Multidisciplinary Team Care in Pituitary Tumours.

The optimal care for patients with pituitary tumours is best provided in a multidisciplinary and collaborative environment, which requires the contribution of multiple medical specialties working together. The benefits and advantages of the pituitary multidisciplinary team (MDT) are broad, and all relevant international consensus and guidelines in the field recommend that patients with pituitary tumours should always be managed in a MDT. Endocrinologists and neurosurgeons are normally the leading specialties within the pituitary MDT, supported by many other specialties with significant contributions to the diagnosis and management of pituitary tumours, including neuropathology, neuroradiology, neuro-ophthalmology, and otorhinolaryngology, among others.

Effect of Water Precautions on Otorrhea Incidence after Pediatric Tympanostomy Tube: Randomized Controlled Trial Evidence.

Objectives: Tympanostomy with ventilation tube insertion is the most common otologic surgery. Many surgeons recommend water precautions, although its utility is questioned. We aimed to investigate if water precautions reduce the rate of otorrhea after transtympanic tube insertion.

Cross-sectional study of adenoidal biofilms in a paediatric population and its clinical implications.

Introduction: Adenoids are nasopharyngeal lymphoid tissue with a relevant role in host defence against infection of upper respiratory tract. Nevertheless, adenoids are also a reservoir of microorganisms that can cause infections of upper respiratory tract and otitis particularly in children.

Objective: Evaluate and compare the association between biofilm assembly on adenoids and the incidence of recurrent infections in a paediatric population submitted to adenoidectomy by either infectious or non-infectious indication.

Including auditory tube function on models is relevant to assess water exposure after tympanostomy tubes-Multiphase computerized fluid dynamics model.

Introduction: Myringotomy with tympanostomy tube is the most common otologic surgery and some patients are still advised to avoid water. However, there is no evidence supporting this, with published papers questioning the need for this advice.

Methods: A Multiphase Computational Fluid Dynamics (CFD) model was created using computerized tomography images of a child's healthy ear.

Water protection after tympanostomy (Shepard) tubes does not decrease otorrhea incidence - retrospective cohort study.

Introduction: Myringotomy for tube insertion is the most common otologic surgery. Otorrhea is a frequent complication of this procedure and, to prevent it, most surgeons strongly recommend avoiding contact with water as this is thought to adversely impact on post-operative quality of life.

Objective: To understand the benefit of this recommendation.

Adenoid bacterial colonization in a paediatric population.

Adenoids play a key role in both respiratory and ear infection in children. It has also been shown that adenoidectomy improves these symptoms in this population. The main goal of the present study was to evaluate adenoid bacterial colonization and document a possible relation with infectious respiratory disease.

Alternobaric vertigo: prevalence in Portuguese Air Force pilots.

Conclusion: Having found a prevalence rate of alternobaric vertigo in Portuguese Air Force pilots that is somewhat higher than previously reported, we underline the importance of implementing education on the management of this condition as part of routine Air Force pilot training programs.

Objectives: Alternobaric vertigo is a condition in which transient vertigo with spatial disorientation occurs suddenly during flying or diving activities, caused by bilateral asymmetrical changes in middle ear pressure. Its prevalence is very likely underestimated and under-reported, with the 10-17% prevalence rate mentioned in early literature not being challenged by recent data.

Helicobacter pylori and laryngopharyngeal reflux in chronic rhinosinusitis.

Objective: Investigation of the potential role of several laryngopharyngeal reflux contents in sinus disease.

Study Design And Setting: A controlled cohort analysis of Helicobacter pylori, pepsin and pepsinogen I in inflamed and non-inflamed sinonasal tissue. Fifteen patients, selected for surgery due to chronic medically refractory rhinosinusitis, had their pathologic sinus tissue analyzed for polymerase chain reaction detection of H.

Does Helicobacter pylori play a role in upper respiratory tract inflammation? A case report.

Persistent isolated inflammation of the sphenoid sinus, an entity that is not diagnosed very often, poses a challenge to clinicians and researchers alike. Its features tend to suggest that its etiopathogenesis is different from that of more common forms of chronic rhinosinusitis. We report the case of a 54-year-old woman who had a history of distressing chronic postnasal drip and a globus sensation with opacification of the sphenoid sinus.