Navegando por Palavras-chave "pharynx"

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    Difícil manejo do paciente com distonia segmentar respiratória
    (ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2007-04-01) De Biase, Noemi Grigoletto [UNIFESP]; Pontes, Paulo Augusto de Lima [UNIFESP]; Santos Junior, Vanier; Vieira, Vanessa Pedrosa [UNIFESP]; Zambonato, Priscila [UNIFESP]; Yazaki, Reinaldo Kazuo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Fundação para o Estudo e Tratamento das Deformidades Crânio-Faciais
    Respiratory dystonia is a rare and difficult to diagnose disorder, that causes breathing restriction of various degrees. The objective of the study is to report the case of a patient with respiratory dystonia involving the larynx and the pharynx and its evolution concerning spasms intensity and control. CASE REPORT: A 24 year-old-man has been followed for 5 years. The diagnosis was made by means of nasofibroscopy and electromyography. Treatment was carried out with laryngeal and pharyngeal Botulin toxin injections, as it became necessary for symptoms control. CONCLUSION: The difficult management can be secondary to the lack of knowledge on the etiology and physiopathology of the impairment, and because of the limitations in the treatment of associated respiratory symptoms.
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    Does Body Mass Index Interfere in the Formation of Speech Formants?
    (Georg Thieme Verlag Kg, 2018) Takaki, Patricia Barbarini[UNIFESP]; Vieira, Marilena Manno [UNIFESP]; Said, Angelica Veiga [UNIFESP]; Bommarito, Silvana [UNIFESP]
    Introduction Studies in the fields of voice and speech have increasingly focused on the vocal tract and the importance of its structural integrity, and changes in the anatomy and configuration of the vocal tract determine the variations in phonatory and acoustic measurements, especially in the formation of the formants (Fs). Recent studies have revealed the functional consequences arising from being overweight and having an accumulation of fat in the pharyngeal region, including obstructive sleep apnea syndrome (OSAS) and impacts on the voice. Objectives To assess the relationship between body mass index (BMI) and analysis of the speech. Methods This study was approved by the Ethics Committee of the Universidade Federal de Sao Paulo (no. 288,430). The cohort consisted of 124 individuals aged between 18 and 45 with full permanent dentition and selected randomly. The participants underwent a brief medical history taking, BMI assessments and recording emissions of the sustained vowels /a/, /epsilon/, /i/, and /u/ by acoustic program PRAAT (v. 5.3.85, Boersma and Weenink, Amsterdam, Netherlands). Recordings were taken using a unidirectional microphone headset (model Karsect HT-9, Guangdong, China), with a condenser connected to an external sound card (USB-SA 2.0, model Andrea, PureAudio (TM), Pleasant Grove, UT, USA), to reduce noise. Results There was a significant correlation between BMI and formant 3 (F3) vowel /a/
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    Systematic Evaluation of the Upper Airway in the Adult Population of São Paulo, Brazil
    (Sage Publications Ltd, 2012-05-01) Stefanini, Renato [UNIFESP]; Tufik, Sergio [UNIFESP]; Mattos Soares, Maria Claudia [UNIFESP]; Martinho Haddad, Fernanda Louise [UNIFESP]; Azeredo Bittencourt, Lia Rita [UNIFESP]; Santos-Silva, Rogerio [UNIFESP]; Gregório, Luiz Carlos [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objectives. To study the prevalence of otorhinolaryngologic symptoms and findings of physical examination of the upper airway (UA) of a representative sample of the adult population of São Paulo, Brazil, and the association between these findings.Study Design. Cross-sectional survey.Setting. Population sample.Methods. A total of 1101 randomly selected volunteers representing the adult population of São Paulo according to sex, age, and socioeconomic class were included in this study. Otorhinolaryngological evaluation included investigation of nasal complaints, physical examination of the UA, and a facial inspection.Results. A total of 993 volunteers (53.9% women), with a mean age of 41.8 +/- 0.89 years, underwent otorhinolaryngologic examination. the most prevalent symptoms were the following: symptoms suggestive of rhinitis (44.9%), snoring (42.8%), mouth breathing (39.3%), and nasal obstruction (33.3%). in physical examination, the most common findings were a web palate (redundant posterior pillar; 62.9%), septum deviation (56.9%), and inferior turbinate hypertrophy (37.7%). Significant associations were found between nasal obstruction and septum deviations, inferior turbinate hypertrophy, high-arched palate, and class II dental occlusion; between symptoms of rhinitis and inferior turbinate hypertrophy; and between snoring and obstructive deviated septum, modified Mallampatti grades III and IV, increased neck circumference, and age greater than or equal to 50 years.Conclusions. the prevalence of otorhinolaryngologic symptoms and alterations in physical examination of the UA were high in the adult population of São Paulo, Brazil. the snoring and nasal symptoms were significantly associated with findings from UA physical examination and inspection of the facial skeleton.