ABSTRACT
OBJECTIVE: To determine the effect of improved nasopharyngeal airflow after adenoidectomy on nasal turbinate erectile tissue in pediatric patients. DESIGN: Clinical, prospective, before-and-after study. SETTING: Pediatric Otolaryngology Clinic at Hospital da Criança Santo Antônio de Porto Alegre (Complexo Hospitalar Santa Casa de Porto Alegre). PATIENTS: Twenty-one 5- to 11-year-old children diagnosed as having severe nasal obstruction, with an indication for adenoidectomy. INTERVENTION: Adenoidectomy. MAIN OUTCOME MEASURES: Acoustic rhinometry data before and 90 days after surgery. To specifically monitor erectile tissue behavior, only the volume of the nasal turbinate region was considered (depth, 2.20-5.40 cm). RESULTS: The volume of the turbinate region varied from 6.03 cm(3) in the preoperative evaluation to 6.99 cm(3) in the postoperative evaluation, representing an increase of 16% (P < .04). Multiple linear and logistic regressions did not reveal any factors other than adenoidectomy that could explain this change. CONCLUSIONS: Because the only possible explanation for the observed erectile tissue changes was improvement in nasal airflow, we can assume that adenoidectomy favorably affects the behavior of nasal erectile structures and is associated with a decrease in turbinate size. Combined turbinate reduction and adenoidectomy should not be the rule because children may benefit from adenoidectomy alone.
Subject(s)
Adenoidectomy , Nasal Mucosa/pathology , Nasal Obstruction/surgery , Postoperative Complications/pathology , Pulmonary Ventilation/physiology , Turbinates/pathology , Adenoids/pathology , Child , Child, Preschool , Female , Humans , Hypertrophy , Male , Nasal Obstruction/pathology , Outcome and Process Assessment, Health Care , Rhinometry, AcousticABSTRACT
Este artigo de revisao comenta inicialmente o papel da prega no lobo da orelha (PLO) na seleçao de pacientes com maior risco para acidentes coronarianos. Em seguida, detém-se na apresentaçao das evidências da associaçao entre esses dois achados. Finalmente, concluindo-se que a PLO deve ser valorizada na identificaçao dos indivíduos com doença coronariana, principalmente pela simplicidade deste exame
Subject(s)
Humans , Coronary Disease , Risk FactorsABSTRACT
As manifestaçöes otorrinolaringológicas säo frequentes durante a gravidez. Apesar de, na maioria dos casos, serem leves, algumas vezes podem ser intensas o bastante para comprometer a saúde da gestante e do feto. Neste artigo é feita revisäo dessas alteraçöes, dividindo-as didaticamente em alteraçöes do nervo facial, nasais, otológicas, orais e aerodigestivas, bem como das suas condutas diagnósticas e terapêuticas
