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Search Results: 1 - 10 of 175283 matches for " Thiago Bittencourt Ottoni de "
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Abscesso de língua: relato de caso
Carvalho, Thiago Bittencourt Ottoni de;Fernandes, Atílio Maximino;Sanches, Raphael Angelo;
Arquivos Internacionais de Otorrinolaringologia , 2012, DOI: 10.7162/S1809-48722012000100019
Abstract: introduction: the tongue abscesses are rare even being frequently in touch with trauma, bites, and foreign bodies. it occurs because of the immunological features of the saliva and some histological and anatomical characteristics of the tongue. this work has as objective report a case of tongue abscess occurred in our job, and do a literature review. case report: patient of 76 years, male, assisted with complaint of pain when swallowing with progressive evolution for a week, with a significant deterioration over three days. report history of the surgery, for dental implant in the beginning of the period. in the admission during the oral cavity examination was evident bulging of nearly 2x2 cm in the middle third posterior of the right tongue, painful to palpation. was opted the hospitalization of the patient. was required a mri that showed suggestive lesions of abscess in the base of the tongue in the right side. was submitted to a clinical treatment with antibiotic therapy and surgical drainage. the patient recovered uneventfully. discussion: the clinical manifestation from the tongue abscess can be varied. the diagnosis must be done by clinic history, correlating risk factors associated, physical exam and the confirmatory imaging exams. the etiology and the differential diagnosis must be considered depending of the place of the clinical manifestation. the approach must include the permeability of airway, clinical support, and systemic antibiotic therapy and abscess drainage. final considerations: the abscess of the tongue must go in the differential diagnosis of bulging of the tongue being conducted with the antibiotic therapy and surgical drainage in a daily basis.
Tongue Abscess: Case Report
Carvalho, Thiago Bittencourt Ottoni de,Fernandes, Atílio Maximino,Sanches, Raphael Angelo
International Archives of Otorhinolaryngology , 2012,
Abstract: Introduction: The tongue abscesses are rare even being frequently in touch with trauma, bites, and foreign bodies. It occurs because of the immunological features of the saliva and some histological and anatomical characteristics of the tongue. This work has as objective report a case of tongue abscess occurred in our job, and do a literature review. Case Report: Patient of 76 years, male, assisted with complaint of pain when swallowing with progressive evolution for a week, with a significant deterioration over three days. Report history of the surgery, for dental implant in the beginning of the period. In the admission during the oral cavity examination was evident bulging of nearly 2x2 cm in the middle third posterior of the right tongue, painful to palpation. Was opted the hospitalization of the patient. Was required a MRI that showed suggestive lesions of abscess in the base of the tongue in the right side. Was submitted to a clinical treatment with antibiotic therapy and surgical drainage. The patient recovered uneventfully. Discussion: The clinical manifestation from the tongue abscess can be varied. The diagnosis must be done by clinic history, correlating risk factors associated, physical exam and the confirmatory imaging exams. The etiology and the differential diagnosis must be considered depending of the place of the clinical manifestation. The approach must include the permeability of airway, clinical support, and systemic antibiotic therapy and abscess drainage. Final Considerations: The abscess of the tongue must go in the differential diagnosis of bulging of the tongue being conducted with the antibiotic therapy and surgical drainage in a daily basis.
