José Faibes Lubianca Neto

Universidade Federal de Ciências da Saúde de Porto Alegre

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João Pedro Neves Lubianca

Universidade Federal do Rio Grande do Sul

M. Miura

Tohoku University

Renato Roithmann

Universidade Luterana do Brasil

Otávio Bejzman Piltcher

Universidade Federal do Rio Grande do Sul

Wilma Terezinha Anselmo‐Lima

Universidade de São Paulo

Moacyr Saffer

Santa Casa Hospital

Melissa Ameloti Gomes Avelino

Universidade Federal de Goiás

Renata Loss Drummond

Santa Casa de Misericórdia de Marília

Fabiana Cardoso Pereira Valera

Universidade de Ribeirão Preto

Cláudia Schweiger

Hospital de Clínicas de Porto Alegre

Cooperative Institutions

Universidade Federal do Rio Grande do Sul

Hospital de Clínicas de Porto Alegre

Universidade Federal de Ciências da Saúde de Porto Alegre

Universidade de São Paulo

Santa Casa Hospital

Associação Brasileira de Alergia e Imunologia

Universidade Federal de São Paulo

Harvard University

Fundação Faculdade de Medicina

Sociedade Brasileira de Pediatria

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Effect of Improved Nasal Airflow After Adenoidectomy on Nasal Erectile Tissue

Archives of Otolaryngology - Head and Neck Surgery (2008)

Carlos Alberto Brinckmann Flávia Penso Scapin Luiz Antônio Guerra Bernd José Faibes Lubianca Neto

To determine the effect of improved nasopharyngeal airflow after adenoidectomy on nasal turbinate erectile tissue in pediatric patients.Clinical, prospective, before-and-after study.Pediatric Otolaryngology Clinic at Hospital da Criança Santo Antônio de Porto Alegre (Complexo Hospitalar Santa Casa de Porto Alegre).Twenty-one 5- to 11-year-old children diagnosed as having severe nasal obstruction, with an indication for adenoidectomy.Adenoidectomy.Acoustic rhinometry data before and 90 days after surgery. To specifically monitor erectile tissue behavior, only the volume of the nasal turbinate region was considered (depth, 2.20-5.40 cm).The volume of the turbinate region varied from 6.03 cm(3) in the preoperative evaluation to 6.99 cm(3) in the postoperative evaluation, representing an increase of 16% (P < .04). Multiple linear and logistic regressions did not reveal any factors other than adenoidectomy that could explain this change.Because the only possible explanation for the observed erectile tissue changes was improvement in nasal airflow, we can assume that adenoidectomy favorably affects the behavior of nasal erectile structures and is associated with a decrease in turbinate size. Combined turbinate reduction and adenoidectomy should not be the rule because children may benefit from adenoidectomy alone.

Acoustic Rhinometry

10.1001/archotol.134.8.832

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Prevalence of COVID-19 in medical school and residency in Porto Alegre, RS

Revista da Associação Médica Brasileira (2022)

Gabriela Salzano Silva Georgia Oliveira Avila Fernanda Nascimento Lubianca João Pedro Neves Lubianca Victória Marques de Medeiros Michelon

SUMMARY OBJECTIVE: A multicentric, cross-sectional study was carried out to determine the prevalence and risk factors for Coronavirus disease 2019 in medical students and residents from four universities and affiliated hospitals in Brazil. METHODS: A survey about contamination risk and symptoms was sent to all participants through email and WhatsApp. Prevalence was measured by the self-report of positive polymerase chain reaction or serological test. Univariate and multivariate analyses were performed, and odds ratio and 95% confidence interval were calculated. RESULTS: Prevalence of infection by Sars-CoV-2 was 14.9% (151/1011). The disease was more prevalent in residents and interns than in undergraduate students. Contact with an infected relative outside the hospital or with colleagues without using personal protective equipment was associated with higher contamination. Contact with patients without wearing goggles and higher weekly frequency of contact were the two factors independently associated with the infection by Coronavirus disease 2019 in the multivariate analysis. CONCLUSIONS: Medical students, interns, and residents have a higher prevalence of Coronavirus disease 2019 than the general population, in which the last two groups are significantly at higher risk. Contacting patients at a higher weekly frequency increases the risk for infection. The use of goggles should be reinforced when contacting patients.

