Juvenile Nasopharyngeal Angiofibroma: A Series of 96 Surgical Cases.

 Juvenile nasopharyngeal angiofibroma (JNA) is a benign vascularized tumor that affects almost exclusively male adolescents. Surgery is the treatment of choice for JNA.  The present study is a 42-year retrospective review of a series of JNA cases treated surgically without previous embolization.

Prevalence of low back pain in Port of Santos workers.

Introduction: Low back pain is a common symptom among the general population and among manual workers, contributing to high rates of absenteeism and a decrease in overall quality of life.

Objectives: To determine the prevalence of low back pain in Port of Santos workers, its influence on overall quality of life, physical activity level, and associated absenteeism rate.

Methods: This cross-sectional prevalence study was based on prospective data collection.

Neck recurrence in papillary thyroid carcinoma.

Introduction: papillary thyroid carcinoma is a tumor with good prognosis. However, some patients treated present neck recurrence.

Objective: to evaluate the risk factors for neck recurrence.

Application of WHO International Biological Reference Standards to evaluate commercial serological tests for chronic Chagas disease.

BACKGROUND Chagas disease, resulting from Trypanosoma cruzi infections, continues to be a health concern mainly in Latin American countries where the parasite is endemic. The laboratory diagnosis of a chronic infection is determined through serological assays for antibodies against T. cruzi and several tests are available that differ in key components, formats and methodologies.

Prevalence of cubital tunnel syndrome among dock workers, Saint Sebastian, São Paulo, Brazil.

Background: Ports play a substantial role in the Brazilian economy.Despite the large number of port workers, few studies report that the most common musculoskeletal disorders among them involve the upper limbs, including carpal tunnel syndrome, rotator cuff syndrome, cervicalgia and cubital tunnel syndrome.The latter is a neuritis caused by compression of the ulnar nerve at the cubital tunnel (CuTS) on the elbow.

Comparison between transoral laser surgery and radiotherapy in the treatment of early glottic cancer: A systematic review and meta-analysis.

A therapeutic decision in the treatment of Tis/T1a glottic carcinoma with radiotherapy (RT) or transoral laser surgery (TOS) is still an open issue. Oncologic outcome and voice quality may support the choice for the latter To conduct a systematic review and meta-analysis to compare oncologic and functional outcomes of TOS and RT as treatment options for Tis/T1a glottic cancer. Literature research on online databases was carried out.

Quality Control in Screening for Infectious Diseases at Blood Banks. Rationale and Methodology.

Quality control procedures are indispensable to ensure the reliability of the results provided by laboratories responsible for serological screening in blood banks. International recommendations on systems of quality management classify as a top component the inclusion of two types of control: (a) internal quality control (IQC) and (b) external quality control (EQC). In EQC it is essential to have, at least, a monthly frequency of laboratory assessment.

Impact of delay in the diagnosis and treatment of head and neck cancer.

Introduction: Head and neck tumors can be easily recognized through clinical evaluation. However, they are often diagnosed at advanced stages.

Objective: To evaluate the delay from the patient's initial symptoms to the definitive treatment.

Efficacy of pectoralis major muscle flap for pharyngocutaneous fistula prevention in salvage total laryngectomy: A systematic review.

Background: The role of pectoralis major muscle flap (PMMF) in reducing the rate of pharyngocutaneous fistula after salvage total laryngectomy has not been clearly established. The purpose of this study was to evaluate the impact of PMMF in reducing pharyngocutaneous fistula rates after total laryngectomy.

Methods: The analyzed intervention was the use of a PMMF after total laryngectomy.

Cervical hibernoma and lipoblastomatosis.

Lipoblastoma and lipoblastomatosis are rare benign soft-tissue tumoral lesions resembling fetal adipose tissue. A total of 16 cases of lipoblastoma of the neck were reported in the literature, and only 3 were described in the posterior side of the neck. Hibernoma is a rare benign adipose tumor composed of brown fat cells and only about ten cases occurring in the cervical area have been reported.

Thyroid papillary carcinoma associated to Hashimoto's thyroiditis.

Unlabelled: There is controversy in the literature regarding the association between papillary thyroid carcinoma (PTC) and Hashimoto's thyroiditis (HT) and as to what would be the etiological relationship between them.

Objective: To establish the proportion of cases among patients with TH and CPT, correlating it with histomorphological aspects.

Method: A retrospective study of patients undergoing partial or total thyroidectomy for PTC between 2007 and 2009, a total of 41 cases.

Risk factors for incidental parathyroidectomy during thyroidectomy.

Unlabelled: Incidental parathyroidectomy is a common event in thyroid surgery. The literature shows a finding of parathyroid glands ranging from 6.4% to 31% in pathological specimens of the thyroid gland.