Sinus retrospective analysis of surgeries in a hospital school
Carvalho, Thiago Bittencourt Ottoni de,Conrado, Tiago José,Genaro, Tiago L,Fernandes, Atílio Maximino
International Archives of Otorhinolaryngology , 2010,
Abstract: Introduction: The ENT is a medical specialty that covers 4.4% of all doctors in S o Paulo, with a variety of surgical procedures distributed between pharynx, nose, ear and larynx. Knowing the profile of a reference service in otolaryngology allows for a better organization, scaling the volume of care and surgeries, providing better training to the student and resident physician. Objective: To describe the profile of sinonasal surgery and patients to them in the department of otolaryngology and head and neck surgery at a teaching hospital. Method: We conducted a cohort study of cross-sectional retrospective study with review of 872 charts of patients undergoing surgery Sinus between January 2006 and December 2008. Used questionnaires, seeking sex, age, surgical diagnosis and surgery. Results: Of 872 patients studied, 45.4% were female and 54.6% male, ranging in an age group 40-80 years (mean 29.8 years). The main surgical diagnoses were: nasal septum deviation (n=457), nasal deformity after trauma (n=287), enlarged turbinates (n=153), rhinosinusal polyposis (n=73), chronic sinusitis (n=32). Among the most frequently performed surgical procedures include: septoplasty (n=388), rhinoplasty (n=215), FESS (n=131), intra-turbinal cauterization (n=114), reconstructive rhinoplasty (n=73), turbinectomy (n=43), turbinoplasty (n=55). It is emphasized that patients may have received more than one surgical diagnosis and realized more than one surgery, depending on the alert. Conclusion: We present the volume and diversity of Sinus surgeries performed in our department, contributing to the scarce scientific literature on this type of case.
Análise retrospectiva de cirurgias rinossinusais em um hospital escola
Carvalho, Thiago Bittencourt Ottoni de,Conrado, Tiago José,Genaro, Tiago L,Fernandes, Atílio Maximino
Arquivos Internacionais de Otorrinolaringologia , 2010,
Abstract: Introdu o: A otorrinolaringologia é uma especialidade médica que abrange 4,4% do total de médicos paulistas, tendo uma variedade de procedimentos cirúrgicos distribuídos entre faringe, nariz, ouvido e laringe. O conhecimento do perfil de um servi o de referência em otorrinolaringologia permite a sua melhor organiza o, dimensionamento do volume do atendimento e das cirurgias realizadas, proporcionando uma melhor forma o ao aluno e ao médico residente. Objetivo: Descrever o perfil das cirurgias nasossinusais e dos pacientes submetidos a elas no departamento de otorrinolaringologia e cirurgia de cabe a e pesco o de um hospital escola. Método: Foi realizado estudo de coorte histórico com corte transversal retrospectivo, com revis o de 872 prontuários de pacientes submetidos a cirurgias rinossinusais entre janeiro de 2006 e dezembro de 2008. Utilizado questionário próprio, buscando sexo, idade, diagnóstico cirúrgico e cirurgia realizada. Resultados:Do total de 872 pacientes analisados, 45,4% eram sexo feminino e 54,6% sexo masculino, variando em uma faixa etária 4 a 80 anos (média de 29,8 anos). Os principais diagnósticos cirúrgicos foram: desvio septo nasal(n=457), deformidade nasal pós-trauma (n=287), hipertrofia de conchas nasais (n=153), polipose rinossinusal(n=73), rinossinusite cr nica(n=32). Entre os procedimentos cirúrgicos mais frequentemente realizadas, est o: septoplastia (n=388), rinosseptoplastia (n=215), FESS (n=131), cauteriza o intra-turbinal(n=114), rinoplastia reparadora(n=73), turbinectomia(n=43), turbinoplastia (n=55). Ressalta-se que os pacientes podem ter recebido mais de um diagnóstico cirúrgico e realizado mais de uma cirurgia, dependendo da indica o. Conclus o: Apresenta-se o volume e a diversidade de cirurgias rinossinusais realizadas em nosso servi o, contribuindo com a escassa produ o científica sobre esse tipo de casuística.
