Journal of Contemporary Diseases and Advanced Medicine最新文献

FUNGAL OSTEOMYELITIS OF THE MAXILLARY BONE AFTER NASAL SURGERY:CASE REPORT OF A RARE PRESENTATION 鼻手术后上颌骨真菌性骨髓炎:一例罕见病例报告

Journal of Contemporary Diseases and Advanced Medicine Pub Date : 2022-08-01 DOI: 10.14436/jcdam.1.2.061-066.oar

Bruna A. Ladeira, Felipe Raasch de Bortoli, André Luis Zétola, Marco César Jorge Santos

引用次数: 0

COMPARISON BETWEEN THE SATISFACTION INDEX IN PATIENTS WITH DIAGNOSIS OFBODY DYSMORPHIC DISORDER SUBMITTED TO RHINOPLASTY 形体畸形患者行鼻整形术满意度的比较

Journal of Contemporary Diseases and Advanced Medicine Pub Date : 2022-08-01 DOI: 10.14436/jcdam.1.2.079-086.oar

Gislaine Patrícia Coelho, Caio Marcio Correia Soares, Daniela Dranka, Johann G. G. Melcherts Hurtado

{"title":"COMPARISON BETWEEN THE SATISFACTION INDEX IN PATIENTS WITH DIAGNOSIS OF\u0000BODY DYSMORPHIC DISORDER SUBMITTED TO RHINOPLASTY","authors":"Gislaine Patrícia Coelho, Caio Marcio Correia Soares, Daniela Dranka, Johann G. G. Melcherts Hurtado","doi":"10.14436/jcdam.1.2.079-086.oar","DOIUrl":"https://doi.org/10.14436/jcdam.1.2.079-086.oar","url":null,"abstract":"Introduction: Plastic surgery is based on the aesthetic improvement of patients. The profile of the population that seeks aesthetic procedures consists of patients with low levels of self-esteem who seek beauty standards. In addition, there is a portion of these individuals who have Body Dysmorphic Disorder (BDD), and seek to improve extreme dissatisfaction with their appearance. Therefore, achieving the satisfaction of these patients in the postoperative period of cosmetic surgery becomes a challenge for surgeons. Objective: The objective of this study was to evaluate and compare the degree of satisfaction in the late postoperative period of rhinoplasty between two groups of patients, one of which was composed by patients with greater probability of having BDD. Material and Methods: A postoperative satisfaction questionnaire was applied (Rhinoplasty Outcome Evaluation, ROE) to the 30 patients on both groups. Results and Conclusion: An average difference of 4.7% was found in the ROE score between the two groups, with the group with the lowest probability of having BDD presenting the highest scores.","PeriodicalId":447338,"journal":{"name":"Journal of Contemporary Diseases and Advanced Medicine","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132778416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

RHINOPLASTY AND SOCIAL MEDIA: THE PATIENT’S VIEW 隆鼻和社交媒体:患者的观点

Journal of Contemporary Diseases and Advanced Medicine Pub Date : 2022-08-01 DOI: 10.14436/jcdam.1.2.067-078.oar

B. Cioni, C. Berger

引用次数: 0

POSTOPERATIVE CARE IN SEPTOPLASTY: CURRENT CLINICAL EVIDENCE 中隔成形术的术后护理:目前的临床证据

Journal of Contemporary Diseases and Advanced Medicine Pub Date : 2022-08-01 DOI: 10.14436/jcdam.1.2.087-094.oar

