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Cavalcante-Leao BL, Porporatti AL, Cíntia Felicio Adriano R, Santos RS, Vanelli MI, Perez I, Miranda de Araújo C, Stechman-Neto J, Zeigelboim BS. Effects of respiratory exercises in sleep bruxism and associated obstructive sleep apnea: a double-blind, placebo-controlled randomized clinical trial. Acta Odontol Scand 2024; 83:120-125. [PMID: 38578211 DOI: 10.2340/aos.v83.40252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 01/30/2024] [Indexed: 04/06/2024]
Abstract
PURPOSE The aim of this study is to assess the effects of respiratory exercises (inspiratory and expiratory) in individuals with sleep bruxism (SB) and associated obstructive sleep apnea (OSA). METHODS This is a double-blind, placebo-controlled randomized clinical trial including individuals with SB and associated respiratory events in OSA. Respiratory physical therapy was performed using inspiratory (Threshold® IMT), expiratory (Threshold® PEP) muscle training, and compared with a placebo group. A total of 30 daily respiratory cycles (inspiration and expiration) were performed five times a week for 12 weeks. Individuals were reassessed at two times, at baseline (T1) and after 12 weeks of training (T2) by means of the Pittsburgh Sleep Quality Index and Polysomnography. RESULTS Awakening was significantly different (p ≤ 0.05) between the inspiratory group and placebo 12 weeks after respiratory physical therapy. The number of contractions of the masseter muscle differed between the inspiratory, expiratory, and placebo groups (p ≤ 0.05). CONCLUSION Respiratory physical therapy for OSA improved awaking levels in 80 and 67% of the number of masseter muscle contractions, when compared to placebo. TRIAL REGISTRATION Brazilian Registry of Clinical Trials (No. RBR-9F6JKM).
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Affiliation(s)
| | - André Luís Porporatti
- Laboratoire de Neurobiologie Oro-Faciale, Université Paris Cité, Paris, France; GHPS Assistance Publique Hopitaux de Paris, Paris, France
| | | | - Rosane Sampaio Santos
- Faculty of Health Sciences, Speech Therapy, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
| | - Maria Isabel Vanelli
- Faculty of Health Sciences, Dentistry, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
| | - Isabella Perez
- Faculty of Health Sciences, Dentistry, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
| | | | - José Stechman-Neto
- Faculty of Health Sciences, Speech Therapy, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
| | - Bianca Simone Zeigelboim
- Faculty of Health Sciences, Speech Therapy, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil. b
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José MR, Ortega JDS, Baran JBC, Lüders D, Gonçalves CGDO, Zeigelboim BS, Taveira KVM, Polanski JF, Santos RS, Corrêa CDC, de Araujo CM. Relationship Between Chloroquine or Hydroxychloroquine Use and Hearing Disorders: A Systematic Review and Meta-Analysis. J Audiol Otol 2024; 28:126-145. [PMID: 38382520 PMCID: PMC11065553 DOI: 10.7874/jao.2023.00157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 07/21/2023] [Accepted: 08/16/2023] [Indexed: 02/23/2024] Open
Abstract
BACKGROUND AND OBJECTIVES Chloroquine and its analog hydroxychloroquine are derivatives of 4-aminoquinoline and are regularly used in the treatment of malaria and autoimmune diseases. Among the side effects of these drugs, alterations associated with the auditory system are frequently mentioned. Thus, the aim of this systematic review is to systematically review publications on hearing disorders and chloroquine or hydroxychloroquine use. MATERIALS AND METHODS Inclusion criteria were observational or interventional studies on audiological assessment in participants who were using chloroquine or hydroxychloroquine. The methodological quality was independently assessed by two reviewers using the Meta-Analysis of Statistics: assessment and review Instrument. The certainty of the evidence was assessed using the GRADE tool. RESULTS A total of 1,372 non-duplicate papers were screened, out of which 17 were included in the final qualitative synthesis, and 5 studies in the meta-analysis. The odds ratio for the two subgroups evaluated did not show significance with no heterogeneity between the effects observed between the different diseases (I2=0%) and obtaining the global estimate of 0.76 (95% confidence interval [CI]=0.41-1.39; p>0.05). Despite the inclusion of papers with different disease samples, the heterogeneity observed in the analysis was low (I2= 0%) and prediction interval (95% PI=0.32-1.80; p>0.05) remained close to that estimated by the CI (95% CI=0.41-1.39; p>0.05). The certainty of the evidence assessed by the GRADE tool was considered very low due to the risk of bias, indirect evidence, and imprecision. CONCLUSIONS The findings of this study suggest that the use of chloroquine/hydroxychloroquine is not associated with hearing disorders.
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Affiliation(s)
- Maria Renata José
- Department of Speech, Language and Hearing Sciences, São Paulo State University (UNESP), Marília, São Paulo, Brazil
- Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, Curitiba, Paraná, Brazil
| | - Jéssica da Silva Ortega
- Graduation in Speech, Language and Hearing Sciences, Tuiuti University of Paraná, Curitiba, Paraná, Brazil
| | - Jordana Batista Correia Baran
- Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, Curitiba, Paraná, Brazil
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Paraná, Brazil
| | - Débora Lüders
- Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, Curitiba, Paraná, Brazil
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Paraná, Brazil
| | | | - Bianca Simone Zeigelboim
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Paraná, Brazil
| | - Karinna Veríssimo Meira Taveira
- Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, Curitiba, Paraná, Brazil
- Department of Morphology - Center of Biosciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - José Fernando Polanski
- Department of Otorhinolaryngology-Head and Neck Surgery, Federal University of Paraná, and Mackenzie Evangelical School of Medicine, Curitiba, Paraná, Brazil
| | - Rosane Sampaio Santos
- Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, Curitiba, Paraná, Brazil
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Paraná, Brazil
| | - Camila de Castro Corrêa
- Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, Curitiba, Paraná, Brazil
- Department of Speech, Language and Hearing Sciences, Centro Universitário Planalto do Distrito Federal, Brasília, Distrito Federal, Brazil
| | - Cristiano Miranda de Araujo
- Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, Curitiba, Paraná, Brazil
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Paraná, Brazil
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Heiden GS, Andrade RVS, de Mattos de Araujo BM, da Silva-Neto UX, Baratto-Filho F, Zeigelboim BS, de Castro Corrêa C, Taveira KVM, de Araujo CM. Prevalence of orofacial injuries resulting from trauma in individuals with cerebral palsy: A systematic review and meta-analysis. Dent Traumatol 2024; 40:111-120. [PMID: 37605544 DOI: 10.1111/edt.12879] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 07/23/2023] [Accepted: 07/25/2023] [Indexed: 08/23/2023]
Abstract
Individuals with cerebral palsy (CP) may have cognitive, sensitive, behavioral, communicative, and convulsive disorders. Because defensive reflexes are reduced by CP, the risk of orofacial trauma is greater in these individuals. This study aimed to evaluate the prevalence of orofacial injuries resulting from trauma in patients with CP. This review was reported according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) and registered in the International Prospective Register of Systematic Reviews (PROSPERO-CRD42022293570). The search was performed for articles published until January 2023 in Embase, Latin American and Caribbean Literature on Health Sciences (LILACS), PubMed/Medline, Scopus, and Web of Science databases. Gray literature was also consulted through Google Scholar, OpenGrey, ProQuest Dissertations, and Theses. Studies in which orofacial injuries due to trauma were prevalent in individuals with CP were included. The risk of bias was assessed using the Joanna Briggs Institute Critical Appraisal Tool. Additionally, a random-effects meta-analysis was conducted. Twelve studies were included in the synthesis, of which nine presented a low risk of bias and three presented a moderate risk. When considering the general prevalence of orofacial injuries in patients with CP, a prevalence of 34% [95% CI = 18%-52%; I2 = 98%] was observed, with enamel and dentin fractures being the most common orofacial injuries. Approximately one in three patients with CP showed at least one type of orofacial injury involving dental trauma. There is a lack of literature assessing the prevalence of these traumas in soft tissues and the evidence for this outcome remains uncertain.
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Affiliation(s)
| | | | | | | | - Flares Baratto-Filho
- Department of Endodontics, Tuiuti University of Paraná, Paraná, Brazil
- Undergraduate Department of Dentistry, University of the Region of Joinville (Univille), Santa Catarina, Brazil
| | | | - Camila de Castro Corrêa
- Department of Speech Therapy and Audiology, Centro Universitário Planalto do Distrito Federal, Brasília, Brazil
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de Miranda BM, Gonçalez Miguel PT, Gonçalves FM, Costa DL, Bronholo TDPM, Guariza-Filho O, Stechman-Neto J, Santos RS, Zeigelboim BS, de Araujo CM. Impact of dentofacial deformity on the chance of being hired for a job. Front Psychol 2023; 14:1037167. [PMID: 38106396 PMCID: PMC10722433 DOI: 10.3389/fpsyg.2023.1037167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 11/17/2023] [Indexed: 12/19/2023] Open
Abstract
Objective This study aimed to determine the impact of dentofacial deformity on an individual's chances of being hired for a hypothetical job involving customer service. Materials and methods Face photographs (frontal and lateral) of 15 patients with moderate to severe dentofacial deformity, taken before and after orthodontic-surgical correction, were selected and randomized between two different questionnaires. In addition, five patients without dentofacial deformity were used as controls in both questionnaires. These questionnaires were taken by adults responsible for hiring personnel to work in commerce and business activities, graduates or postgraduates in business administration, with experience in recruiting and hiring personnel. The evaluation took place using a Likert scale with values ranging from 0 to 10 (in which 0 corresponded to complete disagreement and 10 to complete agreement), considering the following variables in a first impression judgment: honesty, intelligence, productivity at work, and hiring chance. Data were tabulated and statistical analysis was performed using a linear regression model for the explanatory variables that showed statistical significance in the analysis of variance (ANOVA). Effect size through Cohen's d has been corrected for all comparisons performed. Results All re-examined domains demonstrated statistical differences even when included in a multivariate model (p < 0.05), with lower mean values for those requiring pre-treatment (presenting deformity), although the effect size was small for all comparisons. Conclusion Dentofacial deformity influenced the hiring chance, although not appearing to be a preponderant factor for hiring, acting as a tiebreaker among the candidates adopted.
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Affiliation(s)
| | | | - Flavio Magno Gonçalves
- Postgraduate Program in Human Communication Health, Tuiuti University of Paraná, Curitiba, Brazil
| | | | | | - Odilon Guariza-Filho
- Department of Orthodontics, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil
| | - José Stechman-Neto
- School of Dentistry, Tuiuti University of Paraná, Curitiba, PR, Brazil
- Postgraduate Program in Human Communication Health, Tuiuti University of Paraná, Curitiba, Brazil
| | - Rosane Sampaio Santos
- Postgraduate Program in Human Communication Health, Tuiuti University of Paraná, Curitiba, Brazil
| | - Bianca Simone Zeigelboim
- Postgraduate Program in Human Communication Health, Tuiuti University of Paraná, Curitiba, Brazil
| | - Cristiano Miranda de Araujo
- School of Dentistry, Tuiuti University of Paraná, Curitiba, PR, Brazil
- Postgraduate Program in Human Communication Health, Tuiuti University of Paraná, Curitiba, Brazil
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Vilanova ID, Almeida SB, de Araújo VS, Santos RS, Schroder AGD, Zeigelboim BS, Corrêa CDC, Taveira KVM, de Araujo CM. Impact of orthognathic surgery on voice and speech: a systematic review and meta-analysis. Eur J Orthod 2023; 45:747-763. [PMID: 37467104 DOI: 10.1093/ejo/cjad025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/21/2023]
Abstract
BACKGROUND Orthognathic surgical procedures, whether in one or both jaws, can affect structures regarding the articulation and resonance of voice and speech. OBJECTIVE Evaluating the impact of orthognathic surgery on voice and speech performance in individuals with skeletal dentofacial disharmony. SEARCH METHODS Word combinations and truncations were adapted for the following electronic databases: EMBASE, PubMed/Medline, Scopus, Web of Science, Cochrane Library, and Latin American and Caribbean Literature in Health Sciences (LILACS), and grey literature. SELECTION CRITERIA The research included studies on nonsyndromic adults with skeletal dentofacial disharmony undergoing orthognathic surgery. These studies assessed patients before and after surgery or compared them with individuals with good facial harmony using voice and speech parameters through validated protocols. DATA COLLECTION AND ANALYSIS Two independent reviewers performed all stages of the review. The Joanna Briggs Institute tool was used to assess risk of bias in the cohort studies, and ROBINS-I was used for nonrandomized clinical trials. The authors also performed a meta-analysis of random effects. RESULTS A total of 1163 articles were retrieved after the last search, of which 23 were read in full. Of these, four were excluded, totalling 19 articles for quantitative synthesis. When comparing the pre- and postoperative periods, both for fundamental frequency, formants, and jitter and shimmer perturbation measures, orthognathic surgery did not affect vowel production. According to the articles, the main articulatory errors associated with skeletal dentofacial disharmonies prior to surgery were distortions of fricative sounds, mainly/s/ and/z/. CONCLUSIONS Orthognathic surgery may have little or no impact on vocal characteristics during vowel production. However, due to the confounding factors involved, estimates are inconclusive. The most prevalent articulatory disorders in the preoperative period were distortion of the fricative phonemes/s/ and/z/. However, further studies must be carried out to ensure greater robustness to these findings. REGISTRATION PROSPERO (CRD42022291113).