Cross-sectional study

Odds

Univariate analysis

10.1590/1806-9282.20211114

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Dipirona na analgesia preventiva pós‐operatória de tonsilectomia em crianças: revisão sistemática

Maira Isis S. Stangler João Pedro Neves Lubianca Jaqueline Neves Lubianca José Faibes Lubianca Neto

Resumo Introducao: A tonsilectomia e a 2a cirurgia ambulatorial mais comum feita em criancas nos Estados Unidos da America. Sua principal complicacao e a dor, cuja intensidade varia de moderada a intensa. A dipirona e um dos analgesicos mais usados no pos-operatorio em criancas. Seu uso, entretanto, e controverso na literatura, a ponto de ser proibido em varios paises devido aos seus potenciais efeitos adversos graves. Por causa dessa controversia, revisar o uso da dipirona como analgesico no pos-operatorio de tonsilectomia em criancas e fundamental. Objetivo: Revisar o uso analgesico da dipirona no pos-operatorio de tonsilectomia em criancas. Metodo: Revisao sistematica da literatura, envolveu a avaliacao da qualidade dos artigos nas bases de dados Medline/Pubmed, Embase e Virtual Health Library, selecionados com estrategia de busca pre-estabelecida. Foram incluidos apenas estudos com desenho de ensaio clinico randomizado que avaliassem o uso de dipirona no pos-operatorio de tonsilectomia em criancas. Resultados e conclusao: Foram encontrados apenas 2 ensaios clinicos randomizados. Ambos compararam dipirona, paracetamol e placebo. Nao foi possivel fazer a metanalise porque os estudos eram muito heterogeneos (dipirona foi usada como analgesico preventivo em um estudo e somente no pos-operatorio em outro). O efeito analgesico da dipirona, medido atraves de escalas de dor validadas na infância, mostrou-se superior ao placebo e semelhante ao paracetamol. Parece que a dipirona apresenta um perfil adequado para uso em criancas. Entretanto, a escassez de ensaios clinicos randomizados que avaliem seu efeito analgesico nessa faixa etaria leva a conclusao de que estudos mais bem delineados ainda sao necessarios para estabelecer o papel da dipirona no pos-operatorio de tonsilectomia em criancas.

10.1016/j.bjorlp.2021.03.001

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Malformações laríngeas na síndrome de Richieri-Costa-Pereira com obstrução de via aérea

Brazilian Journal of Otorhinolaryngology (2011)

Patrícia Barcelos Ogando Fábio Ramôa Pires Rita Carolina Pozzer Krummenauer Marcus Vinícius Martins Collares José Faibes Lubianca Neto

1 Physician, medical resident at the Otorhinolaryngology Unit, Health Science Federal University of Porto Alegre (Universidade Federal de Ciencias da Saude de Porto Alegre UFCSPA). Hospital system of the Porto Alegre Holy House of Mercy (Santa Casa de Porto Alegre CHSCPA). 2 Physician, medical resident at the Otorhinolaryngology Unit, Professor Edmundo Vasconcelos Hospital, SP. 3 Master’s degree in medicine, UFCSPA. Otorhinolaryngologist of the Pediatric Otorhinolaryngology Unit, HCSA. 4 Craniomaxillofacial plastic surgeon, doctor in medicine and surgery, Barcelona University (Universidad de Barcelona), professor of the graduate course of medicine, Rio Grande do Sul Federal University (Universidade Federal do Rio Grande do Sul). 5 Doctorate degree, Rio Grande do Sul Federal University, adjunct professor of otorhinolaryngology, Department of Surgery, UFCSPA. Head of the Pediatric Otorhinolaryngology Unit, HCSA, CHSCPA. Health Science Federal University of Porto Alegre (Universidade Federal de Ciencias da Saude de Porto Alegre UFCSPA). Hospital system of the Porto Alegre Holy House of Mercy (Santa Casa de Porto Alegre CHSCPA). Patricia Barcelos Ogando patiogando@hotmail.com Paper submitted to the BJORL-SGP (Publishing Management System – Brazilian Journal of Otorhinolaryngology) on December 28, 2009; and accepted on February 24, 2010. cod. 6856 CASE REPORT Braz J Otorhinolaryngol. 2011;77(1):138. BJORL

Health science

10.1590/s1808-86942011000100026

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Comparison between videofluoroscopy and endoscopic evaluation of swallowing for the diagnosis of dysphagia in children

