August 15-18, 2013 Campos do Jordão, Brazil Official Program Abstracts

Oral Presentation and Posters

Official Program Abstracts Oral Presentation ISSN 1809-9777

Official Publication of the Otorhinolaryngology Foundation and Societa Oto-Rhino-Laryngologica Latina First Electronic Journal of ENT

INDEXATIONS EDITOR Geraldo Pereira Jotz – UFRGS – Porto Alegre – Brazil DOAJ - Diretory of Open Access Journals. CO-EDITOR FUNPEC-RP (Foundation for Scientific Research of Ribeirão Preto). Aline Gomes Bittencourt – USP – São Paulo – Brazil Latindex - Regional Cooperative Online ASSOCIATED EDITORS Information System for Scholarly Journals from Latin America, the Caribbean, Spain and Alergy and Olfact: ...... João Ferreira de Mello Junior ...... USP – São Paulo / Brazil Portugal. Audiology: ...... Marcelo M. Hueb ...... UFTM – Uberaba / Brazil Skull Base: ...... Ricardo L. Carrau ...... Ohio State University – OH / USA LILACS and LILACS-Express Latin-American and Caribbean Center on Health Sciencies Head and Neck: ...... Luiz Paulo Kowalski ...... H. AC Camargo – São Paulo / Brazil Information. Stomatology: ...... Michiel W. M. Van den Brekel ...... Netherlands Cancer Institute – Amsterdam / Netherlands SciELO - Scientific Electronic Library Online. Pharyngology: ...... Marcus Miranda Lessa ...... UFBA – Salvador / Brazil Laryngology: ...... Robert T. Sataloff...... Drexel University College of Medicine – Philadelphia / USA SCOPUS - SciVerse (Elsevier). Neurotology: ...... Ricardo Ferreira Bento ...... USP– São Paulo / Brazil Otology: ...... Priscila Bogar Rapoport ...... FMABC – Santo André / Brazil Facial Plastic and Reconstructive: ...... Marcos Mocelin ...... UFPR – Curitiba / Brazil AFFILIATION Rhinosinusology: ...... Richard Voegels...... USP – São Paulo / Brazil EDITORIAL BOARD Adriana Brondani da Rocha – ULBRA - Canoas - Brazil; Adriane Teixeira - UFRGS - Porto Alegre - Brazil; Agrício Crespo - UNICAMP - Campinas - Brazil; Agustin del Canizo - Universidad de Salamanca - Salamanca - Spain; Alberto Alencar Nuldelmann - PUC - Porto Alegre - Brazil; Alejandro Rivas - Vanderbilt University Medical Center - Tennessee - USA; Alexandre Felippu Neto - Instituto Felippu - São Paulo - Brazil; Alfio Ferlito - Udine School of Medicine - Unide - Italy; Ana Cristina H. Hoshino - USP - São Paulo - Brazil; André Luiz Lopes Sampaio - UNB - Brasília - Brazil; Antonio Celso Nassif Vol. 17 nº 3 - Jul/Aug/September- 2013 Filho - PUC - Curitiba - Brazil; Badr Eldin Mostafa - Ain-Shams University - Cairo - Egypt; Bernard Fraysse - Hôpital PURPAN - Toulouse - France; The whole edition has 4 issues published: March, Carlos Augusto Pires de Oliveira - UNB - Brasília - Brazil; Carlos Curet - Universidad Nacional de Córdoba - Córdoba - Argentina; Carlos Diógenes June, September and December. Pinheiro Neto - Albany Medical College - New York - USA; Ciríaco Cristóvão Tavares Atherino - UERJ - Rio de Janeiro -Brazil; De siderio Passáli - University Hospital - Siena - Italy; Domenico Cuda - Guglielmo da Saliceto Hospital – Piacenza - Italy; Domingos Hiroshi Tsuji - USP - São Paulo - Periodicity: threemonthly Brazil; Eduardo Crema - UFTM – Uberaba - Brazil; Eliane Schochat - USP - São Paulo - Brazil; Elisabeth Carrara de Angelis - Hospital AC Camargo Number printed: 5,500 issues - São Paulo – Brazil; Fabrizio Ricci Romano - USP - São Paulo - Brazil; Filipe Matuba -Agostinho Neto University - Luanda - Angola; Fernando Luis Dias - INCA - Rio de Janeiro - Brazil; Francini Grecco de Melo Pádua - UNIFESP - São Paulo - Brazil; Francisco Verissimo de Mello Filho - USP-RP - Address for correspondence: Ribeirão Preto - Brazil; Gerson Schulz Maahs - UFRGS - Porto Alegre - Brazil; Giovanni Danesi - Ospedali Riuniti di Bergamo - Bergamo - Italy; Héctor Rua Teodoro Sampaio, 483 Rondón Cardoso - Universidad Nacional de San Agustín - Arequipa - Perú; Heinz Stammberger - Graz University - Graz - Austria; Hélio Lessa - UFBA São Paulo - SP - Brazil - Salvador - Brazil; Jacques Magnan - Université dAix-Marseille - Marseille - France; Jair Cortez Mantovani - UNESP - Botucatu - Brazil; Jeferson Zip code: 05405-000 S. D’Avila - UFSE - Aracajú - Brazil; Jesús Algaba Guimera - Hospital Donostia de San Sebastián -San Sebastián - Spain; José Faibes Lubianca Neto Phone: (+55 11) 3068.9855 - UFCSPA - Porto Alegre - Brazil; Jose N. Fayad - Keck School of Medicine, USC - California - USA; Lídio Granato - FCMSCSP - São Paulo - Brazil; Lilian Fax: (+55 11) 3079.6769 Muniz - Universidade Federal de Recife - Recife – Brazil - Luciana Miwa Nita – UNB - Brasília - Brazil; Luiz Antonio Guerra Bernd - UFRS - Porto E-mail: Alegre – Brazil; Luiz Lavinsky - UFRGS - Porto Alegre - Brazil; Luiz Ubirajara Sennes - USP - São Paulo - Brazil; Maira Rozenfeld Olchik -UFRGS [email protected] - Porto Alegre - Brazil; Manuel Manrique Rodríguez - Universidad de Navarra - Navarra - España; Marcelo Lazzaron Lamers - UFRGS - Porto Alegre Home page: - Brazil; Marcelo Ribeiro de Toledo Piza - Associação Paparella - Ribeirão Preto - Brazil; Márcio Abrahão - UNIFESP - São Paulo - Brazil; Márcio http://www.internationalarchivesent.org Nakanishi - UNB - Brasília – Brazil; Marcos Vial Goycoolea - Clinic of Las Condes -Santiago – Chile; Maria Valéria Schimidt Goffi Gómez - USP - São Creation, publishing and printing Paulo – Brazil; Mario Andréa -Lisboa University - Lisboa – Portugal; Mario Svirsky - New York University - New York - USA; Maurizio Barbara - H. Máxima Sapienza University, SantAndrea Hospital - Rome - Italy; Minoru Hirano -Kurume University - Kurume – Japan; Nédio Steffen - PUC - Porto Alegre V.R. Galizia Produtora Editora e Gráfica – Brazil; Nelson Rosário - UF do Paraná - Curitiba – Brazil; O. Nuri Özgirgin - Ba_kent University Faculty of Medicine - Ankara – Turkey; Olivier Rua Antonio Tavares, 207 A - Sala 4 Sterkers - Université Paris Diderot - Paris – France; Onivaldo Cervantes - UNIFESP - São Paulo – Brazil; Otávio Bejzman Piltcher - UFRGS - Porto São Paulo - SP - Brazil Alegre - Brazil; Paulo Sérgio Lins Perazzo - UNEB - Salvador – Brazil; Pedro L. Coser - UFSM -Santa Maria – Brazil; Pedro Luís Mangabeira Albernaz Zip code: 01542-010 - UNIFESP - São Paulo – Brazil; Regina Helena Garcia Martins - UNESP - Botucatu – Brazil; Richard Harvey - University of New South Wales - New Phone/Fax: (+55 11) 2372-5061 South Wales – Australia; Robert Sweet - McGill University - Montreal – Canada; Robert Vincent - Causse Ear Clinic - Colombiers – France; Roberto E-mail: [email protected] Campos Meirelles - UERJ -Rio de Janeiro – Brazil; Roberto Dihl Angeli - UFRGS - Porto Alegre -Brazil; Roberto Filipo - Sapienza Università di Roma Design: Vagner Bertaco Severino - Roma – Italy; Rodrigo de Paula Santos - UNIFESP - São Paulo – Brazil; Ronaldo Frizzarini - USP - São Paulo – Brazil; Sady Sel aimen da Costa – UFRGS – Porto Alegre – Brazil; Salvatore Conticello - Università degli Studi di Torino - Turin – Italy; Samir Cahali - HSPE -São Paulo – Brazil; Shiro Tomita - UFRJ - Rio de Janeiro - Brazil; Silvia Dornelles - UFRGS - Porto Alegre - Brazil; Silvio Antonio Monteiro Marone - PUCCAMP - Campinas SUPPORT – Brazil; Silvio da Silva Caldas Neto - UFPE - Recife – Brazil; Tania Maria Sih - FMUSP - São Paulo – Brazil; Thomas Linder - Luzerner Kantonsspital - Luzern – Switzerland; Ugo Fisch - University Hospital - Zürich –Switzerland; Wytske Fokkens - Academic Medical Cente - Amsterdam – Netherlands; Zelita Ferreira Guedes - UNIFESP - São Paulo - Brazil. Librarian: Adilson Montefusco

Int.Int. Arch. Arch. Otorhinolaryngol., Otorhinolaryngol., São PauloSão Paulo - Brazil, - Brazil, v.17, n.3,v.17, Jul/Aug/September suppl. 1 July - 2013. - 2013. 2353 ISSN 1809-9777

Summary

Int. Arch. Otorhinolaryngol., 17 Suppl. 1 - July, 2013

5...... Oral Presentation - II Hearing - 2013

11...... Oral Presentation - Otorhinolaryngology - 2013

23...... Oral Presentation - Audiology - 2013

35...... Posters - Otorhinolaryngology - 2013

70...... Posters - Audiology - 2013

Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. 4

II Hearing Oral Presentation

The Free Paper was presented at the II Hearing, on May 16 - 18 of 2013.

Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. 5 May 16-18, 2013

1 - Universal newborn hearing screening: Data 3 - prevalence of disabling hearing loss in Juiz de Oral Presentation collected from pediatricians and neonatologists in Fora, Brazil

II Hearing Jundiaí, Sao Paulo Main Author: Leticia Raquel Baraky Main Author: Ana Carolina Moreno de Campos Co-Authors: Luiz Cláudio Ribeiro, Nádia Rezende Barbosa Raposo, Natalia Co-Authors: Edmir A. Lourenço, Henrique Y. Shirane, Paulo V. A. Takemoto Baraky Vasconcelos, Ricardo Ferreira Bento, Sandra Helena Cerrato Tibiriçá Institution: Faculty of Medicine of Jundiaí - FMJ Institution: Federal University of Juiz de Fora Abstract Abstract Introduction: Hearing loss has serious neurodevelopmental consequences In Brazil, data on the prevalence of disabling hearing loss (DHL) are scarce,

in children, including emotional, psychological, and social sequelae; which affects the knowledge of health professionals regarding the extent therefore, early identification of hearing impairment is crucial. of this problem. Objective: To evaluate and quantify the knowledge of neonatologists, Objectives: This study aimed to estimate the prevalence of DHL in the city pediatricians, and medical pediatric residents regarding the detection, risk of Juiz de Fora, Minas Gerais, Brazil, to identify related individual variables, factors, diagnosis, and referral for rehabilitation of neonatal patients with and assess risk areas. hearing loss in Jundiaí, São Paulo. Materials and Methods: This was a descriptive cross-sectional population Methods: A cross-sectional analytical study including 47 doctors interviewed study conducted from January to October 2009. We randomly selected with a 15-question questionnaire. 349 households comprising 1,050 individuals aged from 4 days to 95 years. Results: Most respondents (83%) were informed about hearing loss or The data collection instruments were structured WHO questionnaires, ENT deafness from their medical coursework, but were mostly unaware of examinations, and laboratory tests. Chi-squared and Poisson regression hearing evaluation techniques for selecting those at risk, degrees, and types models were used for analyses. of hearing loss. All the interviewees reported that in the first 6 months of Results: The prevalence of DHL was estimated at 5.2% (95% CI = 3.1 to 7.3), life, it is possible to evaluate the hearing of a child and that it is the duty of which was classified as moderate in 3.9% (95% CI = 0.001 to 0.134), severe the doctor to be concerned about the child’s communication. As for routine in 0.9% (95% CI = 0.001 to 0.107), and profound in 0.4% (95% CI = 0.001 screening of newborns’ hearing, there was a balance between the answers. to 0.095) of the population. DHL was correlated with tinnitus, ages greater Regarding the age at which the child can receive auditory rehabilitation, the than 60 years, and low education. end of the first and second year of life predominated. Conclusions: The data indicate the need to create more studies on the Conclusion: The majority of respondents were aware of the risk factors for prevalence of DHL, especially in developing countries. Basic care and neonatal hearing impairment and it´s detection, performed procedures, prevention are essential to a productive future and quality of life in potential were familiarized with hearing assessment techniques for high-risk infants, carriers of hearing disorders. Epidemiological knowledge of local and and recognized the importance of hearing loss diagnosis and the need to regional needs, considering environmental, genetic, and cultural issues, refer suspected cases. can contribute to the optimization of investments and the implementation of planned actions for health surveillance.

2 - intraoperative neural response telemetry and 4 - an electrophysiological and behavioral hearing perception of speech in prelingual cochlear study before and after adaptation of hearing aids implant users in elderly people with cognitive changes Main Author: Danielle Gonçalves Seabra Peixoto Ramos Main Author: Elisiane Crestani de Miranda Gonsalez Co-Authors: Lílian Muniz, Mariana de Carvalho Leal, Patrícia Santos Pimentel, Co-Authors: Maria Cecília Martinelli Iorio Raquel Coelho de Assis Institution: Federal University of Sao Paulo - Unifesp Institution: Agamenon Magalhães Hospital Abstract Abstract Objective: To evaluate hearing in elderly patients with cognitive impairment Objective: To correlate the responses from intraoperative neural response by using behavioral and electrophysiological tests before and after the telemetry (NRT) with speech perception. adaptation of hearing aids. Methods: We selected 21 patients with severe to profound prelingual Materials and Methods: We evaluated 60 elderly patients with sensorineural sensorineural hearing loss who underwent cochlear implantation with the hearing loss, stratified in groups according to grading by the Alzheimer’s Nucleus Freedom device at the Agamemnon Magalhães Hospital during the Disease Assessment Scale-Cognitive Subscale (ADAS-Cog). Subsequently, the period from 2009–2011. The NRT measurements were performed using 9 patients underwent an initial evaluation before the adaptation of the hearing aid, including the Perceptual Speech Recognition Index (PSR), Gap Detection electrodes per patient during surgery, and evaluation of speech perception in Noise (GIN), Long Latency Auditory Evoked Potentials - P300, the Hearing was performed with specific tests after at least 1 year of continuous use of Handicap Inventory for the Elderly (HHIE), self-assessment questionnaires, and the cochlear implant. the Sentence Recognition Threshold in Noise (S/N). After 3 months of effective Results: The mean age was 8.7 years, and ranged from 2 to 37 years. use of sound amplification, participants underwent reassessment. The results 38.08% of implanted patients were able to recognize words in closed were subjected to statistical analyses including an analysis of variance (ANOVA) contexts, while 9.52% were able to recognize open-set words. There was with a significance level of p ≤ 0.05. no statistically significant relationship between the development of speech Results: There were significant differences between the behavioral tests of perception and NRT for any electrode measured, despite a slight tendency the 2 groups. The elderly with cognitive impairment had lower performance for lower levels of current to evoke an ECAP in the latter. during both assessment stages. At reassessment after the effective use Conclusion: Despite the proven utility of ECAP in programming the speech of hearing aids, there was a significant improvement in performance processor for cochlear implant users, NRT measurements are not able to on behavioral tests, a reduction in P300 latency, and lower perceived predict which patients have greater potential for speech perception. participation restriction in both groups. Conclusion: Elderly patients with abnormal cognitive function performed worse with regard to skills of speech recognition, auditory closure, and temporal resolution. Acoustic stimulation with hearing aids improves the skills of speech recognition, temporal resolution, and P300 latency, regardless of the cognitive status of the elderly patient.

Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. 6 May 16-18, 2013

5 - speech correspondence while reading and the  designation of sentences in children with hearing Its functionality was tested, and it is possible to evaluate the information disabilities who use pre-lingual cochlear implants gathered, performing statistical and descriptive analyses regarding the Main Author: Anderson Jonas das Neves treated patients through graphs, and it is providing a large amount of Co-Authors: Adriane Lima Mortari Moret, Ana Claudia Moreira Almeida material for scientific research. Verdu, Leandra Tabanez do Nascimento Silva Conclusions: The creation, computerization, implementation, and validation Institution: Post-Graduate Program in Developmental Psychology and of the database were possible, allowing the retrieval of information for Learning, UNESP-Bauru; Department of Phonoaudiology, FOB/USP-Bauru; scientific research in a quick and organized manner. II Hearing

Audiological Research Center, Hospital for Rehabilitation of Craniofacial Oral Presentation Anomalies, CPA/HRAC-USP-Bauru Abstract Objective: This study verified whether strengthening the network of equivalence relations between dictated sentences, printed sentences, and action figures in children with cochlear implants would affect the speech correspondence controlled by action figures and printed sentences. During the pre-test, the children pronounced better when reading sentences than when they named the figures. Materials and Methods: The sessions were conducted via notebook computer containing PROLER software, which managed sound (amplified by attached speakers) and images. Three sets of stimuli were adopted with the grammatical function of subject, verb, and object. Three participants were taught to construct sentences by selecting words in the sequence subject- verb-object according to the dictated sentence; sentences were overlapped by the object. Relations between hearing sentences and selecting corresponding action figures were strengthened. Post-tests assessed the understanding of the relation figures and construction of sentences, since they were paired to the same dictated sentences; in addition, the naming of action figures and the reading of 3 taught sentences and an additional 6 sentences, derived from a recombination of component words of the taught sentences, was assessed. Results: All children achieved precision in the tasks of teaching and test comprehension of dictated sentences; they also improved speech intelligibility with a higher correlation between naming pictures of actions (M = 92.03%) and the reading of sentences (M = 97.10%) with trained stimuli and sentences derived from a recombination of components (mean = 74.98%). Conclusion: The program was able to accelerate the processes of auditory 7 - aUDitory monitoring program for children with discrimination and their relations to speech production, lowering the risk indicators of hearing impairment disadvantages in vocalization in these children. Main Author: Mara Rosana Araújo Co-Authors: Doris Ruthy Lewis Institution: Pontifical Catholic University of São Paulo Abstract Introduction: Auditory monitoring is recommended in several hearing health 6 - mUlti-professional electronic hearing health studies, but there is no consensus on achievement protocols. research protocol for allocation and adaptation Objective: To analyze an Auditory Monitoring Program for children with risk of personal sound amplification hearing devices factors for hearing loss. Main Author: Daniélle Zilli Toniolo Malafaia Method: The sample comprised 127 children with risk factors and who Co-Authors: Herton Coifman passed the newborn hearing screening. For children 6 to 24 months, we Institution: Federal University of Paraná used the Visual Reinforcement Audiometry technique. Children who failed Abstract to perform it underwent OAE assessment; in children older than 24 months Objectives: To create, computerize, apply, and validate a multi-professional of age, Ludic Tonal Audiometry was employed. Children who did not protocol with one section common to ENT diseases and another specific to accept insert earphones for behavioral assessment were subjected to OAE the care of hearing health, and to analyze collected results through health assessment. Children with suspected hearing loss were reassessed, and if management data mining with the academic purpose of public health change was evident, they were submitted to BAEP assessment. proposals. Results: The more common risk factors found were a stay in the NICU for Materials and Methods: A theoretical database on ENT diseases was created and computerized. The incorporation of the databases with SINPE© more than 5 days (75%) and the use of ototoxic drugs (63%). Of the 127 originated both a master protocol and a specific protocol for granting and children scheduled, 92 (72.4%) attended at least 1 monitoring. Regarding fitting a hearing aid (PECAAASI). The details for the granting and use of behavioral techniques, the majority (95.6%) performed VRA, and 71.6% hearing aids were based on those of National Hearing Health Care in Brazil. accepted the headphones. In this study, 14 suspected cases of hearing loss The protocol was applied to an Auditory Health Care Service referenced were found, 3 of which were identified with conductive alterations. by the Ministry of Health. Documentary research was conducted and the Conclusion: In the first assessment, 72.4% of children attended, with an medical records of adult patients diagnosed in the first half of 2010 were avoidance rate of 71.7% for the second and 80.7% for the third assessment. collected and entered into PECAAASI. The results were statistically analyzed The VRA proved feasible for use in monitoring, and was performed in 95.6% by means of graphs through the SINPE© Analyzer module. of children. The 3 cases of conductive hearing loss found (3.2%) ranged Results: The creation of a specific protocol was based on the master from mild to moderate in severity. protocol and was improved as needed during its application. The master protocol includes 28,703 items, 8,850 of which are part of PECAAASI. 

Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. 7 May 16-18, 2013

8 - prevalence of tinnitus perception in the elderly 10 - vibrant Soundbridge® in ear atresia: Simultaneous Oral Presentation with and without hearing aids: A preliminary study bilateral surgical implantation

II Hearing Main Author: Pricila Perini Rigotti Franco Main Author: Luiz Fernando Manzoni Lourencone Co-Authors: Adriane Rocha Schultz, Caroline Luiz Meneses-Barriviera, Juliana Co-Authors: Ademir Antonio Comerlatto Junior, Eduardo Boaventura Oliveira, Jandre Melo, Juliana Zuculin Brunieira, Luciana Lozza de Moraes Marchiori José Carlos Jorge, Rubens Vuono Brito Neto Institution: North Paraná University - Londrina Institution: Hospital for Rehabilitation of Craniofacial Anomalies - Centrinho-USP Abstract Abstract Objective: This study aimed to determine the frequency of perception of Objectives: To describe the surgical techniques and outcomes in simultaneous bilateral auditory implantation of the Vibrant Soundbridge®, a

tinnitus in the elderly with and without hearing aids. Methods: We prospectively collected data using pure tone audiometry and middle-ear hearing aid, in patients with microtia and ear atresia. an audiological history. Case Report: A DCN, male, 18 years of age, was a carrier of the gene for bilateral congenital aural atresia and presented with moderate conductive Results: About 491 individuals aged 60 years or more from the EELO project hearing loss and an air-bone gap of 50 dB. The patient had not adapted (study on aging and longevity) underwent audiometric assessment. Of satisfactorily to arc vibration due to discomfort caused by pressure on these, 209 patients had sensorineural or mixed hearing loss. Of these, the mastoid. Before this, an auditory prosthesis of the middle ear was 16 used a hearing aid and were then compared with the first 16 elderly considered as an alternative, specifically, the Vibrant SoundBridge®. individuals with hearing loss without hearing aids in the EELO project. Only The computed tomography of the bilateral temporal bones showed a 7 hearing aid users complained of tinnitus, while 11 non-users of hearing presence of the supply-structure of the stapes, a fusion of the malleus aids did so. From the statistical analysis using BioEstat 5.3 software with and incus in an aerated attic, and a facial nerve in the normal position. chi-squared and odds ratio tests, it was found that there was no statistically The internal ear without alterations presented with patent windows of significant association between the perception of tinnitus in the elderly and the cochlea. The patient underwent simultaneous bilateral surgery with the use of hearing aids. tympanomastoidectomy, ample opening of the attic, and withdrawal of the Conclusions: Although there was no statistically significant association atrophic bone. The fixed malleus and incus and exposition of the supply- between the perception of tinnitus in the elderly and the use of hearing structure of the stapes were withdrawn from both sides. The bobbin of aids, the higher frequency of complaints about tinnitus in nonusers of the internal unit was connected to the titanium prosthesis specific for this hearing aids may be related to the effect of the use of hearing aids, which purpose (PORP) and encased in the stapes. In the comparative audiogram, has been cited as a potentially important means to change the perception free-field average auditory thresholds of 20 dB in the frequencies of 500 Hz of tinnitus in older adults with hearing loss. Studies in larger populations are to 4000 Hz were recorded; there was high patient and family satisfaction. needed to clarify the subject. Conclusion: Although surgery for ear atresia is complex, the restoration of hearing with implantable middle ear prostheses is effective, and with favorable anatomical conditions, can be performed bilaterally in the same surgical procedure.

9 - assessment of auditory perception and oral 11 - Use of BAHA in a patient with Fraser syndrome: A language of a deaf child before and after cochlear case report implantation Main Author: Sandro Barros Coelho Main Author: Cristiane Zilbermintz Co-Authors: Ana Emanuele Valença Coelho, Marianita Vale Gonçalves Co-Authors: Danielle Penna Lima, Dionélia Rivas, Erideise Gurgel da Costa, Institution: Otorhinolaryngology Clinic Center Iulo Sérgio Barauna Filho, Luis Rodolpho Penna Lima Abstract Institution: Hearing Rehabilitation Diagnostic Center of Pernambuco - The Fraser syndrome is an autosomal recessive disorder, that doesn’t have CEDRAPE an exact pathogenesis known, yet. Up to the date, 117 cases were reported, Abstract in the medical literature. All cases reported present craniofacial disorders, A male child, aged 3 years, with profound bilateral auditory disabilities 93% with cryptophthalmos and 44% with otological disorders, one third of participated in the present study. Through this study, the auditory them, with atresia of the external auditory meatus. There is no report, in the perception and oral language of the deaf child were assessed before and medical literature, of the use of BAHA® system (Bone Anchored Hearing after cochlear implantation. The procedures used in the evaluation of the Aid) for the treatment of hearing loss, in these patients. We present one child were the Scale of Auditory Integration for Young Children IT-MAIS, case report of the use of BAHA® system for the treatment of hearing loss, the Oral Language Assessment Questionnaire – MUSS, Functional Gain, in a patient with Fraser syndrome, with bilateral moderate to severe mixed hearing categories, language categories, and LING sounds. All procedures hearing loss. are part of the evaluation protocol of hearing-impaired children at the CPA Audiological Research Center, University of São Paulo Bauru campus. The tests were applied before and after cochlear implantation in the first year of use with quarterly reviews. The results obtained before the cochlear implant, when the child was using a conventional hearing aid, showed utilization of only 7.5% of their capacity and a linguistic performance of 5%. After 1 year of effective use of the cochlear implant, the child reached 100% hearing capacity and 97.5% oral linguistic performance. When comparing the performance of the child before and after cochlear implantation, a significant improvement in hearing thresholds was observed, which normalized along with age-appropriate language structuring. The findings of this study are consistent with the literature and point to the benefits that cochlear implants can bring to a child with profound bilateral hearing loss, who has no improvement using a conventional prosthesis.

Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. 8 May 16-18, 2013

12 - role of the family in the rehabilitation process of 14 - recognition and production of sentences in a child

hearing-impaired individuals: A case report with pre-lingual hearing impairment who uses a Main Author: Carlos Augusto Ferreira de Araujo cochlear implant Co-Authors: Avenilda de Azevedo Silva Main Author: Anderson Jonas das Neves Institution: Petrópolis Faculty of Medicine & Professor Manoel José Ferreira Co-Authors: Ana Claudia Moreira Almeida Verdu Collective Health Center Institution: Post-Graduate Program in Developmental Psychology and Abstract Learning, UNESP-Bauru II Hearing Objective: The early detection of hearing impairment is extremely important. Abstract Objective: To investigate the effects of a teaching program on relationships

In this study, we sought to highlight the importance of the family in the Oral Presentation rehabilitation process of hearing-impaired children, since the child’s between spoken sentences and corresponding figures on auditory progress also depends on systematic stimulation by the family. comprehension, speech intelligibility, and oral generation of new sentences in a child with pre-lingual hearing impairment who uses a cochlear implant. Materials and Methods: When a baby came to our clinic for newborn hearing screening (around the 20th day of life), changes were observed in Case Report: Patient LG, 7 years of age, was referred to the school clinic after presenting difficulties in receptive and expressive language with significant the pinna on both sides (anotia and microtia). The child was referred to our losses in sequential organization and speech intelligibility and the diagnosis STIMULATION OF HEARING, SPEECH AND LANGUAGE SERVICE - SEAFL. of ADHD. The program adopted auditory stimuli (6 formed sentences dictated The child was referred to an ENT who ordered imaging and laboratory tests, by the common subject “boy” and their respective verb-object relationships among others, and assessment by a plastic surgeon. In speech therapy, the “hold-the-ball,” “see-the-ball,” “hold-the-toy,” “paint-the-toy,” “see-the- child was subjected to audiological, speech, and language assessment as present,” and “paint-the-present”) and visual relationships (figures showing well as therapy once a week, lasting 30 min. the dictated sentences) were displayed by the computer. In the evaluation of Results: Currently, this child has a clinical picture suggestive of mixed pointing at figures, LG presented vocalizations without any correspondence hearing loss. In phonemic examination, a slight phonological change with the appropriate dictation. The learning task consisted of selecting figures occurred (unsystematic). In the assessment of language, there was a lag of via dictated sentences and vocal imitation. LG learned the teaching tasks 6 months (Rating L. Terman; Einet; Watson & Lowrey service protocol). The (100% for selection and 80% for imitation). Post-test naming of the figures child is scheduled to undergo plastic surgery at 7 years of age. was accurately performed. The ability to name new figures derived from a Conclusion: The child has good speech quality, as well as good overall recombination of the taught elements was assessed (e.g., “boy paints ball,” development. Within the audiological assessment, our expectations were “see the toy,” and “paint the present”) and LG issued new sentences with exceeded. We emphasize the reliable participation of the 2 parents, aware 100% correspondence with the dictation. of their extra-therapy responsibilities. Conclusion: The intervention program helped enhance the speech intelligibility of a child who uses a cochlear implant through the transfer of skills in imitating words for picture naming, with potential generation of new verbal performances.

13 - aUDitory tube dysfunction promoting changes in 15 - the effectiveness of a combined hearing aid children during the learning period in patients with tinnitus and hearing loss - Main Author: Carlos Augusto Ferreira de Araujo preliminary results Co-Authors: Avenilda de Azevedo Silva Main Author: Cleide Teixeira Institution: Petrópolis Faculty of Medicine & Professor Manoel José Ferreira Co-Authors: Francisco Mário De Biase, Gisele Munhoes Dos Santos, Ivany Collective Health Center Bradley da Cunha, Raquel Ferraz Cornélio Abstract Institution: Federal University of Pernambuco Abstract: Objective: This field research aims to examine whether complaints of changes in the learning process together with complaints of hearing loss Introduction: Several counseling and sound therapy protocols have been and respiratory allergies are the result of tube dysfunction or other related developed in recent years. Tinnitus Activities Treatment (TAT), developed changes. by Tyler (2004), aims to modify the patient’s reaction to tinnitus in order to achieve habituation. The acoustic stimulation can involve the use of Materials and Methods: Twenty-five 8-year-old girls who had complaints of changes in the learning process were selected. They were referred a amplification by using a sound generator and/or external sound generators priori to an ENT for complete clinical evaluation. Otoscopy, audiometry, or a combination of these. impedanciometry, screening of spontaneous writing, and imaging were Objective: To determine the efficacy of the combined use of amplification conducted. and a sound generator compared to amplification alone in patients with hearing loss and tinnitus subjected to the TAT protocol. Results: The evaluation found that 64% of the patients showed changes in imaging, 76% showed changes in otoscopy, and 24% showed no Materials and Methods: This multi-center, randomized crossover clinical changes. Audiometric assessment showed normal findings in 44% of the trial was approved by the appropriate ethics committees. Ten adults with patients, discrete hearing loss in 52%, and mild hearing loss in 4%. Acoustic mild to moderate sensorineural hearing loss with tinnitus for more than 6 impedance was detected as type A in 20%, type C in 24%, type B in 4%, and months were randomly divided into 2 groups. Group 1 used the Life 101 residual negative volume (RNV) in 36%. (Siemens) hearing aid for 4 months in amplification alone mode. After 2 months of wash-out, they again used the same hearing aid in the combined Conclusion: Along with the existing literature and research, we agree that the changes in the learning process may be due to the malfunction of mode for 4 more months. Group 2 began with the combined mode and then the auditory tube, that is, “tube dysfunction.” The extent of changes may proceeded to the amplification alone after a wash-out period. contribute negatively to the child’s progress, whether in school or in any Results: The handicap caused by tinnitus in the Group 1 reduced from 52 environment where they need to pay attention and listen well. to 43.2 in Phase 1 and from 43.2 to 22.8 in Phase 2. In the Group 2, the reduction was from 54.6 to 19.2 in Phase 1 and from 44.8 to 30.2 in Phase 2. Conclusion: The combined use of amplification and a sound generator was more effective in reducing the handicap caused by tinnitus compared to amplification alone.

Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. 9 May 16-18, 2013

16 - cochlear implants and deaf children: Important 18 - otosclerosis and cochlear implants: Evaluation of Oral Presentation factors for their development speech perception after six years of activation

II Hearing Main Author: Heloisa Romeiro Nasralla Main Author: Cristiane Zilbermintz Institution: FMUSP Co-Authors: Danielle Penna Lima, Dionélia Rivas, Eduardo Alexandre Moraes, Abstract Iulo Sérgio Barauna Filho, Luis Rodolpho Penna Lima Introduction: The development of deaf children follows the same steps and Institution: Pernambuco Center for Diagnosis and Hearing Rehabilitation - issues as hearing children, since their inherited communication skills are CEDRAPE respected. Abstract

Consider the necessity of the development of mourning of the expected This study presents a case report of an 63-year-old man with profound child and the importance of the creation of bonds of affection. sensory hearing impairment in both ears. The aim was to assess speech Objective: To describe the evaluation of the development and of the perception after 6 years of cochlear implant activation. The patient was cognition of twenty patients, with ages ranging from one and thirteen diagnosed with otosclerosis and began using a hearing aid only in the left years, highlighting the important factors that contributed to their outcome. ear. He used hearing aids for 10 years and then underwent cochlear implant Methods: Interviews with parents; the Vineland Social Maturity Scale; surgery. The procedures used in the assessment of speech perception were Columbia Maturity Scale; Free Drawings; Bender and Pre-Bender Testing; as follows: List Sentences and Balanced Words. Both are part of the of adult and Pedagogical Tests. Tests were selected according individual skills. deaf assessment protocol of the Audiological Research Center, University of Results: Each patient was described. São Paulo Bauru campus. During the first 3 years of implant use, the patient Discussion/Conclusion: The acceptance of deafness proved to be the starting scored more than 80% on tests of speech perception. From the fourth year point for the development of communication, be it verbal or gestural, as onwards, there was a sharp decrease in levels of speech perception. The well as cognitive, motor, and emotional development. If the association optimization of the maps in the cochlear implant and changes in program between deafness and fine motor skills, whether associated or not with parameters, such as pulse width, reset of T- and C-levels, balancing of the multiple disabilities, undermines the development of speech, it does not electrodes, and setting of maxima, were adopted as alternatives for 2 years. greatly affect communication when there is interaction with peers and Currently, the patient performs quarterly programs, and the balancing of the maternal stimulation. Overprotection and poor sociability not only made electrodes was shown to be the factor that was most related to changes in the children less independent but also impaired their development and speech perception. caused low self-esteem. Further studies should be performed for observing how the CI contributed to the recovery of these patients. Heloisa Romeiro Nasralla Psychologist CRP 06/0562 Member of the Cochlear Implant Team HCFMUSP

17 - Auditory recognition and naming of object-quality 19 - Audiological findings in the activation of a relationships in a child with pre-lingual hearing cochlear implant in a patient with mumps and a impairment and a cochlear implant neuroma Main Author: Anderson Jonas das Neves Main Author: Cristiane Zilbermintz Co-Authors: Ana Claudia Moreira Almeida Verdu Co-Authors: Dionélia Rivas, Eduardo Alexandre Moraes, Iulo Sérgio Barauna Institution: UNESP-Bauru Filho, Manuella Regina Abstract Institution: Pernambuco Center for Diagnosis and Hearing Rehabilitation - Objective: To verify whether an intervention based on the teaching of relations CEDRAPE between dictated object-quality linguistic expressions and corresponding Abstract figures would enable auditory comprehension, the intelligible appointment Auditory perception after cochlear implant was assessed in a woman with of figures, and oral production of new linguistic expressions in a child with profound acquired sensory hearing impairment in both ears. At 20 years pre-lingual hearing impairment and a cochlear implant. of age, she was affected by mumps, causing hearing loss in her right ear Case Report: Patient LG, 7 years, with a cochlear implant, was referred to with thresholds at 100 dB for all frequencies without speech detection. Ten the school clinic after presenting difficulties in receptive and expressive years later, she experienced hearing loss in her left ear accompanied by language, with significant losses in speech intelligibility, and the diagnosis dizziness and tinnitus and was diagnosed with an acoustic neuroma on of ADHD. The child was taught using auditory stimuli (3 dictated expressions imaging analysis. She underwent cochlear implant surgery in the right ear, of an object-quality relationship [e.g., “dinosaur-green,” “car-red,” and which was activated after 30 days. During activation, the patient reported “ball-blue”]) and visual stimuli (figures corresponding to the dictated object- not being able to hear with the implant. Within 1 h of activation, she was quality relationship). Before the patient was taught to name the figures, able to hear. She returned after 7 days of implant use and achieved a free- the patient named the figures but with no correspondence to the dictated field threshold of 40 dB at a frequency of 500 Hz and 20 dB at frequencies of object-quality relationships. The therapy involved teaching the patient to 2000, 3000, and 4000 Hz. She could discriminate 50% of words presented. select figures according to the dictated relationship and vocal imitation of the dictated object-quality relationship. LG learned the tasks (100% in selection and 90% in imitation). After the therapy, the patient successfully (100% success) named the figures. The ability to identify new figures derived from the recombination of the taught elements was assessed (e.g., “car-green,” “ball-green,” “dinosaur-red,” “ball-red,” “dinosaur-blue,” and “car-blue”), and LG successfully delivered new linguistic expressions with 100% accuracy. Conclusions: The intervention program helped enhance the intelligible appointment of object-quality relationships in a child who used a cochlear implant; it also showed the child’s potential to generate new verbal performances.

Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. 10 August 15,2013 The freepaperwillbepresentedinRoom Chamonix,onAugust15 The awardingofthe three bestpaperswillbemade​​ Closing Partyatthe12 Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. th CongressoftheOtorhinolaryngology Foundation. 08:00am. -06:00pm. 11

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Oral Presentation Otorhinolaryngology The : ons i A total of : : onclus C ethods M ysphonia of among of among ysphonia ation for of d for of ation u To evaluate HA concentration and distribution in : With age, the HA concentration gradually increased increased gradually concentration HA the age, With : ve i esults bject R O Hyaluronic acid (HA) plays an important role in mechanical DS: SEX AND AGE FOL D IN HUMAN VOCAL URONIC ACI : Anete Branco Michelle Manzini Adriana Bueno Benito Pessin, Alexandre Todorovic Fabro, Carlos Fabro, Adriana Todorovic Alexandre Bueno Benito Pessin, Andreia Melchiors Wenzel, Caroline Persch Royer, Claudia on i anta Maria – RS fire in Santa of of a victims VARIATIONS ntroduct the vocal folds of individuals of different sexes and ages. 4 - hyal thor: Main Au thors: Co-Au I osmotic control, and viscoelasticity, of regeneration the stability, extracellular matrix of the vocal folds; however, there conflictingresults regarding are concentrations of differences HA in of individuals of different opinion and sexes and ages. 3 - eval aryngeal l thor: Main Au thors: Co-Au Eduardo Fonseca-Alves, Regina Helena Garcia Martins Regina Helena Garcia Fonseca-Alves, Eduardo Schweiger, Gabriel Kuhl, Jefferson André Bauer Jefferson Kuhl, Gabriel Schweiger, This paper reports on laryngeal evaluations of young victims people of who a fire were in a nightclub in Santa described. outcomes are results treatment laryngoscopic findings and Maria-RS. Clinical laringoscopic 51 vocal folds were removed during necropsy and divided into 3 groups: Group Group groups: 3 into divided and necropsy during removed were folds vocal 51 years; (≥76 III Group and 18), = n years; (60–75 II Group 15), = n years; (30–50 I n = 18). Histological slides were prepared for immunohistochemical analysis and incubated with anti-HA at a dilution of 1:800 and secondary antibody. Analyses of the histological slides were performed by a researcher blinded to the group allocation, and the density of brownish antibody in the lamina propria (superficial and deep layers) was determined non-overlapping in 3 μm2. areas HA concentration decreases with aging in a of gender. differentiation homogeneous way, without in females in the superficial (18% vs. 28%) and (20% deep vs. layers 45%). In men, the HA concentration was decreased in the superficial layer (34% vs. 25%) and a considerable decrease in HA concentration was observed in the deep layer among those aged 60–75 years (? vs. 32%). The distribution HA of in both sexes followed the same linear concentration. 12 To : bjectives O This This retrospective, : The facial analysis : ethods M ion onclus C Currently there are a number of : Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. ion onclus C A total of 84.6% of the study participants were men, : To analyze the facial features of 35 patients diagnosed : esults Neoplasm of the larynx has a accounting high for prevalence, The obstructive sleep apnea-hypopnea syndrome is complex R : Debora Petrungaro Migueis Petrungaro Debora Welington Martins Vieira Welington : urpose Andrea David, Leonardo Rangel, Natalia Raye Maciel, Rebecca Flávio Serafini P DURING TREATMENT LARYNX SYNDROME APNEA-HYPOPNEA ackground ntroduction revealed revealed an overall trend toward a convex profile, withretroposition of the maxilla and/or mandible, a vertical facial growth tendency (obtuse gonial angle), increased facial anteroinferior height, decreased retropalatine and length. throat spaces, and decreased retrolingual longitudinal, observational study included patients larynx with cancer and of not the those Preliminary with other malignancies or without pathology. I thor: Main Au thors: Co-Au 2 - OF THE WITH CANCER OF PATIENTS complications thors: Co-Au B 1 - SLEEP UCTIVE OBSTR WITH OF PATIENTS PROFILE facial thor: Main Au 25% of malignant tumors of the head and neck. In Brazil, 9320 new cases are diagnosed and 3402 of these die each year. Early diagnosis increases the chance of a cure combination, in and used be may These reduces chemotherapy. or complications. radiotherapy, surgery, Treatment consists of but their application through staging and their impact on survival remain controversial. Due to the biopsychosocial impact of such the therapies high rate and of associated complications, further studies are needed to improve treatment efficacy and reduce its effects. side 87% had squamous cell carcinoma, and their average age was 67 years. dyspnea, (30.7%) 12 dysphonia, had (46%) patients Thirteen Complications: and 7 (17.9%) dysphagia; there were 7 confirmedIndications relapses. for Discussion: treatment according to stage and survival are established, but still complications being because of the disease or treatment may determine the treatment plan. Thoen, Roberto Meireles Roberto Thoen, and multifactorial, but it is relatively common and is of interest to a number number a to interest of is and common relatively is it but multifactorial, and of specialists. Airflow interruption in the upper airwayfor more than 10 s can cause several problems, including daytime drowsiness, hypertension, pulmonary hypertension, and arrhythmias. The condition can to thus major public health problems lead and so early diagnosis and treatment are justified. evaluate treatment complications among patients with cancer of the larynx the of cancer with patients among complications treatment evaluate and determine the epidemiological profile. with sleep apnea-hypopnea syndrome. different different methods and treatment protocols used for treating this disorder. To improve patient survival and quality adverse effects of of these must life, be determined the and understood complications by doctors and and patients. August 15, 2013 15, August

Oral Presentation Otorhinolaryngology August 15,2013 of labor; all also underwent videolaryngoscopy.underwent also all labor; of to instrument an voiceas their use don’t who dysphonia with patients assess questionnaires used study observational cross-sectional prospective, vocal health. vocal of importance the on public the educate to aims that nature educational ein eairl n nuooia factors. neurological and relationships. behavioral benign interpersonal influence even and malignancies or including conditions, manyby caused be can Dysphonia listener the on impact economically active population. However,the alteredof or dysphonic 25% voices can haveabout a negative for tool working essential an is considered it and individuals, among vary voice human the of characteristics The Perez Jader Henriques Limeira, Luis Fernando Tupinamba Da Silva, Yenly Gonzalez Rodrigo Rodrigues,Viviane SaldanhaDeOliveira, Yenly GonzalezPerez Co-Authors: Main Author: 6 - O Co-Authors: Main Author: laryngoscopic FINDINGSOFPATIENTS WITHLARYNGEAL 5 - use were identifiedasexplanatory factors for thisfinding. such of effects harmful the about knowledge of lack the and work at voice the of use the of preponderance The assessed. patients 379 the of 302 in niiul wr sree ad xmnd y aygsoy uig the during laryngoscopy by week. examined and screened were individuals These subject. the to relating questionnaire a completed people 529 and Jorge (FHAF). Leaflets were delivered, educational lectures were presented, Adriano Hospital Fundação the at held was presentation the and 13, April significant prevalence ofbenignlesions. left, a Therewasalterations.structural minor in the varicosity and edema, Reinke’s on polyps and cysts posterior triangular and cracks fusiform followed by was this reflux; pharyngolaryngeal of result a as laryngitis was patients these for finding laryngoscopic main The abuse. voice of episode some claim who and middle-aged and female predominantly as patients hwd hrceitc o malignancy. of characteristics showed 4% other the whereas benign, were identified lesions the of 96% of total A crevices. and carcinoma, laryngeal granulomas, papillomas, laryngeal edema, Reinke’s cysts, changes, structural minimal withlesions and tumors cordites, findings laryngoscopy non-specific polyps, nodules, paralysis, cord with vocal laryngitis, of suggestive correlations any and profile epidemiological an identify to characteristics personal and habits, social questionnaires containing data on the chief complaint related to dysphonia, (79.6%). majority were female (68.3%); the most common symptom was hoarseness the and old years 41–60 were individuals these of laryngoscopy.Most for bjective VOICE: EPI DEMIOLOGICAL PROFILE D COMPLAINTS SERVEDDURINGAHEALTH CAMPAIGN R YSPHONIA INPATIENTS WHODONOT WORKWITHTHEIR esults C : mlmnain f 2we cmag o a rvnie and preventive a of campaign 2-week a of Implementation onclusion Ana Carolina Guimaraes Delfino, Diego Monteiro De Carvalho, De Monteiro Diego Delfino, Guimaraes Carolina Ana Paulo Brock, Miranda Raisa Nina Souza, De Andrade Julio SuniaRibeiro SuniaRibeiro : M Of the 529 individuals screened, 379 (71.6%) were referredwere (71.6%) 379 screened, individuals 529 the Of ethodology : The main finding was hoarseness, which was identified : The second week of the campaign began on began campaign the of week second The Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. C onclusions M aterials R esults : u suy identified study Our

: and We analyzed 100 analyzed We M ethods : This 13 the degree of vocal muscle atrophy among the elderly.the among atrophy muscle vocal of degree the combined orthognathic surgeryorthognathic combined for correction these. of upper airway in patients with facial Class III deformities who have undergone the pharyngealairway space. can minimize the effects of the mandibular setback and the risk of reducing advancement) (maxillary movements of combination a required, is setback mandibular When surgery. corrective before evaluated carefully be thus should deformity III Class a with patients in space airway pharyngeal postoperatively.The months 3 at region hypopharynx the in reduction a regions and oropharynx and nasopharynx the in increase anteroposterior an showed study this in surgery bimaxillary undergone had who patients The muscle fibers (µm). fibers muscle transverselysectioned 200 of diameter the of measurements and software J Image using performed were analyses morphometric the and software Vision Axion with photographedwere patient each from slides The Schiff). acid- (Periodic PAS with stained were that sections 4-µm-thick obtain paraffin to in embedded and sectioned longitudinally were folds vocal The group). control 18, = (n years 30–50 and 22), = (n years 76–90 21), = (n years 60–75 groups: age 3 to allocated were necropsies from folds vocal indicated in such cases. such in indicated be may advancement maxillary of association An apnea. sleep obstructive of development the with associated be to supposed is that space airway mandibular setback has been associated with a decrease in the pharyngeal surgery to correct a Class III dentofacial deformity is currently of interest. The Jorge, SelmaMariaMichelimMatheus B Co-Authors: Main Author: cephalometric EVAL 7 – f h vcl uce wih s epnil fr ayn dges f glottic of degrees varying insufficiency. for responsible is which muscle, vocal the of important changes to occur in the larynx of the elderly population is atrophy morphology that justifies the vocal pattern of this age group. One of the most I Co-Authors: Main Author: morphmetricANALYSIS OFTHEDEGREEVOCAL 8 - respectively). group, age year-old 76–90 and group, age year-old 60–75 group, control year-old30–50 the for µm 15.200 vs. µm 15.225 vs. µm (15.702 age with oxidative (smallerdiameter, more osinophilic,lessresistant tofatigue). to fatigue) to resistant more and lighter,diameter, (greater tic glycol from fibers muscle of type the in alterations with associated be to appears thus Presbyphonia age. with progress and years 60 age from identified be can and these were again evaluated at 3 months postoperatively. months 3 at evaluated again were these and preoperativethe stage, during hypopharynx and oropharynx, nasopharynx, for mentoplasty. We used 3 and cephalometric osteotomymeasurements advancement,corresponding to the maxillary for osteotomy sagittal I Fort Le bilateral setback, mandibular following performed: The were function. surgeries gnathic and corrective harmony facial better achieve to 18 and 35 years, and who were surgically treated cephalometric with orthognathic surgery the involved and evaluation of 20 patients with a Class III Universitydeformity who were aged between Taubaté at developed was ntroduction ackground ORTHOGNATHIC SURGERY III DEFORMITYWHOHAVE UNDERGONEBIMAXILLARY SPACE INPATIENTS WITHAFACIAL SKELETAL CLASS MUSCLE ATROPHY AMONGTHEELDERLY FlávioSerafini Adriana Bueno Benito Pessin, Anete Branco, Douglas N Chaves N Douglas Branco, Pessin,Anete Benito Bueno Adriana : Welington MartinsVieira ReginaHelenaGarcia Martins : h nroig f h payga sae fe orthognathic after space pharyngeal the of narrowing The h vcl od o edry niiul hv a characteristic a have individuals elderly of folds vocal The C A onclusion im : To analyze, by means of morphometric measurements, morphometric of means by analyze, To R esults : Changes in the diameter of the vocal muscle fibers P urpose : The diameter of the muscle fibers decreased fibers muscle the of diameter The U : ATION OFTHEPHARYNGEAL AIRWAY To evaluate dimensional changes in the in changes dimensional evaluateTo M M ethods ethods : C : Thisstudy onclusion Sixty-one :