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Affiliation(s)
- Izabela Dahmer Vilanova
- Undergraduate Dentistry Program, Tuiuti University of Paraná, Curitiba, Brazil
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM)
| | - Suzanne Bettega Almeida
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM)
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | - Valkleidson Santos de Araújo
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM)
- Undergraduate Department of Dentistry, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Rosane Sampaio Santos
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM)
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | - Angela Graciela Deliga Schroder
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM)
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | - Bianca Simone Zeigelboim
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM)
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | - Camila de Castro Corrêa
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM)
- Department of Speech Therapy and Audiology, Centro Universitário Planalto do Distrito Federal, Brasília, Distrito Federal, Brazil
| | - Karinna Veríssimo Meira Taveira
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM)
- Department of Morphology- Center of Biosciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazi
| | - Cristiano Miranda de Araujo
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM)
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
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Schroder ÂGD, Gonçalves FM, Germiniani JDS, Schroder LD, Porporatti AL, Zeigelboim BS, de Araujo CM, Santos RS, Stechman-Neto J. Diagnosis of TMJ degenerative diseases by panoramic radiography: is it possible? A systematic review and meta-analysis. Clin Oral Investig 2023; 27:6395-6412. [PMID: 37821655 DOI: 10.1007/s00784-023-05293-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 09/27/2023] [Indexed: 10/13/2023]
Abstract
OBJECTIVE The objective of this work was to determine the diagnostic accuracy of panoramic radiography in detecting degenerative diseases of the temporomandibular joint. METHOD The protocol was registered at the PROSPERO website. To consider the eligibility of studies to be included/excluded from this review, the acronym "PIRDS" was used and appropriate word combinations and truncations were adapted in the following electronic databases: PubMed/Medline, EMBASE, Latin American and Caribbean Literature on Health Sciences, Web of Science, Scopus, and Cochrane Library. RESULTS A total of 2572 references, after the removal of duplicates, were retrieved from the eight electronic databases. After reading the titles and abstracts, a total of 26 articles were selected for full reading, of which ten were excluded, resulting in 16 articles included for qualitative synthesis. All in vivo studies were classified as having a low risk of bias. Regarding in vitro studies none of the included studies scored below 80% in the overall evaluation. CONCLUSIONS Both in vitro and in vivo studies consistently report a low accuracy in detecting degenerative diseases of the temporomandibular joint using panoramic radiography. CLINICAL RELEVANCE Cone-beam computed tomography offers a superior image quality without overlapping structures and a higher accuracy compared to panoramic radiography. However, panoramic radiography can still serve as an initial examination when combined with a clinical assessment. CBCT should be reserved for cases where there are evident clinical and/or radiographic alterations that recommend its use. This approach ensures a judicious and cost-effective use of CBCT resources.
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Affiliation(s)
- Ângela Graciela Deliga Schroder
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, R. Padre Ladislau Kula, 395 - Santo Inácio-, Curitiba, PR, 82010-210, Brazil.
| | - Flávio Magno Gonçalves
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, R. Padre Ladislau Kula, 395 - Santo Inácio-, Curitiba, PR, 82010-210, Brazil
| | - Julia da Silva Germiniani
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, R. Padre Ladislau Kula, 395 - Santo Inácio-, Curitiba, PR, 82010-210, Brazil
| | | | - André Luiz Porporatti
- Laboratoire de Neurobiologie OroFaciale, Université de Paris, France and GHPS Assitance Publique Hopitaux, de Paris, France
| | - Bianca Simone Zeigelboim
- Post-graduate Program in Communication Disorders, University Tuiuti do Paraná, Curitiba, Paraná, Brazil
| | - Cristiano Miranda de Araujo
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, R. Padre Ladislau Kula, 395 - Santo Inácio-, Curitiba, PR, 82010-210, Brazil
| | - Rosane Sampaio Santos
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, R. Padre Ladislau Kula, 395 - Santo Inácio-, Curitiba, PR, 82010-210, Brazil
| | - José Stechman-Neto
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, R. Padre Ladislau Kula, 395 - Santo Inácio-, Curitiba, PR, 82010-210, Brazil
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Arruda de Souza Alcarás P, Alves Corazza MC, Vianna L, Miranda de Araujo C, Alves Corazza L, Zeigelboim BS, Moreira de Lacerda AB. Auditory and Vestibular Findings in Brazilian Adults Affected by COVID-19: An Exploratory Study. Audiol Neurootol 2023; 28:466-477. [PMID: 37490870 DOI: 10.1159/000531207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 05/15/2023] [Indexed: 07/27/2023] Open
Abstract
INTRODUCTION The aim of the study was to describe auditory and vestibular findings in Brazilian adults after COVID-19 in a municipality from the outskirts of the São Paulo state. METHODS This was a transversal and exploratory study comprising sixteen participants infected by the SARS-CoV-2 virus, confirmed through RT-PCR detection, aged 20 to 55 years. Subjects underwent anamnesis, vestibular and auditory testing. Fisher's exact test was used to evaluate medication use, chemical and physical exposure, and occupational risk and McNemar test was used to compare auditory and vestibular symptoms pre- and post-COVID-19. RESULTS Most patients were women (75%) and had been exposed to the virus over 90 days before testing (50%). 18.8% used hydroxychloroquine, 68.8% used ivermectin, and 87.5% used azithromycin to treat COVID-19. Auditory complaints were reported by 31.2% and vestibular by 18.7%. There was no statistical difference before and after the disease. Other reported symptomatology was hair loss, pain, fatigue, memory loss, difficulty to concentrate, and headache. Auditory findings were relevant in contralateral acoustic reflex, in the distortion-product otoacoustic emissions, and in the brainstem auditory evoked potential, characterizing a neurosensorial compromise. 43.74% of patients had altered vectonystagmography. When comparing both ears, no statistical relevance was found; however, when results were crossed with medication use and exposures, there was statistical relevance in the amplitude of the V wave for medications and absolute latency of the V wave to exposure to physical agents. DISCUSSION/CONCLUSION This study demonstrated auditory and vestibular findings of neurosensorial nature, considering hearing and of a peripheral vestibulopathy. As it is a study of transversal nature, it is not possible to extend results to general population; yet it may be a finding to future studies.
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Affiliation(s)
| | - Maria Cristina Alves Corazza
- Post-Graduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
- Faculty of Medicine, University of Western São Paulo, Presidente Prudente, Brazil
| | - Larissa Vianna
- Post-Graduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | | | - Luíza Alves Corazza
- Neurology Department, Hospital Santa Marcelina de Itaquera, São Paulo, São Paulo, Brazil
| | | | - Adriana Bender Moreira de Lacerda
- Post-Graduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
- l'École d'Orthophonie et d'Audiologie, Université de Montreal (CA), Montreal, Québec, Canada
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Garcia MR, da Silva RD, Ferraz AX, Gonçalves FM, Santos RS, de Leão BLC, Nascimento WV, Schroder AGD, Zeigelboim BS, de Araujo CM. Prevalence of signs and symptoms related to temporomandibular disorders and orofacial pain in patients indicated for orthognathic surgery: a meta-analysis. Clin Oral Investig 2023:10.1007/s00784-023-05110-2. [PMID: 37329463 DOI: 10.1007/s00784-023-05110-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 06/05/2023] [Indexed: 06/19/2023]
Abstract
OBJECTIVE To evaluate the prevalence of signs and symptoms related to temporomandibular disorders (TMD) and orofacial pain in patients with indication for orthognathic surgery. METHODS The search was carried out in seven electronic databases and gray literature. Studies that evaluated the frequency of signs and symptoms related to TMD and orofacial pain were included. The risk of bias was assessed using the Joanna Briggs Critical Appraisal tool. A meta-analysis of proportions with a random effect model was performed and the GRADE tool judged the certainty of evidence. RESULTS After searching the databases, 1859 references were retrieved, 18 of which were selected for synthesis. The prevalence of individuals with at least one TMD symptom was 51% [CI95% = 44-58%], and 44% of the subjects had temporomandibular joint click/crepitus [CI95% = 37-52%]. Additionally, 28% exhibited symptoms related to muscle disorders [CI95% = 22-35%], 34% had disc displacement with or without reduction [CI95% = 25-44%], and 24% had inflammatory joint disorders [CI95% = 13-36%]. The prevalence of headache was 26% [CI95% = 8-51%]. The certainty of evidence was considered very low. CONCLUSION Approximately 1 in 2 patients with dentofacial deformity presents some sign and symptom related to TMD. Myofascial pain and headache may be present in approximately a quarter of patients with dentofacial deformity. CLINICAL RELEVANCE A multidisciplinary treatment is necessary for these patients, involving a professional with expertise in the management of TMD.
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Affiliation(s)
- Maysa Raksa Garcia
- Undergraduate Program in Dentistry, Tuiuti University of Paraná, Curitiba, Paraná, Brazil
| | - Rayane Délcia da Silva
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inácio, Curitiba, PR, Brazil
| | - Aline Xavier Ferraz
- Center for Advanced Studies in Systematic Review and Meta-Analysis - NARSM, Curitiba, Paraná, Brazil
| | - Flavio Magno Gonçalves
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inácio, Curitiba, PR, Brazil
| | - Rosane Sampaio Santos
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inácio, Curitiba, PR, Brazil
| | | | | | - Angela Graciela Deliga Schroder
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inácio, Curitiba, PR, Brazil
| | - Bianca Simone Zeigelboim
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inácio, Curitiba, PR, Brazil
| | - Cristiano Miranda de Araujo
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inácio, Curitiba, PR, Brazil.
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Gallo KEB, Corrêa CDC, Gonçalves CGDO, Correia Baran JB, Marques JM, Zeigelboim BS, José MR. Effect of Tinnitus on Sleep Quality and Insomnia. Int Arch Otorhinolaryngol 2023; 27:e197-e202. [PMID: 37125358 PMCID: PMC10147471 DOI: 10.1055/s-0041-1735455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Accepted: 05/07/2021] [Indexed: 05/02/2023] Open
Abstract
Introduction Tinnitus is a conscious perception of a sound resulting from abnormal activity within the nervous system. A relevant percentage of tinnitus patients report symptoms severe enough to significantly affect quality of life, including sleep disorders. Objective To analyze the sleep quality, insomnia, daytime sleepiness, and risk of obstructive sleep apnea (OSA) in participants with tinnitus. Methods The sample comprised 18 adults and older adults aged between 18 and 85 years old (mean age = 58.7 ± 17.5 years old), females and males, with complaint of continuous tinnitus for > 1 month. The instruments used were the Tinnitus Handicap Inventory (THI) questionnaire, the Insomnia Severity Index, the Pittsburgh Sleep Quality Index, the Epworth Sleepiness Scale, and the STOP-Bang questionnaire. Results By means of the THI questionnaire, the tinnitus severity degree reported by most participants was mild (27.8%) and moderate (27.8%), having a positive (r = 0.582) and significant (0.011) correlation to sleep quality, measured by means of the Pittsburgh questionnaire. There was a positive correlation between the Insomnia Severity Index and tinnitus handicap (r = 0.499; p = 0.035). A total of 72.2% of the participants self-assessed their sleep quality as poor, in addition to moderate insomnia (27.8%), although there is low risk of OSA (66.7%), without complaints of excessive daytime sleepiness (72.2%). Conclusion Subjects with tinnitus complaint self-rated their sleep quality as poor. Moreover, the higher the reported tinnitus handicap, the greater the symptoms of insomnia. There was no influence of tinnitus in relation to daytime sleepiness and no relationship between the severity of tinnitus and the risk of OSA.
