International Research Journal of Otolaryngology


    Objectives: Metastatic tumors to the oral cavity are observed extremely rarely, accounting for approximately 1% of all malignant oral lesions. The purpose of our study is to record and analyze the data of the patients who revealed metastasis to the oral cavity. Material and Methods: The records of the patients diagnosed with oral metastases who were admitted to Oral and Maxillofacial Surgery Departments from 1996 to 2018 were reviewed and analyzed for demographic data and outcomes. Results: Over a period of 22 years (from 1996 to 2018), 22 patients were admitted to the Oral and Maxillofacial Surgery Departments of General Hospital G. Papanikolaou and Theageneion Anticancer Hospital with oral metastasic tumors from a distant primary site. Conclusions: Metastasis to the oral cavity is a very rare finding but it exists so we have to be aware of it and have in mind the possibility of this condition.


    Introduction The dermoid cyst is a rare cystic malformation, classified as benign cystic teratoma. It is bordered by an epidermal-like epithelium, containing structures attached to its wall. These cysts originate from midline retained epithelial remains during the closure of the mandibular branchial arches and the hyoid bone. The prevalence in the head and neck region is low. They affect more young adults without a predilection for sex. Clinically, it presents as a swelling, of soft consistency upon palpation because it contains keratin remnants and sebaceous secretions inside. The lesion is usually about 2 cm in diameter. Surgical excision is the treatment of choice, with little risk of relapse. Objective To report the clinical case of a 16-year-old male patient who underwent cystic lesion excision in the ear region with a diagnosis of dermoid cyst. Methodology The methodology of the study was the search for articles related to the subject, organization in a brief literature review and its comparison with the case report that was described. Results A 16-year-old male patient, melanoderma, sought the Oral Maxillo Facial Surgery and Traumatology Service of the Federal University of Pernambuco of School Dentistry, reporting an increase in volume in the right postauricular region with approximately 3 years of evolution. On clinical examination, a well-circumscribed lesion without movement, soft to palpation and painless was observed. The patient underwent additional examinations and excisional biopsy under general anesthesia. The access started with an incision in the post-auricular region, followed by the myocutaneous tissue division until the lesion was visualized and soon after, the dissection of the adjacent tissues to the enucleation. Cauterization and hemostasis of the bleeding vessels were performed and suture to separate stitches with 5.0 mononylon thread. The surgical specimen was sent to the Anatomopathology Service of the Clinical Hospital of the Federal University of…


    Main purpose: This paper aimed to confirm a relationship between chronic hypertrophic tonsillitis (CHT) and bad mouth odour. To this end, detailed identification of the microbial flora inhabiting affected tonsils was carried out. The results obtained might be helpful in specifying indications for tonsillectomy. Materials and method: From among 247 patients with clinically diagnosed CHT, 33 generally healthy individuals aged 18- 40 (10 male and 23 female) were selected. Patients in whom other causes could be the possible reason for their fetor ex ore (halitosis) were not included. Before and 2 to 3 months after tonsillectomy, organoleptic and halimeter testing was undertaken for each patient. A swab was collected from the interior of the enucleated tonsils in a sterile manner, and was inoculated onto surfaces enabling the culture of aerobic and anaerobic bacteria and fungi. A histopathological examination was subsequently performed. Results: Fetor ex ore was initially found in 95% of the patients with CHT. In 90% of cases with confirmed halitosis, after tonsillectomy a significant reduction in its intensity was observed. On average, the concentration of VSC in the patient decreased by approximately 75 ppb (62%), which was statistically significant (p < 0.0001). It was also shown that the concentration of VSC in carriers of anaerobic bacteria, compared to carriers of only aerobic bacteria, was significantly reduced (p < 0.05). The results obtained confirm the role of CHT in the pathogenesis of halitosis. Conclusions: Halitosis in patients with CHT requires a number of laboratory tests and specialist consultations to exclude other possible causes of fetor ex ore. A dental examination plays an important role in the differential diagnosis. Performing targeted microbiological testing to determine the patient’s carrier state for anaerobes should eventually be considered. When these conditions are met, halitosis can be considered an independent indication for tonsillectomy.