Oral Presentation Otorhinolaryngology

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asuistry C The histopathological CT and MIVAT : esults R A gradual decrease in the thickness of the : Presbyphonia causes thinning of the lamina : esults on R i BETWEEN THE SEXES : A COMPARISON onclus les of the thyroid gland les of the Patients with thyroid nodules account for up to 3–8% of : C Adriana Bueno Benito Pessin Izabelle Ferreira da Silva Mazeto da Silva Izabelle Ferreira Andrea Cristina Joia Gramuglia, Douglas N Jorge Chaves, Emanuel Celice Castilho, José Vicente Tagliarini Castilho, José Vicente Emanuel Celice Fifty-eight Fifty-eight vocal cords (35 men and 23 women) were removed To study the epithelium, lamina propria, and vocal muscle : : ve i —IN THE UM, LAMINA PROPRIA, AND MUSCLE EPITHELI DERLY EL nodu ethods bject ntroduction during necropsy, during and necropsy, these were allocated to 3 groups: a control group, a group of those aged 60–75 years, and 76–90 a years. The group vocal folds of were processed and individuals stained with aged periodic thickness of the epithelium and and The lamina propria (PAS). acid-Schiff the diameter of the muscle fiberswere measuredby morphometry using Image J software. outcomes were, respectively, as follows: cancer, colloid/adenomatous goiter, 33.33% 56.67% and 33.33%; and Hashimoto’s thyroiditis, 33.33%; duration mean The 22.22%. and 0.00% adenoma, and 11.11%; and 10.00% of surgery and hospital stay was 130.0 minutes and 5.8 days for CT, and 119.5 min and 3.1 days for MIVAT. Drain 79.31% of placement CT patients, but was was not necessary necessary for any patient. MIVAT The in surgical scar measured 3 cm for but MIVAT, 7–10 cm for CT. 12 - URES— UCT D STR FOL OF VOCAL morphometric ANALYSIS thor: Main Au thors: Co-Au O M 11 - of in the treatment dectomy d thyroi ideoassiste v thor: Main Au thors: Co-Au I the population. Aspiration cytology enables early diagnosis of suspicious nodules of increasingly smaller sizes, which has of increased surgeries the performed. number Minimally invasive video-assisted thyroidectomy (MIVAT) represents a potentially less aggressive option. The study included patients who underwent September a 2011 and thyroidectomy February 2013 between for the treatment of thyroid nodules with a surgical indication. The patients were divided into 2 groups: those who underwent CT (n = 30) and those who were assessed with (n MIVAT = 18). Patients eligible for MIVAT were those with masses up to 3 cm without that and in cm³, 20 to up of removed be to volume lobe thyroid a size, any suspected adenopathy. Gabriela Pilon Meira, Regina Helena Garcia Martins, Selma Maria Michelim Maria Selma Martins, Garcia Helena Regina Meira, Pilon Gabriela Matheus lamina propria was observed with increased age in both sexes (Female - GC- 482.803μm; 60-75-359.469μm and 76-90 years- 349.410 μm; Male - GC- 492.458μm; 60-75- μm 374.499 and 76-90 years- 362.753 μm). The muscle fibers diameter, has also showed a decrease in both sexes with the age (Female - GC- μm; 15.821 60- 75-15.762 μm 15.205μm; and Male 76-90 - years- GC- 15.755μm; 60-75- 15,575 m 15.295μm). The epithelium and thickness of 76-90 elderly women years- was lower than that of the controls, but there was no significant difference between the subgroups of elderly (GC- 56.323μm; 60-75- 43.661μm and 76-90 years- 45.460μm). evaluate evaluate the use of MIVAT in the treatment (CT). compare this of with thyroidectomy conventional thyroid nodules, and to dimensions of the elderly through morphometry and to compare sexes. propria propria and vocal muscle fiber diameter in women. prevalent more changes are in both sexes, but epithelial MIVAT is superior to CT because it the duration of surgery is reduced, as are are as reduced, is surgery of duration the it because CT to superior is MIVAT scar. and the size of the surgical the length of hospital stay 14

: esign D

Several : tudy S ion onclus C The filiform lingual papillae of Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. : The most common biopsy findings : esults R Of the 46 patients assessed, 16 (34.7%) : A total of 20 divided rats were into 2 groups: This This prospective observational study involved : ion onclus : esults C R ethods ethods M M Leukoplakia of the vocal cord is the clinical expression of a To identify the main alterations found in biopsies of vocal : Andrea Goldwasser David Goldwasser Andrea Regina Helena Garcia Martins Garcia Regina Helena : Andrea Maria Campgnolo, Carlos Barone Junior, Debora Adriana Bueno Benito Pessin, Graziela de Oliveira Semenzati, To examine the surface of the tongue, pharynx, and larynx of im : A LEUKOPLAKIA CIGARETTE D TO EXPOSE OF RATS , AND LARYNX PHARYNX SMOKE bjective ntroduction had no dysplasia, 4 (8.6%) had mild dysplasia, 13 (28.2%) had moderate dysplasia, 10 (21.7%) dysplasia/carcinoma in had situ, severe and 3 (6.5%) had invasive carcinoma. changes in the tongue, pharynx, in and observed animals larynx from were respiratory on smoking of effects harmful the confirming group, Tobacco the epithelium. and digestive the tongues of animals in the Tobacco group were irregularly displayed, flattened, and adhered to each other.The hypopharynx mucosawas very thickened, irregular, rough, and showed increased superficial peeling. The mucosa of the vocal folds had deep furrows surrounding the cells. These alterations were not observed in the control group. cord cord leukoplakias. patients selected after videolaryngoscopy between 05/2008 and 05/2013. Inclusion criteria: Adults with Exclusion a criteria: Previous diagnosis of diagnosis cancer of the of larynx or any other vocal vocal cord cord lesions. The patients underwent an leukoplakia. excisional biopsy and their samples were analyzed. GI (Control) consisted of 10 rats that received water and animal food ad libitum, and GII (Tobacco group) consisted of 10 rats that were twice exposed a day to smoke inhalation from 10 260 days cigarettes without any 7 food restrictions. days After 260 a days, the week aerodigestive for segment was removed and fragments of the tongue, hypopharynx, right and vocal fold were immersed in 2.5% glutaraldehyde and prepared for scanning electron microscopy. I thor: Main Au thors: Co-Au CORD 10 - OF VOCAL PROFILE anatomopathological O thor: Main Au thors: Co-Au 9 - UE, TONG OF THE MICROSCOPY ELECTRON scanning tissue alteration with variable anatomopathological (AP) characteristics. As it may represent a pre-malignant lesion, alterations identification is of very dysplastic important. Study of important the for AP establishing profile protocols of leukoplakia and is larynx. treatments for cancer of the Petrungraro Migues, Natália Raye Maciel, Rebecca Heidrich Thoen Maciel, Rebecca Migues, Natália Raye Petrungraro Norimar Hernandes Diaz, Sergio Luis Madeira, Tatiana Maria Gonçalves Tatiana Luis Madeira, Diaz, Sergio Norimar Hernandes were were mild and moderate dysplasia. with no A dysplasia. The variability minority of the of biopsy findings patients and theto inability distinguish presented benign from malignant lesions based on appearance alone indicate that treatments have to be customized Those with for no individual risk factors patients. may be followed-up with a posterior biopsy there is if no regression. Patients with risk factors should undergo a biopsy soon after diagnosis. This will allow for a faster diagnosis of cancer of the options and outcomes. treatment better larynx and therefore animals exposed to tobacco, by scanning electron microscopy. microscopy. electron scanning by tobacco, to exposed animals Experimental study. Experimental study. August 15, 2013 15, August

Oral Presentation Otorhinolaryngology August 15,2013 ovrin poi, kltl uce eso, n itritn sonority intermittent emission. vocal of forms manifested frequently most the were and tension, muscle skeletal aphonia, Conversion were normal for 25 patients, and only 1 case of vocal sulcus was identified. Videolaryngoscopicfindings patients. 16 by months 6 than longer duration a and patients, 15 by course intermittent an patients, 14 by reported was = 17), teacher (n = 3), and salesperson (n = 3). Sudden onset of symptoms (n housemaid were occupations Notable years). 55 age, (mean men were 2 and years) 34 age, (mean women were 24 whom of years), 16–78 (age, the importanceofamultidisciplinaryapproach highlighted. and discussed aredisorder and the sonority.of areintermittent aspects Clinical tension, muscle skeletal aphonia, conversion are which of frequent most the forms, clinical of variety a as manifests dysphonia Psychogenic ielrnocpc findings. videolaryngoscopic and characteristics, emission vocal manifestation, symptom vocal of form occupation, age, sex, included analyzed parameters The reviewed. were years 10 past the over School Medical Botucatu the Disorder of Voice clinics the outpatient attended who and older or years 16 dysphonia aged were psychogenic who of diagnosis a with patients of records medical to 30.3% to disorderrangesfrom4.4% the of incidence the that performedindicate been have that those but rare, are dysphonia infantile of studies Epidemiological scoei dshna ae oa dsres f ucinl rgn that origin manifestations. functional clinical of variable highly disordershave vocal are dysphonias Psychogenic Regina Boya Neves Pereira, Paula Ferreira Ranalli children underwent auditory-perceptual evaluations and acoustic acoustic and evaluations videolaryngoscopy. with auditory-perceptual along assessments underwent children participating The features. vocal children’s their regarding questionnaire a age 3 to allocated and groups: 4–6 years, 7–9 years, and 10–12 years. selected Their parents then completed randomly were school public attending findings. videolaryngoscopic and aged 4–12 years, and to characterize the vocal symptoms, associated factors, Co-Authors: Main Author: epidemiological stud 14 - Co-Authors: Main Author: psychogenic d 13 - euirte ad oa eiso caatrsis f sre o patients dysphonia. of psychogenic of series diagnosis a a with of characteristics emission vocal and peculiarities most frequent videolaryngoscopic findings. videolaryngoscopic frequent most age. Vocal nodules, mucous thickening, and inflammatory processes were the values increasedSPI with and NHR, APQ, %, shimmer PPQ, %, jitter and age, = (n 1065), and G2 (n G1 = 228). Acoustic measurements 694), indicated f0 decreased = with (n G0 follows: as were findings the and scale GRBASI the using performed were evaluations auditory-perceptual The index. dysphonia the of calculation the in therefore,were,included and symptoms permanent reports, 206 children had experienced sporadic vocal symptoms, and 123 had parent the to According analysis. the in included were girls) 993 boys, (1007 with aGscore of1or2ontheGBRASIscale. children vocal in especially states, wereinflammatory and thickening, mucous nodules, videolaryngoscopy on lesions laryngeal diagnosed most frequently The scores. analysis auditory-perceptual the to related directly were measurements Acoustic obstruction. nose and allergy, environment, noisy were factors associated and overuse, vocal to related were symptoms vocal reported frequently most The analyses. to auditory-perceptual the increased after 11.4% was this 6.15%; of index prevalence dysphonia a suggested children aged 4-12years manifestations Alcione G. Brasolotto, Elaine Lara Mendes Tavares, Sérgio A. Rodrigues O Adriana Bueno Benito Pessin, Elaine Lara Mendes Tavares,Mendes Eny Lara Elaine Pessin, Benito Bueno Adriana bject ReginaHelenaGarcia Martins ReginaHelenaGarcia Martins i ves : To determine the prevalence of dysphonia in children in dysphonia of prevalence the determine To ysphonia anditsseveral clinical R esults C y ofvoice disorersin ases : n oa, 6 ains ee included were patients 26 total, In

and Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013.

M C onclus ethods A C R im asuistry esults : i : o rsn te clinical the present To ons A total of 2000 children 2000 of total A : : l 20 children 2000 All Parental judgement judgement Parental

and

M C ethods onclusions : The :

15 dissection. neck cavity, oral carcinoma, cell squamous metastasis, lymphatic biopsy, significant differences. any without groups both in similar was rate recurrence neck The group). (control END underwent who 22 and SLNB underwent whom of 30 cancer, oral early-stage with patients 52 included study current The city of Manaus, Amazonas. Manaus, of city the in hospital public a at Service ENT videolaryngoscopy a by conducted frominformationtests obtained with formsfrom along completed obtained data secondary of analysis the involved study observational retrospective, ih N. oprsn wr md b mthd ar analysis. pair matched by resection made tumor were primary Comparisons END. underwent with who or END subsequent without oral early-stage with SLNB underwent and resection patients tumor primary for tested were who cancer of cohorts 2 of made were comparisons city of Manaus between September 2012 and April 2013. April and 2012 September between Manaus of city endoscopic and videolaryngoscopy at an otorhinolaryngology service in the h hv udroe etnl yp nd bos (LB ad those (END). and dissection (SLNB) neck elective biopsy undergone node have who lymph sentinel undergone have with who cavity patients among oral rate the compare the to and of (cN0), necks negative (SCC) clinically carcinoma cell squamous (T1/T2) stage Raposo deAlencar, NinaRaisaMiranda Brock, Yenly Perez Gonzalez aaio hn, ulem Mcao e avlo Pbo ors Gomes Pereira Soares Pablo Carvalho, de Machado Guilherme Chone, Takahiro O Co-Authors: Main Author: epiDEMIOLOGICAL PROFILE OFPATIENTS UNDERGOING 15 - O Co-Authors: Main Author: aCOMPARATIVE ANALYSIS OFSENTINEL LYMPH NODE 16 - ains a sgs ugsie f otro lrnii, rtni mucosal edema arytenoid being the most prevalent (64.78%). laryngitis, posterior of suggestive signs had patients minor structural changes (6.7%)andnodules(4.1%).Atotalof191(71.8%) were alterations frequent most the present, when (73%); patients 194 in absent wasfold glottal the of most prevalence).Injury (18% observed frequently was type fusiform the present, when cases; of 60% in absent was enabled Laryngoscopy patients added or not to the (57.8%). incomplete closure in 14% of cases. The glottis throat of 89% in sore normal as identified was mobility and glottis, the of visualization and (67%) (74%), hoarseness patients 197 in hoarseness were most The complaints patients. reported female frequently (70%) 185 and patients male (30%) 81 from However, signssuggestive ofposteriorlaryngitiswere prevalent. lesions. foldvocal or gaps glottal no and mobility normal with glottis a had who hoarseness of complaining women mostly were videolaryngoscopy of patients who underwentEND. who and patients of SLNB stage SCC of oral cavity. Neck recurrence rates were similar between groups bjective bjective SEPTEMBER 2012ANDAPRIL 2013. VIDEOLARYNGOSCOPY AT AHOSPITAL BETWEEN CANCER BIOPSY ANDELECTIVE NECKDISSECTION FORORAL : : To describe the epidemiological profile of patients undergoing patients of profile epidemiological the describe To o vlae h rt o nc rcrec i ptet wt early with patients in recurrence neck of rate the evaluate To Alex Wilker Soares, Ana Carolina Guimaraes Delfino, Mariana Delfino, Guimaraes Carolina Ana Soares, Wilker Alex gíi Nbao rso Aeade axt Giaãs Carlos Guimarães, Caixeta Alexandre Crespo, Nubiato Agrício Viviane SaldanhaDeOliveira Vanessa Gonçalves Silva C onclusion : SLNB is a new option for the treatment of early- of treatment the for option new a is SLNB R esults : We analyzed 266 videolaryngoscopies 266 analyzed We C K onclusion eywords : : sentinel lymph node lymph sentinel Patients undergoing M ethods M ethods : R Clinical esults : This :

Oral Presentation Otorhinolaryngology BPPV is : Cultures were : ion onclus C ethods M In the present study, we : The sample consisted of 49 : esults Although further phenotypic : R esults A prospective, descriptive study was R : ion onclus C ethodology M To evaluate the clinical characteristics of patients : bjective ation of patients with benign paroxysmal paroxysmal benign with of patients ation O Cochlea supporting cells are primary targets for inducing Benign paroxysmal positional vertigo (BPPV) is a vestibular : : u Ana Carla Batissoco Carolina Israel Marques Israel Carolina Boris Juniors López Calizaya, Cláudia R. de Marchi L. Hemza, Douglas Antonio de Resende Gonçalves, João Machado Barreto Barreto Machado João Gonçalves, Resende de Antonio Douglas Investigate the Investigate expression of connexin 26 in suspension cultures : d in vitro from mouse cochlea obtaine tospheres sensory epithelia express connexin 26 epithelia sensory clinic specialty outpatient in an vertigo positional bjective ntroduction ntroduction maintained for 2 days in vitro (2DIV) in a medium. The primary antibodies, connexin 26 (1:100) (Zymed), musashi (1:100) (Abcam), vimentin (1:100) (Abcam), and secondary antibodies, Alexa cells of the culture immunofluorescence indirect used for were (Invitrogen), Fluor 488 and 546 (1:400) (2DIV) with DAPI for nuclei staining. Musashi and vimentin are markers of SPC and cell cycle division, respectively. conducted at the Otolaryngology Department of the Armed Forces Hospital. Forces Armed the of Department Otolaryngology the at conducted We selected patients who obtained a excluded those who did not clinical agree to participate or with diagnosis contraindications of BPPV to and the achievement of therapeutic maneuvers. Patients test to with the Dix-Hallpike or McClure a maneuver were treated with positive the Epley or Lempert maneuver, respectively. diagnosed with BPPV seen in our service, as well as the effectiveness of the of effectiveness the as well as service, our in seen BPPV with diagnosed therapeutic maneuvers. patients with a clinical diagnosis of BPPV and predominance had (75.5%). an The mean observed age of female the patients was 56.1 years. In the sample, there was a higher incidence of posterior semicircular patients canal All sides. the between difference significant no with (91.8%), BPPV diagnosed with BPPV underwent particle-repositioning maneuvers instructed to and return for reevaluation between 15 and 30 days. Just half of over the patients returned (54.17%), with 57.7% reporting remission and 30.8% having symptom improvement after treatment. characterization characterization of otosphere cells is necessary, we demonstrated for the first time that Cx26 is expressed in SPC cultured from the organ of Corti of mice that supports the hypothesis that the connexin protein family may be maintenance. functional in pluripotency 20 - o thor: Main Au thors: Co-Au I hair cell regeneration as they are part of the stem/progenitor population cell (SPC) and are also the (Cx26), a gap primary junction protein, which expression plays a role site in the maintenance of the of endocochlear potential. Mutations connexin in the GJB2 26 gene, which encodes Cx26, are the most common cause of nonsyndromic-inherited deafness in humans. studies Therefore, on Cx26 may help elucidate not only the inner ear physiology, but also the regeneration potential of its supporting cells. O 19 - val e thor: Main Au thors: Co-Au I syndrome characterized by transient episodes of positional are vertigo associated that with a characteristic The paroxysmal clinical diagnosis positional is nystagmus. essentially performed by diagnostic maneuvers. The treatment is highly effective with the achievement of the therapeutic maneuvers. more more common in women over 40 years of age. The posterior semicircular canal is the most affected. The maneuvers. of therapeutic achievement treatment is highly effective with the Jeanne Oiticica, Regina Célia Mingroni Netto, Ricardo Ferreira Bento Ferreira Netto, Ricardo Jeanne Oiticica, Regina Célia Mingroni de Menezes Neto, Juliana Pontes Andrade dos Santos, Mariana Lima de Dias Alves Mirela Freitas, of a dissociated organ of Corti SPC from mice. demonstrated demonstrated that in vitro otospheres express Cx26 within 2 days, besides other established markers, musashi and vimentin. Different studies have shown that distinct human connexin paralogs are embryonic expressed in human stem (ES) cells. 16

: : esults le R ion onclus vai C -1 infection Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. ospital A Joseph’s Hospital t. myogenic potential potential d myogenic lar evoke The middle ear cholesteatoma is a relatively common disease, common relatively a is cholesteatoma ear middle The : Paulo Tinoco Paulo Lilian Felipe Gabryela M. Vilete De Oliviera, Lara Bonani Almeida Brito, Soraya Soraya Brito, Almeida Bonani Lara Oliviera, De Vilete M. Gabryela Denise Utsch Gonçalves, Herman Kingma, José Roberto A retrospective, nonrandomized, descriptive, study was conducted was study descriptive, nonrandomized, retrospective, A : rological neurological identify subclinical (VEMP) to of HTLV in different phases alterations ear cholesteatoma at S at ear cholesteatoma ethods ntroduction from from 2007 to 2012 at St. Joseph’s Hospital Avai. Sixteen patients, adults and children, with a diagnosis of middle for analyzed were They ear resection. cholesteatoma for mastoidectomy radical cholesteatoma underwent the following aspects: total surgical intervention, sex, age of onset, initial symptoms, affected side, and its complications and recurrences. M I thor: Main Au thors: Co-Au 18 - with midd of patients profiles epidemiological thor: Main Au thors: Co-Au 17 - u vestib the esting t which has an insidious and destructive behavior. Therefore, early diagnosis Therefore, which has an behavior. insidious and destructive and appropriate treatment help to prevent complications. Material and De Paula Almeida Rezende, Tháis Boechat Tinoco, Lacerda Vânia Lúcia Carrara Lambertucci myelopathy/ associated (HTLV-1) 1 type virus lymphotropic T-cell human The tropical spastic paraparesis (HAM/TSP) diagnosis is based on the clinical infection in thesigns CNS. and Electrophysiological confirmationof HTLV-1 tests may facilitate earlier diagnosis of spinal cord involvement. Vestibular evoked myogenic potential (VEMP) tests the vestibule-spinal tract, which is correlated with the motor tract, the target for damage The in HAM/TSP. to related alterations neurological subclinical follow to was study the of aim possible infection, HTLV-1 asymptomatic with individuals in infection HTLV-1 HAM/TSP, and HAM/TSP. VEMP was performed at the beginning selected of We period. 2-year a during months the 6 every repeated and follow-up was response VEMP HTLV-1-seropositives. 60 and HTLV-1-seronegatives 30 normal from response VEMP changing The abnormal. or normal as classified with subjects analysis, survival this For interest. of event the was abnormal to a normal VEMP during the first assessmentwere selected.The analysis of included stimulation VEMP manner. masked a in conducted was results the short tone bursts (1 kHz, 118 dBNA); the stimulation rate was 5 Hz; and it that indicated analysis curve survival The run. each responses 200 averaged HAM/ the for months 18 near was but months 18 over was time median the TSP group (p = 0.022). In conclusion, the vestibulospinal tract is damaged earlier with an HTLV-1 infection; even clinical alteration does involvement. The not changing VEMP show results from normal to altered precede the clinical alterations with HTLV-1 neurological involvement and may be and HAM/TSP evolution. follow-up useful with HTLV-1 The results are shown in the form of graphs and sector diagrams. diagrams. sector and graphs of form the in shown are results The Based on a survey of 16 patients who had cholesteatoma as surgery, well as a comparison of these patients with published international papers, we disease. this of epidemiology the into insight greater a contribute to sought publications on this subject in Brazil. emphasized a few report This August 15, 2013 15, August

Oral Presentation Otorhinolaryngology August 15,2013 diverse exposition times for the cell using proliferation measurement and components. concentrations different at Invitrogen) assay, EdU proliferation Click-iT® cell and Roche; Detect, Kit Labeling (BrdU kits both tested we conclusion. experiment the greater for required time shorter the and solutions working the we noticed of preparation of ease the of because Roche Nevertheless, from kit the using convenience immunofluorescence. indirect by capture signal staining on based used, assays proliferation of sets both of Lezirovitz Mandelbaum,Prof. Dr. Ricardo Bento R culturing cell SPC. of with working laboratory standardization any in tool essential The an become has procedures markers. (SPC) cell progenitor stem/ express and proliferate, self-renewal, for capacity the demonstrate are able to generate floating clonal colonies, called otospheres. Otospheres culture conditions, neonatal tissue from the organ of Corti harbors cells that non-adherent In neurons. associated their or cells hair cochlear to damage Main Author: aSTUD 22 - C I Co-Authors: Main Author: stanD 21 - in the culture medium, and with a maximum time of exposition of 24 h. 24 of exposition of time maximum a with and medium, culture the in components final the of concentration mM/mL 0.1 a with obtained were proliferation and viability of terms in results best The culture. suspension e suis ht tnadz fa-ae dnmc otrgah a a as posturography dynamic function oftheindividuals’sexandage are anecessity. foam-laser standardize that studies new foam-laser dynamic posturography between men and women. Additionally, from values SOT differentiate to necessity a is it that concluded be can It ranges. age different in SOT the of parts most for values higher presented women sex; individual’s the of function a as (SOT) organization sensorial of test the in difference significant statistically a demonstrate results The posturography. dynamic foam-laser using evaluation an underwent They complaints. alteration balance corporal without men, 107 and women 97 intensity in accordance with each individual. We evaluated 204 individuals, balance disturbances, which will allow clinicians to characterize its type and of diagnosis accuratemore a in assist to orderyears in 60 and 14 between ages and sex varying of individuals in 1994, in Castagno by reported first dynamic study Posturography”technique, to Dynamic “Foam-Laser the is using posturography work this of objective The resource. excellent an is and alterations, balance observe to method global most the as recognized been has posturography dynamic end, this To patient. the the and forphysician challenge a constitutes in rare, not alterations diagnosis, for its causes balance, postural multiple are there As systems. vestibular and proprioceptive, visual, the systems: 3 on depends balance of maintenance The living. daily of activities his/her complete to him/her enable to and life of quality individual’s the maintaining to fundamental is balance Corporal method. appropriate most the determine to kits test assay proliferation different 2 compare to intended We mice. neonatal of Corti of organ the from SPC of ntroduction onclusion esults O NORMAL INDIVIDU CORTI OFNEONATAL MICE PROGENITOR CELL SUSPENSIONC bjective : We observed a toxic effect of BrdU and EdU components on the on components EdU and BrdU of effect toxic a observed We M Glaucia Regina Batista do Nascimento, Jeanne Oiticica, Karina Oiticica, Jeanne Nascimento, do Batista Regina Glaucia : h rsls f ah et efre poe te effectiveness the proved performed test each of results The ethods SheelenLarissaRuwer BorisJuniors López Calizaya : Most forms of congenital and acquired deafness result from result deafness acquired and congenital of forms Most ARDIZATION OFPROLIFERATION ASSAYS FORSTEM / : Y OFFOAM-LASER D To standardize the proliferation assay for suspension culture : Cultures were maintained for 5 days in vitro in medium; in vitro in days 5 for maintained wereCultures ALS AGED 14TO 60YEARS YNAMIC POSTUROGRAPHY IN Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. LTURE FROMORGANSOF 17 screening. of neonatal hypoxia is a predictor of referral for a universal newborn hearing increases the chances of referral for otoacoustic emission, and the presence the effectiveness of proposed therapies. proposed of effectiveness the centraland metabolic wellas dizziness, and comorbidities associated its as tests. The aim of this study was to identify the major signs and symptoms of laboratory and assessment, clinical history, on based be should diagnosis newborn hearing screening. hearing newborn Spies, Pedro ErnestoBarbosaPinheiro, Thiago Augusto Damico Montovani, PriscilaSumanLopez and I Co-Authors: Main Author: clinical EVAL 23 - R O Co-Authors: Main Author: isNEONATAL HYPOXIA APREDICTOR OFREFERRAL FORA 24 - etr mrvmn ad ue ih treatment. with cure and improvement better showed dizziness Metabolic dizziness. central forrequired wereevaluation was betahistine, followed by ginkgo biloba. Physiotherapy and neurological rehabilitation, metabolic control, and drug therapy. The most prescribed vestibular drug requiredisorders Both trauma. head of sequel a as and tumors, central dizziness appeared as a symptom of vascular diseases, neurological while hypothyroidism; and diabetes, hypertriglyceridemia, were hypertension, disorders both in with associated was symptoms dizziness Metabolic tinnitus. and common imbalance, vertigo, most The years). 54 age, (mean dizziness central with patients of dizziness 45.8% and metabolic years) 59 with age, (mean diagnosed were patients of 54.2% that found was It performed.was 2009 to 2006 from metabolic) and (central dizziness CI = 1.07–2.33). 95% 1.58; referral= of (OR screeningforchance greater 58% a had scores Apgar low with neonates that showed analysis statistical and emission, otoacoustic transient abnormal for referred were 415) = (n 6.59% them, Among 414). = (n 6.57% affected score Apgar low a and loss hearing for dizziness. and rehabilitation, betahistine. The best rate of improvement and cure was found vestibular in metabolic comorbidities, prescribed control to most were The treatments tinnitus. and imbalance, vertigo, were common most symptoms The dizziness. central than prevalent more was dizziness ebr haig cenn ws nlzd y ipe oitc regression. logistic simple by analyzed was screening hearing a newborn for referral and score Apgar low a between relation The ear). either of emission otoacoustic transient for (referral outcome (c) and loss); hearing (b) Apgar score); low (a for indicator risk a of presence and age (gestational variables stratification exposure (a) as: classified were variables The study.the in enrolled were 2011 December to 2007 January from hospital ntroduction esults bjective