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Affiliation(s)
| | - Camila de Castro Corrêa
- Curso de Fonoaudiologia, Centro Universitário Planalto do Distrito Federal, Brasília, DF, Brazil
| | | | | | - Jair Mendes Marques
- Programa de Pós-Graduação em Distúrbios da Comunicação, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | - Bianca Simone Zeigelboim
- Programa de Pós-Graduação em Distúrbios da Comunicação, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | - Maria Renata José
- Programa de Pós-Graduação em Distúrbios da Comunicação, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
- Address for correspondence Maria Renata José, PhD Universidade Tuiuti do ParanáRua Padre Ladislau Kula, n° 395, Santo Inácio, Curitiba, PR, CEP 82.010–210Brasil
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Ferraz AX, Gonçalves FM, Ferreira-Neto PD, Santos RS, Guariza-Filho O, Zeigelboim BS, de Castro Corrêa C, Taveira KVM, de Araujo CM. Impact of bariatric surgery on oral health: a systematic review and meta-analysis. Clin Oral Investig 2023; 27:1869-1884. [PMID: 36961594 DOI: 10.1007/s00784-023-04959-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Accepted: 03/17/2023] [Indexed: 03/25/2023]
Abstract
OBJECTIVE To evaluate the impact of bariatric surgery (BS) on the oral health status of obese individuals. MATERIAL AND METHODS The search was performed on the Cochrane Library, Embase, Latin American and Caribbean Literature on Health Sciences (LILACS), LIVIVO, PubMed/Medline, Scopus, and Web of Science databases. Grey literature was also consulted through Google Scholar, OpenGrey, ProQuest, and MedRxiv. The risk of bias was assessed using the Joanna Briggs Institute Critical Appraisal tool. Pre- and post-surgical moments were compared through random effects meta-analysis. The GRADE (Grading of Recommendations, Assessment, Development and Evaluations) assessment tool was used to judge the certainty of evidence. RESULTS After searching the databases, 908 references were retrieved, with 30 articles selected for synthesis. When comparing the pre- and postoperative moments, there was no difference in the index of decayed, missing, or filled teeth. Furthermore, salivary flow and probing depth presented a slight increase. Post-surgery patients showed an increase (%) in tooth wear at the dentin level [MD = -6.23; IC95% = -8.45--4.01; I2 = 0%]. CONCLUSION Patients undergoing BS show no difference when considering the rate of caries or missing teeth and little to no effect was observed on salivary flow rates and periodontal probing depth. On the other hand, greater attention should be given to dentin wear in post-surgical patients of BS. CLINICAL RELEVANCE Patients undergoing BS should receive careful monitoring regarding oral health by doctors, dentists, and the entire multidisciplinary team involved before and after the surgical procedure.
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Affiliation(s)
- Aline Xavier Ferraz
- Undergraduate Dentistry Program, Tuiuti University of Paraná, Curitiba, Brazil
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM), Curitiba, Paraná, Brazil
| | - Flavio Magno Gonçalves
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM), Curitiba, Paraná, Brazil
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | - Pedro Duarte Ferreira-Neto
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM), Curitiba, Paraná, Brazil
- Undergraduate Department of Dentistry, Federal University of Rio Grande Do Norte, Natal, Rio Grande Do Norte, Brazil
| | - Rosane Sampaio Santos
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM), Curitiba, Paraná, Brazil
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | - Odilon Guariza-Filho
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM), Curitiba, Paraná, Brazil
- Department of Orthodontics, Pontifícia Universidade Católica Do Paraná, Curitiba, Paraná, Brazil
| | - Bianca Simone Zeigelboim
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM), Curitiba, Paraná, Brazil
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | - Camila de Castro Corrêa
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM), Curitiba, Paraná, Brazil
- Department of Speech Therapy and Audiology, Centro Universitário Planalto Do Distrito Federal, Brasília, Distrito Federal, Brazil
| | - Karinna Veríssimo Meira Taveira
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM), Curitiba, Paraná, Brazil
- Department of Morphology- Center of Biosciences, Federal University of Rio Grande Do Norte, Natal, Rio Grande Do Norte, Brazil
| | - Cristiano Miranda de Araujo
- Center for Advanced Studies in Systematic Review and Meta-analysis (NARSM), Curitiba, Paraná, Brazil.
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil.
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Nagata Cavalheiro M, Fonseca VR, Zeigelboim BS, Costa DF, de Lima LV, Bozzo MK, Tonochi RDC, Hartmann BC. Evaluating the Quality of Rigid Optic Videolaryngoscopy Image Taken Through Dental Protection Cap and Its Feasibility as Additional Barrier Method Against COVID-19. J Voice 2023; 37:141.e13-141.e21. [PMID: 33168360 PMCID: PMC7605857 DOI: 10.1016/j.jvoice.2020.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 10/19/2020] [Accepted: 10/20/2020] [Indexed: 01/17/2023]
Abstract
Videolaryngoscopy screening is essential to help assessing human larynx. The use of 70° optical fiber in association with image recording by analog or digital cameras is one of the methods adopted to perform this examination. Endoscopic exams can contaminate the equipment with several microorganisms. The pandemic caused by the new coronavirus reinforces the importance of developing efficient barrier methods to be adopted in videolaryngoscopy procedures. Although dental intraoral camera covers are a barrier method authorized by Brazilian health organs, it has not yet been used in videolaryngoscopy examinations. The aim of the current longitudinal, individualized, single-blind, prospective, self-controlled, and accurate study is to evaluate the quality of images generated through, and confidence level of, diagnosis based on videolaryngoscopy performed with intraoral dental camera equipped with disposable protection cap and connected to 70° rigid laryngoscope in vocally healthy individuals. Videolaryngoscopy examinations based on 70° rigid optics were performed in 13 euphonic and asymptomatic volunteers at an otorhinolaryngology specialist clinic; only 1 patient was excluded from the study. Images were taken with, and without, disposable intraoral dental camera protection cap; high-grade disinfection protocol was applied between examinations. Recorded videos were randomly distributed in a single-blind manner in order to be evaluated by four otorhinolaryngologists, who answered a questionnaire comprising three questions. Statistical analysis was used to compare groups - which were defined by the use, or not, of protection cap - based on Wilcoxon nonparametric test. Statistical significance was set at 5% with 95% confidence interval. There was no statistically significant difference in image quality between examinations performed with, and without, protection cap (P= 0.646) or in the diagnosis confidence level of examinations performed with, or without, the barrier method. The use of disposable protection cap on intraoral dental camera did not significantly change the quality of images taken through videolaryngoscopy performed with 70° rigid optics in vocally healthy patients.
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Affiliation(s)
| | - Vinicius Ribas Fonseca
- Lauro Grein Filho Center for Otorhinolaryngological Studies,Positivo University,Postgraduate Program in Communication Disorders, Tuiuti do Paraná University,Brazilian Red Cross Hospital, Paraná, Brazil
| | | | - Diego F. Costa
- Lauro Grein Filho Center for Otorhinolaryngological Studies
| | | | | | | | - Bruno Ceron Hartmann
- Lauro Grein Filho Center for Otorhinolaryngological Studies,Address correspondence and reprint requests to Bruno Ceron Hartmann, Rua Marquês do Paraná, 1275, Apartamento 43, Bloco A, bairro Água Verde, Curitiba, Paraná CEP: 80620-210, Brazil
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Cavalcante-Leão BL, de Araujo CM, Ravazzi GC, Basso IB, Guariza-Filho O, Taveira KVM, Santos RS, Stechman-Neto J, Zeigelboim BS. Effects of respiratory training on obstructive sleep apnea: systematic review and meta-analysis. Sleep Breath 2022; 26:1527-1537. [PMID: 34850331 DOI: 10.1007/s11325-021-02536-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 11/12/2021] [Accepted: 11/22/2021] [Indexed: 10/19/2022]
Abstract
PURPOSE This systematic review sought to answer the following focused question: "What are the effects of respiratory training devices on obstructive sleep apnea (OSA) outcomes in adults?" METHODS : The acronym "PICOS" was used to determine eligibility criteria, which consists of (P population) = adults with mild to moderate OSA, (I intervention) = spirometry devices or breathing exercises, (C comparison) = compared to no breathing exercises in adults (> 18 years) with mild to moderate OSA, (O outcomes) = improved sleep quality (sleep quality indexes) and improved apnea-hypopnea indexes (AHI), (S study types) = randomized, pseudo-randomized, and non-randomized clinical trials. The search was performed in the following databases: PubMed/Medline, LILACS, Scopus, Web of Science, Scopus, and Cochrane Library, in addition to gray literature through Google Scholar, Proquest, and Open Grey. The risk of bias was assessed using the Cochrane Collaboration tool. The certainty of the evidence was assessed using the GRADE tool. Meta-analyses of random effects were performed for the outcomes of interest. RESULTS A total of 1171 references were found. Applying the eligibility criteria, six studies were included in qualitative synthesis. Expiratory exercises showed a decrease in the apnea-hypopnea index (AHI) when compared to baseline (MD = - 8.4; 95% CI = - 12.4 to - 4.4; I2 = 19%). There was a decrease in values compared to baseline (MD = - 4.4; 95% CI = - 8.2 to - 0.6; I2 = 0%) for the Epworth Sleepiness Scale (ESS), when considering the inspiratory exercises. Both groups of breathing exercises showed a significant decrease in the mean index assessed by the Pittsburgh Sleep Quality Index (PSQI). CONCLUSION Results of this meta-analysis suggests that breathing exercises lead to a measurable improvement in AHI for patients with mild to moderate OSA, as well as an improvement in sleep quality and daytime sleepiness. SYSTEMATIC REVIEW REGISTRATION CRD42020148513 (PROSPERO).
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Affiliation(s)
- Bianca Lopes Cavalcante-Leão
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, 82010-330, Brazil.
| | - Cristiano Miranda de Araujo
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, 82010-330, Brazil
| | - Glória Cortz Ravazzi
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, 82010-330, Brazil
| | - Isabela Bittencourt Basso
- Postgraduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - Odilon Guariza-Filho
- Department of Orthodontics, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - Karinna Veríssimo Meira Taveira
- Department of Morphology- Center of Biosciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Rosane Sampaio Santos
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, 82010-330, Brazil
| | - José Stechman-Neto
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, 82010-330, Brazil
| | - Bianca Simone Zeigelboim
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, 82010-330, Brazil
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Mattos PMD, Gonçalves FM, Basso IB, Ferraz AX, Zeigelboim BS, Stechman-Neto J, Santos RS, Araujo CMD, Guariza-Filho O. Periodontal parameters in orthodontically tractioned teeth: A systematic review and meta-analysis. Korean J Orthod 2022; 52:420-431. [DOI: 10.4041/kjod22.123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 07/23/2022] [Accepted: 08/17/2022] [Indexed: 11/26/2022] Open
Affiliation(s)
- Paola Marques de Mattos
- Postgraduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - Flavio Magno Gonçalves
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
- Center for Advanced Studies in Systematic Review and Meta-analysis - NARSM, Curitiba, Paraná, Brazil
| | - Isabela Bittencourt Basso
- Center for Advanced Studies in Systematic Review and Meta-analysis - NARSM, Curitiba, Paraná, Brazil
| | - Aline Xavier Ferraz
- Center for Advanced Studies in Systematic Review and Meta-analysis - NARSM, Curitiba, Paraná, Brazil
- Undergraduate Dentistry Program, Tuiuti University of Paraná, Curitiba, Brazil
| | | | - José Stechman-Neto
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
- Center for Advanced Studies in Systematic Review and Meta-analysis - NARSM, Curitiba, Paraná, Brazil
| | - Rosane Sampaio Santos
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
- Center for Advanced Studies in Systematic Review and Meta-analysis - NARSM, Curitiba, Paraná, Brazil
| | - Cristiano Miranda de Araujo
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
- Center for Advanced Studies in Systematic Review and Meta-analysis - NARSM, Curitiba, Paraná, Brazil
| | - Odilon Guariza-Filho
- Center for Advanced Studies in Systematic Review and Meta-analysis - NARSM, Curitiba, Paraná, Brazil
- Department of Orthodontics, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
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Alves Otelakoski B, Magno Gonçalves F, Marques de Mattos de Araujo B, Zeigelboim BS, Veríssimo Meira Taveira K, Sampaio Santos R, Guariza-Filho O, Stechman-Neto J, Miranda de Araujo C. Comparison of orthodontic root resorption of root-filled and vital teeth. J Am Dent Assoc 2022; 153:532-541.e7. [DOI: 10.1016/j.adaj.2021.11.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Revised: 11/09/2021] [Accepted: 11/15/2021] [Indexed: 11/17/2022]
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15
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Silva RDD, Santos RS, Taveira KVM, Guariza Filho O, Basso IB, Ravazzi GMNC, Zeigelboim BS, Stechman-Neto J, Araujo CMD. Deglutition assessment instruments used in critical patients submitted to orotracheal extubation: a scoping review. Rev CEFAC 2022. [DOI: 10.1590/1982-0216/20222457222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Affiliation(s)
- Rayane Délcia da Silva
- Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise, Brasil; Universidade Tuiuti do Paraná, Brazil
| | - Rosane Sampaio Santos
- Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise, Brasil; Universidade Tuiuti do Paraná, Brazil
| | - Karinna Verissimo Meira Taveira
- Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise, Brasil; Universidade Federal do Rio Grande do Norte, Brazil
| | - Odilon Guariza Filho
- Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise, Brasil; Pontifícia Universidade Católica do Paraná, Brazil
| | | | | | - Bianca Simone Zeigelboim
- Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise, Brasil; Universidade Tuiuti do Paraná, Brazil
| | - José Stechman-Neto
- Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise, Brasil; Universidade Tuiuti do Paraná, Brazil
| | - Cristiano Miranda de Araujo
- Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise, Brasil; Universidade Tuiuti do Paraná, Brazil
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de Araujo CM, Guariza-Filho O, Gonçalves FM, Basso IB, Schroder AGD, Cavalcante-Leão BL, Ravazzi GC, Zeigelboim BS, Stechman-Neto J, Santos RS. Front lines of the COVID-19 pandemic: what is the effectiveness of using personal protective equipment in health service environments?-a systematic review. Int Arch Occup Environ Health 2022; 95:7-24. [PMID: 34674034 PMCID: PMC8528650 DOI: 10.1007/s00420-021-01775-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 01/08/2021] [Indexed: 01/09/2023]
Abstract
PURPOSE This systematic review aimed to evaluate the effectiveness of the use of personal protective equipment (PPE) in closed environments, similar to waiting or exam rooms of healthcare facilities, in the face of exposure to a bioaerosol. METHODS Combinations of words were selected for six electronic databases and for the gray literature. To consider the eligibility of the studies to be included/excluded, the acronym "PECOS" was used: humans and/or experimental models that simulate aerosol (Population); aerosol exposure and the use of masks/respirators (exposition/intervention); controlled or not controlled (comparison); effectiveness of PPE and the receiver exposure (outcomes); and randomized clinical studies or not, observational or laboratory simulation studies (Studies design). RESULTS A total of 4820 references were retrieved by the search strategy. Thirty-five articles were selected for complete reading, of which 13 articles were included for qualitative synthesis. A surgical mask or N95 respirator reduced the risk of transmission, even over short distances. The use of masks, even those with less filtering power, when used by all individuals in the same environment is more effective in reducing risk than the use of respirators with high filtering power for only some of the individuals present. CONCLUSION The use of mask in closed environments is effective in reducing the risk of transmission and contagion of a contaminated bioaerosol, with greater effectiveness when these devices are used by the source and receiver, regardless of the equipment's filtering power. (PROSPERO 2020 CRD 42020183759).
