PAULA TARDIM LOPES
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/32 - Laboratório de Otorrinolaringologia, Hospital das Clínicas, Faculdade de Medicina
LIM/32 - Laboratório de Otorrinolaringologia, Hospital das Clínicas, Faculdade de Medicina
16 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 16
- Ear Parade: A Call for Preventive Actions to Strengthen the Healthcare System against Hearing Loss(2021) LOPES, Paula Tardim; BENTO, Ricardo FerreiraIntroduction Approximately 10 million people in Brazil have some hearing impairment. Because of the natural progression of hearing impairment to presbycusis, coupled with the increasing number of young people exposed to the risk factors for early hearing loss, the social impact of hearing impairment is high. Objective A team of otolaryngologists and speech therapists conducted an unprecedented worldwide campaign in the primary health sector, aiming to reduce the global burden of hearing impairment with preventive measures. Methods A cultural information campaign called ""Ear Parade"" was developed. It lasted 3 months, during which SAo Paulo received information on the prevention of deafness and the importance of hearing rehabilitation to reduce prejudice against the use of hearing aids. Results The information was relayed through an art exhibition of public paintings, including 62 sculptures of ears, 2.40 meters high, which colored the city, elucidating the beauty of hearing. The media coverage impacted 170 million people, and at the end of the campaign, a nongovernmental organization was established to raise resources for hearing rehabilitation. In addition, an auction of the ear sculptures raised money toward hearing aid batteries and stem-cell research for hearing. Conclusion The present paper presents the effects of this campaign. Information dissemination is a powerful preventive measure for the primary healthcare system to reduce future treatment expenditures.
- “Benefits of the pedicled osteoplastic flap as a surgical approach of mastoidectomy in cochlear implant surgery”(2022) LOPES, P. T.; BENTO, R. F.; GEBRIM, E. M. Mello Santiago; BECK, R. M. de Oliveira; CARVALLO, R. Mota Memede; SANCHES, S. G. Gandolfi; LESSER, J. C. CisnerosObjective: To evaluate the esthetic and functional results of an osteoplastic flap for mastoid cavity closure in cochlear implant surgery. Study design: Double-blind, prospective, randomized clinical trial. Setting: tertiary referral center. Intervention(s): On hundred and twenty-six patients were randomized in 2 groups for cochlear implant surgery. Cases (n: 63) underwent simple mastoidectomy using an anteriorly pedicled osteoplastic flap for mastoid closure. In controls (n: 63), a traditional periosteal flap was used. Evaluation with the POSAS questionnaire was performed 1 year after surgery to assess surgical wound esthetics. Sixteen patients from each group had postoperative CT-scans and wideband tympanometry to assess mastoid aeration and middle ear absorbance. Gender and time after surgery were correlated. Main outcome measure(s): Evaluation of the quality of the surgical wound with the application of a questionnaire validated in the medical literature and translated into Portuguese language called POSAS, considering the perception of the blinded patient and doctor regarding the surgical technique proceeded. A lower POSAS score suggests better esthetics of the surgical wound. Secondary outcomes are volumetric measurement of aeration inside mastoid cavity using 3D computer tomography exam, which aims to analyze the influence of fibrocicatricial retraction in the surgical wound into the mastoid and the interference of its aeration volume in the absorption of sound in the middle ear, using the wideband tympanometry exam. Results: The POSAS questionnaire in the Case group showed a lower level of local pain and itchiness, a skin color and thickness more similar to the surrounding skin and less irregularity and stiffness, with no influence from time after surgery and gender compared to the Control group. The median tomographic volume was 6.37 cc in the cases and 4.60 cc in controls. Wideband tympanometry showed general smaller sound absorbance in the Case group results, specially, at 1000 Hz frequency. No intraoperative or postoperative complications were observed with the osteoplastic flap. Conclusions: This technique is an effective and safe alternative to alleviate common problems of mastoid surgery for cochlear implantation. In addition to esthetic benefits, it has less interference in middle ear physiology of sound absorbance and less fibrous tissue into the mastoid cavity during the follow-up of more than 1 year.