D iscusson PATIENTS WITHMETABOLIC ANDCENTRAL DIZZINESS NEWBORN HEARINGSCREENING? : A total of 6301 neonates were screened; 15.82% had a risk indicator : To verify if neonatal hypoxia is a predictor of referral for a universal dad Tnk Msua In Mt Pso, oa Willian Jonas Passos, Mota Ivna Massuda, Tanaka Eduardo Georgea Espíndola Ribeiro, Gustavo Leão Castilho, Jair Cortez Jair Castilho, Leão Gustavo Ribeiro, Espíndola Georgea LucasRodriguesCarenzi DanielaPolo Camargo daSilva /O : bjective A retrospective review of medical records of patients with patients of records medical of review retrospective A C onclusion : izns i a ey omn ypo ad its and symptom common very a is Dizziness U ATION ANDTREATMENT EFFICACY IN : The presence of a risk indicator for hearing loss M ethodology : Neonates born at a tertiary care tertiary a at born Neonates M aterials

C and onclusion M ethods : Metabolic , R esults ,

Oral Presentation Otorhinolaryngology In : ethods U/SC M UMENA SUDDEN USE OF MRI proves helpful in MRI proves : The aim of this work was to : ion onclus C bjective The mutations The c.35delG and c.167delT : O esults Among the patients studied, 73.9% were : R esults R Although molecular screening did point to a significant significant a to point did screening molecular Although : We We conducted a retrospective study in which we assessed Sudden sensorineural hearing loss (SSNHL) is definedas : : Jan Alessandro Socher Jan Alessandro Jeanne Oiticica Jan Gabriel Tamanini, Maryane Cristine Safraider, Thomas Dayane Bernardino-Cruz, Lia Tacia Costa Cavalcante, Maria ion onclus This study aims to describe and quantify the findings possibly : C eport D IN OF DIZZINESS AND TINNITUS ASSISTE WITH SYMPTOMS BL IN SERVICE OF OTORHINOLARYNGOLOGY LOSS HEARING URAL SENSORINE R

bjective ase ntroduction the differential diagnosis of diseases causing neurotological symptoms of dizziness and tinnitus. 184 reports of MRI in patients with primary complaints of dizziness and/ or tinnitus assisted in clinical servisse etiology their get not did and of protocol study a by passed previously ENT Patients in Blumenau/SC - Brazil. previously installed. order order to this, achieve we screened mutations in the GJB2 and GJB2 genes and sequenced the mitochondrial genes MTRNR1, MTTS1, and MTTL1, in 53 individuals with SSNHL. investigate the role of genetic factors in the etiology of SSNHL. of genetic factors the role investigate and the deletions del (GJB6-D13S1830) and del (GJB6-D13S1854) were not found in the sample. Variants in MTTS1 and MTTL1 genes were detected, not either. Regarding the MTRNR1 gene, 15 different variants were found, 13 of which were described as having no phenotypic effect. novel Two mutations (m.806C>T and m.986G>A) were SNP not database reported and were in not found the in a Brazilian individuals control with sample normal of hearing (Abreu-Silva 104 et al., Ann Hum Biol, 2011, 38(2):210-8); their importance still needs to be clarified population through studies. 28 - RESONANCE IN PATIENTS MAGNETIC finDINGS OF NUCLEAR thor: Main Au thors: Co-Au O C 27 - AS A CA GENES DEAFNESS investigating thor: Main Au thors: Co-Au I least at affecting HL, dB 30 than greater or equal loss hearing sensorineural 3 consecutive tonal frequencies, and with sudden onset, occurring within 3 days. Some individuals with deafness are described from as mitochondrial having SSNHL. mutations Ribeiro Marcolini Ribeiro Teresa Teresa Balester de Mello Auricchio, Regina Célia Mingroni Netto, Roseli Bittar Moreira Saraiva found as well as verify the importance of requesting examination in patients in examination requesting of importance the verify as well as found with a history of dizziness and/or tinnitus without a proper diagnosis. within the normal range and 26.1% had a significant change in thereport arachnoid of cases to refer 1.1% findings, main the to Referring MRI. the of cyst, 1.1% cases of demyelinating diseases, 1.7% cases of inflammatory of cases % 8.1 malformations; vascular of cases 3.8% infectious, / diseases ischemia and 4.9% cases of tumor origin. role role of the tested genes in SSNHL, it is noteworthy that 20 (37.7%) of the 53 subjects with SSNHL reported a positive familial history of hearing loss, to compared 19 (18.2%) of the individuals with data normal hearing. These suggest genetic susceptibility to hearing loss in the SSNHL group probably mechanisms. multifactorial from results 18

: ethods About : M The DPOAE esults : R To study distortion : ion onclus C bjective O A retrospective transversal study : Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. Patients at our public hospital had a mean : ethodology on i M LSE NOISE onclus C ARMY IERS OF THE BRAZILIAN D IN SOL ATION Exposure to continuous or impulse noise may lead to high : U Monique Antunes de Souza Chelminski Barreto Priscila Suman Lopez Priscila Suman Carolina Souza Alves Costa, Fayez Bahmad Júnior, Lizandra Kely Kely Lizandra Bahmad Júnior, Souza Costa, Carolina Alves Fayez Daniela Polo Camargo da Silva, Georgea Espíndola Ribeiro, To describe the audiological characteristics of users’ hearing aids : BY MEANS OF COCHLEAR MONITORING UDITORY SERS AID U OF HEARING CHARACTERISTICS UDIOLOGICAL The statistical analysis revealed that both groups reevaluated : ve EVAL U IMP EXPOSED TO CENTER REFERRAL A TERTIARY AT i bject esults ntroduction after exposure to impulse comparison with noise the tests exposure. As before for the signal-to-noise ratio, showed decreases in there amplitudes was a significant difference at frequencies of 6 in and 8 kHz and there was a significant association between tinnitus complaints and the group reevaluated immediately after exposure to noise. test proved sensitive to subtle shifts after exposure to impulse noise, both signal-to-noise the to regard with and criterion amplitude the to regard with ratio, even 24 h after exposure. This demonstrated the applicability of the noise. impulse to exposed soldiers of hearing the monitoring for test DPOAE product product otoacoustic emissions (DPOAEs) before impulse and noise after in soldiers exposure of to the Brazilian Army. Materials and R thors: Co-Au I thor: Main Au 26 - a thors: Co-Au O 25 - a thor: Main Au sound pressure–induced hearing loss (HSPIHL) in or soldiers. The to importance acoustic of auditory trauma evaluation otoacoustic by emissions means of (EOAE) evoked has been demonstrated of in subtle changes the in cochlear function detection still unidentified in threshold tone audiometry in subjects exposed to noise. de Souza Guarita Gustavo Leão Castilho, Jair Cortez Montovani, Victor Nakajima Victor Cortez Montovani, Leão Castilho, Jair Gustavo at a tertiary referral center. was was performed between January and December of 2012. This This was an analytical, observational, longitudinal, and prospective study. Auditory evaluation was performed by means of DPOAEs before and in after exposure to impulse 60 noise, of whom 30 were soldiers reevaluated immediately after exposure and 30 were reevaluated 24 h after exposure. 625 patients with a mean age of 66 years (standard deviation, ± 18; range, were 49.6% and 315) = (n male were 50.4% enrolled; were 70) median, 3–98; 0.8% loss, hearing bilateral had 593) = (n 95% then, Among 310). = (n female (n = 5) had unilateral hearing loss, and 4.3% (n = 27) had normal hearingin the 500 Hz, 1 kHz, and 2 moderate a of loss hearing and kHz loss hearing sensorineural frequencies; higher frequencies, but showed hearing loss at degree were the most common. During this period, 1158 hearing aids Regarding were ear. 1 for 8% and ears both for were 1066) = (n 92% which of fitted, hearingthe retroauricular type of fittedhearing withaid, 52% (n = 325) were with119) = (n 19% and aids, hearing intra-auricular with 181) = (n 29% aids, open-fit hearing aids. age of 60 years, moderate bilateral sensorineural hearing loss, and were fitted were and loss, hearing sensorineural bilateral moderate years, 60 of age hearing aid. retroauricular time with a the first for August 15, 2013 15, August

Oral Presentation Otorhinolaryngology August 15,2013 hud e orce ery o lo hroiu got o te ae and face the of normal overall development growth ofchildren andavoid nasaldeformity. harmonious allow to early corrected be should septum nasal the adenoidectomy.of Deviation(42.5%), Conclusion 17 and turbinates and other associated procedures; 20 (50%), adeno-tonsillectomy; inferior the of cauterization underwent also (97.5%) 39 which of children, fasting morning blood sample and were compared among the 4 groups. 4 the among compared were and sample blood morning fasting a on measured were TGL) and VLDL, LDL, HDL, cholesterol, total insulin, (glucose, markers Metabolic questionnaire. 18 OSA the by assessed was life of quality The results. polysomnographic by defined was OSA controls. healthy- G4 and obese, - G3 OSA; obese - G2 OSA; groups:non-obese - G1 followingthe 4 wereinto yearsage matched 12 of and childrenbetween3 10331912.0.0000.0058). The years. 7 number (Protocol of committee ethics the approvedbywas protocolresearch maximum a to up septoplasty, after for up durations followed different clinically were years 12 of age the below children Forty ewe mtblc akr (lcs, nui rssac, n lpd) and SDB in children and their impact on the quality of life. lipids) and resistance, insulin (glucose, markers metabolic between Barreto Prado Maria Valéria Lima, Grazielle Rosa Júnior, Santos Carvalho Ronaldo Trindade metabolic syndrome even in children. as early as possible to avoid these consequences. performed these avoid and to be possible as growthearly should as craniofacial septoplasty Therefore, in development. changes intellectual consequent with through mouths, breathe to their children force and on early breathing of physiology I Co-Authors: Main Author: 30 - R I Co-Authors: Main Author: isobstructive sleep apneaariskfactor for 29 - OSA (G3). OSA without children obese in higher Triglyceridewerelevelschildren. G4) and in difference cholesterol no levels among the was4 groups but ThereHDL was higher in OSA. non-obese (G1 of presence the of regardless G3), (G2 and children obese in highest were ratio glucose/insulin the and HOMA Insulin, groups. G2 and G1 in similar was (IAHm) severity OSA concerns. of children in terms of sleep disturbance, physical suffering, and caregivers’ Obesity was a determinant of metabolic dysfunction and insulin resistance. children, but it had no impact on metabolic markers in our study population. ntroduction ntroduction esults Demystifying septoplasty inchildren metabolic disorersinchildren? : OSA 18 revealed the negative impact of OSA on the quality of life of quality the on OSA of impact negative the revealed 18 OSA Arlete Cristina Granizo santos, Francis Vinicius Fontes de Lima, de Fontes Vinicius Francis santos, Granizo Cristina Arlete Sergio Rocha, Priscila PereiraFilho, Marcos Silva, Moreira Erico C MarianeBarreto Brandão Martins Silke AnnaTheresa Weber : : onclusions btutv sep pe (S) s psil rs fco for factor risk possible a is (OSA) apnea sleep Obstructive eito o te aa spu i cidod a atr the alter may childhood in septum nasal the of Deviation : OSA has a negative impact on the quality of life in life of quality the on impact negative a has OSA R esults : etpat ws efre o 40 on performed was Septoplasty O bjectives Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. : To examine the relationship M M aterial ethods

and : Eighty-nine

methods :

19 pseir ail egtttl neir ail height). facial anterior height/total facial (posterior PFH/TAFH and NSGn⁰ SNB⁰ measures the in children MB of groups 3 the among difference significant statistically a found also We difference. significant statistically a showed children NB the with children MB of groups three the between comparisons All SNB⁰. the except children, NB to compared when children MB different in weresignificantly or MBchildren onthebasisvertical facial type. NB either in rotation mandibular predict to possible not is it that signifying pattern, rotation mandibular counterclockwise same the showed groups Both NB. and MB between rotation mandibular in difference no is there However, children. NB in observed that than less MB significantly in is children remodeling angular words, other in hypothesis; null the rejected mandibular rotation or angular remodeling. angular subsequent or rotation mandibular and angle) plane-sella-nasion (mandibular T0 at type vertical facial the between association no was There -0.39). rotation NB apparent vs. and -0.50 -1.27) (MB NB vs. -0.68 (MB rotationand NB true MB in children between differences significant statistically no were there However, 0.85). NB vs. 0.19 (MB counterparts NB their than remodeling angular of annual rate 0.05) lower < childrenshowedsignificantly (p MB a Results remodeling. angular and mandible the of rotations apparent and true the determine to superimposed and traced were (T1) year 1 after and (T0) baseline at subject each of cephalograms The years). 7.8 age, (mean children NB 56 and years) 6.1 age, (mean severeobstruction with children hlrn ih ifrn eilgc diagnoses. etiologic different with children (MB) mouth-breathing and children (NB) nose-breathing among patterns and nose-breathing (NB) children. children (MB) mouth-breathing between remodeling angular and rotation Gonçalves Becker, Jorge Andrade Pinto,Marcela Silva Lima Andrade Pinto,Marcela Silva Lima,Pamela DeSouzaHaueisenBarbosa O Co-Authors: Main Author: cephalometric P 31 - O Co-Authors: Main Author: rotation andMibu 32 - compared withchildren whohadadenoidhypertrophy. when hypertrophy, tonsillar palatine only with children in superiorly and children according to cause. The mandible was positioned further anteriorly upper MB of among differ cause measurements cephalometric the Some obstruction. airway of regardless children NB and children MB among proportions and measurements cephalometric in differences obvious are sagittal planes. sagittal cephalometric radiography; measurements were cephalometric taken to characterize the vertical facial pattern and the lateral underwent All children hypertrophy. adeno-tonsillar to due obstruction oropharyngeal nasopharyngeal with and children MB (3) and hypertrophy; tonsillar palatine by caused obstruction oropharyngeal with children MB (2) hypertrophy; 3 following groups: (1) the MB children into with nasopharyngeal divided obstruction werecaused by children adenoid MB CS2). or (CS1 maturation skeletal of stage same the at children NB 113 and children MB 113 were bjective bjective Children withDifferent Etiologic Diagnosis Breathing Children : : To test the hypothesis that there is no difference in cephalometric To test the hypothesis that there is no difference in mandibular in difference no is there that hypothesis the test To Bernardo Quiroga Souki, Danilo Santana Rodrigues, Helena M. Helena Rodrigues, Santana Danilo Souki, Quiroga Bernardo enro urg Sui Hln M Gnavs ekr Jorge Becker, Gonçalves M. Helena Souki, Quiroga Bernardo LetíciaPaiva Franco LetíciaPaiva Franco R esults : All cephalometric measurements and proportions and measurements cephalometric All atterns ofMouthBreathing P lar Remodeling inMouth- atients

and C P onclusions M atients ethods

and : C There were 56 MB : Our investigation Our onclusions M ethods : : There There

Oral Presentation Otorhinolaryngology lo lo u a It is concluded Clinical cross. : : design

ion onclus Access to Sleep Centers : C tudy S ion onclus WITH IN PATIENTS ATION To establish a correlation between C : U bjective O Two hundred and seventy-eight patients had : esults R EVAL LOCOCHLEAR The National Constitution assures every Brazilian citizen the : Súnia Rineiro Leticia Antunes Diego Monteiro De Carvalho, Rodrigo Almeida, Simone Ferreira Sandra L Olbrich, Silke Anna Theresa Weber Anna Theresa L Olbrich, Silke Sandra We selected 40 diabetic and non-diabetic patients referred to : We studied 80 ears being observed for changes in tone audiometry, audiometry, tone in changes for observed being ears 80 studied We tate, Brazil tate, : blic health system of São P system ublic health of OSA in the p S US DIABETES MELLIT ethods esults ntroduction that these research data are valid, as there were statistically differences significant in the audiological findings in the which justifies EG compared a complete to audiological the CG, evaluation in patients was There a predominance of normal vestibular function and with DM. a prevalence of audiometric changes. the otorhinolaryngology department between July 2012 and June 2013 and divided them into the study group (EG) and the These control group (CG). patients underwent immittance) audiological and vestibular evaluations evaluation by (audiometry vector electronystagmography. and and found 25 (65%) in the EG and only 1 in observed 7 were alterations (17.5%) ears in the EG immitancemetry, and (0.01%) in the GC. Regarding the in detected were changes vestibular No CG. the in (0.01%) ear 1 only in EG, but observed in were 2 ears (5%) in the CG. vestibular vestibular dysfunction in patients with DM treated at Foundation Adriano Jorge Hospital in the city of Manaus-Am. is insufficient in the Brazilian Public Health System and thewaiting time for receiving is CPAP very long; this is a matter of concern considering the high percentage of severe disease among OSA patients. Most prescribed follow-up Close adaptation. in difficulty to leading properly fit not did masks attendance. hospitals offer good compliance, but only few is necessary for been evaluated for CPAP treatment. Their mean age co-morbidities was frequent most the and 52 OSA; severe years; with diagnosed been 34% had were obesity and hypertension. Only 115 (54.9%) had CPAP at the already time of received survey, and the waiting time was 9.15 ± 5 (mean ± SD) months; the longest waiting period was 21 months. 92% of patients received the prescribed CPAP correctly and 78% got the prescribed mask. Follow-up at 3-month intervals showed that only 13.1% of patients adverse effects, had the most common of which was difficulty in adapting to the prescribed mask, and most patients adhered to CPAP treatment for more by than 4 using h every night. 36 - U vestib thor: Main Au thors: Co-Au M R 35 - for the treatment facilities of CPAP ution he distrib t thor: Main Au thors: Co-Au I right to health promotion and treatment. However, airway continuous pressure (CPAP) positive ventilation involves high costs for the healthcare system. Aim: To analyze CPAP prescription criteria, patients’ waiting time, Brazil. in hospital public a in improvement clinical and compliance, treatment Methods FMB is the only Sleep Service in the public healthcare system for 2 million people. We analyzed the charts of patients on ambulatory CPAP for OSA co-morbidities, severity, details of the CPAP prescription, patient’s waiting time, compliance, and clinical improvement over a 3-year period from 2010 to 2012. Lima, Viviane Saldanha De Oliveira, Yenly Gonzalez Perez Yenly Saldanha De Oliveira, Lima, Viviane The relationship between vestibular dysfunction and (DM) is diabetes explained mellitus by glucose metabolism that on exerts the a physiology great of influence the inner ear, which metabolic is activity; exceptional slight for glucose its variations intense can cause hearing changes and in body both balance. 20 : : als ons i i The : ater M onclus ethods C M and

larity of the ents u i at P Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. dren with Chil of alectomia uence in the cell 132 patients were evaluated (31 31 controls, CRSsNP132 evaluated patients were : : NB children showed a counterclockwise mandibular true : esults eling emodeling anChanges R d otation lar R R esults Chronic rhinosinusitis (CRS) is a common disease, but yet little yet but disease, common a is (CRS) rhinosinusitis Chronic R : Edwin Tamashiro, Fabiana Cardoso Pereira Valera, Flávia Jessé Teixeira de Lima Júnior de Lima Jessé Teixeira Letícia Paiva Franco Letícia Paiva Respiratory viruses detected were in a high proportion in CRS. The : Bernardo Quiroga Souki, Helena M. Gonçalves Becker, Jorge To correlate To the presence of respiratory viruses and CRS. : ons i Objective: To test the null hypothesis that there isn´t difference between difference isn´t there that hypothesis null the test To Objective: : ves nasal polyps mucosa and nasal t nasal ut nasal in chronic rhinosinusitis with and witho its infl and polyps d eno-/Amig after Ad uction Severe Obstr i e m bject esu onclus ntroduction Escremim Escremim De Paula, Quedayr Edna Tominaga Lima Anselmo Terezinha Garcia De Souza, Wilma rotation rotation slightly larger to T&A children (NB-1.26 vs. T&A-0.96) and greater than MB (-0.66), but such difference didn´t have statistical difference. All children similar presented mandibular counterclockwise (T&A-0.43 rotation apparent vs. NB-0.43 vs. MB-0.48), and without statistical difference. T&A and NB children in comparison with MB (T&A-0.62 angular vs. remodeling NB- more underwent 0.85 vs. MB-0.19), but again no statistical difference was found. mandibular rotation and children angular due to severe obstruction remodeling (T&A), severe obstructed mouth-breathing in children adeno-/tonsillectomised (MB) and nasal-breathing children (NB). seasonal pattern found rejects the hypothesis of viral persistence and reinforces reinforces and persistence viral of hypothesis the rejects found pattern seasonal the possibility that these patients have asymptomatic infections and acts changes in cellularity pattern The virus in circulation. periods of low as“reservoirs” not even CRS viruses affect inflammatory suggests may course, that respiratory influencing the disease extension. sample included 38 T&A (mean age 6.56 years), 56 MB (mean age 6.11 years) baseline at subject each of cephalograms The years). 7.92 age (mean NB 56 and (T0) and after 1 year (T1) were traced, and superimpositions were performed to determine the mandibular true rotation, remodeling. apparent rotation and angular C O A prospective cross-sectional study to identify genomes of respiratory viruses in patients with CRS with polyps (CRSwNP) and without polyps (CRSsNP) by real-time PCR. Maxillary and nasal washes, middle turbinate mucosa, maxillary sinus mucosa and nasal polyps were according analyzed. calculated were Eosinophils, scores tomographic and neutrophils quantified, was lymphocytes and to Lund-Mackay. thor: Main Au thors: Co-Au 34 - viruses of respiratory and seasonality prevalence The The present investigation failed to reject the null hypothesis that T&A children have the same pattern of mandibular rotation and angular remodeling as the normalization surgical of year 1 after showed, children T&A controls. MB and NB of the mode of breathing, the same rate of mandibular rotation as NB. Despite T&A children have presented a larger counterclockwise mandibular and rotation three folds the angular remodeling in comparison with MB children, such statistical differences. did not show differences R thor: Main Au thors: Co-Au 33 - andibu m I is known about its pathogenesis, including the role of respiratory viruses. Andrade Pinto, Marcela Silva Lima, Pamela De Souza Haueisen Barbosa De Souza Haueisen Pamela Lima, Silva Pinto, Marcela Andrade and 70 CRSwNP). 35% control patients, 53% patients with CRSwNP and 45% patients with CRSsNP, had positive samples. Human metapneumovirus and human rhinovirus were the patients in most circulation viral of frequently periods with matches detected patients CRS in virus. found pattern The seasonality with acute respiratory illness. In CRSsNP the virus presence was associated to a lower count of lymphocytes and neutrophils. In CRSwNP and and neutrophils associated to a higher count of lymphocytes was presence group, the virus scores. Tomographic on found was difference No eosinophils. of count lower a to August 15, 2013 15, August

Oral Presentation Otorhinolaryngology August 15,2013 therefore, theseshouldbeacknowledged andavoided. complications; of free not carefully.is However,used it when technic safe and useful a remains and improvements, and adaptations many through performed for the treatment of mandible deformity.procedure Thecommon procedure has most gone the is ramus mandibular the of osteotomy split Doty, Richard LouisVoegels, Thiago Freire PintoBezerra O Co-Authors: Main Author: complications ofsagittal splitosteotomy ofthe 38 - B Co-Authors: Main Author: olfactory FUNCTION- APOPU 37 - had a positive impact (p < 0.01). < (p impact positive status a educational had higher a while 0.001), < (p score test the influenced negatively status economic lower A diseases. neurological and psychiatric other and dementia, probable impairment, taste or olfactory of complaints respiratory tract upper infection on conditions: the dayfollowing of be examination, the history of of head to trauma, more or had one volunteersany of 242 because excluded from Data tables. normative the in included were them of 1578 only from data but study the in participated volunteers on dhsec ws en n % f l patients. all of 9% in seen was dehiscence Wound deficit. sensory residual any patients, without completely all recovered whom in of chin 91% and lip lower the in occurred Transient disturbances years. sensory 38.02 of age average an with men were patients study. Most the Federal in included of were Hospital Clinic, Otoface the had and Uberlândia in of 2012 University who January to 2008 patients January from the Forty-seven during period ramus mandibular Report: the of osteotomy ramus. split sagittal undergone mandibular the of statuses have anegative influenceonolfactory performance. educational and economic Low standard. gold the be should development test of site original the of norms the but world, the around norms similar function. olfactory between equivalence perfect achieve of to necessary are tables factors Correction normative population-based generate to utvrae analysis. multivariate and univariate using analyzed was function olfactory on habits smoking and level, educational status, economic of influence The years. 20–24 of of either gender, stratified in 5-year age groups starting from the age group 2012. people Augustfor generated were to function olfactory 2011 normal of December tables Normative from conducted study this in strata, public a from socio-economic various of people of numbers large by obtained attended institution were samples population-based probabilistic, Methods disorders. olfactory with patients evaluating for baseline a provide to needed are individuals healthy of function olfactory the on data population-based Accurate diseases. Alzheimer’s and disease Parkinson’s olfactory although patients, including diseases several of manifestations their first the of one is of impairment sense olfactory the of evaluation ackground bjective mandibu : BrunoAlvarenga Loredo, LucasGomesPatrocínio L Richard Pinna, Rezende de Fábio Santos, dos Alan Clayson o vlae osbe opiain o sgta slt osteotomy split sagittal of complications possible evaluate To : Valmir Tunala Junior Marco Aurélio Fornazieri hscas eeal hv n cnen ih h precise the with concern no have generally Physicians lar ramus R esults : n tosn egt ude ad twenty and hundred eight thousand One C onclusions Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. LATION PERSPECTIVE : There exist rapid methods rapid exist There C onclusion : Sagittal Non- 21 hs a a osrainl cosscinl rtopcie nlss f CT of findings of the paranasal analysis sinuses in sinusitis patients. retrospective cross-sectional, observational, an was This hne dmntal o C scanning. CT on demonstrable changes (74%) had that sinuses maxillary paranasal commonest The the were septum. (50%) ethmoid the nasal and deviated a had 84% and the inferior of turbinate had hypertrophy of patients 88% findings, CT the Among surgery. previous had had patients of 24% and years, of 10.5 was age patients average The obtained. was surgery otorhinolaryngologic prior History of others. and turbinates, middle and inferior the of characteristics anatomical hypertrophy, adenoid of presence septum, nasal the of parts cartilaginous and bony the in abnormalities of presence sinuses, frontal) and sphenoid ethmoid, (maxillary, paranasal the in changes for analyzed at a clinic in the city of Blumenau. Computed tomography (CT) images were disease sinus for treated years, 15 and 2 of ages the between patients 50 undergoingFESS. patients Joao BoscoBotelho,LuizFernando Tupinamba, MarianaRaposoAlencar O sinusitis. of treatment advanced most the represents (FESS) surgery sinus of the paranasal evaluationsinuses and adjacent structures, while the functional endoscopic for choice of examination the is CT that accepted now problemsmouth-breathingof respiratory and disorders children,is in it and determine the safest and most effective methods for managing the common I Co-Authors: Main Author: preoperative findingsoncomputetomography 39 - and anatomical features relevant to the case, especially before surgery. non-invasive best the of imperativeknowall is to it because forinvestigatingpatients tools sinusitis one is scanning CT severity. clinical of sinuses. degree paranasal and the on cavity depending surgical, to conservative nasal from range options Treatment the of variations anatomical are sinusitis chronic of factors causal these of One a features. clinical with of variety present can and factors, causal different has It clinic. ENT the in I Co-Authors: Main Author: relation BETWEENSINUSITISANDANATOMICAL 40 - and 94% of the sample had radiographic features of sinusitis. of features radiographic had sample the of 94% and polyps, turbinate middle and cells, Haller process, clinoid the and recess lateralsphenoidal the deviation,aerationof septum as such abnormalities, anatomical showed analyzed reports 215 the of seventy-three(80.4%) and were themostcommonCTfindings. sinuses. paranasal affected Inferior turbinate hypertrophy, commonly septal deviation, and middle turbinate polyps most the were sinuses ethmoid and frontal paranasal sinuses. significant correlation with sinusitis involving the maxillary, anterior ethmoid statistically a had these wereof rarest,cells all the Haller but variationand anatomical detected deviationcommonest wasseptum the Nasal side. left the on frequently,especially most the involvedwere sinuses Maxillary life. of decade fourth the in were patients most and population, studied the in ntroduction ntroduction bjective