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Affiliation(s)
| | - Odilon Guariza-Filho
- Department of Orthodontics, School of Health and Bioscience, Pontifícia Universidade Católica do Paraná, Street Imaculada Conceição, 1155, Prado Velho, Curitiba, Paraná 80215-901 Brazil
| | - Flavio Magno Gonçalves
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | - Isabela Bittencourt Basso
- Postgraduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná Brazil
| | | | | | - Glória Cortz Ravazzi
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | | | - José Stechman-Neto
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | - Rosane Sampaio Santos
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
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17
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Zengiski ACS, Basso IB, Cavalcante-Leão BL, Stechman-Neto J, Santos RS, Guariza-Filho O, Zeigelboim BS, Taveira KVM, de Araujo CM. Effect and longevity of botulinum toxin in the treatment of gummy smile: a meta-analysis and meta-regression. Clin Oral Investig 2021; 26:109-117. [PMID: 34652491 DOI: 10.1007/s00784-021-04223-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Accepted: 10/10/2021] [Indexed: 12/25/2022]
Abstract
OBJECTIVE The aim of this systematic review is to synthesize the evidence on the effectiveness and longevity of the botulinum toxin in the treatment of individuals with excessive gingival exposure. METHODS The search was adapted to six electronic databases and gray literature. The risk of bias was assessed using the Cochrane Risk of Bias Assessment Tool for Non-Randomized and Randomized Studies of Interventions. Meta-analyses and meta-regression were performed using random effects models. RESULTS A total of 5247 articles were collected during the final search in the database, resulting in 17 articles included. There was a mean decrease of 3.42 mm [95% CI = -4.50 to -2.34; I2 = 97%] in the level of gingival exposure 2 weeks after the application of botulinum toxin. The application time explained 29.58% of the observed variance (p < 0.001), with a tendency for the effect size to decrease from the second week of application onwards, with values returning close to baseline levels in 24 weeks. CONCLUSION Botulinum toxin is an alternative technique considered effective for reducing gummy smile, especially for gummy smiles up to 4 mm, with a longevity of at least 12 weeks, returning close to initial values within 24 weeks after application. CLINICAL RELEVANCE The knowledge about the longevity and effectiveness of botulinum toxin in the treatment of gummy smile allows for a more adequate clinical planning for these cases, as well as for clinical decisions, as for prognostic factors.
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Affiliation(s)
| | - Isabela Bittencourt Basso
- Postgraduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - Bianca L Cavalcante-Leão
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, Brazil
| | - José Stechman-Neto
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, Brazil
| | - Rosane Sampaio Santos
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, Brazil
| | - Odilon Guariza-Filho
- Department of Orthodontics, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - Bianca Simone Zeigelboim
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, Brazil
| | - Karinna Veríssimo Meira Taveira
- Department of Morphology - Center of Biosciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Cristiano Miranda de Araujo
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR, Brazil.
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18
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de Souza Alcarás PA, Zeigelboim BS, Corazza MCA, Lüders D, Marques JM, de Lacerda ABM. Findings on the Central Auditory Functions of Endemic Disease Control Agents. Int J Environ Res Public Health 2021; 18:ijerph18137051. [PMID: 34280998 PMCID: PMC8297216 DOI: 10.3390/ijerph18137051] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 06/26/2021] [Accepted: 06/26/2021] [Indexed: 11/16/2022]
Abstract
This study aimed to assess the central auditory functions of endemic disease control agents. This cross-sectional cohort study comprised two groups: the exposed group, with 38 male endemic disease control agents with simultaneous occupational noise and pesticide exposure; and the control group, with 18 age- and sex-matched workers without occupational noise and/or pesticide exposure. All participants underwent pure-tone audiometry, brainstem auditory evoked potentials, dichotic digits test, and transient-evoked otoacoustic emissions suppression effect. There was a significant inter-group difference in waves III and V absolute latencies, and interpeak I-III and I-V latencies bilaterally, with worse results found in the exposed group. Abnormal dichotic digits test results occurred more often in the exposed group, with a significant association between pesticide- and noise-exposure and the abnormal results (p = 0.0099). The transient-evoked otoacoustic emissions with suppression effect did not yield significant inter-group differences. It was concluded that pesticide and noise exposure induce harmful effects on the central auditory functions, particularly on the brainstem and figure-ground speech-sound auditory skills.
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Affiliation(s)
- Patrícia Arruda de Souza Alcarás
- Audiology Department, Speech Therapy School, University of Western São Paulo, UNOESTE, Presidente Prudente 19050-920, SP, Brazil; (P.A.d.S.A.); (M.C.A.C.)
| | - Bianca Simone Zeigelboim
- Post-Graduate Program in Communication Disorders, Tuiuti University of Paraná, UTP, Curitiba 82010-330, PR, Brazil; (B.S.Z.); (D.L.); (J.M.M.)
| | - Maria Cristina Alves Corazza
- Audiology Department, Speech Therapy School, University of Western São Paulo, UNOESTE, Presidente Prudente 19050-920, SP, Brazil; (P.A.d.S.A.); (M.C.A.C.)
| | - Débora Lüders
- Post-Graduate Program in Communication Disorders, Tuiuti University of Paraná, UTP, Curitiba 82010-330, PR, Brazil; (B.S.Z.); (D.L.); (J.M.M.)
| | - Jair Mendes Marques
- Post-Graduate Program in Communication Disorders, Tuiuti University of Paraná, UTP, Curitiba 82010-330, PR, Brazil; (B.S.Z.); (D.L.); (J.M.M.)
| | - Adriana Bender Moreira de Lacerda
- Audiology Department, Speech Language and Audiology School, Medicine Faculty, Université de Montréal, UdeM, Montreal H3C 3J7, QC, Canada
- Correspondence: ; Tel.: +1-514-343-6111 (ext. 38880)
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Zeigelboim BS, José MR, dos Santos GJB, Severiano MIR, Teive HAG, Stechman-Neto J, Santos RS, de Araújo CM, Cavalcante-Leão BL. Balance rehabilitation with a virtual reality protocol for patients with hereditary spastic paraplegia: Protocol for a clinical trial. PLoS One 2021; 16:e0249095. [PMID: 33793609 PMCID: PMC8016341 DOI: 10.1371/journal.pone.0249095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 03/08/2021] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Neurodegenerative diseases are sporadic hereditary conditions characterized by progressive dysfunction of the nervous system. Among the symptoms, vestibulopathy is one of the causes of discomfort and a decrease in quality of life. Hereditary spastic paraplegia is a heterogeneous group of hereditary degenerative diseases involving the disorder of a single gene and is characterized by the progressive retrograde degeneration of fibers in the spinal cord. OBJECTIVE To determine the benefits of vestibular rehabilitation involving virtual reality by comparing pre intervention and post intervention assessments in individuals with hereditary spastic paraplegia. METHODS In this randomized controlled clinical trial from the Rebec platform RBR-3jmx67 in which allocation concealment was performed and the evaluators be blinded will be included. The participants will include 40 patients diagnosed with hereditary spastic paraplegia. The interventions will include vestibular rehabilitation with virtual reality using the Wii® console, Wii-Remote and Wii Balance Board (Nintendo), and the studies will include pre- and post intervention assessments. Group I will include twenty volunteers who performed balance games. Group II will include twenty volunteers who performed balance games and muscle strength games. The games lasted from 30 minutes to an hour, and the sessions were performed twice a week for 10 weeks (total: 20 sessions). RESULTS This study provides a definitive assessment of the effectiveness of a virtual reality vestibular rehabilitation program in halting the progression of hereditary spastic paraplegia, and this treatment can be personalized and affordable. CONCLUSION The study will determine whether a vestibular rehabilitation program with the Nintendo Wii® involving virtual reality can reduce the progressive effect of hereditary spastic paraplegia and serve as an alternative treatment option that is accessible and inexpensive. Rebec platform trial: RBR-3JMX67.
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Alcarás PADS, Zeigelboim BS, Corazza MCA, Lüders D, Marques JM, Lacerda ABMD. Vestibular Function Evaluation in Endemic Diseases Combat Agents. Health (London) 2021. [DOI: 10.4236/health.2021.132013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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21
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Zeigelboim BS, José MR, Severiano MIR, Santos GJBD, Teive HAG, Liberalesso PBN, Marques JM, Rosa MRD, Santos RS, Malisky JS. The Use of Exergames in the Neurorehabilitation of People with Parkinson Disease: The Impact on Daily Life. Int Arch Otorhinolaryngol 2021; 25:e64-e70. [PMID: 33542753 PMCID: PMC7850887 DOI: 10.1055/s-0040-1702973] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2019] [Accepted: 12/26/2019] [Indexed: 10/29/2022] Open
Abstract
Introduction Parkinson disease (PD) is a progressive degeneration characterized by motor disorders, such as tremor, bradykinesia, stiffness and postural instability. Objective To evaluate the independence, confidence and balance in the development of daily activities in patients with PD before and after rehabilitation. Methods A descriptive, retrospective cross-sectional study was carried out with 16 patients (mean 57.6 ± 18.7 years), submitted to anamnesis, otolaryngological evaluation and vestibular assessment. The Vestibular Disorders Activities of Daily Living (VADL) and the Activities-Specific Balance Confidence (ABC) scales were applied before and after rehabilitation with virtual reality. Results a) The instrumental subscale of the questionnaire showed statistically significant result ( p = 0.022; 95% CI 1.21; 2.21) between the first and second assessments; b) The correlation between the questionnaires showed statistically significant result in the ambulation subscale ( p = 0.011; 95% CI -0.85; -0.17) first and ( p = 0.002, 95% CI -0.88; -0.31) second assessments, and the functional subscale was only verified in the second assessment ( p = 0.011, 95% CI -0.85; -0.17); and c) The patients presented clinical improvement in the final assessment after rehabilitation with significant result for the tightrope walk ( p = 0.034, 95% CI -12.5; -0.3) and ski slalom games ( p = 0.005, 95% CI -34.8; -6.6). Conclusions Our results showed that the VADL and ABC questionnaires, applied before and after rehabilitation, were important tools to measure the independence, confidence and balance while developing daily activities. The VADL and ABC questionnaires may effectively contribute to quantify the effect of the applied therapeutics and, consequently, its impact on the quality of life of patients with PD.
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Affiliation(s)
| | - Maria Renata José
- Department of Otoneurology, Universidade Tuiuti do Paraná (UTP), Curitiba, PR, Brazil
| | | | | | | | | | - Jair Mendes Marques
- Department of Otoneurology, Universidade Tuiuti do Paraná (UTP), Curitiba, PR, Brazil
| | | | - Rosane Sampaio Santos
- Department of Otoneurology, Universidade Tuiuti do Paraná (UTP), Curitiba, PR, Brazil
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22
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Albizu EJ, de Oliveira Gonçalves CG, de Lacerda ABM, Zeigelboim BS, Marques JM. Noise exposure and effects on hearing in Brazilian fishermen. Work 2020; 65:881-889. [PMID: 32310217 DOI: 10.3233/wor-203139] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Several health conditions among professional fishermen have been reported. Among the risks to the health of fishermen, it should be noted that high noise levels cause hearing loss and general health problems. OBJECTIVE to investigate the effects of exposure to occupational noise on hearing in professional fishermen at the main large-scale commercial fishing center in Brazil. METHODS A cross-sectional study, 466 Brazilian commercial fishermen participated in the study, all males, ages range 18-67 years. A total of 15 vessels were included in the study. The first phase involved assessment of the sound pressure levels (SPLs) in the vessels, the second phase involved the use of a questionnaire and audiological assessment. RESULTS Most compartments registered SPLs greater than 80 dBA and the noisiest compartment was the engine-room, where the vessel pilot works. Among the fishermen, tinnitus was the most commonly reported symptom (48.63%). A higher prevalence of hearing loss was observed in engine-room keepers. Longer the length of time in service, and consequently, exposure to noise (in years), were associated with higher auditory thresholds. CONCLUSION the tolerance limits to noise exposure were exceeded according to legislation. Fishing activities are associated with noise-induced hearing loss, with the risk increasing with the length of service.
