Necrotizing or malignant external otitis is an inflammatory condition of the external ear that is usually caused by infection by Pseudomonas. It
is more prevalent among elderly, diabetic or immunosuppressed people. It generally occurs through trauma and/or iatrogenic maneuvers in the
external auditory canal, thus providing an entrance for infection. This entity this therefore more common unilaterally, and bilateral occurrence
is rare. Facial paralysis is common on these cases; along with occasional involvement of other cranial nerves. The present case report describes a
patient with bilateral malignant external otitis who presented destruction of the infratemporal bone and auditory canals on both sides. This case was
refractory to optimized clinical treatment, and a surgical approach was needed to improve the symptoms.
Keywords : Bilateral malignant external otitis; Infratemporal destruction,surgical approach for malignant external otitis; Infection due to Pseudomonas
Author : Giovana Zuliani
Title : Malignant External Otitis: Report on a Rare Case
Volume/Issue : 1;1
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Introduction: Tinnitus is a clinical condition that affects thousands of individuals around the world. Although there is no standardization in the
treatment recommended in the literature, there is an arsenal of drug and non-drug options available and it is precisely from this perspective of new
therapeutic tendencies that the discussion about mindfulness arises.
Objective: To evaluate the full attention therapy in the management of tinnitus.
Methodology: A systematic review of the literature was carried out using the following descriptors: tinnitus, full-care therapy and their related
correlates in English, as well as the use of Medical Subject Headings (MeSH). The research was carried out in the databases MEDLINE / PUBMED,
Lilacs, Scielo. We included studies in which tinnitus was diagnosed through specialist assessment or the application of validated scales and criteria
for the symptom and that evaluated the use of full-care therapy as a therapeutic option for tinnitus, and the group had a placebo stimulus.
Results: Through this systematic review, a total of 111 (one hundred and eleven) patients were submitted to full-care therapy, with an average of
7.5 sessions. From the questionnaires and evaluative criteria used by each study, including the secondary assessment scale VAS (used by 2 studies),
the TPIQ and TQ, a positive response was found in 100% of the cases - all with a statistically significant result (p <0.005). Conclusion: From the
present study it was possible to define a positive effect of full attention therapy on tinnitus therapy. Due to the small number of studies using similar
methodologies it was not possible to perform a meta-analysis.
Author : Amanda dos Humildes Maia Santos
Title : The Use of Mindfulness Therapy as a Therapeutic Option for Zumbido: A Systematic Review
Volume/Issue : 1;1
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The increasing number of thyroidectomies performed today makes their complications more focused on surgeons and endocrinologists.
Due to this, several methods have been developed in an attempt to minimize these complications, from changes in surgical technique and its
indications to the introduction of technologies for monitoring recurrent nerves. Material and methods: 63 patients with bulky goiter (mean glandular
volume of 95 g, ranging from 15 g to 400 g) undergoing thyroidectomy (52 total and 11 partial thyroidectomies) without the use of recurrent
nerve monitoring. Evaluation of complications by physical and laboratory examination. Results: postoperative complications were 6 patients with
hypoparathyroidism (11.1%), all of them transient and dysphonia in 5 patients, which represents 7.9% and due to unilateral vocal fold paralysis.
Only one patient with definite paralysis (1.6%). Bruising in only 3 patients (4.8%). Conclusions: Total thyroidectomy is the standard gold surgical
procedure for the management of benign and malignant thyroid diseases, with a low rate of postoperative complications. Recurrent laryngeal nerve
dissection during thyroidectomy is the most important method of preserving its function. The most common complications of thyroidectomies are
successfully evaluated and treated by medical history, anamnesis and physical examination