C onclusion endoscopic sinusrgery in pediatric patients undergoingfnctional CLINIC INMANA COMPUTED TOMOGRAPHY INPATIENTS TREATED INA VARIATIONS OFTHEOSTEOMEATAL COMPLEXSEENON : To identify the key findings in preoperative CT scans of pediatric of scans CT preoperative in findings key the Toidentify FláviaMayra Rodrigues,MichaelKuhn da arna a iv Mua Deo otio e Carvalho, de Monteiro Diego Moura, Silva da Sabrinna Adda JanAlessandro Socher SuniaRibeiro : : ay tde hv be cnutd n eet er to years recent in conducted been have studies Many Sinusitis is one of the most prevalent chronic diseases seen diseases chronic prevalent most the of one is Sinusitis : Women were affected by sinusitis more often than men than often more sinusitis by affected were Women US BETWEEN2001AND2011 R eport : A retrospectiveA on wasconducted study C onclusion R : h mxlay and maxillary The esults : One hundred D M iscusson ethods :

Oral Presentation Otorhinolaryngology Rafael Fernandes Goulart Dos Santos Fernandes Rafael Agenor Alves Souza Júnior, José Felipe Bigolin Filho, Monik Assis Assis Monik Filho, Bigolin Felipe José Júnior, Souza Alves Agenor 42 - rhinitis for atrophic injections olymethacrylate p thor: Main Au thors: Co-Au Espíndula, Wilson Benini Guércio. Benini Espíndula, Wilson Atrophic rhinitis is a debilitating disease of the nasal mucous membrane characterized by progressive atrophy of the nasal mucosa, nasal crusting, fetor and widening of the nasal space with paradoxical nasal congestion. Atrophic rhinitis can be primary atrophic rhinitis remains or unknown but different publications secondary. have related The cause it of to primary hereditary factors, immunological alterations, Secondary and atrophic viral infections. rhinitis resulting the for accounts exposure, radiation and from infection, diseases, granulomatous trauma, injudicious surgery, majority of Excessive turbinate cases encountered by the rhinologist today. etiology an as literature the in accused and acquitted both been has surgery of secondary atrophic rhinitis. The goal of this complete almost to leads prospective that rhinitis atrophic for study treatment new a evaluate was to disappearance of the disease. Six patients were diagnosed with atrophic rhinitis between 2010 and 2013; out of these, four had secondary atrophic rhinitis after excessive turbinate surgery, and two were diagnosed atrophic ozena. with Four patients were male (66%), and the average age was endoscopy. nasal and examination clinical underwent patients All years. 28 All six patients were treated twice with injections Metracrill™ in the (polymethacrylate) atrophic turbinates. All patients were evaluated 15, 30, and 60 days after All the with patients procedure nasal had endoscopy. an of improvement typical symptoms such as nasal obstruction, crusting, and control. under symptoms bring to injection third a needed patient One fetor. rhinitis. atrophic for the treatment good for injections are Polymethacrylate 22 Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. Three hundred and twenty-eight rhinoplasties were : linics UFMG its variations in the and its variations hinoplasty of R ation Cosmetic and reconstructive surgery aims to use surgical discussion : u Flavio Barbosa Nunes Flavio

Livia Arruda Melo, Marcela Silva Lima, Paulo Fernando Tormim and

ospital C Hospital esults ntroduction selected, out of which 218 (66.4%) were functional, 49 (14.9%) were for 43 post-traumatic repair, (13.1%) were for esthetic reasons, and 18 (5.6%) were reconstructive (Chart 1). A high prevalence of functional rhinoplasty in demand for the which growth shows in our observed (66.4%) study, was that combine aesthetic and functional improvements. surgeries R thors: Co-Au I 41 - val e thor: Main Au procedures procedures to achieve esthetic and functional improvement with in traumatic patients injuries, or congenital or branches of developmental medical anomalies. sciences, All including rhinoplasty have made and progress in recent its years and technical variations, advances are allowing good long-term results. Rhinoplasty in the late 19th century was basically a reconstructive procedure employed nasal for mutilations. the The early reconstruction 20th of century dissemination of saw large rhinoplasty as a an rapid esthetic procedure; with and the worldwide passage of time rhinoplasty has become more conservative in its approach, dealing with modeling rather than resections with a significantreduction of need concomitant of possibility the provides also it osteotomies; and cartilage for e.g., variations, their and rhinoplasties of number The treatment. functional increasing been has post-traumatic, and reconstructive esthetic, functional, consistently. Rhinoplasty is increasingly is concerned nose The results. esthetic on focus original its with beyond nose the of aspects the functional a complex anatomical region in which small functional changes can result in large losses to the patient. Thus, the study of associated rhinoplasty techniques with septoplasty has gained referral prominence services. in Objective otolaryngology To evaluate rhinoplasty and its variations. Borges Crossara, Roberto Eustáquio Guimarães, Vinícius Malaquias Ramos Guimarães, Vinícius Roberto Eustáquio Crossara, Borges August 15, 2013 15, August

Oral Presentation Otorhinolaryngology August 16,2013 The FreePaperwillbepresentedinRoom Chamonix,onAugust16 Closing Partyatthe12 The awardingofthe three bestpaperswillbemade​​ Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. th CongressoftheOtorhinolaryngology Foundation. 08:00am. -06:00pm. 23

on August17 th st of2013, of2013-

Oral Presentation Audiology

LTS DU LISTENING ICHOTIC ON D ALISM The The study was performed at the Laboratory of A retrospective descriptive study was performed In this patient population, hearing loss was most : : : eport eport R R

ase ions onclus ase Vanessa Ferreira Mariz Ferreira Vanessa Amanda Dal Piva Gresele Piva Amanda Dal The results presented here show that the bilingual experience Enma Mariángel Ortiz Torres, Maristela Julio Costa, Michele C C Enma Mariángel Bruna Gelmini, Reisiane Lemos Reis C : Examining the etiological profile inrelation to audiology among : HORIZONTE SERVICE IN BELO CARE HEALTH UDITORY A D A -HEARING-IMPAIRE IN NON ABILITIES To compare the dichotic listening abilities of non-hearing-impaired : bjective im ion onclus adults to those of monolingual language speakers (CG) of the and Brazilian bilingual speakers simultaneous Portuguese or successive Brazilian Brazilian Portuguese-Italian (IG)bilingual Portuguese-German speakers. (GG) Vargas Garcia, Sinéia Neujahr dos Santos Sinéia Neujahr Garcia, Vargas Audiology Audiology from the Universidade Federal de Santa Maria. The participants were 87 non-hearing-impaired adults, 19–59 years of age: 30 CG, 31 GG, and 26 IG. Each participant underwent the Dichotic Digits Test (DDT) and the Staggered Spondaic Words (SSW) test. statistically The results using were the analyzed Mann-Whitney U and test. total (p=0.017718) Right DDT ear scores (p=0.034942) GG differed and CG. significantlyRight (p=0.002845), betweenleft (p=0.006544), the and total ear scores (p=0.000403) also differed significantly between the was IG no and difference There CG. between GG and results IG showed higher right, left, and total scores for both bilingual individuals groups (p>0.05). The SSW in comparison to the CG (p<0.05). When comparing the GG and the the IG IG, had higher right ear (p=0.008134) and total scores (p=0.006918). 4 - OF USERS OF A HIGH COMPLEXITY PROFILE the ETIOLOGICAL thor: Main Au thors: Co-Au O 3 - U BILING OF the EFFECT thor: Main Au thors: Co-Au A C improves improves high predictability dichotic listening, as evaluated by DDT, and low predictability dichotic listening, as by evaluated the SSW test. Picture- background abilities, memory and attention were positively influencedby bilingualism. the users of an Auditory Health Care Service in the municipality Horizonte. of Belo based on the records of a digital database at a High-Complexity Auditory Health Care Service in the municipality of Belo Horizonte. Data referring to the age, International gender, Classification of Diseases status, and the authorization the in described (as disability hearing the of etiology probable to August from seen patients Only analyzed. were procedures) high-cost for December 2012 were included in the study. Of the 177 records analyzed, age of the population studied 54% belonged average to male subjects. The was 67 years. The probable etiology most encountered was of unknown origin (98%), followed by a genetic, idiopathic, and traumatic brain injury etiologies. With regard to the status, International we observed Classification a of predominance of Diseases bilateral loss (92%). sensorineural hearing commonly characterized as bilateral sensorineural hearing loss. The records records The loss. hearing sensorineural bilateral as characterized commonly typically offered little information regarding the specific Further hearing research to disability. elucidate etiologythe etiological profile of an the of individual’s hearing deficienciesfoster will specific more and individualized intervention. 24

: The The : ion onclus eport D C R

ase C Hearing Aids, Wireless : Initial results show up a real : eywords Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. K esults R It was acquired state-of-the art headphone headphone art state-of-the acquired was It : ethods M Introducing the very first headphones with hearing aids hearing with headphones first very the Introducing : and

Subjects with presumed dead regions tended to be older : bjective Hearing aids were primarily designed to help people to talk. Amanda Dal Piva Gresele Gresele Amanda Dal Piva Ricardo Ferreira Bento Ferreira Ricardo : O Alexandre Alexandre Hundertmarck Lessa, Maristela Julio Costa, Michele In s Built- earing Aid with H dphone ials ater Silvio Pires Penteado Silvio Pires M REGION IN THE COCHLEA A DEA ENVIRONMENTS, DESPITE THE PRESENCE OF ion onclus C To compare To speech recognition, in quiet and in noise, among elderly : im ntroduction than those without dead regions. The presence of dead regions appear did to not influence speechrecognition, andwas infact associated with hearing suggests in of This the noisy improved development environments. situations. compensation mechanisms in unfavorable Technology, Music, Telemedicine. Technology, people with and without a dead region in the cochlea. with Bluetooth® and it was implemented digital signal processors (left and headphone to with turn hearing right headphone product: ears) into a new aids built-in. Contemporary fitting software ensures selective amplification without the feedback disturbance. Adjusting the aids can be anytime performed even through Telemedicine. built-in. built-in. Vargas Garcia, Milena Manoel de Azevedo, Sinéia Neujahr dos Santos Sinéia Neujahr dos Milena Manoel de Azevedo, Garcia, Vargas thors: Co-Au thor: Main Au 2 - , IN QUIET AND NOISY speech RECOGNITION I 1 - hea thor: Main Au thor: Co-Au A Most recently the hearing industry turned to Bluetooth® to allow hearing design aids users to connect wirelessly its aids to cell hearing aids with phones, smart TVs, stereos, and the likes. Bring music to hearing aids is a good perspective of amelioration of music sensation but lacks as the tiny inside the speakers aids can not a offer true music experience. Resonance, low fidelity, low bandwidht, low bass, are some of drawnbacks of those tiny speakers. Headphones with hearing aids built-in make use music to stereo time real bass, true offer to of wideband with speakers fidelity high- aficionado. music experience to hearing impaired to take the most of wired connection connection the most of wired to take music experience to hearing impaired (ordinary TV, non-Bluetooth® devices) and Bluetooth® devices. study was performed at the Laboratory of Hearing Aids at the Universidade of Hearing Aids at the Universidade at the Laboratory performed study was Federal de Santa Maria. Thirty-eight elderly individuals, years, with aged mild to moderate sensorineural hearing 61 loss and a descending to 84 audiometric curve participated in the Each study. participant submitted to a basic audiologic evaluation and then performed a task with white noise A (GA), 24 subjects a Group used to differentiate were results masking. The without dead regions, and Group B (GB), 14 dead individuals regions. with After presumed fitting each of these elderly individuals with hearing aids based on the results of the Portuguese Sentences each Lists was Test (PSL), evaluated using the Sentences Recognition (SRIQ).Average Indexes GA in age was Quiet 72.25 years and average GB age years(p=0.010541). Regarding the SRIQ, was77.71 the GA average was 61.24% and between significantly differed SRIN (p=0.340076). 55.27% average, GB the groups (p=0.49384), with an average of 55.99% GB. in GA and 67.12% in Headphones with hearing aids built-in is a new product to offer package of a benefits to hearinggood impaired those can not be matchedby the current products in the market place. August 16, 2013 16, August

Oral Presentation Audiology August 16,2013 and 48.88% among those with moderatelyseverewith those among loss. 48.88% hearing and loss; hearing moderate with those among 53.92% loss; hearing mild with to the degree of hearing loss, the average DDT score was 60%among those relation In graduates. school high among 58.75% high and education; partial school a with those had among 48.75% who school; those elementary among completed 57.05% school; who elementary those completed among not 54.56% had illiterate; the among 38.75% of scores DDT average showed results The loss. hearing of degree the and education integration. of level binaural subject’s the of to scores DDT measure relate to a used was as analysis Descriptive used was DDT the on answers correct of number total TheDDT. the using evaluated were years, 60–89 aged loss, hearing symmetric severemoderately to mild with subjects one Forty- Maria. Santa de FederalUniversidade the at Care Sciences Hearing and Language Speech, of Service the at Aids Hearing of Laboratory the in loss tendedtoscore lower ontheDDT. Subjects with a lower level of education and those with more severe hearing period. acclimatization the of length the to related is use aid hearing of frequency of 70.3 days. 70.3 of average an for >11h/day it used (G3) 3 Group and days; 70.5 of average an for 6–10h/day for it used who patients of consisted (G2) 2 Group days; consisted of patients who used hearing aids ≤5h/day for an average of 70.2 (G1) 1 Groupgroups: day. 3 per into use Participantsweredivided of hours of number the and aids hearing as of programming the well in used software as the [highest]), 4 level to [lowest] 1 (level acclimatization factors: following the considered We months. 3 of course the over software fitting aid hearing the from obtained data the using performed was analysis The device. data-logging a and technology aid hearing digital with fitted were and use aid hearing of months 3 about after evaluated were Individuals loss. hearing sensorineural symmetrical bilaterally with sexes, both from satisfaction. user of level the increases and quickly more adapt to individual the allows usage Increased skills. auditory and recognition speech in improvements frequency of hearing aid usage can accelerate acclimatization, with related A Co-Authors: Main Author: theDICHOTIC DIGITSTEST ANDITSRELATIONSHIP TO 6 - Co-Authors: Main Author: correlation BETWEENDURATION OFHEARINGAIDUSE 5 - Maristela JulioCosta,SinéiaNeujahrdosSantos 100%). /G3: 63% (G1: G3 and G2 in acclimatization affect did use of frequency The G1. in time acclimatization and use aid hearing auditory skills may take 8–12 weeks. 8–12 take may skills auditory of return partial or complete hearing, facilitates aid hearing the Although Momensohn- Santos. as well as the degree of hearing loss. adults with hearing loss and relate these scores with their level of education im : To describe the Dichotic Digits Test (DDT) results in a group of older of group a in results (DDT)Test Digits Dichotic the describe To OLDER A SCHOLARSHIP ANDTHEEGREEOFHEARINGLOSS AMONG AND ACCLIMATIZATION INTHEEL DERLY M ethods lxnr Hnetac Lsa Aad Dl ia Gresele, Piva Dal Amanda Lessa, Hundertmarck Alexandre Amanda Monteiro Magrini Milena ManoeldeAzevedo neia izs edna a osc, eea Maria Teresa Fonseca, da Mendonça Biazus Angelica R esults DU : e vlae 2 edry niiul (27 yas old), years (62–76 individuals elderly 20 evaluated We LTS : There was no relationship between the frequency of frequency the between relationship no wasThere C ase O Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. bjective

R eport : : To examine whether the whether examine To the study was conducted C onclusion C onclusion : The :

25 incorporate audiologicaltestingasaroutine preventive measure. to need the preclude not does result This testing. audiological infrequent musicians investigated characterized their auditory skills accurately, despite presented with auditory and extra-auditory symptoms. Notably, most of the them of most loss; hearing with presented evaluated musicians 16 the of worsen significantly after 20 years of exposure tomusic. ofexposure 20 years after significantly worsen thresholds auditory high-frequency Extended groups. betweendiffered old years ≥30 individuals of thresholds auditory The 16,000Hz. and 14,000Hz frequencies, significant differences in auditory thresholds were observed at from 9,000 to 16,000Hz. to 9,000 from ranged investigated thresholds ranges.Thetonal high-frequency extended at exams audiometry to submitted musician Each years). 35 age, (average age and (male) gender to relation in (p<0.05%) homogenous were groups The sound. intense to exposure professional of history a without subjects) (44 group one with band) (military musicians professional 50 of group one n re t dans haig leain i mscas conventional musicians, high frequencies. in extensive- at audiometry with alterations conjunction in used hearing be should audiometry diagnose to order In auditory symptoms in members of the Porto Alegre Symphony Orchestra. Symphony Alegre Porto the extra- of members and in symptoms auditory auditory of presence the and hearing, of self-perception the not exposed to music or to loud occupational noise. was that group a of hearing the with comparison in participation, band of auditory Tonal musicians. thresholds professionalwere analyzed as a of function of age and group in relation to the a duration in 16,000Hz to 9,000 C O Co-Authors: Main Author: hearing,A 7 - O Co-Authors: Main Author: high-FREQUENCY THRESHOLDS: A 8 - Joyce Albizu ypos ee tes 4.% ad riaiiy (37.5%). irritability and (43.8%) stress were symptoms extra-auditory prevalent most The (56.3%). sounds loud to intolerance an and (75%) environments noisy in speech understanding in difficulty were and pure- tone audiometry results (p = 0.299). The most prevalent auditory symptoms hearing self-reported between association significant no was considered their hearing as fair or poor, 3 presented with hearing loss. There who musicians 6 markedthe Of “good.” or good” “very as perception hearing their musicians musicians 8 the hearing; of normal presented 31.1% musicians in All noted surveyed. was notch audiometric an with male loss hearing 16 Sensorineural years. 58 comprised to 26 from population ranging ages with study musicians The activities. professional and symptoms extra-auditory and auditory to pertaining questionnaire a and audiometry pure-tone using evaluated were Subjects cross-sectional. and ase bjective bjective

R ORCHESTRA MUSICIANS AMONG MUSICIANS eport : : The purpose of this study was to characterize hearing thresholds, This study analyzed tonal auditory thresholds in the range from range the in thresholds auditory tonal analyzed study This Cristina Loureiro Chaves Soldera, Márcia SalgadoMachado din Bne Mria e aed, éoa ues Evelyn Luders, Débora Lacerda, De Moreira Bender Adriana : Laura UbertiMallmann Claudia GiglioDeOliveira Gonçalves The study design was observational, descriptive, analytical, descriptive, observational, was design study The UDITORY ANDEXTRA-A R esults : When individuals were subjected to high to subjected were individuals When UDITORY THRESHOLDS UDITORY SYMPTOMS IN M ethods C onclusion : We compared C onclusion : Some :

Oral Presentation Audiology : eport R

The study ase : C study D DVANCE

ase C US. WITH TINNIT ALS The prevalence of tinnitus identified in the : To study the prevalence of tinnitus in a group of : ions onclus C bjectives O Vanessa Ferreira Mariz Ferreira Vanessa Luiz Alberto Alves Mota Alves Luiz Alberto Patient companions were generally satisfied with the center’s Daniela Oliveira Santos, Monica Menezes de Souza Daniela Oliveira Paula Cristina Alves Leitão, Paulo Marcelo Freitas de Barros Freitas Marcelo Leitão, Paulo Alves Cristina Paula : DIVIDU IN ERLY D IN EL OF LIFE ALITY Evaluate the of level patient satisfaction with services by provided Ninety-five questionnaireswere analyzed eventually. The results : : HORIZONTE SERVICE IN BELO CARE HEARING HEALTH esults ion onclus urpose showed showed a high level of companion patient satisfaction care, with including many services aspects of provided waiting by time a from the multidisciplinary first team, hearing appointment amplificationdevice, until the receiptway questions were explained, service of quality,reception services, personal the and patient adaptation to were, however, the reports of device. dissatisfaction related There to center infrastructure. the Hearing Health Care Service-Izabela Hendrix (SASA-IH). carried out was and prospective descriptive, with an analytical component took years, 61–105 aged volunteers, Nineteen approach. quantitative a and part in the study. A questionnaire drawn up from the Tinnitus Handicap Inventory (THI) was applied. Eight of 13 women (61.53%) and 2 of 6 men (33.3%) reporteda ringing in their ears. As to the impact on their quality of life, 5 women (62.5%) reported discomfort and4 (50%) reported distraction by the tinnitus, difficulty in reported irritability. hearing, and irritability. Two men (100%) 12 - AN A AT SATISFACTION COMPANION patient thor: Main Au thors: Co-Au P Patient companions anonymously answered a questionnaire comprising 12 multiple-choice questions. non-validated The questionnaire objective was administered during the period from November2011 to March 2012. R C 11 - U q thor: Main Au thors: Co-Au Emerging Emerging chronic-generative diseases in the elderly can impact on have their quality a of life. One strong such condition is tinnitus, or a ringing in the ears. reception reception services, the multidisciplinary team (physician, speech therapist, the an appointment and for time for audiologist, and psychologist), waiting hearing aid,as well as the quality of the care received, device and quality, SASA- the with dissatisfied were companions Patient adaptation. of rate the IH infrastructure. elderly people and thereby the extent to associated with which influences this on their condition quality may life. be of sample was higher than that reported in the results The literature. showed that tinnitus adversely affects quality of commonly affected. more were participants; women life among 53% of the study 26 The : This was : esults R ethods LATION M Hearing loss strongly : The The study participants : eport R

eport R ase

C Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. ase C The differences in hearing thresholds, : ion onclus USTIC AND OTOACO UDIOMETRY D ON ENTS BASE UD USIC ST M ATE C DU The noise levels of these classrooms are higher than : Débora Luders Débora Karla Anacleto de Vasconcelos Karla Anacleto Alana Tagarr, Alexandra Frasson, Carolina Marins, Carolina To study the level of sound pressure in a public school in Vitoria, in a public school in Vitoria, of sound pressure study the level To iscussion Claudia Giglio de Oliveira Gonçalves Claudia Giglio de Oliveira : To analyze the auditory music ofprofiles students undergraduate To : D , BRAZIL STATE SANTO ESPIRITO OF UNDERGRA A CONVENTIONAL EMISSIONS bjective bjectives if followed for a longer period of time, can be analyzed together with the amplitude otoacoustic emissions to provide information on changes in the hearing status of will approach time. musicians theearly facilitate This over detection of hearing impairment. impacts the individual’s quality responsibilities. According of to Brazil’s life, rules and which regulations, noise the includes inside level the classroom of should work-related be 50 dB at most. were 42 were music undergraduate students (38.10% female, 61.9% male) with anaverage age of 26 years. The students underwent conventional pure- tone audiometry (PTA) performed using a Madsen Itera II audiometer and TDH39P headphones, as well as transient using performed evoked was which otoacoustic testing, (DPOAE) emissions product distortion and (TEOAE) that showed results The a Madsen model Capela (GN Otometrics) analyzer. 39 students (92.85%) had hearing thresholds within normal limits, lower thresholds in with the left ear for all frequencies, except 4000 Hz. When compared to the control group, the study population had worse average hearing thresholds at frequencies of 500 Hz for the left 250 ear, Hz for the right ear, and 6000 Hz in both ears. We noted the absence of product otoacoustic distortion emissions (DPOAEs) in 11 students (26.2%), at one or more frequencies, typically in the left ear. Average DPOAE associated amplitude those for and except ear, left the in worse also were ratio signal/noise with stimuli of 8000 Hz. Compared to the control group, the study group exhibited reduced mean DPOAE amplitudes at all frequencies, except at 4000 Hz in the right ear. Vieira, Gabriela Coutinho Vieira, noise levels in the classrooms in this particular school and 87.9 dB(A), much were higher than allowed by 62.1 ABNT regulatory norms (NR dB(A) 10152). allowed allowed by established ABNT norms. Strategies for noise level reduction must and be implemented the developed in quality to order of improve this and learning environment. work ES, as compared to the levels permitted by the Associação Brasileira Normas de e Técnicas (ABNT, Brazilian Association of Technical Standards), according to regulatory norm NR 10152. thor: Main Au thor: Co-Au O 10 - AMONG A POPU ANALYSIS PROFILE hearing thors: Co-Au O 9 - , VITORIA IN SCHOOL IN A PUBLIC noise ASSESSMENT thor: Main Au a cross-sectional study carried out in a public school located in the urban area of Greater Vitoria. Each classroom was approximately 12 m2in size, with the capacity to accommodate25 students. during DEC-490) (model meter decibel Instrutherm an using weremeasured Classroom noise levels routine classes in which students interacted with the teacher. for for comparison to a control group. August 16, 2013 16, August