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Affiliation(s)
- Evelyn J Albizu
- Department of Communication Disorders, Universidade Tuiuti do Paraná - Communication Disorders Program, Curitiba, Paraná, Brazil
| | | | | | - Bianca Simone Zeigelboim
- Department of Communication Disorders, Universidade Tuiuti do Paraná - Communication Disorders Program, Curitiba, Paraná, Brazil
| | - Jair Mendes Marques
- Department of Communication Disorders, Universidade Tuiuti do Paraná - Communication Disorders Program, Curitiba, Paraná, Brazil
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de Araujo CM, Trannin PD, Schroder AGD, Stechman-Neto J, Cavalcante-Leão BL, Mattos NHR, Zeigelboim BS, Santos RS, Guariza-Filho O. Surgical-Periodontal aspects in orthodontic traction of palatally displaced canines: a meta-analysis. Jpn Dent Sci Rev 2020; 56:164-176. [PMID: 33294059 PMCID: PMC7701265 DOI: 10.1016/j.jdsr.2020.10.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 09/16/2020] [Accepted: 10/09/2020] [Indexed: 11/25/2022] Open
Abstract
The aim was to determine whether there is a difference in the periodontal aspect (gingival recession, probing pocket depth) of the palatally displaced canine (PDC) compared to the contralateral canine. Also, from a surgical perspective, sought to determine whether there is a difference (surgical duration, postoperative pain) between the surgical techniques. The word combinations were adapted for each electronic database: PubMed, LILACS, Scopus, Web of Science, Cochrane Library and gray literature. Studies that met the following criteria were considered eligible: (P) Patients who received orthodontic-surgical treatment for correction of PDC; (I) Performing orthodontic-surgical treatment for traction of the PDC; (C) Comparison of the tractioned canine with its contralateral or between the two techniques; (O) Gingival recession, probing pocket depth, postoperative complications and surgical duration; (S) Randomized and nonrandomized clinical studies or observational studies. The overall prevalence of gingival recession was estimated to be 10.53% [95% CI, 3.87% - 25.59%; I2 = 88%]. No statistically significant difference (p > 0.05) was found between the means of the variables gingival recession, probing pocket depth and surgical duration. The evidence suggests that traction of palatally displaced canines can be considered a reliable and acceptable procedure.
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Affiliation(s)
| | - Pâmela Dias Trannin
- Postgraduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | | | - José Stechman-Neto
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | | | | | | | - Rosane Sampaio Santos
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | - Odilon Guariza-Filho
- Department of Orthodontics, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
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José MR, Mondelli MFCG, Correia JB, Bohn V, Lauris JRP, Zeigelboim BS, Feniman MR. Adult Perfomance on the Sustained Auditory Attention Skill Test. Int Arch Otorhinolaryngol 2020; 25:e249-e254. [PMID: 33968228 PMCID: PMC8096492 DOI: 10.1055/s-0040-1712481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Accepted: 03/29/2020] [Indexed: 11/21/2022] Open
Abstract
Introduction
The Sustained Auditory Attention Ability Test (SAAAT) is an instrument used to assess sustained auditory attention in children. Difficulties related to this ability are not unique to children alone, as adults have been observed to present with the same deficits. Therefore, there is a need to adapt instruments like the SAAAT and provide reference values for adults.
Objective
To assess adult performance on the SAAAT.
Methods
Approved by the Human Research Ethics Committee under n° 034/2011. The sample consisted of 30 participants aged between 18 and 30 years old (average age = 24.2 years old), female and male. The inclusion criteria were: peripheral hearing within normal limits, type A tympanometric curve, and no attention-related complaints. The participants were submitted to Tonal Audiometry, Logoaudiometry, Immitanciometry and to the SAAAT.
Results
The following mean values and standard deviations (SD) were observed: inattention = 1.7 (SD = 2.2) and impulsivity = 0.8 (SD = 0.9) error types. For the SAAAT, the mean value for the total error score was 2.4 (SD = 2.6), and for the decrease in vigilance, it was 0.3 (SD = 0.5). When comparing the performance of adults and children, a statistically significant difference was observed for inattention (
p
= 0.000) and impulsivity (
p
= 0.001) error types, as well as in the total error score (
p
= 0.000) and in decreased vigilance (
p
= 0.0003).
Conclusion
The performance of adults in the SAAAT differed from the children's parameters, since adults showed lower scores in all variables of the instrument.
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Affiliation(s)
- Maria Renata José
- Postgraduate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | | | - Jordana Batista Correia
- Postgraduate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | - Vanessa Bohn
- Postgraduate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil.,Instituto Superior e Centro Educacional Luterano Bom Jesus, Joinville, SC, Brazil
| | - José Roberto Pereira Lauris
- Postgraduate Program in Orthodontics and Dentistry in Collective Health, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil
| | - Bianca Simone Zeigelboim
- Postgraduate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | - Mariza Ribeiro Feniman
- Postgraduate Program in Speech Therapy, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil
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Mello NMD, Zonta MB, Teive HAG, Meira AT, Lopes Neto FDN, Silva JTDSND, Camargo CHF, Zeigelboim BS. Assessment of ventilatory function in patients with spinocerebellar ataxia type 2. Arq Neuropsiquiatr 2020; 78:96-102. [PMID: 32022136 DOI: 10.1590/0004-282x20190156] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/13/2019] [Accepted: 09/30/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Subclinical ventilatory dysfunction is observed in individuals with spinocerebellar ataxias (SCA). No studies have correlated ventilatory dysfunction to clinical and functional decline in SCA2. OBJECTIVE To evaluate the relationship between the values of peak expiratory flow (PEF), maximum inspiratory pressure (MIP), and presence of respiratory complaints with age, disease duration, age at onset of symptoms, balance scores, independence in basic (ADL) and instrumental (IADL) Activities of Daily Living (ADLs), and severity of ataxia (SARA) in individuals with SCA2. METHODS Cross-sectional study evaluating age, disease duration, age at onset of symptoms, scores in the Berg Balance Scale and in the SARA, Functional Independence Measure and Lawton's scale, values of PEF and MIP, and the presence of respiratory complaints. RESULTS The study included 36 individuals with SCA2, with a mean age of 42.5±2.4 years, disease duration of 7.6±8.2 years, age 33.7±11.5 years at onset of symptoms, and 9.9±10.3 points in the SARA scale. The lowest PEF values correlated with the longer disease duration (p=0.021). The lowest values of PEF and MIP correlated with greater balance impairment (p=0.019 and p=0.045, respectively), increased degree of dependence in the ADL (p=0.006 and p=0.050, respectively) and IADL (p=0.003 and p=0.001, respectively) scales, and highest severity of ataxia (p=0.00 and p=0.017, respectively). Respiratory complaints were observed in 12 (33.3%) individuals and were not related to age, disease duration, age at onset of symptoms, balance, independence, ataxia severity, or PEF and MIP values. CONCLUSION Ventilatory dysfunction, even when asymptomatic, is related to balance impairment, independence, and ataxia severity in individuals with SCA2.
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Affiliation(s)
- Neliana Maria de Mello
- Universidade Federal do Paraná, Hospital de Clínicas, Unidade Multiprofissional, Serviço de Fisioterapia, Curitiba PR, Brazil
| | - Marise Bueno Zonta
- Universidade Federal do Paraná, Hospital de Clínicas, Departamento de Medicina Interna, Serviço de Neurologia, Setor de Distúrbios do Movimento, Curitiba PR, Brazil
- Universidade Federal do Paraná, Hospital de Clínicas, Departamento de Medicina Interna, Programa de Pós-Graduação em Medicina Interna (Neurologia), Curitiba PR, Brazil
| | - Hélio Afonso Ghizoni Teive
- Universidade Federal do Paraná, Hospital de Clínicas, Departamento de Medicina Interna, Serviço de Neurologia, Setor de Distúrbios do Movimento, Curitiba PR, Brazil
- Universidade Federal do Paraná, Hospital de Clínicas, Departamento de Medicina Interna, Programa de Pós-Graduação em Medicina Interna (Neurologia), Curitiba PR, Brazil
| | - Alex Tiburtino Meira
- Universidade Federal do Paraná, Hospital de Clínicas, Departamento de Medicina Interna, Serviço de Neurologia, Setor de Distúrbios do Movimento, Curitiba PR, Brazil
| | | | | | - Carlos Henrique Ferreira Camargo
- Universidade Federal do Paraná, Hospital de Clínicas, Departamento de Medicina Interna, Programa de Pós-Graduação em Medicina Interna (Neurologia), Curitiba PR, Brazil
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Lemos RG, Vieira TT, Pereira KDFPDO, Pereira ADS, Zeigelboim BS, Santos RS. Acoustic analysis of swallowing sounds in tracheostomized patients affected by traumatic brain injury. Rev CEFAC 2020. [DOI: 10.1590/1982-0216/20202258218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Purpose: to demonstrate the feasibility of using the acoustic analysis of swallowing sounds as a combined method in the clinical assessment of tracheostomized patients affected by traumatic brain injury. Methods: an observational, cross-sectional study. A total of 10 adult patients, in the mean age of 43.6 years, participated. They were hospitalized in wards, semi-intensive, or intensive care units, from May to July 2016. The inclusion criterion involved being affected by traumatic brain injury, confirmed with a CT scan. The Speech Therapy Tracheal Decannulation Protocol was used in the clinical assessment, as well as the cervical auscultation with the Doppler sonar. Fisher’s test was used, resulting in no significant relationship (p > 0.05) between the variables analyzed in the two consistencies and decannulation. Results: the presence of an acoustic signal of laryngeal elevation was observed, as well as noise between the swallowings, and acoustic signal suggestive of residue in 50% of the patients for the consistencies tested. When the peak frequency, mean wave time, presence of residue in between swallowings, and acoustic signal suggestive of residues were correlated with decannulation (Table 5), no significant correlation was verified (p > 0.05) between the variables analyzed in the two consistencies and the decannulation. Conclusion: the study suggests that it is feasible to use the Doppler sonar as a combined method in the clinical assessment of dysphagia for the decannulation of patients affected by traumatic brain injury.
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Zeigelboim BS, Scheidt AWV, Kronbauer KF, Liberalesso PBN, José MR, Fonseca VR, Teive HAG. Pure-Tone Hearing Thresholds and Brainstem Auditory Evoked Potentials in Sporadic Ataxia. Int Arch Otorhinolaryngol 2020; 24:e86-e92. [PMID: 31892963 PMCID: PMC6828567 DOI: 10.1055/s-0039-1693676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Accepted: 06/06/2019] [Indexed: 11/18/2022] Open
Abstract
Introduction
Spinocerebellar ataxia (SCA) is part of a genetic and clinical heterogeneous group of neurodegenerative diseases characterized by progressive cerebellar ataxia.
Objective
To describe the results of audiological and electrophysiological hearing evaluations in patients with sporadic ataxia (SA).
Methods
A retrospective cross-sectional study was carried out with 11 patients submitted to the following procedures: anamnesis, otorhinolaryngological evaluation, tonal and vocal audiometry, acoustic immittance and brainstem auditory evoked potential (BAEP) tests.
Results
The patients presented with a prevalence of gait imbalance, of dysarthria, and of dysphagia; in the audiometric and BAEPs, four patients presented with alterations; in the acoustic immittance test, five patients presented with alterations, predominantly bilateral.
Conclusion
The most evident alterations in the audiological evaluation were the prevalence of the descending audiometric configuration between the frequencies of 2 and 4 kHz and the absence of the acoustic reflex between the frequencies of 3 and 4 kHz bilaterally. In the electrophysiological evaluation, the patients presented changes with a prevalence of increased I, III and V wave latencies and the interval in the interpeak I-III, I-V and III-V. In the present study, it was observed that auditory complaints did not have a significant prevalence in this type of ataxia, which does not occur in some types of autosomal recessive and dominant ataxia.
