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Meningites bacterianas recidivantes
Moura-Ribeiro, Maria Valeriana L.;Anselmo-Lima, Wilma Terezinha;Oliveira, José Antonio A. de;
Arquivos de Neuro-Psiquiatria , 1992, DOI: 10.1590/S0004-282X1992000200012
Abstract: the study of csf fistulae, and especially those involving otolaryngological anomalies, must be based on the search for the causative problem of recurrent meningitis. congenital malformations, post-traumatic and post-operative situations or even diseases involving the cranial bones are basic causes that should be studied. currently, cranial trauma is the most usual cause of csf fistulae, with the possibility of recurrent bacterial meningitis.
Efeitos do cigarro sobre o epitélio respiratório e sua participa??o na rinossinusite cr?nica
Tamashiro, Edwin;Cohen, Noam A;Palmer, James N;Lima, Wilma Terezinha Anselmo;
Brazilian Journal of Otorhinolaryngology , 2009, DOI: 10.1590/S1808-86942009000600022
Abstract: the increasing consumption of cigarettes has aroused concerns about the development and worsening of diseases, particularly those related to the respiratory tract. aim: in this paper we review the evidence suggesting the effects of cigarette smoking on the respiratory epithelium and its role in the pathogenesis in chronic rhinosinusitis. conclusions: although there is evidence supporting a link between smoking and crs, studies suggest that there might be individual susceptibility to cigarette smoking causing the development and/or maintenance of crs. proper patient educations to quit smoking as well as reinforcement of antismoking campaigns are extremely important to control this disease of major socio-economic impact.
Effect of rapid maxillary expansion on the dimension of the nasal cavity and on facial morphology assessed by acoustic rhinometry and rhinomanometry
Itikawa, Carla Enoki;Valera, Fabiana Cardoso Pereira;Matsumoto, Mírian Aiko Nakane;Lima, Wilma Terezinha Anselmo;
Dental Press Journal of Orthodontics , 2012, DOI: 10.1590/S2176-94512012000400024
Abstract: objective: to assess the effects of rapid maxillary expansion on facial morphology and on nasal cavity dimensions of mouth breathing children by acoustic rhinometry and computed rhinomanometry. methods: cohort; 29 mouth breathing children with posterior crossbite were evaluated. orthodontic and otorhinolaryngologic documentation were performed at three different times, i.e., before expansion, immediately after and 90 days following expansion. results: the expansion was accompanied by an increase of the maxillary and nasal bone transversal width. however, there were no significant differences in relation to mucosal area of the nose. acoustic rhinometry showed no difference in the minimal cross-sectional area at the level of the valve and inferior turbinate between the periods analyzed, although rhinomanometry showed a statistically significant reduction in nasal resistance right after expansion, but were similar to pre-treatment values 90 days after expansion. conclusion: the maxillary expansion increased the maxilla and nasal bony area, but was inefficient to increase the nasal mucosal area, and may lessen the nasal resistance, although there was no difference in nasal geometry. significance: nasal bony expansion is followed by a mucosal compensation.
Dimens?es nasofaringeanas e faciais em diferentes padr?es morfológicos
Feres, Murilo Fernando Neuppmann;Enoki, Carla;Anselmo-Lima, Wilma Terezinha;Matsumoto, Mirian Aiko Nakane;
Dental Press Journal of Orthodontics , 2010, DOI: 10.1590/S2176-94512010000300007
Abstract: objective: the purpose of this study was to compare the dimensions of the nasopharynx and the skeletal features-evaluated by cephalometric examination-of individuals with different morphological patterns. methods: were used cephalometric radiographs of 90 patients of both genders, aged 12 to 16 years, which were also divided into three distinct groups, according to their morphological patterns, i.e., brachyfacials, mesofacials and dolichofacials. measurements were performed of specific nasopharyngeal regions (ad1-ptm, ad2-ptm, ad1-ba, ad2-s0, (ad1-ad2-s0-ba-ad1/ptm-s 0-ba-ptm) x 100, and ptm-ba), and relative to the facial skeletal patterns. results: dolichofacial patients were found to have lower than average bone depth sagittally (ba-ptm) and lower nasopharyngeal airway depth (ad1-ptm and ad2-ptm). arguably, these differences are linked to a relatively more posterior position of the maxilla, typical of these patients. no differences were found, however, in the soft tissue thickness of the posterior nasopharyngeal wall (ad1-ba and ad2-s0), or their proportion in the whole area bounded by the nasopharynx ((ad1-ad2-s0-ba-ad1/ptm-s 0-ba-ptm) x 100). conclusions: we therefore suggest that the excessively vertical facial features found in dolichofacial patients may be the result, among other factors, of nasopharyngeal airway obstruction, since such dimensions were shown to be smaller in dolichofacials.