    INTRODUCTION: Human hearing is part of a very specialized system, only in humans this system allows the processing of acoustic events, such as speech (FRAZZA et al, 2000). Hearing loss occurs when there is some type of alteration in the structures that make up the auditory system and this loss can be of different degrees and types depending on the affected location (CORMEDI, 2012). In most cases of children who have been diagnosed with deafness, it is necessary to stimulate speech therapy because this is the beginning of the process to acquire language in these individuals, since communication between family members and deaf people often becomes difficult (BOSCOLO , SANTOS, 2005). OBJECTIVES: To analyze the conception of family members about how to communicate with the deaf, identifying the means they use to communicate. METHODOLOGY: This research is a descriptive, field study, with quantitative and qualitative nature. Data collection was of a systematic nature, using as a selection criterion 10 (ten) family members, determined by convenience, who attend the Educational Audiology sector of the Clinic School of Speech-Language Pathology and Audiology at UNIPÊ-PB. The instrument used was a structured questionnaire with 7 (seven) objective and 1 (one) subjective questions. As a requirement for the start of data collection, the research project was forwarded for analysis and opinion of the Ethics Committee of the University Center of João Pessoa – UNIPÊ, fulfilling the requirements of resolution 466 \ 12 of the National Health Council (NHC). Only after the approval of the Ethics Committee, CAAE: 54711216.6.0000.5176, was the questionnaire applied. RESULTS: With the 10 interviewees, it was observed that 70% used oral language to communicate; 60% of the patients are not users of LIBRAS (Brazilian Sign Language), but they answered that it helps in the socialization of the deaf and presents no disadvantages;…


    Introduction: The sense of hearing is very important for human communication. Hearing loss makes the individual limited or incapacitated to play his role in society. One of the instruments used for auditory rehabilitation is the individual sound amplification apparatus (ISAA). Objectives: To investigate the deaf patients’ conception of the benefits of the individual sound amplification device (ISAA), in addition to identifying the information they have about ISAA.Methods: Field research of the descriptive type in which a structured questionnaire was applied with seven objective questions and a subjective one according to all the ethical aspects provided by Resolution No. 466/12 of the CNS / MS. The same was addressed to four (4) persons responsible for deaf patients who use ISAA in their daily lives and who follow up at the Clinical School of Speech-Language Pathology and Audiology at Centro Universitário de João Pessoa-PB. Results: According to the research participants, it was observed that the hearing aid provided benefits to the deaf in terms of improved sound perception, oral language development, socialization of the deaf with the listening society, improvement in socialization of the deaf with another deaf and in the ability of the deaf to read. Conclusion: The use of ISAA together with speech and language therapy favors the sound perception of the deaf, as well as the development of oral language, promoting a better interaction with the hearing society.

  • Clinical Conduct for a Bruxist Patient: Clinical Case Report

    Introduction: Sleep bruxism is an activity of stereotyped movements promoted by the subconscious in the masticatory system that includes the functions of clenching and / or grinding, where neuromuscular protection mechanisms are absent, which can lead to damages to the masticatory system and temporomandibular disorders. Aim: This article aims to demonstrate conducts used in a clinical case to assist in similar case planning. Case report: A 58-year-old male patient required an appointment at the Federal University of Pernambuco integrated dentistry clinic, presenting a complaint of pain in the face region and lack of adaptation with prostheses, he had posterior maxillary edentulism, loss of vertical dimension and severe wear on the remaining teeth. The anamnesis was made in his initial clinical examination, later, was prepared the diagnostic wax-up, the waxing was moulded with condensation silicone for restoration in composite resin with prefabricated pins. Afterward the molding were made to prepare removable partial dentures for the patient. In the old prostheses overlays were prepared to slide between them forming a type of plaque, reprogramming the jaw and avoiding that the patient destroyed the already made restorations. In the following session, the well-adapted prostheses were delivered and the occlusal adjustment was properly performed with intraoral test. Results: The patient reported aesthetic improvement, total pain reduction and better adaptation with the prostheses, he also related comfort in using them. Conclusion: It is possible to perform the rehabilitation of partial edentulous bruxers, approximating the patient to his or her centric relation, without the necessity of plaques and maintaining a quality treatment.

  • Rehabilitation and Treatment of Patients With Treacher Collins Syndrome

    Introduction: Treacher Colling syndrome or mandibulo facial dysostosi is a malformation craniofacial that affects bones and face tissues. It’s considered a multifactorial are genetic disease. Objectives: Realize a review highlightening many ways of treatment and rehab of the pacients, whose purpose is to improve the pacient’s quality of life and welfare. Methodology: All the research was realized based on the informaction collected in another arcticles published in internacional magazines, review of cases and clinics cases linked to the syndrome, found on SciELO, MEDLINE, DT Science. Results: The treatment from the sequelae of Treacher Collins syndrome is directed to correction and rehabilitation of the existing derformities. Started since prenatal phase, guied the family about the parcticularities of the anomaly and the necessary caring throughout life. The pacients need numerous surgeries until the adult phase to your rehab. Preoperative planning and stratification of the surgical procedure are extremely important for the final results and pacient rehab. Conclusions: From a multidisciplinary team, which the professionals work together, aim to turn the pacient’s life better, either in the physical area, a esthetical or psychological.