Total thyroidectomy with ultrasonic scalpel: a multicenter, randomized controlled trial.

Background: The ultrasonic scalpel is a recently introduced device in head and neck surgery. Total thyroidectomy is the most common endocrine procedure performed by surgeons.

Methods: This was an open, phase IV, multicenter, randomized controlled trial (RCT) that compared the use of an ultrasonic scalpel with a conventional technique in patients who underwent total thyroidectomy.

[Neck dissection complications].

Because of the proximity of vital structures, certain complications are inherent to neck dissection (ND) for the treatment of patients with squamous cell carcinoma of the upper aerodigestive tract. To establish the incidence of complications of ND. A cross-sectional retrospective study of patient registries.

[Intima-media thickness of common and internal carotid arteries in patients with hepatosplenic schistosomiasis mansoni].

Objective: To evaluate the intima-media thickness (IMT) of common and internal carotid arteries in patients with hepatosplenic schistomiasis mansoni and those who underwent portal decompression surgery (splenectomy and left gastric artery ligature). Both groups were compared with a health volunteer control group, living in the same social-economic-environmental conditions.

Methods: An ultrasound Doppler with a 7.

[Identification of the external branch of the superior laryngeal nerve during minimally invasive video-assisted thyroidectomy].

he minimally invasive video-assisted thyroidectomy (MIVAT) without gas infusion is considered safe and has advantages in terms of cosmetic results compared to the conventional approach. : to present our findings regarding the identification of the external branch of the superior laryngeal nerve (EBSLN) during MIVAT. : Transversal cohort study.

Preliminary results from minimally invasive video-assisted thyroidectomy.

Context And Objective: Minimally invasive video-assisted gasless thyroidectomy (MIVAT) has mainly been described in Italy and has been demonstrated to be a safe procedure with additional advantages regarding cosmetic results and postoperative outcome. The aim of this work is to analyze our preliminary results from minimally invasive video-assisted thyroidectomy.

Design And Setting: Retrospective study at the Head and Neck Surgery Service of Hospital Ana Costa, Santos.

Outcome after partial frontolateral laryngectomy.

The purpose of this study was to determine the recurrence rate and the long-term survival of patients treated with frontolateral laryngectomy for early glottic cancer. The study is a retrospective analysis of a cohort of patients who underwent frontolateral laryngectomy from 1995 to 2002 with a median follow-up of 48 months. This was a consecutive series of 30 patients with T1bN0 and T2N0 vocal fold carcinoma.

[Oncocytic variant of medullary thyroid carcinoma: case report].

Oncocytic tumors of the endocrine system are a group of rare entities described in several organs, including the thyroid gland. Medullary carcinoma can seldom show the predominance of cells with oncocytic changes but the positive immunostaining for calcitonin should be helpful for the correct diagnosis. We describe the case of a 71 year-old female Caucasian patient, with a hard 5 cm thyroid nodule for 2 months.

Multiple ectopic parathyroid adenomas.

Context: Primary hyperparathyroidism is the most common cause of hypercalcemia in unselected patients. The ectopic gland locations should be known for appropriate surgical exploration and for avoiding subsequent re-exploration that would represent higher morbidity. Multiple ectopic glands are rare and present a particular challenge in parathyroid surgery.

Sternocleidomastoid muscle flap preventing Frey syndrome following parotidectomy.

Frey syndrome is one of the potential sequelae of parotidectomy. Various medical and surgical treatments have been used in an attempt to avoid this embarrassing condition. Recently, interposing barriers between the overlying skin flap and the parotid bed, such as the sternocleidomastoid muscle (SCM) flap, have been used to prevent this condition.

Videolaryngostroboscopy following frontolateral laryngectomy with sternohyoid flap.

We conducted a retrospective study to analyze the videostroboscopic findings in a group of 21 patients who underwent vertical frontolateral laryngectomy with reconstruction by use of the sternohyoid muscle flap. They had T1b and T2 glottic tumors and a follow-up of more than 1 year. Three observers analyzed the recorded videostroboscopic data.

Contact endoscopy for intraoperative parathyroid identification.

Experienced thyroid surgeons are often able to identify the parathyroid glands, but sometimes it is difficult to differentiate them from other contiguous tissues. Contact endoscopy was introduced in otolaryngology for the characterization of normal and pathological epithelia. Our objective was to analyze contact endoscopy as an auxiliary method for identification of the parathyroid glands during thyroid surgery.

Pectoralis major musculocutaneous flap in head and neck cancer reconstruction.

Described initially by Ariyan in the 1970s, the pectoralis major flap has broad acceptance for its versatility in head and neck cancer reconstructions. It is supplied by the thoracoacromial artery, with an additional circulation provided by the lateral thoracic artery. It can be safely used even in patients who have undergone postoperative radiation.