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Affiliation(s)
| | | | | | | | - Maria Renata José
- Department of Otorhinolaryngology, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
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Zeigelboim BS, Severiano MI, Bueno dos Santos GJ, Teive H, Rodrigues da Rosa M, Sampaio R, Jose MR, Malisky JS, Lacerda A. The use of exergames in neurorehabilitation. Neurophysiol Clin 2019. [DOI: 10.1016/j.neucli.2019.10.112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Zeigelboim BS, Albano dos Santos Junior C, Teive H, Spricigo Malisky J, Jose MR, Rodrigues da Rosa M, Lacerda A. Alcoholic cerebellar degeneration: A case report. Neurophysiol Clin 2019. [DOI: 10.1016/j.neucli.2019.10.113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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30
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Zeigelboim BS, Teivec H, Rodrigues da Rosa M, Jose MR, Spricigo Malisky J, Lacerda A. Vestibular evaluation in autosomal dominant cerebellar ataxia with prevalence in the south of Brazil. Neurophysiol Clin 2019. [DOI: 10.1016/j.neucli.2019.10.111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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de Araujo CM, Schroder AGD, de Araujo BMDM, Cavalcante-Leão BL, Stechman-Neto J, Zeigelboim BS, Santos RS, Guariza-Filho O. Impact of orthodontic-surgical treatment on quality of life: a meta-analysis. Eur J Orthod 2019; 42:281-289. [DOI: 10.1093/ejo/cjz093] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Summary
Background
Orthognathic surgery involves a change in the patient’s functional and aesthetic aspects.
Objective
The objective was to answer the following focused question: what is the impact on quality of life (QoL; aesthetic, function, social, and psychological aspects) in patients undergoing orthodontic-surgical treatment?
Search methods
Appropriate word combinations and truncations were selected and tailored specifically for each electronic database: PubMed/Medline, Scopus, Web of Science, PsycInfo, and Latin American and Caribbean Health Sciences Literature and gray literature.
Selection criteria
Studies that met the following criteria was included: patients with dentofacial deformity (P); surgical correction through orthodontic-surgical treatment (E/I); before orthodontic-surgical treatment or patients with no dentofacial deformity (C); QoL (O); cross-sectional, cohort, case-control and randomized or non-randomized clinical trial (S).
Data collection and analysis
In phase 1, two reviewers independently reviewed the titles and abstracts of all references. All articles that did not meet the inclusion criteria were excluded. In phase 2, the same reviewers completely read the selected articles independently.
Results
A total of 2879 articles were retrieved during the final database search. Fifty-two articles were selected for full reading, of which 16 were excluded, resulting in 36 included articles. The meta-analysis was performed using 13 of the selected studies. When comparing the period before any treatment with the post-operative period of 4–8 weeks, there was an association only for facial aesthetics (mean difference = 3.00; 95 per cent confidence interval = 1.10–4.89; inconsistency index = 63 per cent). The comparison between the period before any treatment with the 6 month post-operative period showed an improved QoL in all of the domains evaluated and, when comparing data after the orthodontic-surgical preparation (before surgery) and after 5–12 months of surgery, there was also statistical significance with an increased QoL for all of the domains evaluated.
Conclusions
In conclusion, based on the results of this systematic review and meta-analysis, the evidence suggests an improvement in the QoL of patients undergoing orthodontic-surgical treatment regarding aesthetic, functional, social, and psychological aspects.
Registration
CRD42017069495
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Affiliation(s)
- Cristiano Miranda de Araujo
- Postgraduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | | | | | | | - José Stechman-Neto
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | | | - Rosane Sampaio Santos
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil
| | - Odilon Guariza-Filho
- Postgraduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba
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Mafra NV, Ribas A, Moretti C, Zeigelboim BS, Fonseca VR, Borburema RM. Comparing Individuals through the Speech Recognition Test Applied to Regional Live Voice and Recorded Speeches from Paraná State in Five Brazilian Counties. Int Arch Otorhinolaryngol 2019; 23:e256-e261. [PMID: 31360243 PMCID: PMC6660290 DOI: 10.1055/s-0038-1668127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2018] [Accepted: 05/26/2018] [Indexed: 11/15/2022] Open
Abstract
Introduction
Speech tests such as logoaudiometry measure the ability to perceive and recognize oral sounds. The Speech Recognition Index (SRI) is one of the speech tests adopted in clinical routine; it uses standardized live voice and recorded speeches. The live voice speech method can be influenced by intra and interspeaker variability, as well as by regionalism variability, whereas recorded tests show consistency in their presentation.
Objective
Analyzing results of the SRI test applied to live voice and recorded speeches from Paraná State, in different Brazilian counties.
Method
The sample comprised 125 individuals, 25 from each county (Rio de Janeiro, Florianópolis, Porto Alegre, Salvador and Curitiba), from both sexes, in the age group 20 to 70 years; the SRI was applied in both techniques.
Results
The recorded speech method showed prevalence of hit improvement in Rio de Janeiro (40%), Salvador, Porto Alegre and Florianópolis (28%). Individuals from Salvador and Florianópolis subjected to the recorded speech method showed better results in the left ear. Individuals from Rio de Janeiro and Porto Alegre showed satisfactory results in both ears, whereas those from Curitiba did not show statistically significant difference between the left and the right ear.
Conclusion
The recorded CD application method showed prevalence of hit improvement (%) in the SRI responses in comparison to the live voice speech technique in most of the studied counties. According to the hit rate measured in the herein investigated counties, Rio de Janeiro showed the best results in the recorded speech method.
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Affiliation(s)
- Nicoli Valverde Mafra
- Department of Speech Therapy, Hospital Universitário da Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Angela Ribas
- Communication Disorders Postgraduate Program, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
| | - Claudia Moretti
- Department of Speech Therapy, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
| | - Bianca Simone Zeigelboim
- Communication Disorders Postgraduate Program, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
| | - Vinicius Ribas Fonseca
- Department of Otorhinolaringology, Otorrinos - Hospital da Cruz Vermelha, Curitiba, Paraná, Brazil.,Discipline of Otorhinolaringology, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
| | - Rodrigo Marques Borburema
- Department of Otorhinolaringology, Otorrinos - Hospital da Cruz Vermelha, Curitiba, Paraná, Brazil.,Department of Otorhinolaringology, Centro de Estudos Otorrinolaringológicos Lauro Grein Filho, Curitiba, Paraná, Brazil
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Zeigelboim BS, Malisky JS, Rosa MRD, Lacerda ABMD, Alcaraz PDS, Fonseca VR. The Importance of Otoneurological Evaluation in Brazilian Workers Exposed to Pesticides: A Preliminary Study. Int Arch Otorhinolaryngol 2019; 23:e389-e395. [PMID: 31649757 PMCID: PMC6805213 DOI: 10.1055/s-0039-1684009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2018] [Accepted: 02/13/2019] [Indexed: 11/13/2022] Open
Abstract
Introduction
Agrochemicals, also known as pesticides, are widely used in agriculture and in public health. They are organic and inorganic chemical substances with a high level of toxicity not only for the environment, but also for human health.
Objective
To verify findings on labyrinthine assessment in endemic disease control agents, and to recommend the inclusion of the vestibular exam in the set of tests for pesticide-exposed populations.
Methods
Descriptive, prospective, cross-sectional study with a sample comprising 15 endemic disease control agents, males, mean age of 51.6 years old (standard deviation [SD] = 5.9). All of the participants were submitted to anamnesis, otorhinolaryngological screening, and vestibular assessment.
Results
Regarding the most reported complaints, dizziness (73.4%), headache (60%), and tingling in the extremities (53.4%) were observed. The findings of the vestibular exams were normal in 53.3%, while 46.7% showed peripheral vestibular disorder, of which 26.7% were of deficitary type, and 20% of the irritative type.
Conclusions:
Alteration in the vestibular system was verified in 50% of the workers, with a greater prevalence in the caloric testing. Several disorders related to pesticides intoxication are scientifically known. Actions promoting knowledge and qualification of this population for the proper handling of chemicals are suggested, in addition to the elaboration and inclusion of protocols of vestibular assessment in hearing health programs for the prevention, diagnosis and treatment of vestibular disorders.
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Affiliation(s)
- Bianca Simone Zeigelboim
- Department of Otoneurology, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil.,Post-Graduate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | | | | | - Adriana Bender Moreira de Lacerda
- Department of Otoneurology, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil.,Post-Graduate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | - Patrícia de Souza Alcaraz
- Post-Graduate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil.,Department of Audiology, Universidade do Oeste Paulista, Presidente Prudente, SP, Brazil
| | - Vinicius Ribas Fonseca
- Department of Otoneurology, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil.,Post-Graduate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil.,Department of Otorhinolaryngology, Hospital da Cruz Vermelha Brasileira, Curitiba, PR, Brazil
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Leão BLCD, Gabriel FCT, Cruz KRD, Kagawa AL, Zeigelboim BS, Stechman-Neto J. Prevalence of otological symptoms and parafunctional habits in patients with temporomandibular dysfunction. Rev CEFAC 2019. [DOI: 10.1590/1982-0216/20192115318] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Objective: to verify the relationship between otological symptoms and parafunctional habits in individuals with temporomandibular joint dysfunction. Methods: evaluations were based on the clinical records of 768 patients treated at a temporomandibular joint diagnostic center from 2010 to 2016. The inclusion criteria were completely filled out charts of adult patients (> 18 years of age) and the final sample comprised 516 clinical records. The presence/absence of parafunctional habits and otological symptoms (tinnitus, hearing impairment, dizziness, the sensation of plugged ears and imbalance) was recorded. Results: statistically significant associations were found between otological symptoms and both sex and the presence of parafunctional habits, as otological symptoms were more prevalent among women and individuals with at least one parafunctional habit. Conclusion: in the present sample, otological symptoms were positively associated with parafunctional habits in individuals with temporomandibular joint dysfunction.
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Matos M, Bara T, Clark S, Zeigelboim BS, Marques JM, Liberalesso PBN. Benign rolandic epilepsy of childhood and central auditory processing disorder: A noncasual neurophysiological association. Epilepsy Behav 2018; 89:55-58. [PMID: 30384100 DOI: 10.1016/j.yebeh.2018.06.039] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Accepted: 06/20/2018] [Indexed: 02/05/2023]
Abstract
PURPOSE The purpose of this study was to demonstrate the association between benign rolandic epilepsy of childhood (BREC) and central auditory processing disorders (CAPDs) and to test the hypothesis that an early onset of BREC could be associated with more cases of CAPD. METHOD This study has a retrospective cross-sectional design conducted from January 2006 to January 2016 including 93 patients with BREC and without intellectual disability, dyslexia, and attention-deficit hyperactivity disorders. All patients were evaluated for central auditory processing (CAP), and its presence or absence was compared with age of seizure onset. RESULTS In all patients, audiometric test results were normal, and in 43 cases (46.2%), CAPD was detected. There was no significant statistical difference in the mean age of seizure onset. CONCLUSION A significant proportion of children with BREC will have a diagnosis of CAPD at school age.
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Affiliation(s)
- Marília Matos
- Pediatric Neurology Department, Hospital Pequeno Príncipe, Curitiba, PR, Brazil
| | - Tiago Bara
- Neurosciences Core, Pelé Pequeno Príncipe Research Institute, Curitiba, PR, Brazil
| | - Samira Clark
- Pediatric Department, Hospital Pequeno Príncipe, Curitiba, PR, Brazil
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Pereira KDFPDO, Pereira ADS, Zeigelboim BS, Santos RS. Attention to oropharingeal dysfunction in home care: speech therapy management. Appearance and content validation study of a guidance manual. Rev CEFAC 2018. [DOI: 10.1590/1982-021620182052918] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Purpose: to validate as to appearance and content, the "guidance manual for adult patients with dysphagia in home care speech therapy". Methods: a qualitative and quantitative study, divided into three stages; first, the pilot material was constructed; second, 8 expert judges, with a master or doctorate degree, were chosen to assess the manual through a questionnaire; and third, 8 caregiver judges of home care patients were chosen to represent the study population. Results: Pearson's linear correlation was used in the analysis of the judges' answers, considering the responses with a correlation greater than 0,6 which is a parameter that indicates a strong linear correlation. Conclusion: the results found, after the judges' evaluation, showed a strong correlation between the questions regarding the content of the manual and suggesting appearance and content validity.
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Zeigelboim BS, Teive HAG, Rosa MRD, Malisky JS, Fonseca VR, Marques JM, Liberalesso PB. The importance of central auditory evaluation in Friedreich's ataxia. Arq Neuropsiquiatr 2018; 76:170-176. [PMID: 29809238 DOI: 10.1590/0004-282x20180008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2017] [Accepted: 12/14/2017] [Indexed: 11/21/2022]
Abstract
Objective To assess central auditory function in Friedreich's ataxia. Methods A cross-sectional, retrospective study was carried out. Thirty patients underwent the anamnesis, otorhinolaryngology examination, pure tone audiometry, acoustic immittance measures and brainstem auditory evoked potential (BAEP) assessments. Results The observed alterations were: 43.3% in the pure tone audiometry, bilateral in 36.7%; 56.6% in the BAEP test, bilateral in 50%; and 46.6% in the acoustic immittance test. There was a significant difference (p < 0.05) in the comparison between the tests performed. Conclusion In the audiological screening, there was a prevalence of the descending audiometric configuration at the frequency of 4kHz, and absence of the acoustic reflex at the same frequency. In the BAEP test, there was a prevalence of an increase of the latencies in waves I, III and V, and in the intervals of interpeaks I-III, I-V and III-V. In 13.3% of the patients, wave V was absent, and all waves were absent in 3.3% of patients.