Oral Presentation Audiology August 16,2013 were measured and compared. and measured were indices distribution weight and stability Fall, 8 conditions. sensory in different (TetraxTM) posturography System Balance Interactive Tetrax using hr period of use, during which the hearing aid wasadjusted to generate HLAS. to wasadjusted aid hearing the which during use, of period hr were performed twice on the same day, before and immediately after a 2.5- patient´s hearing sensitivity response for pure tones by air conduction. Teststhe comparing by study the throughout times several measured was TTS baseline. to were settings returned amplification HPHA point, that At days. not to increase the hearing threshold. HPHAs were used for LLAS for 60–90 stimulation demonstrated (LLAS) low-levelstimulation to acoustic reducedwas (HLAS) acoustic high-level the Initially, study. this in included were (HPHAs) aids hearing high-power using after ears aided the in threshold n bten al n wih dsrbto idcs n akno’ disease Parkinson’spatients. in indices distribution weight and fall between and nie aog akno’ dsae ains te ihr h weight the higher the patients; distribution andstabilityindices,thehigherisfall index. disease Parkinson’s among indices betweenand betweenfallweightindices, falland stability distribution and during the 60–90-day period when the amplification setting was set for LLAS. set was setting amplification the when period 60–90-day the during observed in aided ears fit with HPHAs was significantly reduced (f <0.0001) Ballalai Ferraz, MaurícioMalavasi Ganança,Rafaela MaiaQuitschal and O Co-Author: Main Author: protection AGAINST TEMPORARY THRESHOLD SHIFT 14 - O Co-Authors: Main Author: correlation BETWEENFALL ANDSTABILITY INDICESAN 13 - weight distribution index in five conditions. the with and conditions, sensory eight all in index stability with correlated using hearing aids adjusted to high-level acoustic stimulation. acoustic high-level to adjusted aids hearing using when patients these earsof aided the Thresholdobservedin as (TTS), Shift Temporary the reduce could stimulation hearing acoustic high-level with requiring loss patients in stimulus acoustic low-level a to exposure prior noise reduces the negative effects (TTS) observed in ears fit with high- with fit power ears hearingaids. in observed (TTS) effects negative the reduces noise bjectives bjective M WHEN USINGHIGH-POWERHEARINGAIDS PARKINSON’S DISEASE BETWEEN FALL ANDWEIGHTISTRIB UTION INDICES C ethods R onclusion esults : o vlae h creain ewe fl ad tblt indices stability and fall between correlation the evaluate To M : Oswaldo Laercio MendonçaCruz The aim of this prospective study was to investigate whether investigate to was study prospective this of aim The Flávia Doná, Heloísa Helena Caovilla Malavasi Ganança, Henrique ethod Ursula MariaLellisdeVitto Jackeline Yumi Fukunaga : Thirteen (n=13) patients that showed increases in auditory in increases showed that patients (n=13) Thirteen : Statistical analysis (ANOVA) showed that the degree of TTS of degree the (ANOVA)that showedanalysis Statistical : : Thirty patients with Parkinson’s disease were evaluated were disease Parkinson’s with patients Thirty This study suggests that pre-exposure to non-damaging to pre-exposure that suggests study This R esults : The results showed that fall index fall that showed results The Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. C onclusion : There is a correlation M aterials

27 psychophysical testsin order to estimate the MCL level. analysis. behavioral by obtained levels M the and response reflex threshold a elicit strongcorrelationwasA levelsobserved predictingbetween MCL. the that These results suggest that ESRTs may be an excellent objective measure for h ipc o tniu. Grarc ersin cl ws sd o detect to symptoms. depressive of used thepresence was Scale Depression Geriatric A tinnitus. of impact the assess to 6.61 used was ± method (THI) Inventory 68.8 Handicap Tinnitus age: The years). (mean years 60–85 men,aged (15.2%) 7 and women observationalstudy. We(84.7%) including39 patients, evaluatedelderly 46 programming. implant cochlear for used be can that measurement objective an is (ESRT) threshold reflex muscle stapedius elicited electrically The threshold. pain the to levels stimulus of elevation an in result may loudness in elevation an level.indicate Failure(MCL) to loudness comfortable most the obtain to a provide cannot who children behavioral response. This is especially true when youngadjusting the sound levels in CI programming for methods objective develop to important more become has it implantation, require now children younger many As percepts. psychophysical sophisticated of Cochlear implant (CI) programming requires subjective responses to a series Macangnin Seimetz,LetíciaSousaFlores, Magda AlineBauer association (p = 0.003*) between the 2 scores. 2 the significant between 0.003*) revealed = (p GDS association and THI using obtained scores the of Analysis severedepressivesymptoms. had (4.3%) 2 and depressivesymptoms, mild showed (45.6%) 21 symptoms, depressive of presence show not did (50%) Twenty-threepoints. participants 2.77 ± 4.91 was scoreaverage the GDS, the On (2.1%). 1 in (catastrophic) 5 grade and (6.5%), 3 in (mild) 2 grade patients, 46 the gradewas (slight), as patients 1 classified elderly (91.3%) of 42 on impact the Out points. 14.17 ± 6.56 was method THI the using A Co-Authors: Main Author: theIMPACT OFTINNITUSANDEPRESSIVESYMPTOMS IN 15 - Co-Authors: Main Author: theELECTRICALLY ELICITED STAPE DIUS MSCLE REFLEXIN 16 - behavior. The implant in every patient was activated and programmed based on their year.one than morefor us that processing, 2 Opus with Implant Sonata EL MED- an with children 10 levelsin werecomfortmeasuredpsychophysical ees e ae oe osraie ae o te ST levels. ESRT the on based conservative more are set M levels The analysis. behavioral their in used levels M the that by higher elicited level wasa ESRT the that indicating 1.0), = (r line were dotted points the data above the all Notably, 1.03. be to found was value r the and ypos n lel patients. elderly in symptoms ints mat n te rsne f ersie ypos n elderly in symptoms depressive of individuals. presence the and impact tinnitus between observed was association an group, study the in results, above im : o nlz te soito bten ints mat n depressive and impact tinnitus between association the analyze To ELDERLY INDIVIDU CHILDREN WITHCOCHLEARIMPLANTS R Felippe Felix, MariaIsabelKós,Shiro Tomita esults din Rbio exia Adé Kue Gnavs Bruna Gonçalves, Kruger Andréa Teixeira, Ribeiro Adriane Audrei Thayse Viegel deÁvila Francisco JoséVieira Osterne O bjectives : The data from the children was graphically represented, graphically was children the from data The : To evaluate the association between ESRT and ESRT between association the evaluate To ALS M ethod R : esults hs a a rs-etoa and cross-sectional a was This : The average score obtained scoreaverage The C onclusion M ethods : Based on the on Based : C ESRTs and onclusion :

Oral Presentation Audiology Based on the results : This is a cross-sectional : ion onclus ethods C M The Newborn Hearing Screening : No statistical differences were observed : ion onclus C INTHE NEWBORN INDICATORS ALITY esults R A database analysis from January 2011 to December : DREN WITH A IN CHIL Y ON THE HEARING ABILITY eport Pricila Sleifer Vanessa Ferreira Mariz Ferreira Vanessa Gabriela Cintra Januário, Ramon Costa Cruz, Valéria Inácio Adriane M Gerhardt, Mônica Carminatti, Sady Selaimen da R

To analyze To the audiological findings obtained from children with : To examine the results of the Newborn Hearing Screening State : ase LIP AND PALATE CLEFT IN GERAIS OF MINAS PROGRAM STATE HEARING SCREENING 2011 C bjective urpose of the audiological assessment of children with non-syndromic and palate, hearing loss was cleft observed. Conductive hearing loss was lip more frequently mild and unilateral. we Therefore, emphasize the importance of these children. for otorhinolaryngological and audiological care Costa, Sílvia Dornelles State Program of Minas Gerais met only 1 of the 3 indicators It evaluated. is suggested that adoption of strategies such asincrease in accredited maternities, capacity of professionals,implantation of information systems integrated with full hearing assessment and therapy services, and other services. hearing screening newborn Program of Minas Gerais in 2011 in relation to the quality indicators proposed proposed indicators quality the to relation in 2011 in Gerais Minas of Program by the multiprofessional committee on auditory health following quality indicators were screened for: (COMUSA). realization of the screening The index (>95%), number of newborns screened during the first month of life, and number of newborns referred for a full hearing assessment (less than 4%). Venâncio 20 - UD a ST thor: Main Au thors: Co-Au O 19 - OF QU analysis thor: Main Au thors: Co-Au P study comprising 128 children of both sexes between 5–10 years of age who underwent audiological evaluation at the Otitis Media Center in the Hospital de Clinicas de Porto Alegre in Brazil. All the children passed the otorhinolaryngology evaluation tests conducted prior to the audiometry, speech audiometry, and acoustic tympanometry) tests. impedance (acoustic reflexes and a non-syndromic cleft lip and palate. 2011 revealedquality indicators related to the screening steps. We screened screened We steps. screening the to related indicators revealedquality 2011 37,638 newborns, i.e., 14.9% of the births. Of these, 24,181 (64.2%) were evaluated during the first month of life and 671 (1.8%)were a chosen full for hearing assessment. between between the audiologic findings and the sex (p = 0.421) of the children. In addition, there was no in difference the findings obtained from the right and left ears (p = 0.428). We found that 41.7% of the patients showed a changein the hearing threshold, i.e., values >15dBNA in the audiometric research and conductive hearing loss. Of the 41.7%, the hearing loss was unilateral in 83.5%, mild in 75.2%, and moderate in 24.8%. Of the children who showedchanges in hearing threshold, the tympanometric curveswere type B in 63.6%, type C in Jerger’s 29.1%, classification, 1970 and and type 1972). Ad in 7.3% (according to 28 ALS This study was : The mean values : This study included study This : The results obtained obtained results The : ethod esults M Elderly individuals used ethod : R esults M R Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. ion onclus C Camila Ribas Delecrode Luisa Senne Souza Reis Luisa Senne Ana Claúdia Figueiredo Frizzo, Ana Claúdia Vieira Cardoso, The exposure to and exposure organophosphates noise The did not influence : Profª. Drª. Maria Cecilia Martinelli Iorio Drª. Maria Cecilia Profª. To assess the effectiveness of hearing aids dispensed by the : RESPONSES IN WORKERS BRAINSTEN UDITORY NOISE AND EXPOSED TO OCCUPATIONALLY ORGANOPHOSPHATES IN HIGH COMPLEX SYSTEM BY THE HEALTH DISPENSED SERVICES To describe and compare the findings of auditory brainstem responses responses brainstem auditory of findings the compare and describe To : bjective im ion onclus of absolute latency in the study group were 1.55 ms (RE) and 1.54 ms (LE) I, 3.65 for wave ms (RE) and 3.70 ms III (LE) and for wave 5.51 ms (RE) and 5.55 ms (LE) In for V. wave the control group, the mean values of absolute 3.77 and (RE) ms 3.76 I, wave for (LE) ms 1.56 and (RE) ms 1.58 were latency ms III (LE) and showed for wave t-test The 5.58 ms in both V. ears for wave no significant difference between the latency inter-peak and latencies. (ABR) of subjects occupationally exposed to noise and organophosphates agents. these to exposed not subjects those to were were tabulated in a Microsoft Excel spreadsheet and analyzed using the measures of central tendency. Out of 20 participants, 95% did while Examination State not Mental Mini the to show according deficits cognitive any 70% did not reveal any symptoms of depression. It was found that of 70% the participants effectively used the hearing aid. that The all study the revealed participants were satisfied with theirservice hearing providedwas aids,highly complex. and the conducted at the Integrated Care, Research, and Education (NIAPEA) in - Hearing UNIFESP/EPM and was Committee (#60742). approved Twenty elderly by individuals (15 the women and Research 5 participated men) Ethics in this study. Theassessment mental procedures state examination included test (MMSE), a Geriatric Depression Scale mini (GDS- the and test The (IOI-HA). aid hearing a for Results Survey International 15), individually. administered were questionnaires 32 men, 32 - 53 years of age, with tympanometry and pure tone audiometry tone pure and tympanometry with age, of years 53 - 32 men, 32 (thresholds ≤ 25dBHL from 250 - 8000 Hz) within subjects 16 normal comprising group standards. study the The groups: 2 into divided were subjects who applied pesticides and were exposed to noise and organophosphates (duration of past exposure: 4 - 24 years; mean years - 17) group and of a control 16 unexposed volunteers without hearing complaints. The ABR was monitored using (Biologic) a with Navigator-Pro insertable earphones. The responses were captured with an active electrode in Fz, the reference in the earlobes and the ground on Fpz. The stimulation parameters were: 2000 rarefied clicks (21.8 clicks/s) at 80dB SPL. Heraldo Lorena Guida Lorena Heraldo C thors: Co-Au A thor: Main Au 18 - a thor: Main Au thor: Co-Au O 17 - INDIVIDU DERLY AIDS IN EL OF HEARING effectiveness the neurophysiology of the ABR responses. the neurophysiology SUS service hearing health of high complexity in São Paulo city through the administration of questionnaires and a test. their hearing aids effectively. Further, the service and offered was beneficial effective to the population and on thisthe importance was maintainedof monitoring the by stressing process of adaptation. Therefore, it is necessary to detect cognitive deficits and signs of depression as these adaptation and use of hearing aids. influence effective factors August 16, 2013 16, August

Oral Presentation Audiology August 16,2013 studies need to be conducted using linguistic stimuli to assess the potential. However,further population. this of monitoring therapeutic and targeting as well as diagnosis evaluationand the in aid Thiswill without. those from disorderslearning with students differentiationof the in aids that test only the was LLAEP that conclude we study, this from obtained results the on between thegroups. observed was difference no However,infants. premature in and full-term in potentials cortical the of N1 and P1 components exogenous the observe rcsig eiis n h haig f thispopulation. of hearing the in deficits processing groupcontrolcomparedauditory the as basic group,to changed indicating study the in patients the of ear left LLAEP,the in observed was using latency increased by However, groups. the both for range normal were the interamplitudes within The observed. were latencies ABR and emissions t-test Otoacoustic Discussions: and Results software. the statistical using performed with analyzed were results The (EP). System Potential Evoked Biologic’s a using room, treated acoustically an in performedwere potentials (LLAEP) evoked auditory latency long and (ABR), response stem brain auditory (OAE), emissions otoacoustic as such Procedures limits. normal The Paulo. São in university public inclusion criteria were pure a tone audiometry and speech audiometry within of clinic a at assessment clinical years).These10 yearsage, 7-14 between(mean aged underwentstudents learning group), (control with problems learning 15 without 15 and sexes, group) (study disorders both of students this 30 of A total performed. a comprised was study analysis qualitative and quantitative and study with and without learning disabilities. learning without and with Figueiredo Frizzo, CéliaMariaGiacheti,Heraldo Lorena Guida O Co-Authors: Main Author: a 22 - P Co-Author: Main Author: long LATENCY A 21 - 00ue rs/al 500 sc uain ad 0dN itniy The intensity.way. normal a 80-dBNA in slept infants envelope, and duration, trapezoidal usec polarity, 50000 rise/fall, click 10000usec rarefaction with /ba/ stimulation phones, insertion with research potential latency auditory-evokedlong the for used was method binaural A research. potentials latency long evoked auditory- the for used was system, EP Smart equipment, <37 IHS The was weeks. age gestational the when premature considered were infants Newborn Hearing Screening (NHS) during the the first month ofinfants)in their life. group]These [study preterm 10 and group] [control full-term (15 newborns 25 comprised study This obtained. was (IC) consent informed methodology, infants the regarding the of parents signed the briefing After committee at Universidade Federal de Santa Maria, Santa Maria, RS, Brazil. between the latencies of the components. the of latencies the between in observed potentials was difference significant statistical N1 verified no but and groups, both P1 only observe to possible was It weeks. 33 was full-term born infants was 38 weeks, where as that of the premature infants potential in full-term and premature infants during the first month of month first the during life. their infants premature and full-term in potential urpose bjective DISORERS PREMATURE INFANTS: COMPARISON OFLATENCY : UDIOLOGICAL EVAL o odc a eerh o eiy f og aec adtr evokes auditory latency long if verify to research a conduct To : To study the audiologic findings and compare the data of students M Dayane DomeneghiniDidoné Ana Carla Leite Romero, Ana Cláudia Bianco Gução, Ana Cláudia aterial Simone Fiuza Regaçone Michele Vargas Garcia

and M ethods UDITORY EVOKES POTENTIAL INTERMAND U R ATION OFSTUDENTS WITHLEARNING : esults This research was approved by the ethics the by approved was research This : The average gestational age of the of age gestational average The M Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. ethods C onclusion : This was a cross-sectional a was This : C It was possible to possible was It onclusions : Based 29 n sltd rqece,hra 2 2% dd o so OE t l tested all frequencies. at OAE show not did (25%) 2 frequencies,whereas isolated in OAE of presence showed (75%) 6 ears, 8 these of Out (CM). microphonic the 15children testedshowed characteristics related to ANSD. Monteiro de Castro E Silva, Marina Santos Teixeira, Tatiana Medeiros Deperon use theirelectronic devices. adapt effectively to and study well our percentage in significant patients of follow-uptheir ensureto and visits appropriate device Thisusage. a helped fromtechnology, wewhich have, during patients educate to necessary is it personallife.Aparttheir account into taking positiveencouragementwhile is and education for It demand patients’ the meeting important. time spend to extremely necessary is devices electronic in made investment the Valuing attention. much requires that task a Reeducating is independence and esteem be. to self- their used restoring and it disabilities hearing what on population fromelderly today’s far is ageing world, conclusion, In today’s replacement. in tube and mold ear required patients however, some device; their electronic of use the with ofthe satisfied were majority patients session, follow-up the During replaced. were filters and tubes mold ear the and habituation fordevice electronic the in weremade adjustments follow-up, next the During devices. electronic the of and cleaning andhandling thephone over conversing while observed difficulties main the sessions, follow-up the During checked. was devices electronic patients was assessed, audiometry was monitored, and the operation of the was carried out, comprehension and awareness of the auditory need of the assessment speech adjusted, was devices electronic the of level comfort the sessions, follow-up the During devices. electronic received had who patients elderly 400 comprised study This Program. Health Hearing the of course the during months 12 and 6, follow-upat1, during sessions devices To analyze the common complaints of patients who had received electronic Christina CBRodrigues,Marcia Cristina MotaFerreira is H) n re t ivsiae h eitne f uioy neuropathy (ANSD). auditory of disorder existence the spectrum investigate to order in (HA) aids Co-Authors: Main Author: hearingHEALTH PROGRAM:THEIMPORTANCE OF 23 - O Co-Authors: Main Author: a 24 - acoustic reflexes, otoacoustic emissions (OAE), and auditory brainstem andauditory responses (ABR). of (OAE), assessment emissions and otoacoustic reflexes, tynpanometry acoustic as such assessments, and audiological examination (ENT) throat and nose, ear, underwent children These of consisting team otolaryngologists, audiologists, psychologists, teachers, and multidisciplinary social workers. a including Center, Rehabilitation Hearing a whovisited loss, hearing sensorineural bilateral with years, 12 10– between aged ears), (30 children 15 comprised study andanalytical bjective Hearing Aids A IMPAIRED CHILDREN UDIOLOGICAL FOLLOW UDITORY NEUROPATHY SPECTRUM DISORERINHEARING- : To evaluatehearing usersof hearing-impairedother children and ina iul og, uin Hbr d Sua iul Lyvia Miguel, Sousa de Habiro Juliana Jorge, Miguel Bianca Carolina Costa Cardoso, Fernanda Ferreira Caldas, Isabella Isabella Caldas, Ferreira Fernanda Cardoso, Costa Carolina Cilmara CristinaAlves DaCostaLevy Fayez BahmadJúnior C onclusion R esults : Based on the results of this study, 6 (40%) out of out (40%) study,6 this of results the on Based : Eight ears (26.7%) did not show ABR withcochlear M aterials -UP AFTERRECEIVINGReceiving

and M ethods : hs prospective This

Oral Presentation Audiology : eport R

IOI-HA is : ase C This is a cross : To evaluate the : ion onclus C ethod The SNR and MMSE : M bjective O : THE INTERNATIONAL ion onclus C The hearing aids improved the quality of life of 52.78% 52.78% of life of quality the improved aids hearing The : esults R The main function of hearing is to enable oral communication. communication. oral enable to is hearing of function main The Sineia Neujahr dos Santos Lorena Kozlowski Lorena : Alexandre Alexandre Hundertmarck Lessa, Amanda Dal Piva Gresele, Angela Ribas, Gleide Almeida Angela Ribas, DERLY EXAM IN EL STATE NOISE AND THE MINI MENTAL PATIENTS THEIR ENVIRONMENT AND WITH AIDS (IOI-HA) FOR HEARING OUTCOME INVENTORY To correlate the signal-to-noise ratio (SNR) obtained by the Portuguese Portuguese the by obtained (SNR) ratio signal-to-noise the correlate To : im ntroduction Sentences Lists (PSL) test with Examination the (MMSE) results of of hearing the impaired Mini elderly Mental people. State sectionalgroup sectionalgroup study comprising of 108 women). subjects The average (56% age of men the subjects and was 77 44% sensorioneural years. showed and aids hearing their with fitted recently been had These subjects (90%) and mixed (10%) hearing loss as determined via the Questionnaire International Outcome Inventory for Hearing Aids IOI-HA, Outcome which determinedthe Inventory benefit and - satisfaction obtainedby sound amplification. of the patients, which was revealed by their high punctuation (mean=27.3). punctuation high their by revealed was which patients, the of The relationship of the user with the environment was significantly better (p<0.001) than that of the user with the hearing aid. a simple and easy-to-use tool. Based on the results of this study, we can ahigh show of degree with satisfaction their hearing aids in the majority of the quality KEYWORDS: of Consumer life. the participants, which improved hearing aids. quality of life; Satisfaction; Maristela Julio Costa, Milena Manoel de Azevedo 28 - IN THE BETWEEN SPEECH RECOGNITION WHILE relation thor: Main Au thors: Co-Au A This study was conducted in the Hearing Aids Laboratory at the Speech, Language, and Hearing Sciences at the Universidade Federal Maria.Sixty-four de elderly Santa patients, aged 60–87 years, participated in These patients study. had mild to this moderately sensorineural severe hearing test, PSL the From test. PSL the and MMSE the administered were and loss Sentences in Recognition Noise Thresholds (SRTN) was obtained and used to calculate the SNR. The noise intensity was constantly 65 dBSPL. maintained The SRTN at were obtained in a free field, after the hearing aids were fittedin both ears. Spearman’s testwas used to statically correlate the mean The variables. SNR mean to found was be -1.84 and the average MMSE score was 24.3. Statistically significant correlation was observed between the variables (p = -0.047496). 27 - AIDS HEARING WITH THEIR SATISFACTION OF USER level thor: Main Au thors: Co-Au I Hearing loss impairs communication skills. level level of user satisfaction with their hearing aids. scores scores obtained were very low even in patients with hearing communication the aids. to related These closely is ability cognitive that indicate results ability of the elderly subjects. 30 G1 had a higher : According to similar : Research Research was conducted The participants were 25 : ion onclus : C ion onclus C ethod Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. To establish reference values for M : ethodology M In G1, the minimum speech frequency : bjective O esults R Out of the 100 subjects, 71% presented average values at : Masking Level Difference (MLD) is part of a series of tests Fernanda Salvatico de Aquino Salvatico Fernanda Patricia da Silva de Paula da Silva Patricia : Léslie Piccolotto Ferreira Liliane Felipe, Silvana Frota Silvana Liliane Felipe, esults YEARS BETWEEN 18–39 R To analyze vocal parameter extension, frequency, and intensity in : im ntroduction maximum frequency, extension, and intensity thanG2, and the last group had a higher minimum frequency. There was no difference between the the on evidence presents data The groups. the both of intensities minimum of presbyphonia. effects elderly women who sing in the choir. was was 134.82 Hz; maximum frequency 349.96 Hz; extension 215.14 Hzand 16.41 HT; minimum intensity 40.28 dB, and maximum intensity 95.50 dB. frequency maximum Hz; 137.28 was frequency speech minimum the G2, In 348.59 Hz; extension 211.30 Hz and 16.05 HT 16.05; minimum intensity 40.63 dB, and maximum intensity 94.35 dB. 7.47dB. No relevant statistical difference was observed between the between observed was statistical 7.47dB. genre difference No relevant (0.719) and age (p<0.884) of the patients. thor: Main Au thors: Co-Au A 26 - CHOIR SINGERS FEMALE DERLY EL OF PARAMETERS vocal thors: Co-Au I 25 - D AGE IN SUBJECTS (MLD) DIFFERENCE LEVEL masking thor: Main Au elderly womenwho were singers in the choir at the Messianic Church in São São in Church Messianic the at choir the in singers were womenwho elderly Paulo, Brazil. These participants were between 63–82 years of age (mean count to required was subject Each 5.22). deviation, standard years; 71 age, from 20 to 30 in a voice ranging from medium, low, strong, to very strong that software Vocalgrama® the werefedinto samples speech These intensity. aids in speech extension profile analysis.The following parameters were analyzed: minimum and maximum frequency and intensity voice extension in Hertz and (Hz) and half-tones (HT). The singers spoken were divided into 2 groups according to their age: G1 from 63–71 years of age and G2 from 72–82 years of age. conducted to evaluatecentral auditory decoding processing and behavioras binaural well interaction abilities. as by presenting a level pulsatile It clear tone to both ears while simultaneously determines the auditory presenting amasked rustling. scientific literature, MLDvalues ≥7dBwereconsidered normal andvalues ≤6dB wereconsidered abnormal in adults. Subjects normalwere with examined values and below referred for otolaryngologist evaluation. This research emphasizes the importance of continuous binaural ability interaction tests such as MLD, which is capable of sound-source ofrustling. localization in the presence and speech recognition to determine the difference between the audibility levels achieved during 2 different presentationsof signal/rustling signal level relation. detection, which has MLD occurred in a concerns couple of masking to - terms SoNo (homophase) and Sπ, no(antiphase)- are binaural on off phase it. and MLDin subjectsaged 18–39 years. August 16, 2013 16, August