Otolaryngology (2010)

Andréa P. da Silva José Faibes Lubianca Neto Patrícia Paula Santoro

To compare videofluoroscopy swallowing study (VFSS) with the fiberoptic endoscopic evaluation of swallowing (FEES) in children and to determine the accuracy of FEES in the diagnosis of specific swallowing disorders.Cross-sectional study.Hospital da Criança Santo Antônio, affiliated with Santa Casa de Misericórdia Hospital Complex, Porto Alegre, RS, Brazil.FEES findings were compared to those of VFSS in 30 children. Kappa coefficients for interobserver agreement were calculated. Thereafter, these coefficients were evaluated in terms of agreement between FEES and VFSS. In addition, the sensitivity, specificity, positive predictive value, and negative predictive value of FEES were calculated for four swallowing parameters (posterior spillover, pharyngeal residues, laryngeal penetration, and laryngotracheal aspiration).Interobserver agreement rates greater than 70 percent were obtained for all FEES parameters analyzed, except for pharyngeal residues with puree consistency (agreement = 66.7%, kappa = 0.296, P = 0.091). Laryngeal aspiration and penetration yielded the best level of agreement (100%, kappa = 1) for the laryngeal aspiration of puree residues.The diagnostic agreement between FEES (both observers) and VFSS was low. Regarding the analyzed parameters, laryngeal penetration and aspiration yielded the highest interobserver agreement in terms of FEES, and also showed the highest specificity and positive predictive value when compared to VFSS.

Kappa

Cohen's kappa

10.1016/j.otohns.2010.03.027

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Citations (87)

Behçet’s disease: external ear involvement

International Journal of Pediatric Otorhinolaryngology (2004)

M. Miura José Faibes Lubianca Neto Rita Carolina Krumenauer Kátia Prates Rodrigo Aquino Castro

Etiology

Paresis

Pathogenesis

Retinal vasculitis

10.1016/j.ijporl.2003.12.016

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ESTRIDOR LARÍNGEO

José Faibes Lubianca Neto RITA CAROLINA KRUMENAUER

10.5935/978-85-514-1196-4.c0002

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Micronucleus count in nasal epithelial cells from patients with chronic rhinosinusitis and polyps

Renata Loss Drummond Cláudia Ramos Rhoden José Faibes Lubianca Neto Alan da Silveira Fleck Rita Carolina Pozzer Krumenauer Padoin

Nasal Polyps

Chronic Rhinosinusitis

10.1016/j.bjorlp.2020.09.007

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Lateral sinus thrombophlebitis and cervical abscess as a complication of chronic otitis media

Jornal de Pediatria (1997)

Moacyr Saffer José Faibes Lubianca Neto Jaime Luís Freitas Arrarte Carlos Alberto Brinckmann Paulo H. Ferreira

Sigmoid sinus

Presentation (obstetrics)

Mastoiditis

10.2223/jped.557

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Absence of Association between Hypertension and Epistaxis: a Population-based Study

Blood Pressure (2003)

Flávio Danni Fuchs Leila Beltrami Moreira Cristiane Paim Pires Felipe Soares Torres Mariana Vargas Furtado

The association between epistaxis and hypertension is still disputed. In a cross-sectional study, we evaluated this association in a sample of 1174 individuals older than 18 years, representative of inhabitants of Porto Alegre, RS, Brazil. Epistaxis was defined as any episode of non-traumatic nosebleeding after 18 years of age. Hypertension was defined as the mean of two blood pressure readings > or = 160/95 mmHg or the use of antihypertensive drugs. The prevalence of epistaxis and hypertension were 14.7% (95% confidence interval, CI 12.7-16.7) and 24.1% (95% CI 21.7-26.6), respectively. History of epistaxis in the adulthood (risk ratio = 1.24, 95% CI 0.83-1.85), and in the previous 6 months (risk ratio 0.79, 95% CI 0.40-1.56; p = 0.510) were not associated with hypertension after controlling for gender, age, race, history of allergic rhinitis or nasal abnormalities, alcohol abuse, smoking and years of study. History of epistaxis was positively associated with history of allergic rhinitis and inversely associated with years at school. In conclusion, we demonstrated that hypertension is not associated with history of epistaxis in the adulthood in free-living individuals.

Smoking history

10.1080/08037050310001750

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Citations (43)