A5074740181- Dysphagia Assessment and Management
- Gastroesophageal reflux and treatments
- Voice and Speech Disorders
- Tracheal and airway disorders
- Respiratory and Cough-Related Research
- Esophageal and GI Pathology
- Obstructive Sleep Apnea Research
- Eosinophilic Esophagitis
- Salivary Gland Disorders and Functions
- Stuttering Research and Treatment
- Helicobacter pylori-related gastroenterology studies
- Phonetics and Phonology Research
- Laser Applications in Dentistry and Medicine
- Head and Neck Anomalies
- Esophageal Cancer Research and Treatment
- Ear and Head Tumors
- Hearing, Cochlea, Tinnitus, Genetics
- Neuroscience of respiration and sleep
- Wound Healing and Treatments
- Hearing Loss and Rehabilitation
- Dermatologic Treatments and Research
- Metastasis and carcinoma case studies
- Head and Neck Cancer Studies
- Body Contouring and Surgery
- Facial Nerve Paralysis Treatment and Research
Fleury S.A. (Brazil)
2021-2024
Faculdade de Ciências Médicas da Santa Casa de São Paulo
1997-2022
Sociedade Brasileira de Cirurgia de Cabeça e Pescoço
2020
Santa Casa Hospital
1998-2019
Irmandade da Santa Casa de Misericórdia de São Paulo
2003-2014
Thomas Jefferson University
2006-2013
Hospital São Paulo
2007
The objective of this work was to gather an international consensus group propose a global definition and diagnostic approach laryngopharyngeal reflux (LPR) guide primary care specialist physicians in the management LPR.
Multiple sclerosis is a neurological disease that involves swallowing disorders. Many studies have shown an association between and performance, but results been conflicting.To identify the frequency of dysphagia in patients with multiple indicators can represent performance swallowing.In this study (cross-sectional) 120 Sclerosis underwent Functional Assessment Swallowing by flexible nasal-pharyngo-laryngoscopy were compared scores rating scales: (Clinical Evolving Forms Disease, Disability...
ABSTRACT During the XXVIII Brazilian Congress of SBFa, 24 specialists met and, from a leading position on scientific research as tool for connecting laboratory and clinic, five fronts knowledge voice specialty were discussed following: Perceptual-auditory judgment vocal quality; 2. Acoustic analysis signal; 3. Voice self-assessment; 4. Traditional techniques therapy; 5. Modern electrostimulation photobiomodulation (PBMT) in voice. Part “a” this publication was associated with consolidation...
The proven ability of mitomycin C to inhibit fibroblasts in vitro has stimulated its use research animals and humans control healing. objective the study was follow healing process surgical wounds dorsum rats treated topically with C.Prospective experimental study.Two distinct were made 10 adult rats. One received topical diluted at 0.5 mg/mL during a 5-minute period, other wound used as control. followed clinically histologically after killed different post-treatment periods. degree...
Abstract Objective : To study the laryngeal electromyography (LEMG) pattern in patients with Parkinson's disease (PD) and vocal complaints. Study Design Setting Twenty‐six adults PD complaints 26 controls presbyphonia underwent videolaryngoscopy (VL) LEMG. Results No tremor was found on LEMG of cricothyroid thyroarytenoid muscles, even cases clinical VL tremor. hypertonicity during voice rest typical feature observed 73% versus 23% controls. This difference statistically significant. The...
To study the prevalence of signs and symptoms reflux in snorers with suspected OSA.This cross-sectional enrolled 74 patients assessed positive for OSA Berlin questionnaire. The subjects were followed up at sleep disorder ward a university center. Studied variables included BMI, Epworth sleepiness scale, symptom index (RSI), finding score (RFS), their subdomains related to increased inflammation. correlations between questionnaires, scales, deemed statistically significant when p <...
Objective To investigate the clinical patterns and disease evolution of laryngopharyngeal reflux (LPR) patients. Methods Patients with LPR diagnosed by hypopharyngeal‐esophageal impedance‐pH monitoring were prospectively followed in three medical centers. Symptoms findings assessed symptom score (RSS) sign assessment (RSA). treated 3‐to 9‐month diet combination proton pump inhibitors, alginate or magaldrate. for 3 years to determine symptoms over time. that did not recur was defined as...
Although suspension laryngoscopy is routinely used in laryngeal surgery, there are only few studies on the complications of this procedure.to evaluate outside larynx following and analyze their relation with surgery duration.Thirty-seven procedures were prospectively analyzed for intervention-related complications. The study included patient preoperative postoperative assessment, focusing dental, mucosal nerve status (hypoglossal lingual nerves).Most (27/37) associated to some kind...
Oral ivermectin has been widely used to treat various human diseases, such as filariasis, myiasis, larva migrans, strongyloidiasis and scabies (both the common crusted forms). However, there are only a small number of papers on effects this drug for control in infested environments. The current study shows results obtained with collective treatment inmates public jail.A total 123 living restricted contaminated environment were evaluated clinically by experienced dermatologists assessment...
The supraesophageal manifestations of Gastroesophageal Reflux Disease commonly known as Laryngopharyngeal (LPR) are highly prevalent. diagnosis LPR is challenging and mostly based on suggestive symptoms signs inflammation at the larynx pharynx. In order to decrease subjectivity clinical assessment, a score endolaryngeal videolaryngoscopic findings, Finding Score (RFS), was proposed by Belafasky et al. This has proven be sensitive reproducible in English language.Translate culturally adapt...
OBJECTIVE The mechanisms involved in the muco‐sal alterations of laryngopharyngeal reflux (LPR) have not been well established. Reports indicate a decrease salivary epidermal growth factor (EGF) patients with esophagitis, but there are no reports its behavior LPR. Our objective was to determine concentration EGF adults STUDY DESIGN AND SETTING Salivary 26 LPR and 20 healthy controls determined using commercially available ELISA kit. Patients were graded according endoscopic laryngoscopic...
