ALINE GOMES BITTENCOURT

(Fonte: Lattes)
Índice h a partir de 2011
10
Lattes
Projetos de Pesquisa
Unidades Organizacionais
LIM/32 - Laboratório de Otorrinolaringologia, Hospital das Clínicas, Faculdade de Medicina

Filtros

Limpar filtros

Configurações

Assunto: Clinical Neurology ×

Resultados de Busca

Agora exibindo 1 - 3 de 3
  • article 24 Citação(ões) na Scopus
    IgG4-Related Sclerosing Disease of the Temporal Bone
    (2013) BITTENCOURT, Aline Gomes; PEREIRA, Larissa Vilela; CABRAL JUNIOR, Francisco; HALANG, Felipe de Santes; GONCALVES, Marianne de Castro; BENTO, Ricardo Ferreira
  • article 15 Citação(ões) na Scopus
    Cochlear Implantation Via the Middle Fossa Approach: Surgical and Programming Considerations
    (2012) BENTO, Ricardo Ferreira; BITTENCOURT, Aline Gomes; GOFFI-GOMEZ, Maria Valeria Schmidt; SAMUEL, Paola; TSUJI, Robinson Koji; BRITO, Rubens de
    Objectives: To report the results of cochlear implantation via the middle fossa approach in 4 patients, discuss the complications, and present a detailed description of the programming specifications in these cases. Study Design: Retrospective case review. Setting: Tertiary-care referral center with a well-established cochlear implant program. Patients: Four patients with bilateral canal wall down mastoid cavities who underwent the middle fossa approach for cochlear implantation. Interventions: Cochlear implantation and subsequent rehabilitation. A middle fossa approach with cochleostomy was successfully performed on the most superficial part of the apical turn in 4 patients. A Nucleus 24 cochlear implant system was used in 3 patients and a MED-EL Sonata Medium device in 1 patient. The single electrode array was inserted through a cochleostomy from the cochlear apex and occupied the apical, middle, and basal turns. Telemetry and intraoperative impedance recordings were performed at the end of surgery. A CT scan of the temporal bones was performed to document electrode insertion for all of the patients. Main Outcome Measures: Complications, hearing thresholds, and speech perception outcomes were evaluated. Results: Neural response telemetry showed present responses in all but 1 patient, who demonstrated facial nerve stimulation during the test. Open-set speech perception varied from 30% to 100%, despite the frequency allocation order of the MAP. Conclusion: Cochlear implantation via the middle cranial fossa is a safe approach, although it is a challenging procedure, even for experienced surgeons.
  • article 5 Citação(ões) na Scopus
    Decompression of the tympanic and labyrinthine segments of the facial nerve by middle cranial fossa approach: an anatomic study
    (2016) PEREIRA, Marcos Alexandre da Franca; BITTENCOURT, Aline Gomes; ANDRADE, Emerson Magno de; BENTO, Ricardo Ferreira; BRITO, Rubens de
    Peripheral facial palsy is characterized by the permanent or temporary interruption of facial muscle function. The middle cranial fossa (MCF) approach has been used to decompress the facial nerve (FN) when hearing needs to be preserved. In this work, we describe a technique for decompressing the FN through the MCF approach, which allows the direct exposure of the labyrinthine and entire tympanic segment of the FN, with preservation of inner ear function. Twenty cadavers heads were used in this study. The reference landmarks used were the middle meningeal artery, greater superficial petrosal nerve, arcuate eminence, inferior petrosal sinus and meatal plane following the petrous apex from its most anterior and medial portion. The tympanic segment of the FN presented, on average, a total length of 11 +/- 0.67 mm to the right and 11.5 +/- 0.60 mm to the left. The longitudinal lengths of the bone window in the tegmen tympani were 16.8 +/- 1.67 mm to the right and 16.8 +/- 1.20 mm to the left. The cross-sectional lengths of the bone window in the tegmen tympani were 5.5 +/- 1.20 mm and 5.0 +/- 1.75 mm to the right and left sides, respectively. The average value of the elliptical area formed by the longitudinal and transversal lengths of the bone window made in the tegmen tympani was 72.5 +/- 22.5 mm(2) to the right and 65.9 +/- 30.3 mm(2) to the left. The proposed technique can be used for the surgical decompression of the tympanic, labyrinthine and meatal segments of the FN through the MCF in addition to reducing the surgical time and the risk to patients.