectomizados com prótese traqueoesofágica
Costa, Claudiney C.;Rapoport, Abro;Chagas, José Francisco S.;Oliveira, Iara B.;Castro, Pedro de;Magna, Luiz Alberto;
Revista Brasileira de Otorrinolaringologia , 2001, DOI: 10.1590/S0034-72992001000500017
Abstract: we studied the complications resulting from the placement and use of the vocal prosthesis, assessment of voice quality and speech intelligibility using perceptive-auditory parameters before and after speech therapy and the period needed for vocal rehabilitation. from february 1999 to june 2000, a study was conducted on 23 patients who underwent total laryngectomy and were given a tracheoesophageal prosthesis like the blom-singer indwelling low pressure. study design: prospective clinical not randomized. material and method: the study consisted of 22 males and their ages ranged from 40 years to 80 years. the follow up period varied between 150 days to 462 days. one patient with the posterior commissure affected was at stadium i; stadium ii had one patient with a lesion in the subglottic region; stadium iii had 13 patients; stadium iv had four patients. the prosthesis was placed in seven patients concomitantly with the laryngectomy, while the placement was secondary in the remaining group. aim: we studied the complications resulting from the placement and use of the vocal prosthesis, assessment of voice quality and speech intelligibility using perceptive-auditory parameters before and after speech therapy and the period needed for vocal rehabilitation impossible. the success rating was 90% with 18 patients rehabilitated with the help of the prosthesis. the rehabilitation period varied between one day to 65 days. conclusions: the complications resulted from placement and use of this prosthesis did not hamper its success; the average time taken for voice acquisition was seven days, vocal quality and intelligibility of speech showed improvement after the phonoterapy without significant statistics difference and the secondary placement through new surgical technique by digestive endoscopy is better than the conventional technique.
Avalia??o da concordancia interobservadores na análise da polipose nasossinusal por meio da tomografia computadorizada
Mendes, Elaine A.;Souza, Ricardo P.;Rapoport, Abro;Marins, José L. C.;Chagas, José F. S.;
Revista Brasileira de Otorrinolaringologia , 2004, DOI: 10.1590/S0034-72992004000400011
Abstract: sinonasal polyposis (snp) is a condition with a controversial aethiology, known by bilaterally inflammatory mucous membranes of nasal and paranasal sinuses. the major patient's complaint is nasal obstruction, and polypoid masses in different sizes can be found during nasal cavity examination. beyond anterior rhinoscophy and nasal endoscopy, screening sinus computed tomography (ssct) is necessary to measure the size and the extent of the polyps into nasal cavities and paranasal sinuses. the purpose of this study is to evaluate the concordance between two observers through ssct of 32 cases with snp. study design: clinical prospective. material and method: ct scans were evaluated separately by two experts, taking into consideration three suggestive tomography signs of snp: (1) infundibular enlargement of ostiomeatal complex; (2) bulging of lamina papyracea and (3) bony attenuation of ethmoid trabeculae. results: qui-square was not significant for either the first or the second signs (p=0,7055 and p=0,2057), but for the third one (p=0,0040). however, kendall coefficient between the two observers was significant for all the three tomography signs mentioned before (p<0,001; p=0,01; p=0,03). conclusion: the major concordance between the observers concerned the infundibular enlargement, which was also the most frequent sign.
Prevalência dos sintomas otológicos na desordem temperomandibular: estudo de 126 casos
Pascoal, Maria I. N.;Rapoport, Abro;Chagas, José F. S.;Pascoal, Maria B.N.;Costa, Claudiney C.;Magna, Luis Antonio;
Revista Brasileira de Otorrinolaringologia , 2001, DOI: 10.1590/S0034-72992001000500005
Abstract: introduction: a presence of otologic symptoms associated to the temporomandibular disorders (tmd) is discussed since six decades ago, however its etiology still stays obscure. study design: prospective clinical randomized. aim: in that study it was appraised the prevalence of otologic symptoms in tmd, the correlation with the muscular pain and the absence of posterior teeth. material and methods: 126 patients, presented tmd, were appraised through questionnaire about their symptoms, palpation of the masticatory muscles, temporal, masseter, lateral pterygoid medial, pterigoyd, digastric, temporal muscle tendon, esternocleidomastoid and trapezius and panoramic and transcranian x-rays and plaster′s models of the superior and inferior arcades. the data obtained were analyzed through exact test of fisher, with p value < 0,05. results: the otologic symptoms were presented in 80% of the patients (50% presented hear pain 52% aural fullness, 50% tinitus, 34% dizziness, 9% sensation of vertigo and 10% told hypoacusis). the palpation revelated lateral pterigoyd as the most sensitive 94%, followed by the temporal muscle ( 69%), masseter (62%), digastric (60%), medial pterigoyd (50%), temporal muscle tendon and sternocleidomastoid (49%) and trapezius (42%). the muscular pain and otologic symptoms were statistically significant in the masseter and esternocleidomastoid muscles. tinitus, aural fullness and otologic pain presented high significant correlation to each other. there was not significance between the absence of teeth and otologic symptoms. conclusion: 1) otalgia, tinitus, aural fullness and dizziness were prevalentes 2) the otologic symptoms present in tmd can be relation with the muscular pain in masseter and esternocleidomastoid 3) there was not correlation between the otologic symptoms and the absence of posterior teeth.
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