Gastroesophageal Reflux Disease (GERD) is the most prevalent digestive disease of modern society and has been associated with abnormalities in larynx pharynx (LPR). Nonetheless, little known about mechanisms involved this atypical form disease. Contradictory clinical data suggest a defense deficit at segment. Saliva its organic inorganic components responsible for homeostasis oral mucosa tract. Salivary pH volume have linked to laryngopharyngeal symptoms GERD LPR. In recent study we...
Phonotrauma is considered the main cause of vocal fold polyps (VFP). However, authors believe that an underlying anatomical deviation could render folds more susceptible to such trauma.To prove this hypothesis a retrospective chart review was carried out correlate surgical findings patients with VFP.The charts thirty-three who underwent surgery for excision VFP were reviewed: 21 had right VFP, 10 left and 2 bilateral lesions.Associated lesions reported in 27 (14 on opposite VF 13 ipsilateral...
Apesar do uso rotineiro da laringoscopia de suspensão (LS) na microcirurgia laringe, poucos são os estudos literatura que tratam das complicações deste procedimento. OBJETIVO: Avaliar as extralaríngeas após a e relacioná-las com o tempo cirurgia. MATERIAL E MÉTODO: Trinta sete procedimentos consecutivos foram analisados prospectivamente enfocando lesões relacionadas à LS. A pesquisa incluiu análise pré pós-operatória dos pacientes quanto aos critérios estudados. RESULTADO: O cirúrgico foi...
O refluxo gastroesofágico e o laringofaríngeo são definidos, respectivamente, como movimento do conteúdo gástrico para dentro esôfago da área laringofaríngea. Pacientes com Doença Refluxo Gastroesofágico (DRGE) têm queixas otorrinolaringológicas rouquidão, tosse crônica, pigarro, globus faríngeo, odinofagia, estridor, disfagia, entre outras, além de azia. FORMA DE ESTUDO: Clínico retrospectivo. MATERIAL E MÉTODO: Foi realizado um estudo retrospectivo 157 pacientes portadores sinais na...
INTRODUÇÃO: A Doença do Refluxo Gastroesofágico (DRGE) é a doença digestiva mais prevalente da atualidade e, recentemente, tem sido implicada em uma gama de alterações seguimento laringofaríngeo (RLF). No entanto, pouco se sabe dos mecanismos fisiopatológicos destas manifestações supraesofágicas DRGE. Os achados clínicos contraditórios e recentes pesquisas sugerem haver deficiências na capacidade defesa deste seguimento. Uma das principais responsáveis pela homeostase mucosa oral trato...
A etiologia mais aceita para pólipos de pregas vocais é o fonotrauma. Imaginamos que possa existir alguma alteração anatômica prévia nas predisponha indivíduos a apresentarem lesões fonotraumáticas. OBJETIVO: O presente estudo retrospectivo procura encontrar correlação entre os prega vocal e alterações estruturais da vocais. MATERIAL E MÉTODO: Foi realizado trabalho partir descrição cirúrgica 33 pacientes submetidos exérese pólipo no período três anos em hospital universitário. RESULTADOS:...
The Laryngopharyngeal Reflux (LPR) physiopathology is still unknown. Epidermal Growth Factor (EGF) a biologically active salivary protein that aids in the rapid regeneration of oropharyngeal and upper digestive tract mucosas. Salivary deficiency this patients with LPR has been demonstrated previous studies.To compare EGF concentration before after treatment.In prospective study twelve GERD moderate were studied. Whole saliva samples collected treatment was determined using commercially...
The diagnosis of laryngopharyngeal reflux (LPR) is controversial. There no correlation between the number episodes and severity inflammatory response at esophagus or segment. Some authors have suggested that decreased salivary epidermal growth factor (EGF) concentrations in patients with gastroesophageal disease LPR point to a breakdown local defenses. Our objective was establish whether treatment influences low EGF concentrations.The spontaneous whole saliva 20 adults sampled tertiary...
Apesar da crescente experiência adquirida com as campanhas nacionais voz na triagem de indivíduos alterações laríngeas, ainda não estabelecemos qual o melhor método avaliação: fonoaudiológica exclusiva, exame laringoscópico exclusivo ou trabalho conjunto médico/fonoaudiólogo para triagem. OBJETIVO: O objetivo do atual estudo foi avaliar a sensibilidade, especificidade, valor preditivo positivo e negativo análise perceptivo auditiva em comparação videolaringoscopia como laringofaríngeas....
INTRODUÇÃO: A Doença do Refluxo Gastroesofágico (DRGE), chegando até a faringe e laringe, pode cursar com intensa inflamação local rica sintomatologia (Refluxo Laringofaríngeo RLF). Os estudos atuais não foram capazes de provar que o ácido refluído é causador das alterações visualizadas na laringite crônica. O Fator Crescimento Epidérmico (EGF) um polipeptídeo produzido pelas glândulas salivares, sendo implicado indução crescimento epitelial, inibição da secreção gástrica aceleração...
Apesar do grande entusiasmo despertado pelo avanço dos conceitos definidores conjunto sintomático denominado refluxo laringofaríngeo (RLF), ainda é muito difícil, para o otorrinolaringologista, estabelecer com segurança se esta síndrome poderá ser considerada no futuro como uma doença semelhante ao gastroesofágico¹. A nosso ver, os sinais inflamatórios segmento encontrados em alguns pacientes que apresentam phmetria presença de pH abaixo 4 na sonda proximal podem mimificados por outras...