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Affiliation(s)
| | - Hélio A G Teive
- Neurology Service, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Paraná State, Brazil
| | | | | | - Vinicius Ribas Fonseca
- Departament of Otoneurology, Univesidade Tuiuti do Paraná, Curitiba, Paraná State, Brazil
| | - Jair Mendes Marques
- Departament of Otoneurology, Univesidade Tuiuti do Paraná, Curitiba, Paraná State, Brazil
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Zeigelboim BS, Teive HAG, Santos GJB, Severiano MIR, Fonseca VR, Faryniuk JH, Marques JM. Otoneurological findings prevalent in hereditary ataxias. Arq Neuropsiquiatr 2018; 76:131-138. [PMID: 29809235 DOI: 10.1590/0004-282x20180001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Accepted: 12/06/2017] [Indexed: 11/22/2022]
Abstract
Objective To describe and compare the vestibular findings most evident among the hereditary ataxias, as well as correlate their clinical features with the nervous structures affected in this disease. Methods Seventy-five patients were evaluated and underwent a case history, otorhinolaryngological and vestibular assessments. Results Clinically, the patients commonly had symptoms of gait disturbances (67.1%), dizziness (47.3%), dysarthria (46%) and dysphagia (36.8%). In vestibular testing, alterations were predominantly evident in caloric testing (79%), testing for saccadic dysmetria (51%) and rotational chair testing (47%). The presence of alterations occurred in 87% of these patients. A majority of the alterations were from central vestibular dysfunction (69.3%). Conclusion This underscores the importance of the contribution of topodiagnostic labyrinthine evaluations for neurodegenerative diseases as, in most cases, the initial symptoms are otoneurological; and these evaluations should also be included in the selection of procedures to be performed in clinical and therapeutic monitoring.
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Affiliation(s)
| | - Hélio A G Teive
- Serviço de Neurologia, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brasil
| | | | | | | | | | - Jair Mendes Marques
- Departamento de Otoneurologia, Universidade Tuiuti do Paraná, Curitiba, PR, Brasil
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Severiano MIR, Zeigelboim BS, Teive HAG, Santos GJB, Fonseca VR. Effect of virtual reality in Parkinson's disease: a prospective observational study. Arq Neuropsiquiatr 2018; 76:78-84. [PMID: 29489960 DOI: 10.1590/0004-282x20170195] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Accepted: 11/18/2017] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To assess the effectiveness of balance exercises by means of virtual reality games in Parkinson's disease. METHODS Sixteen patients were submitted to anamnesis, otorhinolaryngological and vestibular examinations, as well as the Dizziness Handicap Inventory, Berg Balance Scale, SF-36 questionnaire, and the SRT, applied before and after rehabilitation with virtual reality games. RESULTS Final scoring for the Dizziness Handicap Inventory and Berg Balance Scale was better after rehabilitation. The SRT showed a significant result after rehabilitation. The SF-36 showed a significant change in the functional capacity for the Tightrope Walk and Ski Slalom virtual reality games (p < 0.05), as well as in the mental health aspect of the Ski Slalom game (p < 0.05). The Dizziness Handicap Inventory and Berg Balance Scale showed significant changes in the Ski Slalom game (p < 0.05). There was evidence of clinical improvement in patients in the final assessment after virtual rehabilitation. CONCLUSION The Tightrope Walk and Ski Slalom virtual games were shown to be the most effective for this population.
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Severiano MIR, Zeigelboim BS, Teive HAG, Santos GJB, Fonseca VR. Reply. Arq Neuropsiquiatr 2018; 76:644-645. [PMID: 30365633 DOI: 10.1590/0004-282x20180112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2018] [Accepted: 08/08/2018] [Indexed: 06/08/2023]
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Abstract
BACKGROUND Patients with any type of temporomandibular disorder (TMD) may have several symptoms in their temporomandibular joints, masticatory muscles and associated structures, and may have otological symptoms such as tinnitus, ear fullness, ear pain, hearing loss, hyperacusis, and vertigo, which may be due to the anatomical proximity between the temporomandibular joint, muscles innervated by the trigeminal nerve, and ear structures. Objective: This study found a prevalence of ear complaints described in the medical records of patients (n = 485) at the Center for Diagnosis and Treatment of the Temporomandibular Joint and Dental-Facial Functional Alterations at Tuiuti University of Paraná (CDATM/UTP), with TMD evaluated by the Research Diagnostic Criteria/Temporomandibular Disorders (RDC/ TMD). METHOD After approval by the ethics committee were examined 485 medical records of patients of the CDATM/UTP, of both sexes a period of 2 years. The data analyzed were gender, age and the presence of reported otologic symptoms. The data were organized and subjected to statistical analysis using SPSS (IBM Statistic 20.0). RESULTS The results showed a higher number of female patients between 41 and 50 years old. There was a prevalence of otological symptoms (tinnitus, deafness, dizziness, imbalance, and ear fullness) in 87% of TMD cases, regardless of sex and age. Tinnitus was the symptom with the highest prevalence (42%), followed by the ear fullness (39%). CONCLUSION These data support the correlation between temporomandibular disorders and otological symptoms, even without being caused directly by the ear.
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Affiliation(s)
| | - Jose Stechman-Neto
- Department of Biological Sciences and Health, Tuiuti University of Paraná
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Liberalesso PBN, Cordeiro ML, Karuta SCV, Koladicz KRJ, Nitsche A, Zeigelboim BS, Raskin S, Rauchman M. Phenotypic and genotypic aspects of Townes-Brock syndrome: case report of patient in southern Brazil with a new SALL1 hotspot region nonsense mutation. BMC Med Genet 2017; 18:125. [PMID: 29110636 PMCID: PMC5674755 DOI: 10.1186/s12881-017-0483-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Accepted: 10/18/2017] [Indexed: 12/19/2022]
Abstract
Background Townes-Brocks syndrome (TBS) is a rare autosomal dominant condition characterized by renal, anal, limb, and auditory abnormalities. TBS diagnosis can be challenging in settings where genetic analysis is not readily available. TBS traits overlap with those of Goldenhar and VACTERL syndromes. Case presentation Here, we present the case of a 5-year-old Brazilian boy born with an anorectal abnormality, limb and external ears malformations, genitourinary anomalies, and a congenital heart defect. Genetic analysis revealed a SALL1 nonsense mutation. The case is discussed in the context of the current literature. Conclusions Because of the variability in TBS clinical presentation, genetic analysis is key to the differential diagnosis of TBS relative to phenotypically similar syndromes.
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Affiliation(s)
- Paulo Breno Noronha Liberalesso
- Department of Neuropediatrics, Hospital Pequeno Príncipe, Curitiba, Parana, Brazil.,Universidade Tuiuti do Paraná, Otoneurology Research Center, Curitiba, Parana, Brazil
| | - Mara L Cordeiro
- Neurosciences Research Group, Pelé Pequeno Principe Research Institute, Curitiba, Brazil. .,Faculdades Pequeno Principe, Curitiba, Brazil. .,Department of Psychiatry and Biobehavioral Sciences of the David Geffen School of Medicine, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, USA.
| | | | | | - Anderson Nitsche
- Department of Neuropediatrics, Hospital Pequeno Príncipe, Curitiba, Parana, Brazil
| | | | - Salmo Raskin
- Department of Medical Genetics, Hospital Pequeno Príncipe, Curitiba, Parana, Brazil.,Group for Advanced Molecular Investigation (NIMA), Graduate Program in Health Science (PPGCS), Health and Biosciences School (ESB), Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, Parana, Brazil
| | - Michael Rauchman
- Department of Internal Medicine (Nephrology), St. Louis University School of Medicine, and St. Louis VA Medical Center, St. Louis, USA
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Fezer GF, Matos MBD, Nau AL, Zeigelboim BS, Marques JM, Liberalesso PBN. CARACTERÍSTICAS PERINATAIS DE CRIANÇAS COM TRANSTORNO DO ESPECTRO AUTISTA. Rev paul pediatr 2017; 35:130-135. [PMID: 28977330 PMCID: PMC5496724 DOI: 10.1590/1984-0462/;2017;35;2;00003] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/29/2016] [Accepted: 10/17/2016] [Indexed: 11/22/2022]
Abstract
Objective: To analyze perinatal features of children with autism spectrum disorder (ASD). Methods: Retrospective review of the medical records of 75 children with ASD, between January 2008 and January 2015. Inclusion criteria were diagnosis of ASD based on DSM-5 criteria, and the informed consent form signed by the person who is legally responsible. The exclusion criterion was missing on the medical record. The variables analyzed were maternal age, prematurity (gestational age under 37 weeks), low birth weight (<2,500 g), and perinatal asphyxia (5th minute Apgar score <7). Data were analyzed using the difference between proportions test, being significant p<0.05. Results: Seventy-five patients were included. Maternal age ranged from 21.4 to 38.6 years (29.8±4.1 years). Premature birth occurred in 14 (18.7%) patients, perinatal asphyxia in 6 (8.0%), and low birth weight in 32 (42.6%) patients. The prevalence of prematurity, low birth weight, and perinatal asphyxia among the children in our study was higher than the general prevalence of these conditions among all live births in our country, region, and state, which are, respectively, 11.5, 2.3, and 8.5% in Brazil; 11.0, 2.2, and 8.5% in Southern Brazil; and 10.5, 2.0, and 8.4% in the state of Paraná. Conclusions: Our findings show a higher prevalence of prematurity, low birth weight, and perinatal asphyxia among children with ASD. Some limitations are the retrospective study design, and the small sample size. Large prospective studies are needed to clarify the possible association between perinatal complications and ASD.
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Faryniuk JH, Zeigelboim BS, Teive HAG, Fo VR, Liberalesso PBN, Marques JM. The Importance of Labyrinthine Examination in the Prognosis and Therapy for Balance in Spinocerebellar Ataxia. Int Tinnitus J 2017; 20:93-101. [PMID: 28422031 DOI: 10.5935/0946-5448.20160018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
INTRODUCTION Spinocerebellar ataxias (SCAs) are a heterogeneous group of neurodegenerative diseases that are characterized by the presence of progressive cerebellar ataxia. OBJECTIVE Identify vestibular disorders and demonstrate the importance of labyrinthine examination in the prognosis and therapy for balance in patients with SCAs. MATERIALS AND METHODS The study had a retrospective cross-sectional design and evaluated 57 patients, mean age of 41.6 years and standard deviation of 13 years. Patients underwent the following procedures: anamnesis, ENT examination and vestibular exam using electronystagmography (ENG). RESULTS The most frequent complaints were gait imbalance (71.9%), dysarthria (49.1%), dizziness (43.8%) and dysphagia (36.8%). 84.2% of the tests showed alterations. The most common tests with alterations were the caloric test (78.9%), slow saccades (61.4%) and the rotating chair test (49.1%). CONCLUSION The clinical history of the patient and oculomotor alterations in the labyrinthine examination provide sufficient information for the proper use of virtual rehabilitation protocols in the treatment of imbalance, making it the most effective therapy method. It was evident that changes in ENG are related to the severity of the SCA or the clinical stage of the disease. The labyrinthine examination proved to be an important concomitant tool to clinical and genetic study.
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Affiliation(s)
| | | | - Hélio Afonso Ghizoni Teive
- Department of Clinical Medical - Hospital das Clinicas, Universidade Federal do Parana - Curitiba - PR - Brazil
| | - Vinicius Ribas Fo
- Department of Otoneurology - Universidade Tuiuti do Parana - Curitiba - PR - Brazil
| | | | - Jair Mendes Marques
- Department of Otoneurology - Universidade Tuiuti do Parana - Curitiba - PR - Brazil
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Lacerda ABMD, Facco C, Zeigelboim BS, Cristoff K, Stechman J, Fonseca VR. The impact of tinnitus on the quality of life in patients with temporomandibular dysfunction. Int Tinnitus J 2016; 20:24-30. [PMID: 27488990 DOI: 10.5935/0946-5448.20160005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
INTRODUCTION The most common otological symptoms in patients with temporomandibular disorders (TMD) are ear fullness, tinnitus and ear pain. OBJECTIVE To evaluate the impact of tinnitus on the quality of life for patients with TMD. METHOD This is a quantitative, cross-sectional retrospective study. The sample consisted of 19 individuals with TMD, 17 (89.47%) females and 2 (10.53%) male, mean age 53.5 years. Data collection consisted of: anamnesis, pure tone audiometry, acuphenometry and application of the Portuguese version of the Tinnitus Handicap Inventory (Brazilian THI). RESULTS 63.12% had had tinnitus for less than five years, and 15.79% had tinnitus that sounded like whistling, rain and/or a cricket. There was a predominance of laterality in the right ear (42.11%). 52.63% of the subjects reported that their tinnitus is continuous, while 31.58% stated that it lasts for days, and 47.37% report that it is common. The audiometry revealed mean audiometric thresholds above 25 dB HL in the high frequencies (3000, 4000, 6000 and 8000 Hz) bilaterally. In acuphenometry, the average loudness of the tinnitus was 21 dB SL the right ear and 17.85 dB SL in the left ear, and the average tinnitus pitch was 3775 Hz in the right ear and 3750 Hz in the left ear. The total THI score was 37.8 points. It appears that there is significant correlation between the THI scale, time of tinnitus duration and its occurrence. CONCLUSION Tinnitus reported in patients with TMD caused moderate impact on quality of life and can be seen in the presence of background noise although daily activities can still be performed.
