Cirurgia de Cabeça e Pescoço

Estudo randomizado | Corticosteroide profilático evita hipocalcemia e disfunção vocal em pacientes submetidos a tireoidectomia.

17 Set, 2021 | 11:48h

Use of Prophylactic Steroids to Prevent Hypocalcemia and Voice Dysfunction in Patients Undergoing Thyroidectomy: A Randomized Clinical Trial – JAMA Otolaryngology – Head & Neck Surgery (link para o resumo – $ para o texto completo)

Entrevista com o autor: Prophylactic Steroids for Postthyroidectomy Hypocalcemia and Voice Dysfunction

Comentário: IV Steroid Before Thyroidectomy Prevents Complications — One dose of dexamethasone reduced hypocalcemia, voice issues – MedPage Today (necessário cadastro gratuito)

 

Comentário no Twitter

This RCT with 192 patients found that pre-op dexamethasone resulted in a reduction in hypocalcemia at 24 hrs post-op by 24% and reduction in voice dysfunction at 24 hrs by 25%. Strong evidence in supporting a pre-op 8mg dose of dexamethasone @JAMAOto https://t.co/UIt18DXclN

— Jay Piccirillo, MD (@PiccirilloJay) September 5, 2021

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Diretriz ASCO | Hipofunção de glândula salivar e/ou xerostomia induzida por terapias oncológicas não cirúrgicas.

19 Ago, 2021 | 12:12h

Salivary Gland Hypofunction and/or Xerostomia Induced by Nonsurgical Cancer Therapies: ISOO/MASCC/ASCO Guideline – Journal of Clinical Oncology

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Revisão | Tratamento inicial do traumatismo contuso e penetrante de pescoço.

17 Ago, 2021 | 11:14h

Initial management of blunt and penetrating neck trauma – BJA Education

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Imagem clínica | Mucormicose após COVID-19 em paciente com diabetes.

6 Ago, 2021 | 11:51h

Mucormycosis after COVID-19 in a patient with diabetes – The Lancet

Conteúdos relacionados:

COVID-19 and mucormycosis superinfection: the perfect storm.

ECMM/ISHAM recommendations for clinical management of COVID -19 associated mucormycosis in low- and middle-income countries.

The “Black Fungus” in India: The Emerging Syndemic of COVID-19–Associated Mucormycosis – careful use of antibiotics and corticosteroids and closely monitoring blood glucose levels are some of the strategies suggested by the authors.

Multicenter Epidemiologic Study of Coronavirus Disease–Associated Mucormycosis, India – Uncontrolled diabetes mellitus was the most common underlying disease; improper glucocorticoid use was independently associated with the disease.

Opinion | “Doctors have been blamed for the rise in black fungus in India, but the COVID treatment guidelines could be contributing” – improper use of antibiotics and higher than usual doses of corticosteroids may be contributing to the emergence of mucormycosis and other fungal co-infections.

What is mucormycosis, the fungal infection affecting COVID patients in India?

[Preprint] The Emergence of COVID-19 Associated Mucormycosis: Analysis of Cases From 18 Countries.

Mucormycosis: The ‘black fungus’ maiming Covid patients in India

Global Guideline for the Diagnosis and Management of Mucormycosis

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Impacto global do câncer atribuído ao consumo de álcool – “Em termos globais, estima-se que 741.300 casos, ou 4,1% de todos os novos casos de câncer em 2020, foram atribuídos ao consumo de álcool.”

14 Jul, 2021 | 11:36h

Global burden of cancer in 2020 attributable to alcohol consumption: a population-based study – The Lancet Oncology

Comunicado de imprensa: Alcohol consumption linked to more than 740,000 new cancer cases in 2020 – The Lancet

Comentários: Alcohol caused 740,000 cancer cases globally last year – study – The Guardian E Expert reaction to study of alcohol and cancer – Science Media Centre

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M-A: Comparação direta entre as modalidades de imagem pré-operatória para localização de hiperparatireoidismo primário – “PET-TC com colina é a melhor modalidade de imagem para tal situação.”

7 Jun, 2021 | 10:16h

Direct Comparison of Preoperative Imaging Modalities for Localization of Primary Hyperparathyroidism: A Systematic Review and Network Meta-analysis –

JAMA Otolaryngology – Head & Neck Surgery (gratuito por tempo limitado)

Comentário convidado: Localization Studies for Parathyroid Surgery (gratuito por tempo limitado)

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Diretriz ASCO: tratamento do câncer da glândula salivar

28 Abr, 2021 | 09:38h

Management of Salivary Gland Malignancy: ASCO Guideline – Journal of Clinical Oncology

 

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Manifestação clínica, avaliação e estratégia de reabilitação da disfagia associada a COVID-19

27 Abr, 2021 | 16:15h

Clinical Manifestation, Evaluation, and Rehabilitative Strategy of Dysphagia Associated With COVID-19 – American Journal of Physical Medicine & Rehabilitation

 

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