Polymorphisms in the 5-HTR2A gene related to obstructive sleep apnea syndrome
Piatto, Vania Belintani;Carvalho, Thiago Bittencourt Ottoni de;De Marchi, Nely Silva Arag?o;Molina, Fernando Drimel;Maniglia, José Victor;
Brazilian Journal of Otorhinolaryngology , 2011, DOI: 10.1590/S1808-86942011000300013
Abstract: obstructive sleep apnea syndrome (osas) is one of the most complex disorders of sleep; it involves several genetic factors that contribute to the phenotype. serotonin (5-ht) regulates a variety of visceral and physiological functions, including sleep. gene 5-htr2a polymorphisms may change the transcription of several receptors in the serotoninergic system, thereby contributing to osas. aim: to investigate the prevalence of t102c and -1438g/a polymorphisms in the 5-htr2a gene of patients with and without osas . material and method: a molecular study of 100 index-cases and 100 controls of both genders. dna was extracted from blood leukocytes samples and the regions that enclose both polymorphisms were amplified with pcr-rflp. study design: a cross-sectional case study. results: there was a significant prevalence of males in index cases compared to controls (p<0.0001). no significant genotypic differences between cases and controls were found in t102c polymorphisms (p=1.000).there were significant differences between the aa genotype of -1438g/a polymorphisms and patients with osas (or:2.3; ci95%:1.20-4.38, p=0.01). conclusion: serotonergic mechanisms may be related to osas. there were no differences in the prevalence of t102c polymorphisms in patients with osas and the control group. there is evidence of an association between the -1438g /a polymorphism and osas.
Análise retrospectiva de cirurgias rinossinusais em um hospital escola
Carvalho, Thiago Bittencourt Ottoni de;Conrado, Tiago José;Genaro, Tiago L;Fernandes, Atílio Maximino;Maniglia, José Victor;
Arquivos Internacionais de Otorrinolaringologia , 2010, DOI: 10.1590/S1809-48722010000400010
Abstract: introduction: the ent is a medical specialty that covers 4.4% of all doctors in s?o paulo, with a variety of surgical procedures distributed between pharynx, nose, ear and larynx. knowing the profile of a reference service in otolaryngology allows for a better organization, scaling the volume of care and surgeries, providing better training to the student and resident physician. objective: to describe the profile of sinonasal surgery and patients to them in the department of otolaryngology and head and neck surgery at a teaching hospital. method: we conducted a cohort study of cross-sectional retrospective study with review of 872 charts of patients undergoing surgery sinus between january 2006 and december 2008. used questionnaires, seeking sex, age, surgical diagnosis and surgery. results: of 872 patients studied, 45.4% were female and 54.6% male, ranging in an age group 40-80 years (mean 29.8 years). the main surgical diagnoses were: nasal septum deviation (n=457), nasal deformity after trauma (n=287), enlarged turbinates (n=153), rhinosinusal polyposis (n=73), chronic sinusitis (n=32). among the most frequently performed surgical procedures include: septoplasty (n=388), rhinoplasty (n=215), fess (n=131), intra-turbinal cauterization (n=114), reconstructive rhinoplasty (n=73), turbinectomy (n=43), turbinoplasty (n=55). it is emphasized that patients may have received more than one surgical diagnosis and realized more than one surgery, depending on the alert. conclusion: we present the volume and diversity of sinus surgeries performed in our department, contributing to the scarce scientific literature on this type of case.
Avalia??o dos níveis séricos de testosterona em pacientes com síndrome da apneia obstrutiva do sono
Molina, Fernando Drimel;Suman, Marcela;Carvalho, Thiago Bittencourt Ottoni de;Piatto, Vania Belintani;Taboga, Sebasti?o Roberto;Maniglia, José Victor;Tognola, Waldir Ant?nio;
Brazilian Journal of Otorhinolaryngology , 2011, DOI: 10.1590/S1808-86942011000100015
Abstract: males with obstructive sleep apnea syndrome (osas) may present decreased testosterone serum levels because of hypoxemia. aim: to correlate testosterone levels in osas patients with laboratory parameters. material and methods: 103 registries of osas patients were reviewed from 2002 to 2009. the following data collected: age when polysomnography was done, hematocrit and hemoglobin levels, total testosterone serum levels, bmi, apnea/hypopnea index (ahi), and o2 saturation. study design: a cross-sectional retrospective case study. results: 79 patients (77%) had no hormonal changes, and 24 patients (23%) had decreased serum levels. in patients with normal testosterone levels, 70% were overweight; 63% with altered testosterone levels had obesity grade i (p<0.05). patients with altered testosterone levels had significantly lower average doses of ht, hb and androgen compared to patients without altered androgen levels. the average bmi of patients with altered hormone levels was significantly higher compared to patients with normal hormone levels. conclusions: the relationship between morning testosterone levels and obesity, and to a lesser degree age, ahi and hypoxemia may be the cause of central suppression of testosterone in these patients. decreased blood ht and hb levels may be related to lower levels of circulating testosterone.