- The Transmastoid Retrolabyrinthine Approach in Acoustic Neuroma Surgery: Our Experience in 189 Patients(2020) BENTO, Ricardo Ferreira; LOPES, Paula TardimObjective: This study aimed to describe our experience with the retrolabyrinthine or infralabyrinthine approach in acoustic neuroma surgery, and to discuss its advantages, limitations, complications, and the outcomes of hearing and facial function preservation. Study Design: This study was a retrospective analysis of all acoustic neuroma cases, operated with a retrolabyrinthine approach in our hospital. Setting: This study was conducted at a tertiary university hospital. Patients: In total, 189 patients underwent hearing preservation and acoustic neuroma surgery, operated through the retrolabyrinthine approach, in our department. The average age was 43.6 years; there were 105 women and 84 men. All patients had unilateral tumors, 99 occurring in the right ear and 90 in the left ear. Intervention: A retrolabyrinthine approach was performed in all 189 patients to remove vestibular schwannoma. Main Outcome Measures: All tumors graded I and II using Koos tumor grading with serviceable hearing when the speech reception threshold (SRT) was better than 50 dB, and word recognition scores of 50% or higher. Results: Considering the 189 patients, good exposure of the internal auditory canal was possible in all patients, with total removal of the tumor in all patients, even though it was necessary to sacrifice the posterior canal in 12 of the cases, all classified as Koss II. Hearing was preserved in 49.73% of patients; 1% had permanent grade II House-Brackmann facial paralysis. Conclusions: The retrolabyrinthine approach showed security during facial nerve manipulation, small chance of morbidity, and good proportion of hearing preservation when tumor are up to Koss I and II classification.
bookPart Otosclerose(2018) BENTO, Ricardo Ferreira; LOPES, Paula Tardim- Bonebridge Bone Conduction Implant(2015) BENTO, Ricardo Ferreira; LOPES, Paula Tardim; CABRAL JUNIOR, Francisco da Chagas
bookPart Perda auditiva induzida por níveis de pressão sonora elevados(2018) TORRE, Ana Adelina Giantomassi Della; LOPES, Paula Tardim; DROBINA, Eloá FranciscobookPart Complicações de otites(2018) LOPES, Paula Tardim; PINNA, Mariana Hausen- Three-dimensional printing in otolaryngology education: a systematic review(2022) SOUZA, Marcos Antonio de; BENTO, Ricardo Ferreira; LOPES, Paula Tardim; RANGEL, Denis Melo de Pinto; FORMIGHIERI, LucasPurpose The progressive expansion of the technology that facilitates the development of three-dimensional (3D) printing within the field of otorhinolaryngology has opened up a new study front in medicine. The objective of this study is to systematically review scientific publications describing the development of 3D models having applications in otorhinolaryngology, with emphasis on subareas with a large number of publications, as well as the countries in which the publications are concentrated. Methods In this literature review, specific criteria were used to search for publications on 3D models. The review considered articles published in English on the development of 3D models to teach otorhinolaryngology. The studies with presurgical purposes or without validation of the task by surgeons were excluded from this review. Results This review considered 39 articles published in 10 countries between 2012 and 2021. The works published prior to 2012 were not considered as per the inclusion criteria for the research. Among the 39 simulators selected for review, otology models comprised a total of 15 publications (38%); they were followed by rhinology, with 12 (31%); laryngology, with 8 (21%); and head and neck surgery, with 4 publications (10%). Conclusion The use of 3D technology and printing is well established in the context of surgical education and simulation models. The importance of developing new technological tools to enhance 3D printing and the current limitations in obtaining appropriate animal and cadaver models signify the necessity of investing more in 3D models.
bookPart Barotrauma(2018) BENTO, Ricardo Ferreira; LOPES, Paula TardimbookPart Otite média crônica colesteatomatosa(2018) LOPES, Paula Tardim; BONANOMI, Roberto Andrea Carlo