  • Relation Between the Rheumatoid Arthritis and Certain Oral Manifestations

    Introduction: The oral healthiness is a key component to the overall healthiness of the individual. Among numerous diseases and oral healthiness problems the Sjögren Syndrome, periodontal diseases and temporomandibular joint dysfunction have an important relation with the rheumatoid arthritis that is characterized by the joint inflammation. Objetive: The objetive of the current research is to emphasize the importance of the systemic healthiness with oral healthiness in order to enhance a possible relation between the rheumatoid arthritis and certain oral manifestations. Methodology: This research is constituted of a review of a specialized literature, whom made by search of selected scientific papers from scielo, pubmed and lilacs database. Results and Discussion: Despite lot of researchs made about the impact of oral diseases on the systemic healthiness, the literature about the relation between they still, in majority,inconsistent, and the researchs, in general, have not an effective proof about the direct relation between oral diseases mentioned and the rheumatoid arthritis. Conclusion: It is crucial to highlight that even if have a understanding about the relation between the systemic disease and oral manifestations, there isn’t any evident proof of they.

  • Nutritional Status of the Elderly With Respiratory Diseases and Their Association With the Diagnosis

    Introduction: Respiratory tract diseases are among the main causes of morbidity and mortality in the elderly and often increase metabolic demand, with a negative impact on nutritional status (NS). Objective: To verify the NS of the elderly with respiratory diseases and their association with the diagnosis. Methodology: a retrospective study was carried out based on the collection of demographic, clinical and nutritional data from the records of elderly patients admitted with respiratory pathologies from February to July 2017 in the medical clinic. In the nutritional evaluation we considered: body mass index (BMI) classified according to Lipschitz (1994), the percentage of adequacy of arm circumference (AM) and calf circumference (CC). Kolmogorov-Sminorv test was used to verify normality and Pearson chi-square test to verify association between variables, with 95% confidence. The SPSS version 13.0 program was used. Results and Discussion: a sample of 24 elderly people, mean age of 74.56 ± 8.89 years, with 62.5% female. The common pathologies were respiratory tract infection (54.2%), chronic obstructive pulmonary disease (20.8%), pulmonary tuberculosis (12.5%) and pneumonia (12.5%). 50% were malnourished according to BMI, the mean BMI being 22.9 ± 5.82 kg / m2; 66.7% according to the AM and 70.8% according to the CC. The prevalence of eutrophic and overweight by BMI was 29.2% and 20.8%, respectively; 20.8% were eutrophic for the AM and 12.5% were overweight and obese. There was no significant association between diagnosis and nutritional indicators (p> 0.05). Respiratory tract infections are the main causes of hospitalization in this population, corroborating the literature. The prevalence of malnutrition found may suggest that elderly people with nutritional depletion are responsible for the greater number of hospitalizations. Conclusion: there was a higher prevalence of malnutrition, demonstrating the need for early intervention in order to contribute to clinical improvement and avoid worsening of nutritional status.

  • Obstructive Sleep Apnea: Efficacy Test of the Intraoral Mandibular Advancement Devices by Video Nasopharyngolaryngoscope

    Introduction: Obstructive sleep apnea is a multifactorial case that may involve craniofacial development, bone structures, muscular structures and any soft tissue adjacent to the pharynx have importance to this disorder. It is characterized by recurrent episodes of upper airway obstruction. In Brazil the prevalence is 10% to 17% of the population. Recognized as a risk factor for systemic arterial hypertension, stroke and coronary heart disease. For diagnosis, the main exam is the polysomnography. For the evaluation of the efficacy of the therapies, such as the intraoral device, different exams have been proposed in the literature: computed tomography in sagittal, parasagittal, coronal sections, 3D reconstructions, cephalometry and nasolaringopharyngoscopy video. Objective: The aim of this paper is provide to professionals who work with sleep apnea, a less invasive solution to prove the efficacy of the therapies used. Methodology: The paper is a literature review to evaluate the results of nasolaringopharyngoscopy in patients undergoing treatment with intraoral device for sleep apnea without and during the use of the device to evaluate the opening of the larynx and pharynx. During the wake-up examination, the patient should undergo the Müller’s maneuver, which consists of deep breathing and maintaining inspiration by obstructing the upper airways, with room for the instrument only. Results and Discussion: It demonstrated that it is possible to do the examination, even if the patient is with the device. There is pronounced distinctness in this exam, which allows to accurately evaluate the clearance with or without devices, if it is well adapted. As a disadvantage, airway measurements are not accurate as on a CT scan. Conclusion: The nasolaringopharyngoscopy video is effective for qualitative analysis of the device use, but does not support in a quantitative analysis on the airways.