Publications by authors named "Pericles de Andrade Maranhao-Filho"
Article Synopsis
- Facial nerve dysfunction is a common and serious issue for patients who have undergone parotidectomy, a surgery to remove the parotid gland.
- A study comparing rehabilitation outcomes for patients with benign versus malignant neoplasms showed both groups experienced significant improvements in facial function through early, tailored physiotherapy.
- Factors like previous surgeries and age over 60 were linked to more severe dysfunction and poorer outcomes, but overall, both types of neoplasms benefited similarly from the rehabilitation program.
Post-parotidectomy facial nerve function: comparison between original and modified Sunnybrook Facial Grading Systems.
Arq Neuropsiquiatr
November 2023
Background: Facial nerve dysfunction is the principal postoperative complication related to parotidectomy.
Objective: To test the hypothesis that the modified Sunnybrook Facial Grading System (mS-FGS) is superior to the original S-FGS in the assessment of facial nerve function following parotidectomy.
Methods: Prospective, longitudinal study evaluating patients with primary or metastatic parotid neoplasms undergoing parotidectomy with facial nerve-sparing between 2016 and 2020.
Objective: Facial nerve injury, affecting mainly the marginal mandibular branch, is the most frequent neurologic complication from parotidectomy. To test a modified Sunnybrook Facial Grading System as a new tool to assess the facial nerve function following parotidectomy, emphasizing the marginal mandibular branch.
Methods: We reviewed the medical records of 73 post-parotidectomy patients (40 female, 18-84 years old, mean age 53.
Yellow fever (YF) vaccines (17D-204 and 17DD) are well tolerated and cause very low rates of severe adverse events (YEL-SAE), such as serious allergic reactions, neurotropic adverse diseases (YEL-AND), and viscerotropic diseases (YEL-AVD). Viral and host factors have been postulated to explain the basis of YEL-SAE. However, the mechanisms underlying the occurrence of YEL-SAE remain unknown.
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