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Affiliation(s)
| | - Caroline Facco
- Programa de Mestrado e Doutorado em Distúrbios da Comunicação - Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | - Bianca Simone Zeigelboim
- Programa de Mestrado e Doutorado em Distúrbios da Comunicação - Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | - Killian Cristoff
- Programa de Mestrado e Doutorado em Distúrbios da Comunicação - Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | - José Stechman
- Programa de Mestrado e Doutorado em Distúrbios da Comunicação - Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | - Vinícius Ribas Fonseca
- Programa de Mestrado e Doutorado em Distúrbios da Comunicação - Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
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Cribari J, Ribas A, Fonseca VR, Moretti CM, Zeigelboim BS, Martins J, Rosa MRDD. Description of tinnitus and its relation to discomfort level in a group of elderly hearing aid wearers. Int Tinnitus J 2016; 20:36-41. [PMID: 27488992 DOI: 10.5935/0946-5448.20160007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
INTRODUCTION Evaluating quality of life for tinnitus patients has been an interest of several specialties that have seen the negative impact that the disorder has on people. OBJECTIVE To assess and qualify tinnitus in a group of elderly hearing aid wearers. MATERIALS AND METHODS A descriptive cross-sectional study involving 53 elderly patients with tinnitus without remission after wearing hearing aids. All subjects were submitted to: a medical evaluation, an audiological evaluation, acuphenometry, an investigation of tinnitus annoyance level and quality of life. RESULTS There were 20 men and 33 women. The mean age was 72.5 years. The sample was mostly characterized by having sensorineural hearing loss (84%), moderate to moderately severe (86%) and downward sloping (82%). With respect to the description of the tinnitus sound, the most common were a hissing sound (93%) of average pitch (84%). Regarding the subjects' perception of tinnitus, it was found that subjects had varying levels of annoyance: mild (25%), moderate (33%), severe (22%), most severe (20%). Men are more bothered by tinnitus than women. Most of the sample reported being satisfied or very satisfied with their quality of life. CONCLUSION It was possible to evaluate and qualify tinnitus in the sample. Although tinnitus is a frequent audiological symptom that interferes in the life of the elderly, in the sample it did not weigh heavily in terms of quality of life.
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Affiliation(s)
- Jociane Cribari
- Master's and Doctoral Program in Communication Disorders at the University of Tuiuti in Paraná - University of Tuiuti in Paraná, Curitiba, PR, Brazil
| | - Angela Ribas
- Master's and Doctoral Program in Communication Disorders at the University of Tuiuti in Paraná - University of Tuiuti in Paraná, Curitiba, PR, Brazil
| | - Vinicius Ribas Fonseca
- Master's and Doctoral Program in Communication Disorders at the University of Tuiuti in Paraná - University of Tuiuti in Paraná, Curitiba, PR, Brazil
| | - Claudia Maoski Moretti
- Master's and Doctoral Program in Communication Disorders at the University of Tuiuti in Paraná - University of Tuiuti in Paraná, Curitiba, PR, Brazil
| | - Bianca Simone Zeigelboim
- Master's and Doctoral Program in Communication Disorders at the University of Tuiuti in Paraná - University of Tuiuti in Paraná, Curitiba, PR, Brazil
| | - Jackeline Martins
- Widex Speech-Language Center - Widex Speech-Language Center, Curitiba, PR, Brazil
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Zeigelboim BS, Fonseca VR, Mesti JC, Gorski LP, Faryniuk JH, Marques JM. Neurotological Findings at a Health Unit for Adults with Cervicalgia. Int Arch Otorhinolaryngol 2016; 20:109-13. [PMID: 27096014 PMCID: PMC4835335 DOI: 10.1055/s-0036-1572563] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Accepted: 11/06/2015] [Indexed: 11/22/2022] Open
Abstract
Introduction The cervical spine is a flexible link between the sensory platform of the skull and torso. The fundamental principle of its operation is due to the balance between muscle strength and flexibility, and any dysfunction of this balance causes neck pain, known as cervicalgia. Objective The objective of this study is to analyze the most prevalent neurotological findings in adults with neck pain. Method A cross-sectional study in which 33 adults from 50 to 83 years of age with neck pain were evaluated and underwent the following procedures: anamnesis, as well as ENT, audiological, and vestibular exams. Results The most evident neurotological symptoms were dizziness (75.7%), tinnitus, neck cracking, tingling in the extremities, and auditory problems (36.3% for each). The most frequently reported clinical symptoms were related to cardiovascular (69.7%), endocrine-metabolic (48.5%), and rheumatic (30.3%) systems. In the audiological assessment, 30 subjects (91.0%) presented hearing impairment in at least one ear, with sensorineural impairment being the most prevalent (88.0%). In the vestibular assessment, there were alterations in 13 subjects (39.0%) found in the caloric test. There was a prevalence of alterations in the peripheral vestibular system with a predominance of irritative peripheral vestibular dysfunction. Conclusion Neurotological complaints were frequent in this population, verifying the importance of these tests in the dysfunctions of the cervical region or the craniocervical junction.
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Affiliation(s)
| | - Vinicius Ribas Fonseca
- Department of Otoneurology, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil; Department of Otorhinolaryngology, Hospital da Cruz Vermelha, Curitiba, PR, Brazil
| | | | - Leslie Palma Gorski
- Subject of Otorhinolaryngology, Universidade Positivo, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | | | - Jair Mendes Marques
- Department of Otoneurology, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil
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Zeigelboim BS, Mesti JC, Fonseca VR, Faryniuk JH, Marques JM, Cardoso RC, Teive HAG. Otoneurological Abnormalities in Patients with Friedreich's Ataxia. Int Arch Otorhinolaryngol 2016; 21:79-85. [PMID: 28050212 PMCID: PMC5205522 DOI: 10.1055/s-0036-1572529] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Accepted: 11/15/2015] [Indexed: 02/01/2023] Open
Abstract
Introduction Friedreich's ataxia is a neurodegenerative disease and progressive by nature. It has autosomal recessive inheritance and early onset in most cases. Nystagmus and hearing loss (in some cases) make up some of the common symptoms seen in this disorder. Objective The objective of this study is to examine vestibular disorders in patients with Friedreich ataxia. Methods We conducted a retrospective cross-sectional study. We evaluated 30 patients with ages ranging from six to 72 years (mean age of 38.6 ( ± 14.7). The patients underwent the following procedures: anamnesis, ENT, and vestibular evaluations. Results Clinically, the patients commonly had symptoms of incoordination of movement (66.7%), gait disturbances (56.7%), and dizziness (50%). In vestibular testing, alterations were predominantly evident under caloric testing (73.4%), gaze nystagmus testing (50.1%), rotational chair testing (36.7%), and optokinetic nystagmus testing (33.4%). The presence of alterations occurred under examination in 90% of subjects, with the majority occurring in those with central vestibular dysfunction (70% of the examinations). Conclusion The most evident neurotological symptoms were incoordination of movement, gait disturbances, and dizziness. Alterations in vestibular examinations occurred in 90% of patients, mostly in the caloric test, with a predominance of deficient central vestibular system dysfunction.
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Affiliation(s)
| | | | | | | | - Jair Mendes Marques
- Department of Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Brazil
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Zeigelboim BS, Santos da Carvalho HA, Gonçalves CGDO, Albizu EJ, Marques JM, Fuck BC, Cardoso R. Otoneurological symptoms in Brazilian fishermen exposed over a long period to carbon monoxide and noise. Noise Health 2015; 17:300-7. [PMID: 26356372 PMCID: PMC4900498 DOI: 10.4103/1463-1741.165053] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
UNLABELLED Fishing, one of the oldest productive activities, is an important sector of the Brazilian economy as well as the world economy. To evaluate the vestibular behavior in population of fishermen. It was realized as a retrospective and cross-sectional study. Thirty fishermen [mean age 49.5 (± 8.5) years] whose age ranged from 33 years to 67 years were submitted to anamnesis, otorhinolaryngological evaluation, and vestibular examination through the electronystagmography (ENG). The most evident otoneurological symptoms were: Tinnitus (66.7%), dizziness (63.3%), and hearing loss (53.3%). The most evident clinical symptoms were: Fatigue (36.7%), anxiety (23.3%), and depression (16.7%). There were alterations in the vestibular examination of 13 (43.3%) fishermen in the caloric test. There was a prevalence of alteration in the peripheral vestibular system and there was a major frequency of the peripheral vestibular irritative syndrome (30.0%). CONCLUSION The otoneurological complaints were frequent in the population studied that verifies the importance of allowing labyrinth examinations and the need for adopting preventive measures related to noise exposure to carbon monoxide (CO), since they can cause and/enhance various manifestations of labyrinthine vestibular impairment that can affect the quality of life of these workers.
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Zeigelboim BS, de Carvalho HAS, Teive HAG, Liberalesso PBN, Jurkiewicz AL, da Silva Abdulmassih EM, Marques JM, Cordeiro ML. Central auditory processing in patients with spinocerebellar ataxia. Hear Res 2015; 327:235-44. [PMID: 26183435 DOI: 10.1016/j.heares.2015.07.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Revised: 07/02/2015] [Accepted: 07/08/2015] [Indexed: 12/16/2022]
Abstract
BACKGROUND Autosomal dominant spinocerebellar ataxias (SCAs) are a group of rare and heterogeneous neurodegenerative diseases characterized by the presence of progressive cerebellar ataxia. Although the symptomatology of SCAs is well known, information regarding central auditory functioning in these patients is lacking. Therefore, we assessed the central auditory processing disorders (CAPD) in patients with different subtypes of SCA. METHODS In a retrospective cross-sectional study, we subjected 43 patients with SCAs to otorhinolaryngological, audiological, Brainstem Auditory Evoked Potential (BAEP) and acoustic immittance evaluations as well as CAPD tests, namely the Standard Spondaic Word (SSW) and the Random Gap Detection Test (RGDT). RESULTS Most patients (83.7%) reported an imbalance when walking; many reported difficulty speaking (48.8%), dizziness (41.8%), and dysphagia (39.5%). In the audiometric test, 14/43 patients (32.5%) presented alterations, including 4/12 patients with SCA3 (33.3%), 1/8 patients with SCA2 (12.5%), 1/1 patient with SCA4 (100%), 1/1 patient with SCA6 (100%), 1/1 patient with SCA7 (100%), 3/6 patients with SCA10 (50%), and 3/14 patients with an undetermined type of SCA (21.4%). In the BAEP test, 20/43 patients (46.5%) presented alterations (11.6% na orelha esquerda e 34.9% bilateralmente), including 7/12 patients with SCA3 (58.3%), 5/8 patients with SCA2 (62.5%), 1/1 patient with SCA4 (100%), 1/1 patient with SCA6 (100%), 1/1 patient with SCA7 (100%), 4/6 patients with SCA10 (66.7%), and 2/14 patients with an undetermined type of SCA (14.2%). In the SSW, 22/40 patients (55%) presented alterations (2.5% in the right ear, 15% in the left ear, and 37.5% bilaterally), including 6/10 patients (60%) with SCA3, 3/8 (37.5%) with SCA2, 1/1 (100%) with SCA4, 1/1 (100%) with SCA6, 1/1 (100%) with SCA7, 4/5 (80%) with SCA10, and 8/14 (57.1%) with an undetermined type SCA. For the RGDT, 30/40 patients (75%) presented alterations, including 8/10 (80%) with SCA3, 6/8 (75%) with SCA2, 1/1 (100%) with SCA4, 1/1 (100%) with SCA6, 1/1 (100%) with SCA7, 4/5 (80%) with SCA10, and 9/14 (64.3%) with an undetermined type of SCA. In immittance testing, 19/43 patients (44.1%) presented alterations, including 6/12 (50%) with SCA3, 4/8 (50%) with SCA2, 1/1 (100%) with SCA4, 1/1 (100%) with SCA6, 1/1 (100%) with SCA7, 2/6 (33.3%) with SCA10, and 4/14 (28.6%) with an undetermined type of SCA. CONCLUSIONS A majority of patients exhibited SSW test deficits, with a predominance of bilateralism, and three-fourths had impaired RGDT performance, pointing to difficulties with binaural integration and temporal resolution. Assessment of CAPD is important for therapeutic follow ups in patients with SCA.
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Affiliation(s)
| | | | - Hélio Afonso Ghizoni Teive
- Neurology Service, Department of Clinical Medical, Clinical Hospital, Federal University of Paraná, Curitiba, PR, Brazil
| | | | | | | | | | - Mara Lúcia Cordeiro
- Neurosciences Research Group, Pelé Little Prince Research Institute, Curitiba, Brazil; Faculdades Little Prince, Curitiba, Brazil; Department of Psychiatry and Biobehavioral Sciences of the David Geffen School of Medicine, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, USA
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