Descompress?o endoscópica orbitária na oftalmopatia de Graves
Lima, Wilma Terezinha Anselmo;Perches, Mateus;Valera, Fabiana Cardoso Pereira;Demarco, Ricardo Cassiano;
Revista Brasileira de Otorrinolaringologia , 2006, DOI: 10.1590/S0034-72992006000200022
Abstract: graves? disease may lead to exophthalmos that is cosmetically unacceptable or causes visual loss. this has been managed surgically by external orbital decompression. however, a new minimally invasive endoscopic orbital decompression technique is now possible, with resection of the medial and posterior portion of the orbital limits requiring no cutaneous or gingival incisions. this technique produces decompression comparable to that obtained by external techniques. endoscopic orbital decompression is a safe and effective procedure for the treatment of thyroid orbitopathy.
A very important step: indexation in Thomson Reuters - Journal Citation Reports Um passo muito importante: indexa o na Thomson Reuters - Journal Citation Reports
Fernando Freitas Ganan?a,Mariana de Carvalho Leal Gouveia,Wilma Terezinha Anselmo-Lima
Brazilian Journal of Otorhinolaryngology , 2011, DOI: 10.1590/s1808-86942011000500001
OSAS in children: where are we? SAOS na infancia: onde estamos?
Leila Azevedo de Almeida,Wilma Terezinha Anselmo-Lima,Fabiana Cardoso Pereira Valera
Brazilian Journal of Otorhinolaryngology , 2011, DOI: 10.1590/s1808-86942011000300001
Sauda es Greetings
Wilma Terezinha Anselmo-Lima,Mariana de Carvalho Leal Gouveia,Fernando Freitas Ganan?a
Brazilian Journal of Otorhinolaryngology , 2011, DOI: 10.1590/s1808-86942011000100001
Prevalence of rhinitis symptoms among textile industry workers exposed to cotton dust
Dantas, Ivan de Picoli;Valera, Fabiana Cardoso Pereira;Zappelini, Carlos Eduardo Monteiro;Anselmo-Lim, Wilma Terezinha;
International Archives of Otorhinolaryngology , 2013, DOI: 10.7162/S1809-97772013000100005
Abstract: introduction: the respiratory tract is one of the main points of entry of foreign substances into the body. because of its location, the respiratory tract is heavily exposed to harmful agents, such as gases, vapors, or aerosols. aim: our objective was to evaluate the symptoms of occupational rhinitis in workers exposed to cotton dust. method: the prospective study population consisted of workers from the "nova esperan?a" cooperative of nova odessa (sao paulo), who were studied between september and december 2008. data were collected through an individually and privately answered questionnaire designed by the author considering the clinical criteria for rhinitis. results: using the questionnaire, we evaluated a total of 124 workers. among these patients, 63.7% complained of nasal obstruction, 57.2% of nasal itching, 46.7% of rhinorrhea, and 66.1% of sneezing. of the patients considered to have very serious symptoms, 9% had nasal obstruction; 9%, itching; 4%, rhinorrhea; and 6.4%, sneezing. discussion: aerosol agents in the environment can clearly aggravate and even initiate rhinitis. from the standpoint of pathogenesis, the mechanisms of classical allergic airway inflammation involving mast cells, ige, histamine, eosinophils, and lymphocytes may be responsible for the development of rhinitis after exposure to high molecular weight allergens such as proteins derived from animals and plants. this study showed a strong relationship between the occupational exposures associated with work in the cotton textile industry and the symptoms of rhinitis. conclusion: analysis of the data clearly showed the occurrence of rhinitis symptoms in these patients, demonstrating that the prevention and treatment of this condition in the workplace is extremely important.
Análise microbiológica em secre??o de seio maxilar nos pacientes com rinossinusite cr?nica
Mantovani, Karina;Bisanha, Andréia Alessandra;Demarco, Ricardo Cassiano;Tamashiro, Edwin;Martinez, Roberto;Anselmo-Lima, Wilma Terezinha;
Brazilian Journal of Otorhinolaryngology , 2010, DOI: 10.1590/S1808-86942010000500002
Abstract: there isn't definitive and consistent data concerning the distribution of bacterial species in patients with chronic sinusitis (cs). the variability of the results from studies in cs may be due to the different techniques used as collection method, variations in culture methods, previous antibiotic use, and difficulty in distinguishing bacterial flora from pathogenic agents. study design: clinical prospective. aim: to identify the incidence of microorganisms in patients with crs by growing bacteria from the secretion of the maxillary sinus. patients and methods: cross-sectional study in 62 patients that had undergone fess for treatment of chronic sinusitis; cultures from the maxillary sinus were obtained. results: 62 samples, 33 (53.2%) had no growth; 29 (45.2%) counts of aerobic bacteria; one case (1.6%) of fungus growth; we did not find anaerobic bacteria. pseudomonas aeruginosa was the one more frequently found - 8 samples (27.6%), staphylococcus aureus and staphylococcus epidermidis in 4 samples each; streptococcus pneumoniae in 3 samples (10.4%); other gram negative agents in 17 samples (31%). conclusion: in the present study we concluded that pseudomonas aeruginosa, other gram negatives bacteria and staphylococcus spp were the representatives of the bacterial flora found in the paranasal sinuses of patients with cs.
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