Guilherme Rocha Netto, R. R. Ribeiro Filho, Rafael Ferri Martins

{"title":"POSTOPERATIVE CARE IN SEPTOPLASTY: CURRENT CLINICAL EVIDENCE","authors":"Guilherme Rocha Netto, R. R. Ribeiro Filho, Rafael Ferri Martins","doi":"10.14436/jcdam.1.2.087-094.oar","DOIUrl":"https://doi.org/10.14436/jcdam.1.2.087-094.oar","url":null,"abstract":"Introduction: Septoplasty is one of the oldest and most common surgeries performed by otolaryngologists. However, to date, postoperative care still differs greatly according to the surgeon’s experience and preferences, to the detriment of scientific evidence. Objective: To review the most recent and relevant studies on the topic, to provide reliable and easily accessible information, allowing surgeons in the area to offer the best medical practice. Methods: A systematic review of the pertinent literature was performed, including studies published in the last ten years that assessed the risk of complications, pain, discomfort, and nasal obstruction after septoplasty, compared to the care adopted after surgery and in the perioperative period, regardless of the technique used. Conclusion: The use of antibiotic prophylaxis is unnecessary, but when indicated, a single dose of 1g intravenous cefazolin should be used immediately after the procedure. In the perioperative period, the prescription of pregabalin is indicated before surgery, infiltration with levobupivacaine at the beginning, and mattress suturing at the end of it. Nasal lavage should be performed with hypertonic saline or a combination of saline with high-volume, low-pressure fluticasone propionate.","PeriodicalId":447338,"journal":{"name":"Journal of Contemporary Diseases and Advanced Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134513286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

MORSELIZED CARTILAGE GRAFT: AN ANALYSIS OF THE AREA AND PERIMETER MEASUREMENTS OF THIS VERSATILE OPTION FOR MODERN RHINOPLASTY 块状软骨移植:面积和周长的分析，这是现代鼻整形术的多功能选择

Journal of Contemporary Diseases and Advanced Medicine Pub Date : 2022-08-01 DOI: 10.14436/jcdam.1.2.010-024.oar

Thiago Sasso Carmona de Souza, João Victor Buttini, Mariana Sasso Carmona de Souza, Pedro de Aguiar Soares, M. F. P. Torres, Caio Marcio Correia Soares

{"title":"MORSELIZED CARTILAGE GRAFT: AN ANALYSIS OF THE AREA AND PERIMETER MEASUREMENTS OF THIS VERSATILE OPTION FOR MODERN RHINOPLASTY","authors":"Thiago Sasso Carmona de Souza, João Victor Buttini, Mariana Sasso Carmona de Souza, Pedro de Aguiar Soares, M. F. P. Torres, Caio Marcio Correia Soares","doi":"10.14436/jcdam.1.2.010-024.oar","DOIUrl":"https://doi.org/10.14436/jcdam.1.2.010-024.oar","url":null,"abstract":"Introduction: One of the biggest issues in the field of rhinoplasty is the use of grafts, one of which is the morselized cartilage graft. Few studies to date have sought to demonstrate the changes in size suffered by cartilage after the morselization process. Objective: To compare changes in area and perimeter of septal and auricular cartilages after being submitted to two degrees of morselization. Material and Methods: This was a cross-sectional, comparative, and analytical study. Septum and ear cartilages were separated into two groups: Septal Cartilage Group (SCG) and Auricular Cartilage Group (ACG), and evaluated in their intact, and morselized grades 1 and 2 forms. Area and perimeter measurements were taken and compared. Results: A total of 29 cartilages were analyzed, being 20 septal and 9 auricular. There was a significant increase in the measurements in the SCG according to the degree of morselization. Similar results were also obtained in the ACG, but only with a tendency towards significance. When comparing the two groups, no significant differences were identified. Discussion: Morselized cartilages are important options in rhinoplasty. The increase in the degree of morselization leads to larger grafts, but it is also linked to a decrease in cartilage viability. Despite being structurally distinct, auricular and septal cartilages showed a similar behavior of their measurements after morselization. Such information can help surgeons in choosing their grafts, providing more predictable results. Conclusion: Morselization leads to an increase in the area and perimeter of the cartilage, being greater according to the degree of the process, without significant differences between grafts of septal and auricular origin.","PeriodicalId":447338,"journal":{"name":"Journal of Contemporary Diseases and Advanced Medicine","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128073839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IMPACT OF PLASMA HDL CHOLESTEROL LEVELS, MEASURED ONE YEAR BEFORE ACUTE MYOCARDIAL INFARCTION, ON MORTALITY AFTER THE ACUTE EVENT 急性心肌梗死前一年测定的血浆高密度脂蛋白胆固醇水平对急性事件后死亡率的影响