Oral Presentation Audiology August 16,2013 evaluation. voice the intervention, and it did not demonstrate a difference in the tension normal with citizens perception. G2 kept of the result of the auditory percipient after analysis percentage of the increased dysphoniaand of degree autoperceptionas well as reducedcervical tension in relation to the discrete and pain for (p=0.009), differences intragroup showed G1 (p=0.000). energy parameters noise glottal shimmer (p=0.003), score total (p=0.036), daily on effects the limitation effectsactivity (p=0.006), (p=0.007), communication emotion on in differences glottic scoresshowed for energy (p=0.003);G2 parameter noise acoustic the and autoperception vocal in intragroupanalysisshoweddifferences(p=0.013) or G1 analysis. acoustic the questionnaire self-assessment vocal of scores total and partial the to symptoms. There was no difference between the interventions with respect voice. the of acoustics and of auditory percipient the evaluation of analyses and historytaking, tension, muscle cervical symptom the vocal autoperception, pain and vocal included Interventions (G2). training vocal or (G1) massage manual Forty-two university professors were randomized into 2 groups: perilaryngeal rdtoa vcl riig o poesr wt vcl complaints. vocal with professors for training vocal traditional rfca msl tension. muscle orofacial difficulty in balancing, vocal quality suggestive of presbyphonia and reduced futuretherapy.resultsand the moderatelyseverehad loss, also hearing S2 from expectations had and evaluations, family all to Her her accompanied members participation. family of because negotiations interviewer efficient S2 the were between there beginning, the From in tension. difficulty muscle loss, hearing severeorofacial reduced and presbyphonia of suggestive quality vocal moderately balancing, had S1 records). health incomplete example, and (for questions confabulations institutional and of answers inaccurate because issues dialogue unresolved by was marked S1 with contact initial The sessions. subsequent in evaluated were sciences hearing and language speech, of aspects Other obtained. were data cognitive and linguistic and conducted were women elderly the both daughter.and husband her Interviewswith residedwith S2, and aged, the for home philanthropic a in resided S1, dementia: with women elderly 2 of Presentation and analysis of the circumstances and results of the evaluation P Co-Authors: Main Author: theSOCIAL CONTEXT OFATTENTION TO THESPEECH, 30 - O Co-Author: Main Author: effects oftwointerventions inteachers withvoice 29 - the professors. ClinicalTrial=3123 of demands vocal and complaints observingthe useafter the to of interventions which decide could therapist speech quality;the vocal and being and hearing sciences with respect to the elderly with dementia. whereas the elderly dementia patients who live with their families have opportunities for effective comprehensive care. families their with live who patients dementia elderly the whereas care, integrated hampers possibly wich status their regarding others from elderly patients tend to live alone and be introspective, institutionalized without expectation however, characteristics hearing and language speech, urpose bjective DEMENTIA LANGU complaints: randomizeclinical trial : To discuss the influence of the social context of speech, language speech, of context social the of Toinfluence the discuss : o opr te fet f eiayga mna msae and massage manual perilaryngeal of effect the compare To Mauriceia Cassol Elenir Fedosse, Karolline CruzSergio Vasconcelos C Tanise CristaldoAnhaia Jayne Guterres deMello onclusion AGE ANDHEARINGSCIENCESINTHEELDERLY WITH : Both interventions improved the participants’ well participants’ the improved interventions Both R esults C onclusion : The 2 groups showed a reduction in vocal in reduction a showed groups 2 The : oh lel ptet hd similar had patients elderly Both Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. C ase M

R ethod eport : :

31 the laryngeal vestibule constriction VLS, did not change significantly. the in and seen, RASATIwas in dB breathiness voice of in (ShdB).Improvement (sPPQ), shimmer and quotient (Shim), percentage perturbation shimmer (VTI), pitch index turbulence smoothed the in seen was infcnl; hs ugss ht h tcnqe os o causelaryngeal hypertension. not does thetechnique that suggests this significantly; the of improvement subsequent glottal signal. With VLS, the laryngeal vestibule constriction did not change and energy harmonic increased with noise, and aperiodicity glottal vibration the reduced technique PGTIW The wall movement or coronal closure.coronalmovementwall or side no showed paralysis facial bilateral complete with those and closure, circular with presented third middle the below paralysis facial inferior with with movement of the side walls and presented coronal closure; however, paralysis the patients facial unilateral complete with patients the Besides, and pattern Passavant’sridge.of closure presence the with pattern circular closure coronal a had 14% a had 14% while pattern, a closure with coronal presented subjects 72% that showed also results These closure. complete had 14% and closure incomplete had subjects 86% that showed nasofibrolaryngoscopy. evaluation of The findings by complemented voice, of Paulo in analyses auditory-perceptual the São performed pathologists in Speech 2012. hospital with apublic born at all evaluations nasofibrolaryngoscopic years, 13 conducted physicians to Otolaryngology assessed. months were syndrome, 11 Möbius from ranging ages with boys, complaints, after phonation in a glass tube immersed in water (PGTIW). water in immersed tube glass a in phonation after complaints, and laryngeal characteristics of women, without laryngeal disorders or vocal M O Co-Authors: Main Author: phonation INAGLASSTUBEIMMERSEDWATER: 31 - A Co-Authors: Main Author: mÖBIUSSYNDROME : ASTUD 32 - Chi-square, and Spearman tests (p<0.05). tests Spearman and Chi-square, Wilcoxon, the using conducted were analyses statistical and perception, VocalCG. the in hearing silence acoustics, SG of period a beforeafter and and the in PGTIW of execution the after and before performed was (VLS) (CG). They pronounced the vowel groupsound control of the in /a:/, 12 and and (SG) videolaryngostroboscopygroup study the in 12 with groups, into2 impaired. be may nerves other that hypothesis the consider might One patients. all in common was that nerve facial the of impairment despite types, closure pice i ptet br wt Mbu syndrome. Möbius with born patients in sphincter im bjective ethods : This study aimed to investigate the physiology of the velopharyngeal the of physiology the investigate to aimed study This WOMEN ACOUSTIC , ANDVIEOLARYNGOSTROBOSCOPY OF ANALYSIS OFTHEA SPHINCTER TITLE : : Twenty-four women, aged between 18 and 40 years, were divided To check and correlatethe vocal acoustic measures of the glottal the of measures acoustic vocal correlatethe Toand check Fabiane Bittar, ArnaldoGuilherme,ZelitaCaldeira Ferreira Guedes Fabrício Scapini Joziane Padilha deMoraes Lima Renata RamalhodaSilva UDITORY PERCEPTION,VOCAL, C onclusion Y OFTHEVELOPHARYNGEAL R esults : Some patients had differenthad patients Some : In the SG, improvementSG, the In C ase

R eport C onclusion : Eight :

Oral Presentation Audiology : eport R

ase C It was found that the aspects, which influence the A cross-sectional study that analyzedmedical records records analyzedmedical that study cross-sectional A : : Infants with acute viral bronchiolitis had abnormal : ethods M Lisiane De Rosa Barbosa Bárbara Antunes Rezende Bárbara ions onclus Amélia Augusta de Lima Friche, Joana Melo Ottoni Santiago, Erissandra Gomes, Gilberto Bueno Fischer Erissandra ion onclus C This article aims to describe the profiles of the newborns(NBs) C : To investigate the occurrence of a decrease in oxygen saturation MINAS GERAIS IN HOSPITAL UNIVERSITY The majority of the NBswere male (50.7%), had low birth weight : : UTE WITH AC INFANTS DISORDERS IN AND SWALLOWING BRONCHIOLITIS VIRAL OF UNIT NEONATAL NEWBORNS FROM THE FEEDING IN A bjective esults urpose (44.8%), and had suitable intrauterine growth (73.5%), with an 32.6-weekgestational average age (GA) and an average 1790-gramweight. Most of the NBswere using probes for feeding, and SOG (63.9%) was the most used. It was observed that 284 (61.7%) of the NBs reached full OF at the time of discharge from the speech pathologist’s treatmentand required an a analysis, survival the Regarding OF. exclusive achieve to days 12.5 average OF to time transition the between existed relationship significant statistically and birth weight, as well as intrauterine growth, sucking rhythm, intraoral and sucking Inpressure, reflex. the anregression, Cox association with the weight birth low very following: the with found was OF full to time transition (p<0.01), intraoral pressure (p=0.00), and (p<0.01). inadequate sucking rhythm during the feeding dysphagia. of signs of clinical the with association the investigate infants with acute viral bronchiolitis, and to Rafaella Cristina Oliveira, Thais Santiago Malta Thais Cristina Oliveira, Rafaella of 406 NBs examined from April2005 to December2008 thatattended at least 3 speech pathologist appointments. For data analyses analysis, were performed, descriptive including survival analysis and Cox regression. swallowing, swallowing, in addition to variations in oxygen saturation rates during the It is process. suggested feeding that a decline in the is oxygen a saturation dysphagia in this population. for risk factor 36 - URATION SAT OXYGEN BETWEEN PERIPHERAL association thor: Main Au thors: Co-Au P A cross-sectional study was conducted in 42 infants, with a median age of 82 days (P25=32; P75=156). accompanied by A measurement of the peripheral oxygen saturation (SpO2). clinical swallowing evaluation was after and during, before, measured was SpO2 the oximetry, digital using By baseline from decrease the if considered was reduction Saturation feeding. was greater than or equal to 4% during and after oral feeding. The level of significancewas set at p<0.05. At the time of assessment, 26 (60.5%) infants required ventilatory support of up to 1 L of oxygen. The statistical difference (p=0.001) was observed between the SpO2 No significantafter associationfeeding. was (r= observed –0.305; p=0.05) ratesbefore and whileconsidering the decrease in SpO2values; that number is, of the swallowing greater the disorders, the feeding. greater the desaturation during 35 - ORAL TO THE TRANSITION D WITH ASSOCIATE factors thor: Main Au thors: Co-Au O R examined in the neonatal unit of HC/UFMG by the speech pathologist service pathologist speech the by HC/UFMG of unit neonatal the in examined and to verify the main factors, which affect the transition to exclusive oral (OF). feeding transition to exclusive OF for NBs are weight, intraoral pressure, and suction and pressure, intraoral weight, are NBs for OF exclusive to transition independent of the other conditions of NBs. rhythm, 32

: . ion onclus C The mean swallowing times were were times swallowing mean The : Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. esults R This study had a transversal design. Weinterviewed38 Weinterviewed38 design. transversal a had study This : The study showed a high prevalence of dizziness, fear of fear dizziness, of prevalence high a showed study The : eport R Sheila Tamanini De Almeida Sheila Tamanini Giesse Albeche Duarte Giesse Albeche Elton Luiz Ferlin, Helena Ayako Sueno Goldani, Sérgio Gabriel Cristina Loureiro Chaves Soldera, Márcia Salgado Machado Márcia Soldera, Chaves Cristina Loureiro The aim of this study was to determine the associationbetween Twenty-two swallowing signals were captured during fluid ion onclus : : YSPHAGIA C MICROPHONE FOR DETECTION USE OF A LARYNGEAL DREN WITH OROPHARYNGEAL IN CHIL OF ASPIRATION D DERLY THE EL OCCURRENCESIN PRIOR FALL FEARS, AND ethods bjective swallow swallow from patients aged 1–14 years, who had complaints of OPD, and studya aspirationsduring analyzed. were (VFSS) swallow videofluoroscopic The signals were separated into groups: G1 (n=11; aspiration during the VFSS) and G2 (n=11; no aspiration complaints. OPD no during with children comprised the (n=11), G3 sounds, VFSS). swallowing Another group of All children were assessed using a piezoelectric microphone attached to their neck. Generalized estimating equations with Bonferroni’s for post-hoc correction (p≤ 0.05) were multiple used for comparison comparisons groups. signal swallowing among Silva de Barros Silva This study aimed to compare the duration of swallowing sounds and the power spectral density (PSD) of breath sounds/aspiration sounds recorded aspiration. tracheal without and with children in (CA) auscultation cervical by M thors: Co-Au thor: Main Au 34 - thors: Co-Au O 33 - , FALLING COMPLAINTS DIZZINESS AMONG association thor: Main Au dizziness complaints, falling Case fears, persons. and fall occurrencesamongelderly Children Children with OPD have a prolonged swallowing time as compared to that of children without OPD. Post-swallow aspiration detected by CA respiration. PSD than post-swallow greater has a falling, falling, and fall occurrence among the elderly evaluated and a significant correlation between increasing age and the occurrence of falls, between between and used, medications of number the and complaints dizziness the and the number of falls. score the FES-I-Brazil persons persons and used a scale to measure the fear of falling (FES-I-Brazil). The study included subjects,aged 60 years or older, who agreed to participate obtaining after (IC) Consent of Instrument the signed and invitation an after visual with persons older excluded study The study. the regarding clarification impairment without proper correction (use of glasses/lenses) andpatients dementia with as or moderate as well severe those using who or were had leg),walker,wheelchair, (foot, limb lower orthotics,prosthetic use to need the or any combination of these. Of the 38 elderly persons interviewed, 68.4% complained of dizziness, 97.4% had a significantly fearof was falling,and fallen had 57.9% who had those ageof fallen mean The age. of years 60 after who elderly The 0.015). = (p fallen not had thosewho of age the than higher reported dizziness used a significantly higher number of FES-I-Brazil the on medicines score The 0.030). = (p dizziness report than not did who those = (p falls of number the with associated if significant statistically was scale 0.003). significantly longer in G1 (1.289±0.064s) and G2 (1.230±0.124s) than in G3 (0.596±0.057s) (p=0.000). There were no differences in time between swallowing G1 and G2 (p=1.000). The mean PSD values for aspiration detected in G1 (3330.8±405.74 1/ √Hz) statistically were greater than that of the mean PSD values for respiration in G2 (720.55 ±121.61 1/ √Hz) and were There espectively). p=0.015, and (p=0.000 √Hz) 1/ (890.3±179.45 G3 (p=1.000). G3 and G2 between PSD in differences significant no August 16, 2013 16, August

Oral Presentation Audiology August 16,2013 fet b mas f IAS ad HAS questionnaires. psychosocial HHIA-S the and QI-AASI assess of and means by technology, effects wireless with aids hearing psychosocial benefits. received and results the with satisfied technologywere wireless with aids HHIA-S questionnaires showed that users of the CROS and BICROS hearing ugs ta psiie xoue a afc haig a wl a themore as superior structureswithin thecentral auditorynervous well system. as hearing, affect can exposure pesticide that suggest between G1 and G3with respect to TDD and RGDT (p<0.05). These findings in theABR found G2 were differences significant statistically but and results, evaluation test G1 between observed were differences significant statistically that showed results evaluation central auditory The (p<0.05). of lack a balance (22.7%), with a and statistically significant difference among (27.3%), the groups buzz headaches(59.1%), (59.1%), dizziness were signs health and symptoms frequent most The (81.8%). herbicide welling anti and (95.4%) pesticides were chemicals cited most The (82.0%). caps and (86.0%), gloves (86.0%), boots follows: equipmentwereas safety used most The years. 2.2 was equipment protection individual of use average the and cultivation, tobacco to averageexposure17.1-year an had G1 that showed results The G1). of that to comparable level educational an with (G2=24 group control producers),a subjects; used for the ABR comparison), and a tobacco third group (G3=21 subjects; (G1=22 group research a groups:3 wereinto who divided (<25dBNA), hearing normal with subjects hearing system (CHS) of tobacco producers. A transversal study involved 67 Theexposureincentraleffectspesticide objectivethe the of was analyze to and IQ-AASI questionnaireswereIQ-AASI retaken.and themand use their anacusic ear. At the end of the 12-day period, the HHIA-S day, they were asked to fifth make a the phone call on to the but speech therapistdays, surveying 12 for them wore They hearing. better with ear the wirelessly,of apparatusreceivingand the time realto in them, transmitted and ear anacusic the from sounds the captured microphone transmitter A ear.contralateral the for III Smart S Audéo and CROS micro-retroauricular hearing loss, either mild or deep. Phonak hearing aids were used, including with ear contralateral a and anacusis unilateral with patients for BICROS wereperformed follows:as forCROS unilateral with patients and anacusis, After the audiometry, questionnaires were completed, either CROS or BICROS adaptation anamnesis, HHIA-Squestionnaires. and QI-AASI and vocalaudiometry,immittance evaluation,and otorhinolaryngologic underwent participants All years). 77 to 18 age, men; surveyed(5were patients Eight O Co-Author: Main Author: aSATISFACTION ANALYSIS OFCROSANDBICROSHEARING 38 - Co-Author: Main Author: theEFFECTS OFUSINGPESTICI DES ONTHECENTRAL 37 - ifrne ewe stsato ad age. and satisfaction between difference significant no was There technology. wireless with aids hearing BICROS and CROS the using after and before questionnaires HHIA-S and QI-AASI the from obtained responses the between (p<0.000) difference significant bjective AID USERSWITHWIRELESS TECHNOLOGY CENTRAL REGIONOF PARANÁ HEARING SYSTEM OFTOBACCO PRODUCERSINTHESOUTH : nlz te sr’ aifcin ih hi CO ad BICROS and CROS their with satisfaction users’ the Analyze Pricila Sleifer Adriana BenderMoreira deLacerda Simone Araújo Lopes Denise MariaVaz RomanoFrança Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. R esults C onclusion : There statistically wasa : h Q-AI and QI-AASI The M ethodology : 33 with ariskindicatorfor hearing lossisnecessaryfor earlyintervention. children of status hearing the of monitoring The loss. hearing conductive a considerable number of them exhibited some kind of hearing loss, mainly acuity,but hearing normal had majority the tests, follow-uphearing the In children with a risk indicator for hearing loss. hearing for indicator risk a with children developing swallowing disorders. of risk a with weassociated and cardiacsuction infantsduring observedin Portes Fioravanti nutritive sucking correlated significantly with the presence of altered presence the swallowing. with significantly correlated sucking nutritive during (p=0.006) changes respiratory and (p=0.015) stress of signs The (42.3%). pace of lack a and (38.5%); deglutition and respiration, suction, of incoordination (34.6%); tongue the of mobility functional inappropriate (23.1%); tongue protrusion lips (11.5%); tremors sealed of tongue, jaw,of or absence both (15.4%); an observed we swallow, and analysis suction nutritive the of During occurred. (23.1%) changes of absence and (30.8%) changes rhythm of thepresence sucking, non-nutritive of During evaluation tongue. the high a and lips sealed was sucking non-nutritive during and an elevated tongue (69.2%). The most frequent oral posture at rest and (69.2%) lips sealed wasrest Theat postureevaluationoral(p<0.05). the of 65.4%) before and after of surgeryhad not influence (average on swallowing at the time tube feeding nasoenteric and 59.6%) of (average ventilation mechanical of use Theevaluation. speech clinical diseaseunderwent heart congenital with diagnosed were who months, 0–8 aged infants, study,26 O Co-Authors: Main Author: a 39 - P Co-Authors: Main Author: swallowing ININFANTS WITHCONGENITAL HEART 40 - in 18%, moderate in 27%, and profound in 18% of the subjects. 45% had sensorineural hearing loss. Degree of hearing impairmentwas mild acuity, 44% had hearing loss in 1ear, 54% had conductive hearing loss, and and cases of deafness in the family. Among them, 56% had normal hearing infections; congenital hyperbilirubinemia; both; or minute, minute,fifth first with the following risk indicators: low birth weight; a low Apgar score in the and male 48% and 52%female with tests, the all performed age, of years hearing screening in this hospital. this in screening hearing audiometry and pure tone audiometry (PTA). All of them performed neonatal for referred were evaluationacuity.hearing of loss Their washearing evaluated impedance using hearing of risk a with children 25 2008, March to ies ta wr hsiaie a a hlrns optl n h southern the in country. the hospital of region children’s a at hospitalized were that disease Cardoso deFreitas, SimoneHatwig urpose bjective RISK INDICATOR FORHEARINGLOSS DISEASE: PRELIMINARY RESU : UDIOLOGICAL FOLLOW To establish the swallowing profile of infants with congenital heart : h am f hs td ws o vlae h haig tts of status hearing the evaluate to was study this of aim The Daniela Polo Camargo da Silva, Jair Cortez Montovani, Marisa Montovani, Cortez Jair Silva, da Camargo Polo Daniela rn Tnae Fnael, rsada oe, ai Cristina Maria Gomes, Erissandra Fontanelle, Tengaten Bruna Georgea EspíndolaRibeiro Lisiane DeRosaBarbosa C onclusion C : eprtr cags n sgs f tes were stress of signs and changes Respiratory ase

R eport -UP RESU : R Through a descriptive and transversal and descriptive a Through esults LTS : A total of 25 children, within 4 within children, 25 of total A LTS OFCHIL DREN WITHA M ethods : From March 2007 March From C onclusion :

Oral Presentation Audiology 34 Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. For G1, the SRT performance proved worse in : Researchhas Researchhas shown that the acoustic reflex (AR) : ion onclus eport C R

ase Carla Fonseca Moraes Tonelini Moraes Carla Fonseca C Renata Coelho Scharlash Renata Coelho To evaluate the performance of adults with peripheral facial : bjective is altered in the presence of an injury to cranial nerve VII. Because of the participation of the superior olivary nucleus in the recognition of whether auditory assess to important is it noise, competing of presence the in stimuli an injury to the facial nerve may cause communication difficulties inquiet and noisy situations. The survey was diagnosed conducted with on idiopathic 13 PFP adult that subjects were subjects divided with an into absent AR,and G2, 2 7 subjects groups: with a G1, present AR. Listas 6 de sentenças em português (LSP), developed used by to obtain the Costa recognition threshold of sentences (in in a quiet 1998), situation was (SRTS) and the recognition threshold in a noisy situation (SRT), expressed by signal/noise. the ear with PFP compared to that of the normal side, with a statistically Withrespectsignificant to difference. SRTs, G1 also a showed significantly no significant difference was to G2. as There compared performance worse individuals comparing while obtained was SRT the which in ratio S/N the in in G1 and G2; it however, was found that the mean SRT in G1 was worse than that inG2, i.e., individuals with efferent auditory system dysfunction, as evidenced by the absence of the AR, had more of competing sounds. speech in the presence difficulty recognizing O 41 - PARALYSIS FACIAL IN PERIPHERAL RECOGNITION speech thor: Main Au thor: Co-Au paralysis paralysis (PFP) in idiopathic sentence recognition tests in quiet and noisy situations. August 16, 2013 16, August

Oral Presentation Audiology August 15,2013 It isessentialthatthepresenterpresenta theplacetofilformprintcertificateby The FreePaperwillbepresentedin Top FlooroftheCampos doJordãoConventionCenter, The FreePaperthatwill bepresentedinposterformatwillnotcompete forawards. The assemblyoftheposterswillbeginat08:00 a.m.(15 removal thereofshallbemadeuntil05:00p.m. (16 Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. The spacefortheworkwillbedulymarked. from 15to16, August, 2013. the system. 35 th th August). August) and August)

Posters Otorhinolaryngology

ase C A tongue A : A 10-month- A : ion onclus report

C ase C Postoperative vocal cord palsy : comments

inal F Janaina Oliveira Bentivi Pulcherio Janaina Oliveira Daniel de Sousa Michels Daniel de Sousa Gustavo Gustavo Henrique Soares Takano, Gustavo Subtil Magalhães Cláudia Márcia Malafaia de Oliveira Velasco, Eduardo Oliveira

To present the case of a pediatric patient with acquired vocal To a report case of congenital tongue-base To hamartoma in a child : : in infants d paralysis fol ocal A male infant underwent cardiovascular surgery and presented : bjective bjective old, female infant with no significant medical history was referred for a 1.0- a for referred was history medical significant no with infant female old, birth. since present been had that mass pedunculated a and base tongue cm was excision Surgical well. feeding not was and underweight was child The epithelial and stromal with nodule a revealed histopathology and performed components. The stromal component was predominantly smooth muscle with adipocytes and periphery fibroblasts.The epithelial componentwas Hamartoma ducts. ecstatic with acini mucous gland salivary predominantly is defined as a growth of normal tissues endogenous to the development site. Most of the cases reported in literature affect of the the posterior region tongue. Clinically, it presents as or pedunculated a mass not small exceeding 1.5 asymptomatic, proliferation cm a as described sessile, in is picture diameter, histopathologic The and birth. from is present usually of unencapsulated smooth muscle within the subepithelium region. These muscle bundles are organized irregularly and can be mixed with nervous, lymphatic, or vascular tissue. In addition, salivary gland or adipose tissue may be present. The definitive treatment is surgical excision and there is literature. the in excision after recurrence of report no after cardiopulmonary surgery in children is not rare and is an important complication associated with increased Flexible comorbidity. laryngoscopy is the method of choice. Vocal fold immobility in be congenital pediatric or patients acquired, can and there are several treatment approaches. Symptoms vary with unilateral or acquired vocal bilateral cord immobility associated involvement. with cardiothoracic We surgery to highlight correct congenital cardiopulmonary anomalies. The priorities of treatment in these cases are to maintain airway patency postponed be often and can patients these in interventions Corrective nutrition. to ensure adequate because spontaneous recovery is common, but it is important to continue therapy. swallowing 04 - v thor: Main Au thors: Co-Au O report 03 - REPORT A CASE : HAMARTOMA UE-BASE tong thor: Main Au thors: Co-Au O Machado da Silva, Patrícia Tramontano Fraiha, Rosane Siciliano Machado Fraiha, Tramontano Patrícia Machado da Silva, Freire, Freire, Isabela Peres, Luciana Miwa Miranda Nita Watanabe, Priscila Carvalho leiomyomatous leiomyomatous hamartoma is a rare lesion, but it must be considered as a differential diagnosis for midline tongue masses near the foramen cecum. reported. has been recurrence and no is surgical Treatment cord cord palsy and discuss the causes, management, and treatment. treated at the University Hospital of Brasília, Brazil. Brazil. Brasília, of Hospital University the at treated with a hoarse cry and difficulty in breastfeeding after extubation. Flexible immobility laryngoscopy showed of the left infant vocal recovered fold. The spontaneously in 30 days. 36 YSFUNCTION Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. LOSIS All cases of RCPS identified in our literaturereview, : iscussion Caroline Persch Royer Persch Caroline Michelle Manzini Caroline Caroline Persch Royer, Claudia Schweiger, Denise Manica, D Carolina Fischer Becker, Caroline Persch Royer, Claudia