Seis anos de atendimento em trauma facial: análise epidemiológica de 355 casos
Carvalho, Thiago Bittencourt Ottoni;Cancian, Launa Renata Londero;Marques, Caroline Gabriele;Piatto, Vania Belintani;Maniglia, José Victor;Molina, Fernando Drimel;
Brazilian Journal of Otorhinolaryngology , 2010, DOI: 10.1590/S1808-86942010000500006
Abstract: facial traumas are frequent in emergencies, and they require the diagnosis of fractures and associated lesions. aim: to analyze epidemiological data concerning facial trauma care. materials and methods: three hundred and fifty-five charts from patients with facial trauma treated by the service of otorhinolaryngology, from january 2002 to december 2008, were revised. the following data was collected: age, gender, etiology, anatomical localization of the fracture, associated injuries, alcohol consumption, treatment, and hospitalization. study design: a retrospective historical longitudinal study. results: most of the patients are young adult men (p<0.05) with a male:female ratio of 4:1(p<0.05). interpersonal violence is the most prevalent cause of facial trauma (27.9%), followed by motor vehicle accidents (16.6%) (p<0.05). the mandible is the most prevalent facial bone fractured (44.2%), followed by nasal fracture (18.9%) (p<0.05). 41.1% of the patients consumed alcohol with a male:female ratio of 11.2:1 (p<0.05). seventy-seven percent of the patients required surgical intervention (p<0.05) and 84.5% were hospitalized (p<0.05). conclusion: young male adults are the most prevalent victims of facial trauma, and interpersonal violence is responsible for the majority of the facial injuries. most of the cases of facial trauma are associated with the consumption of alcohol. further studies will be necessary to provide a clear understanding of the trends in the etiology of facial trauma.
Perineurioma esclerosante: relato de caso e revis?o da literatura
Vargas, Thiago Jeunon de Sousa;Sousa, Maria Auxiliadora Jeunon;Sampaio, Ana Luisa Sobral Bittencourt;Mourad, José Dib;Golttlieb, Geoffrey J.;
Anais Brasileiros de Dermatologia , 2009, DOI: 10.1590/S0365-05962009000600010
Abstract: sclerosing perineurioma is a rare benign neoplasm composed exclusively of perineural differentiation cells spread in a dense fibrous stroma. it affects primarily the skin of fingers and that of the palm of the hands. it appears as a hard papule or nodule, normochromic and asymptomatic. a case of sclerosing perineurioma in the left palm of a 16-year-old female is described, with detailed demonstration of clinical aspects, histopathology and literature review published in the english language.
Dermatite seborreica
Sampaio, Ana Luisa Sobral Bittencourt;Mameri, ?ngela Cristina Akel;Vargas, Thiago Jeunon de Sousa;Ramos-e-Silva, Marcia;Nunes, Amanda Pedreira;Carneiro, Sueli Coelho da Silva;
Anais Brasileiros de Dermatologia , 2011, DOI: 10.1590/S0365-05962011000600002
Abstract: seborrheic dermatitis is a chronic relapsing erythematous scaly skin disease, the prevalence of which is around 1 to 3% of the general population in the united states. it has two incidence peaks, the first in the first three months of life and the second beginning at puberty and reaching its apex at 40 to 60 years of age. the prevalence of seborrheic dermatitis is higher in hiv-positive individuals and the condition tends to be more intense and refractory to treatment in these patients. neurological disorders and other chronic diseases are also associated with the onset of seborrheic dermatitis. the currently accepted theory on the pathogenesis of this disease advocates that yeast of malassezia spp., present on the skin surface of susceptible individuals, leads to a non-immunogenic irritation due to the production of unsaturated fatty acids deposited on the skin surface. this article provides a review of the literature on seborrheic dermatitis, focusing on immunogenetics, the clinical forms of the disease and its treatment.
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