Journal of Contemporary Diseases and Advanced Medicine Pub Date : 2022-08-01 DOI: 10.14436/jcdam.1.2.104-113.oar

André Bernardi, Sarah Fagundes Grobe, M. Olandoski, Carolina de Paula Orioli da Silva, J. F. Faria Neto

{"title":"IMPACT OF PLASMA HDL CHOLESTEROL LEVELS, MEASURED ONE YEAR BEFORE ACUTE MYOCARDIAL INFARCTION, ON MORTALITY AFTER THE ACUTE EVENT","authors":"André Bernardi, Sarah Fagundes Grobe, M. Olandoski, Carolina de Paula Orioli da Silva, J. F. Faria Neto","doi":"10.14436/jcdam.1.2.104-113.oar","DOIUrl":"https://doi.org/10.14436/jcdam.1.2.104-113.oar","url":null,"abstract":"Introduction: Although epidemiological studies demonstrated that HDL cholesterol (HDL-C) levels are associated with higher cardiovascular risk, pharmacological interventions for elevated HDL-C levels have failed to show a risk reduction. Objective: To evaluate patients admitted for acute myocardial infarction (AMI) to determine whether HDL-C levels measured up to 1 year before the event have an impact on post-event mortality. Methods: A retrospective cohort study was conducted using data from the database of the Curitiba (Brazil) city hall. This study included 1,363 patients hospitalized from 2008 to 2015, with a diagnosis of infarction and available HDL-C values measured up to 1 year before the coronary event. The mean HDL-C levels obtained in this period and at 6 and 12 months after discharge were correlated with hospital mortality. Results: HDL-C levels of ≤35 mg/dL resulted in lower mortality than values of ≥50 mg/dL. This indicates that the mortality risk of patients with HDL-C levels of ≥50 mg/dL was 30% higher than ≤35 mg/dL, regardless the age and the total follow up. The survival rate at 6 and 12 months of follow-up for patients with HDL-C levels of ≥50 mg/dL was reduced in relation to other quartiles, with higher evidence of mortality at 12 months. Conclusions: The patients with higher HDL-C levels in the year preceding an AMI presented worse prognosis than those with lower HDL-C levels after the acute event. This reinforces the paradoxical effect of HDL-C on cardiovascular risk and the results of recent intervention studies.","PeriodicalId":447338,"journal":{"name":"Journal of Contemporary Diseases and Advanced Medicine","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133772157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ANALYSIS OF LARYNGEAL ALTERATIONS IN PATIENTS AFTER SARS-COV-2 INFECTION sars-cov-2感染后喉部病变分析

Journal of Contemporary Diseases and Advanced Medicine Pub Date : 2022-08-01 DOI: 10.14436/jcdam.1.2.114-122.oar

Roberta João David de Masi, E. D. M. Macedo Filho, N. Amadeu, F. L. Saito, L. Oyama, J. P. Baptista, Guilherme Simas do Amaral Catani

{"title":"ANALYSIS OF LARYNGEAL ALTERATIONS IN PATIENTS AFTER SARS-COV-2 INFECTION","authors":"Roberta João David de Masi, E. D. M. Macedo Filho, N. Amadeu, F. L. Saito, L. Oyama, J. P. Baptista, Guilherme Simas do Amaral Catani","doi":"10.14436/jcdam.1.2.114-122.oar","DOIUrl":"https://doi.org/10.14436/jcdam.1.2.114-122.oar","url":null,"abstract":"Introduction: The new coronavirus pandemic has given rise to several systemic pathologies correlated to the viral infection, which has flu-like symptoms in the upper airways. There are reports in the literature, however, that mention signs of dysphonia, odynophagia and pharyngeal globus sensation after infection. The larynx, an organ that is part of the airway, is possibly the affected location to set off those symptoms. Objective: To examine the laryngeal alterations in patients after SARS-CoV-2 infection. Methods: This was an observational and analytical cross-sectional study in which the medical records of patients with the aforementioned complaints, and who underwent videolaryngoscopy, were reviewed. The statistical level of significance was set at p<0.05. Results: 34,143 medical records were reviewed, and a final result of 57 patients with the aforementioned complaints and videolaryngoscopy examination was found. The age, analyzed on the socioeconomic profile, was significant in the performed review. Out of the laryngeal alterations, hypotonia, fusiform glottal gap (p<0.001) and triangular glottal gap were significant. Laryngeal alterations were also significant in patients hospitalized for COVID-19. Discussion: These findings must be the main reason for post-COVID-19 hypokinetic dysphonia, due to probable damage to the recurrent laryngeal nerve.","PeriodicalId":447338,"journal":{"name":"Journal of Contemporary Diseases and Advanced Medicine","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128387103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PREVALENCE OF EXTERNAL AND/OR INTERNAL NASAL VALVE INSUFFICIENCY IN PATIENTS WITH PRIMARY SNORING AND OBSTRUCTIVE SLEEP APNEA 原发性打鼾和阻塞性睡眠呼吸暂停患者外鼻和/或内鼻瓣膜功能不全的患病率

Journal of Contemporary Diseases and Advanced Medicine Pub Date : 2022-08-01 DOI: 10.14436/jcdam.1.2.095-103.oar

P. B. Oliveira, Fernando César Mariano, Johann G. G. Melcherts Hurtado

{"title":"PREVALENCE OF EXTERNAL AND/OR INTERNAL NASAL VALVE INSUFFICIENCY IN PATIENTS WITH PRIMARY SNORING AND OBSTRUCTIVE SLEEP APNEA","authors":"P. B. Oliveira, Fernando César Mariano, Johann G. G. Melcherts Hurtado","doi":"10.14436/jcdam.1.2.095-103.oar","DOIUrl":"https://doi.org/10.14436/jcdam.1.2.095-103.oar","url":null,"abstract":"Introduction: Nasal valve insufficiency is a distinct cause of symptomatic nasal obstruction. The nasal valve has been described as the cross-sectional area with greater resistance to the respiratory-inspiratory flow of the entire respiratory system. This subject is of scientific and academic importance, because it is an original contribution to the aid in the treatment of snoring, considering that nasal valve insufficiency is one of the causes of symptomatic nasal obstruction. This nasal alteration has gained special attention from specialists in the evaluation of the symptomatology of patients with snoring and Obstructive Sleep Apnea Syndrome. Objective: This was a prospective, quantitative, observational, and interventionist study, with the objectives of evaluating the frequency of this alteration and confirming the momentary improvement of this signal with the use of an external nasal dilator device. Methods: Thirty-one patients who sought care at the IPO Hospital (Curitiba/PR, Brazil) participated in this study to evaluate the symptoms of snoring. Patients with snoring symptoms, with no predilection for ethnicity and sex, age 18 years or older, were included. The study was conducted from October to November 2019, by means of detailed anamnesis. Results: A high prevalence of nasal valve insufficiency was identified in the analyzed patients.","PeriodicalId":447338,"journal":{"name":"Journal of Contemporary Diseases and Advanced Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125848944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

RANDOMIZED COMPARATIVE STUDY OF THE USE OF AZITHROMYCIN AND IBUPROFEN IN PAIN AND POSTADENOTONSILLECTOMY COMORBIDITIES DURING CHILDHOOD 阿奇霉素和布洛芬在儿童期疼痛和腺扁桃体切除术后合并症中的随机比较研究

Journal of Contemporary Diseases and Advanced Medicine Pub Date : 2022-08-01 DOI: 10.14436/jcdam.1.2.048-060.oar

Luciana Gabardo Stahlke, S. Tenório

{"title":"RANDOMIZED COMPARATIVE STUDY OF THE USE OF AZITHROMYCIN AND IBUPROFEN IN PAIN AND POSTADENOTONSILLECTOMY COMORBIDITIES DURING CHILDHOOD","authors":"Luciana Gabardo Stahlke, S. Tenório","doi":"10.14436/jcdam.1.2.048-060.oar","DOIUrl":"https://doi.org/10.14436/jcdam.1.2.048-060.oar","url":null,"abstract":"Introduction: The adenotonsillectomy is among the most usual surgical procedures during childhood. Postoperative pain in this type of surgery may be intense and long-lasting. It is a major obstacle against the return to the reasonable feeding condition because it makes swallowing more difficult. The nonsteroidal anti-inflammatory drugs (NSAIDs) are the most used group of medications for the treatment of acute pain, as they are considered safe, also due to their low cost and because they do not need any unique prescription. Azithromycin is an antibiotic of the macrolide group that can not only act as antimicrobial, but also as an anti-inflammatory. It has been observed that the macrolide drugs lower the production of cytokines, stimulate degranulation of the leucocytes, gather neutrophil and blood flow cells exposed to bacteria, and also accelerate the apoptosis of the leucocytes, which are typical effects of classical anti-inflammatory drugs. Objective: Aiming to assess these effects, a randomized comparative study in two groups of children undergoing adenotonsillectomy was performed. Material and Methods: Group 1 received ibuprofen in the postoperative, and group 2 received ibuprofen and azithromycin. Both groups were assessed as to immediate postoperative pain, at the moment of hospital discharge (4 to 6 hours after the surgery), on the 5th, 10th, and 14th postoperative day. The number of doses administered against pain, discomfort at the time of swallowing, and return to feeding, as well as postoperative comorbidities (fever, nausea, vomiting, and bleeding) were also observed. Results: The results did not show statistical significance between the groups. Conclusion: It was concluded that azithromycin did not lower postoperative pain; it does not make swallowing easier, and does not act over the comorbidities. More detailed studies must be made to better evaluate the effect of azithromycin as an anti-inflammatory in the adenotonsillectomy postoperative.","PeriodicalId":447338,"journal":{"name":"Journal of Contemporary Diseases and Advanced Medicine","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124146103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COMPARATIVE HISTOLOGICAL ANALYSIS OF THE NASAL SEPTAL SWELL BODY ANDTHE POSTERIOR NASAL SEPTAL MUCOSA 鼻中隔肿胀体与后鼻中隔粘膜的比较组织学分析

Journal of Contemporary Diseases and Advanced Medicine Pub Date : 2022-08-01 DOI: 10.14436/jcdam.1.2.123-131.oar

Monik Souza Lins Queiroz, Marco Cesar Jorge dos Santos, Krystal Calmeto Negri, H. Pauna, Johann G. G. Malcherts Hurtado

{"title":"COMPARATIVE HISTOLOGICAL ANALYSIS OF THE NASAL SEPTAL SWELL BODY AND\u0000THE POSTERIOR NASAL SEPTAL MUCOSA","authors":"Monik Souza Lins Queiroz, Marco Cesar Jorge dos Santos, Krystal Calmeto Negri, H. Pauna, Johann G. G. Malcherts Hurtado","doi":"10.14436/jcdam.1.2.123-131.oar","DOIUrl":"https://doi.org/10.14436/jcdam.1.2.123-131.oar","url":null,"abstract":"Introduction: The nasal septal swell body is an area in the nasal septum located superior to the inferior turbinate, and anterior to the middle turbinate. It is closely associated with the internal nasal valve, in addition to being included among the expansile tissues of the anterior nose, which suggests that it significantly interferes with nasal airflow resistance. Objective: The present study aimed to histologically evaluate the composition of the septal mucosa in the septal body area, while comparing it with the posterior septal region, and to discover its role in nasal physiology. Methods: To perform the histological analysis, samples of the septal body mucosa and of the posterior septal mucosa of 20 patients were collected, and then the differences regarding cellular constitution, blood vessels (sinusoid and arterial) and connective tissue were outlined. Results: A larger number of venous sinusoids was noticed in the nasal septal body area, compared to the posterior septal mucosa, and less glandular-like tissue in the nasal septal body. Conclusion: The erectile tissue characteristic of the nasal septal body may play a role in the physiology of nasal obstruction, but new studies with different groups of patients are needed to define its actual role.","PeriodicalId":447338,"journal":{"name":"Journal of Contemporary Diseases and Advanced Medicine","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126844335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0