D RESPIRATORY WITH SEVERE CASES bar 1 in France, were registered in Brazil. Vale do Ribeira, in São Paulo, is the is Paulo, São in Ribeira, do Vale Brazil. in registered were France, in 1 bar most populated region. We do not know if the small number of described patients and their concentration in South and Southeast Brazil is due to a local unknown factor or because some children are not being diagnosed. for diagnosis possible a as known syndrome the make to wish therefore We pharyngeal and laryngeal and abnormalities limb with present who children malformations. thor: Main Au thors: Co-Au 02 - TUBERCU laryngeal thors: Co-Au 01 - OF TWO : REPORT SYNDROME -PEREIRA -COSTA richieri thor: Main Au Schweiger This paper reports a case of laryngeal tuberculosis in a male smoker with clinical features and similar risk factors to laryngeal cancer. The middle- aged male patient presented with odynofagia, dysphonia, dysphagia, and weight loss of 6 months’ duration. Chest showed tuberculosis. X-ray Upon direct laryngoscopy, a biopsy of the vocal folds confirmed theof diagnosis laryngeal tuberculosis. Laryngeal tuberculosis differential diagnosis must of a neoplasm be of the larynx part because it can of present with the the same risk factors as smoking and drinking and cause confusion. lesions, pulmonary concomitant with present not do patients many Besides, as if treated are as they diagnosis and treatment tuberculosis which delays a carcinoma. had they Gabriel Kuhl, Jefferson Bauer Jefferson Gabriel Kuhl, dysostosis acrofacial an is Syndrome Richieri-Costa-Pereira INTRODUCTION characterized by the presence of the Pierre Robin sequence, jaw fissures, and limb abnormalities. We report 2 cases that differ from the cases other 30 reported in the literature because CASE of 1: A full-term, severe 7-day-old, female respiratory infant presented distress. with planovalgus feet, retrognathy, stridor, and requiring intubation. Airway severe endoscopy revealed no respiratory epiglottis, but Grade distress III glossoptosis. from CT revealed no bone on the anterior birth portion of the jaw. A and patient, performed. jaw The tracheostomy surgery were reconstructive male 40-day-old, A 2: CASE tracheostomy. a has still old, years 2 now is who infant presented with subcostal effort, micrognathy, and bone agenesis, epiglottis diagnosed endoscopy Airway fail jaw. right the of upon palpation supraglottic membrane, and were surgery jaw an AHI and of reconstructive 41. showed A tracheostomy Grade III glossoptosis. indicated. Polissonography August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 ugcl iulzto o te larynx. the of visualization surgical laser CO2. However,with for a large mass, the glottic view is facilitatedmass by direct the of excision endoscopic been has amyloidosis laryngeal of treatment primary The amyloidosis. revealed diagnosis Histopathological removed. surgically was which side, right Larynogoscopy the on breathing. mass glottic difficulty a revealed having was and years 6 for lasting with Congo red. Congo with staining after light polarized and with birefringence apple-green history of finding patient’s the the on based larynx the in amyloid diagnosis and the larynx or trachea. or larynx the including body, the of part any in located be can and lesions polypoid or microscopic, characteristic nodular as presents with usually It features. with ultrastructural and associated histochemical, disorders deposits of proteinaceous family extracellular heterogeneous a is Amyloidosis BortotZuppani, Stefano Tincani of themaxillaandmandible. GCG of cases 2 the in described as ostectomy peripheral video-assisted of complete removal of lesions in area difficult to access. We advocate the use Video- and field morbidity.operative the of exploration associated accurate an allows surgery the assisted minimizing while rate recurrence the decreasemay lesions the Peripheralresectionof additional ostectomywith techniques. aggressive least the with rate recurrence low a on focusing treatment, of method best the discuss We mandible. the of region the facial mainly affects and destructive potentially is It behavior. varying and etiology unknown of disease uncommon an is (GCG) granuloma cell Giant Maunsell Kathleen Pfeilsticker,Christina Nizam Rebecca Leopoldo Pinheiro, Mohana Co-Authors: Main Author: laryngealAmyloi dosis 06 - Co-Authors: Main Author: peripheral ostectomy videoassisted ingiantcell 05 - in thedifferential diagnosisofbenigntumors ofthelarynx. considered be should which amyloidosis, laryngeal to due be may masses granu Ademar Lucas Jr, Carlos Jorge da Silva, Carlos Toyama, Henrique Araújo Laíza Paschoal, Rizzato Jorge Pauna, Furlan Henrique NataliaTeles Farias Leite Vanessa Gonçalves Silva loma sugery C ase

report O bjective : An adult woman had a history of hoarseness of history a had woman adult An : To present a case of laryngeal amyloidosis laryngeal of case Toa present C onclusion Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. : lwy vlig laryngeal evolving Slowly 37 evc ad a udron ceohrp a te ie f hs report. this of time the at chemotherapy undergoing was and service oncology the to referred was patient The examination. postoperative first had no lesion. Improvement in the patient’s dysphagia was noted during the tonsil right the tonsil; left which the in lymphoma follicular 3a Grade a analysis, confirmed immunohistochemical and histopathology for sent was tonsillectomy was performed without complications. The surgical specimen side. The The patient was referred for tonsil. surgery, and on January 4, left 2013 a bilateral the of right the fixed. on and change There and no wasfirm was mucosa tonsillar enlargement with Fiberoscopy asymmetry Hospital. tonsillar Avai revealed do Jose Sao at service the otorhinolaryngology to referred was patient The deteriorate. to continued symptoms her noted other abnormality for no the rest of the physical examination. Over and. the next 2 weeks, neck, the of examination on nodes no lymph fever, palpable or pain no had She odynophagia. history and dysphagia, a tonsillitis, or of usage, alcohol smoking, denied patient The swallowing.difficulty with in associated tonsil left the in swelling slight a with 2012 1, be performed whenever there issuchasuspicion. considered be should when a patient presents with tonsillar asymmetry and tonsillectomy should Malignancy site. affected commonly most being tonsils the with lymphoma, cell B large diffuse in involved commonly sites malignancy issuspected. whenever recommended be should Tonsillectomy ring. Waldeyer’s affect that lymphoma non-Hodgkin’s with cases of 80% in involved are Tonsils diagnosis. early for important extremely is examination physical careful a Lacerda Carrara Lucia Vania Santos, Dos Tinoco Tulio Tinoco, Oliveira De Bandoli Oliveira Tinoco, Tulio Tinoco DosSantos,Vania LuciaCarrara Lacerda the time of this report. wasreferred wasand service oncology the to undergoing chemotherapy at She surgery. the after immediately intheright improved speech patient’s lymphoma The B cell tonsil. large adiffuse of diagnosis the confirmed complications. analysis without immunohistochemical and performed examination pathological Subsequent was tonsillectomy right a 2013, 20, Thenodes. wasreferredlymph patient cervical forsurgery, January on and palpable no were There changed. clinically was tonsil left The left. the to shifted was uvula the and fixed, and hardened was mucosa tonsillar The Fiberoscopy showed tonsillar asymmetry with Theenlargement of the disorder. right tonsil. phonation Hospital. Avai do Jose Sao continued of division ORL the at treatment and sought patient condition dysphagia worsening her with however, deteriorate days; to 14 for anti-inflammatory and antibiotics an with treated was and local a service at (ORL) seen otorhinolaryngology was She consumption. alcohol denied and a non-smoker was She odynophagia. and dysphagia of with swelling associated tonsil for right the 2012 December in evaluated was housekeeper woman C C P Co-Authors: Main Author: follicU 07 - P Co-Authors: Main Author: 08 - in thelefttonsil. sign of a diffuse large B cell lymphoma. cell B large diffuse a of sign urpose urpose onclusion ase

report TONSIL TONSILLAR ASYMMETRY DIFFUSE LARGEBCELL LYMPHOMA PRESENTING AS : : To present the case of a follicular lymphoma with the primary site primary the with lymphoma follicular a of case Tothe present To report a case of tonsillar asymmetry presenting as the primary the as presenting asymmetry tonsillar of case a Toreport ln Aaj Sria Lr Bnn D Amia rt, Marina Brito, Almeida De Bonani Lara Saraiva, Araujo Aline Aline Araujo Saraiva, Lara Bonani de Almeida Brito, Saulo Bandoli : Tonsillar asymmetry may be a sign of risk of malignancy, and malignancy, of risk of sign a be may asymmetry Tonsillar : Paulo Tinoco Paulo Tinoco A 47-year-old white woman lawyer presented on December on presented lawyer woman white 47-year-old A LAR LYMPHOMA WITHPRIMARY SITEINTHELEFT C onclusion : Waldeyer’s ring is one of the extra nodal C ase

report : A 41-year-old white 41-year-old A

Posters Otorhinolaryngology

: A : on i report

onclus C ase C A 4-year-old boy presented with A a 4-year-old history of progressive : Although laryngomalacia is the main differential diagnosis : report

Camila Janke Lopes Camila Janke Caroline Catherine Lacerda Elias Lacerda Catherine Caroline José Faibes Lubianca Neto, Marina Zottis de Deus Vieira, Rita Alexandra Torres Cordeiro Lopes de Souza, Larissa Salomão, ase To report a case of congenital stridor in a newborn. newborn. a in stridor congenital of case a report To Juvenile recurrent respiratory papillomatosis is a potentially fatal : C : ve dor stri congenital nosuppression: immu d with associate papillomatosis ure review. and literat report case i ion onclus C bjective bject for for congenital stridor, it is also important to evaluate endoscopically the other possible causes, including a laryngeal cyst. This is a rare condition in newborns that must be considered in infants presenting with tachypnea, stridor, and difficulty with breastfeeding. Aboutasymptomatic, but it 50% can of present are cases as acute respiratory A change distress in at head birth. position can modify the stridor pattern, be and a this diagnostic may clue. Early stridor detection is essential, and the evaluation clinical with endoscopy is the main investigational approach. Surgical treatment is performed. Our method of endoscopic puncture followed by a good to have proved capsule in a second procedure dissection of the cyst outcome. 12 - in newborn presenting as cyst laryngeal thor: Main Au thors: Co-Au O 11 - respiratory rrent recu juvenile xtensive e thor: Main Au thors: Co-Au O Carolina Carolina Pozzer Krumenauer, Samantha Fernandes de Muller dos Santos Castro, Stefanie Luzia Abrão El Hadj, Marcelo Cardoso Figueiredo, Paulo Pires de Mello Pires Paulo Figueiredo, Cardoso Hadj, Marcelo Luzia Abrão El dysphonia and dyspnea. He had undergone liver transplant for biliary atresia immunosuppressants. continued on been since had and age of 11-months at lesions papillomatous extensive revealed examination fibroendoscopic nasal A tomography computed Chest trachea. the to nasopharynx the from extending of extension suggesting bronchus mainstem left the of infiltration showed (CT) the lesions. The patient underwent direct laryngoscopy with resection of the upper airway lesions, which resulted in symptomatic improvement. During the postoperative follow-up, recurrence of the lesions controlled. the disease was before 8 surgeries ultimately required was observed and disease that affects the respiratory tract with a predilection for and trachea. the Its larynxincidence is estimated at 4.3 new cases per 1000 children in the United States. It is caused by evolution the is human related papilloma to virus, immunological and its factors. It the differential should diagnosis for be children with considered a clinical in hoarseness and upper airway obstruction, especially in immunocompromised patients. This paper reports a case of juvenile aggressive respiratory Neck and Head of Service papillomatosis the at treated patient a associatedin immunosuppression with Surgery. This This is a case of a highly associated aggressive with immunosuppression recurrent that respiratory had papillomatosis a significant impactquality of life of on the the patient and his This family. disease must be considered early in the differential diagnosis of children with dysphonia and symptoms of airway obstruction, especially in immunosuppressed patients, to ensure timely diagnosis and treatment. newborn, newborn, delivered at term by elective cesarean, weighing 3,450 g, Apgar 9/9, was brought to the emergency room at 4-days presenting with stridor and respiratory distress noted since birth. She was tachypneic, and inspiratory stridor was the worse in the right lateral decubitus position. There laryngoscopy fiberoptic flexible a performed We retractions. subcostal were and found a large cyst in the left arytenoid obstructing the glottis observation, during laryngoscopic direct under punctured was cyst The inspiration. and the patient had immediate and complete resolution of symptoms. A second procedure was performed 30 days later due to recurrence of the symptoms. This time, we approached the cyst by complete resection of its capsule during direct laryngoscopy. The patient had a favorable outcome follow 6-moth the of as symptoms respiratory further without remained and up. 38 eport ase R M. A. C., a 43-year-old woman woman 43-year-old a C., A. M. : ase Report. Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. report

ase C arcinoma - C arcinoma This case demonstrates the difficulties in treating : ystic C ystic ion onclus C Fernanda Cunha Rodrigues Fernanda Ana Carolina Barreto Da Silva Barreto Ana Carolina Malignant sinonasal tumors are relatively unusual. The rarity of rarity unusual. The relatively are Malignant sinonasal tumors : Carla Leal Bortoli, Endriw Grasel, Fernando Cezar Cardoso Maia Afonso Possamai Della Andre Afonso Luciano Possamai Júnior, Manoel, Cristiane To report a case of fibromatosis in the submental region diagnosed region submental the in fibromatosis of case a report To Adenoid cystic carcinoma is relatively unusual, representing : : bjective bjective ion onclus O thor: Main Au thors: Co-Au 10 - A C Fibromatosis: sUbmental C O 09 - d C enoi aD thor: Main Au thors: Co-Au Filho, Gabriel Cardoso Ramalho Neto, Renata Nakamura Mazzaro Magnoler Mazzaro Nakamura Renata Neto, Ramalho Cardoso Gabriel Filho, service Otorhinolaryngology the at presented Panorama-SP in born mulatto, at Hospital Regional de Presidente Prudente-SP with mass a discovered 50 history days prior of associated with neck insidious and progressive growth along with dysphagia, trismus, and earache, but with no signs of inflammation. Her past medical history included fibrodysplasia ossificans progressive from birth associated with limited range of motion. examination Physical revealed lockjaw and an 8-cm hardened mass submandibular in the region, right which was painless of on the palpation. neck Tomography showed the obliteration bilateral of cutaneous submental Histopathologic oropharynx. right bulging a showed and Fibronasolaryngoscopy region deep without planes delineation of examination (fibrous of a tissue). biopsy After specimen was reviewing consistent the with case, because fibromatosis. conservative of the treatment extent of was the injury, involvement recommended of and adjacent comorbidities structures, of the patient. The patient continues follow with ups. outpatient Popoaski, Marcos Perito, Taise de Freitas Marcelino de Freitas Taise Perito, Marcos Popoaski, these lesions has hindered the accumulation of knowledge of major causes; major of knowledge of accumulation the hindered has lesions these most reports are observational and results of local oncologic control and survival remain unsatisfactory with current modes of treatment, including surgery. aggressive at the Department of Otorhinolaryngology and Neck Surgery of Presidente 2012. December in Prudente/SP 10–15% of all major salivary gland neoplasms and approximately 12.3% of minor salivary gland cancers. The objective of this paper is to present a histological and clinical the discuss to and carcinoma cystic adenoid of case particularities that generate therapeutic controversies. Clinical Case: H.P., a 51-year- old man, presented with nasal obstruction associated on with the mild right rhinitis side symptoms and swelling in evolving the right for nostril months. Rhinoscopy showed swelling and the right degeneration inferior turbinate with a in mass on the right nasal wall. Computed tomography (CT) of the paranasal sinuses revealed a nodular lesion with soft tissue density involving the right nasal septal wall deviation to and the right. causing The patient posterior underwent an incisional biopsy of this lesion. Pathological examination showed a with salivary an gland aspect tumor of basal cell adenoma. The same immunohistochemistry material and was a sent cystic for adenoid carcinoma was The patient was diagnosed. to referred the head and neck surgery department, where he underwent a right anterior-medial maxillectomy, including of resection the inferior, middle, and upper turbinates extending to the ethmoid. a rare disease such as andsubmandibular a itsfibromatosis rare complications in view of the importance of the affected area. Proposed treatments such as and/or for the radiotherapy patient chemotherapy, presented here surgery, not were feasible because of patient comorbidities, and a search literature failed to unearth any viable alternative treatments, the challenge further of managing this highlighting disease in patients with the comorbidities described here. August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 oral cavity and larynx in an HIV patient that progressed to tracheostomy. to progressed that patient HIV an in larynx and cavity oral tracheostomy. the of removal subsequent allowed This larynx. the in lesions of reduction dramatic a in resulted chemotherapy,which paclitaxel tracheostomy.on started was He emergency underwent and failure patient respiratory The odynophagia. developed intense with along exertion mild on dyspnea resulting and lesions these of evolution rapid been had There larynx. and palate the on lesions nodular red-purple as well as limbs lower the and upper on papules and macules with Janeiro Santa de Rio of - Misericórdia service da Casa otolaryngology the at presented and treatment tenofovir, efavirenz) (lamivudine, (HAART) therapy antiretroviral active highly lesions inHIV-positive patients,especiallyKaposi’ssarcoma. very importantfor diagnosis. also is serology Therefore, case. present the in demonstrated as possible, always not is this however, histopathology; is obtained in parasite the identifying by diagnosis definitive The leishmaniasis. and histoplasmosis, tuberculosis, laryngeal from paracoccidioidomycosis of form laryngeal the by serologic tests. This case demonstrates the importance of differentiating confirmed was which paracoccidioidomycosis, including considered, were diagnoses possible therefore,other and changes, laryngeal and dysphonia of complained still patient The . rifampin, initiated. was pyrazinamide and with isoniazid, treatment 6-moth A tuberculosis. strongly of diagnosis of ulceration a favoring areas with process inflammatory granulomatous sore developed patient chronic showeda lesions suspicious the of biopsy TheA dysphagia. and throat bands folds. vocal edema the ventricular of visualization and preventing activity, supraglottic increased edema, retroarytenoid severe with along sinuses piriform the of obliteration the epiglottis and of borders the of infiltration revealed which laryngoscopy, 3-month video underwent He a normal. was Oropharyngoscopy dysphonia. with of history 2011 14, October on Hospital Navy Dias Marcílio clinic Otorhinolaryngology the ex-smoker,at an presented city,and Caxias RJ de 82-year-old married man, an mulatto, born in Pernambuco,J.O.L, a resident laryngitis. of Duque chronic of causes infectious distinguish to diagnosis differential of importance the emphasize to is report this of objective The Ribeiro Magalhães,MarianaRaddi,PriscillaGueiral Ferreira Matos an adjuvant therapy.adjuvant an as used be can chemotherapy cases, severetherapy. antiretroviralIn with months 3–6 within occurs usually lesions the of regression spontaneous patients, HIV In condition. general patient’s the as well as lesions the of diagnosis is made by biopsy, final and Thetreatment affected.depends on be the also size and can location tract, digestive and lungs the particular in of viscera, appearance and system, lymphatic the membranes, mucous is the but lesions, disease skin this of manifestation common most The course. clinical variable a with endothelium vascular the in originates that Co-Authors: Main Author: c 14 - C I Co-Authors: Main Author: kaposi’ssarcomaoftheairway mucosaandpper 13 - Souza Otaviano, Patricia IazzettiBrentan, Tatiana ClaudiaSimõesdeLaRocque ntroduction ase

report MARCÍLIO DIASNAVY HOSPITAL IN APATIENT AT THEOTORHINOLARINGOLOGY CLINIC OF digestive tract –Acase report ase Report: LARYNGEAL PARACOCCIDIOIOMYCOSIS Ana Cristina da Costa Martins, Jair de Carvalho e Castro, Marcelo de Daniella Leitão Mendes, Lana PatriciaLana Luciana Mendes, Moutinho, Leitão Souza Daniella : NilmaSilva doNascimento AnaCarolina Gonçalves Rebelo : The patient, a 33-year-old white HIV-positive man, receiving man, HIV-positive white 33-year-old a patient, The Kaposi’s sarcoma is a multifocal malignant systemic disease systemic malignant multifocal a is sarcoma Kaposi’s C onclusion O bjective : Otolaryngologists should stay alert for mucosal for alert stay should Otolaryngologists : To report a case of Kaposi’s sarcoma in the in sarcoma Kaposi’s of case Toa report Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. 39 reported the use of AAS for 1 month before the onset of the symptoms. the of onset the before month 1 for AAS of use the reported she treatment, hormonal any larynx. of possibility the normal about again functionally asked When and anatomically an revealed examination stroboscopic and However,laryngoscopic pitch. vocal lower demonstrated analysis perceptual auditory Voice abnormalities. any reveal not did levels hormonal for and examination treatment Physical hormonal disorders. endocrine denied or was gynecologic and regular was cycle menstrual Her use. voice professional or She abuse, alcohol symptoms. smoking, of flu history no the had improve not did which administered, been had the onset of symptoms occurred after a flu episode in which corticosteroids woman complained of a deepened voice for the past 5 years. She noted that the tonsils and adenoids, and diagnosis of thyroglossal cyst was incidental. hypertrophyof to secondary breathing mouth predominantframework of a cyst at the base of the tongue in a child. The child in question presented with nrgnc nblc tris (AAS). steroids anabolic androgenic patients withchangesinthevocal frequency. in considered be always should AAS of use The same. the about patients causes AAS deleterious side-effects in of the short and long use term, and it indiscriminate is our Theduty to warn steroids. of type or dose the than understood, but have been noted to occur more due to consumption rather poorly are folds vocal the in changes structural and pathogenesis the and irreversible, be to known are voice female the on agents these of effects virilizing The performance. athletic improve to believed is and hypertrophy AAS consumption is associated with increased androgen levels and muscle women. among AAS of consumption growing is there Recently, changes. voice slight cause can cycle menstrual the even i.e., physiological be may midline cervicalmasses. of diagnosis differential the of front the at cysts these with suspicion, of index high a for of need is base there that the concluded is as it Therefore, tongue. such the locations at frequently less appear can cysts duct Marina ZottisdeDeusVieira, Stefanie Muller Marques Mota,Paola Morales SalariniPinto,Ricardo GimenesFerri C O Co-Authors: Main Author: permanentvoice virilization afterashort-term use 15 - C duct. thyroglossal secretory the along point any at epithelium residual the from develop may cyst A thyroid. the of migration embryonic during produced I Co-Authors: Main Author: thyroglossal CYST AT THEBASE OFTHETONGUE: ACASE 16 - ntroduction onclusion onclusion bjective O of anabolic steroi ds REPORT bjective : o eot cs o praet oc vrlzto cue by caused virilization voice permanent of case a report To Camila Jancke Lopes, Geraldo Sant’anna, Marilia Ribeiro Brum, Ribeiro Marilia Sant’anna, Geraldo Lopes, Jancke Camila n Srh otlo Crs rsia un Dlam, Natasha Dallarmi, Bueno Cristina Ceres Portilho, Sarah Ana : : Vocal issues related to sex hormones are common in women and Although these lesions are common in the midline, thyroglossal Samanthafernandez deCastro MelissaAmelotiGomesAvelino : Thyroglossal duct cysts result from a failure of duct obliteration : The aim of this study is to report a case of thyroglossal duct C ase

report : 2-erod healthy 27-year-old A

Posters Otorhinolaryngology

ase C Due to the high prevalence of : d gland denosis of the paroti A 20-year-old white man, presented to presented man, white 20-year-old A : ion onclus C LOSIS report

ase C Carla Graciliano Arguello Nunes Arguello Carla Graciliano Daniela Pereira Rezende Daniela Pereira SPA is considered amenable to conservative surgical excision : Alessandra Loli, Jose Vicente Tagliarini, Núbia Souza e Silva, Cláudia Márcia Malafaia de Oliveira Velasco, Janaína Oliveira U TUBERC LMONARY Sclerosing polycystic adenosis is (SPA) a rare lesion of the major To emphasize the diagnosis of in tuberculosis patients with To vocal : : We report the case of a 25-year-old, white man who presented : PU report - a case bjective bjective eport ion onclus the otolaryngology service with complaints of hoarseness. On examination, On hoarseness. of complaints with service otolaryngology the to adhered was which region, cervical right the in mass hardened a found we Computed paralysis. fold vocal paramedian left with along tissues deep the tomography from the skull base to the lung base of showed parenchymal consolidation foci in the left upper lobe, frontal III and IIA mediastinal, levels cervical at lymphadenopathy left, the and on lymphadenopathy hilar revealed test Tuberculin cord. vocal right the of asymmetry and right, the on bacillus. Koch’s for positive was test sputum and mm) (11 reaction strong a Drug treatment was started with rifampicin, isoniazid, pyrazinamide, and normal with asymptomatic was patient the months, 6 after and ethambutol, findings on video laryngoscopy. 20 - a polycystic sclerosing thor: Main Au thors: Co-Au O C 19 - OF SYMPTOM A PRIMARY AS PARALYSIS D FOL vocal thor: Main Au thors: Co-Au O Renata Mizusaki Iyomasa, Sergio Kimle Trindade Sergio Renata Mizusaki Iyomasa, Bentivi Pulcherio, Marcos Aurélio Baptista de Oliveira, Machado Rosane Siciliano with a tender parotid nodule that had been growing slowly over a year and a year over slowly with nodule a that tender had parotid been growing a half. Magnetic resonance imaging showed a lesion in the right parotid gland having features consistent with those of a neoplasm. Histopathologic examination showed The superficialunderwent parotidectomy. patient follow our under be to continues patient The adenosis. polycystic sclerosing date. till recurrence local no with uneventful been has course clinical the up; with tumor-free margins. Facial nerve preservation is recommended parotid lesions. for Recurrence is rare and is most likely surgical due excision or to occult multifocal incomplete disease rather than true recurrence. far, so lesions these in described been not has carcinoma invasive Although care. these patients under long-term follow-up it is advisable to keep salivary salivary glands that can simulate a slow growing tumor. The histological appearance of the lesion is similar to that breast. The of multifocal fibrocystic nature disease of the of the lesion makes management There difficult. are no pathognomonic signs and symptoms of the condition. fold paralysis. Vocal fold paralysis can paralysis fold be in found Vocal paralysis. fold patients with pulmonary tuberculosis. It is a rare condition, occurring in less than 1% of the cases. by involvement laryngeal nerve include recurrent mechanisms involved The the inflammatory process in the lung apex or extrinsic compressionby node. a lymph mediastinal R pulmonary tuberculosis in our country, this diagnosis must pulmonary be in tuberculosis remembered our country, by otolaryngologists during routine practice when a patient presents with paralysis. fold vocal unilateral 40 d aroti Mucoepidermoid : ion onclus C Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. MRMA, a white 47-year-old woman, : arcinoma of the P of the arcinoma The main differential diagnoses of benign : report

To report To a case of a benign fibrohistiocytoma : ase C im An 11-year-old boy presented with a 1-year history history 1-year a with presented boy 11-year-old An : A ion onclus C report

ase C Fibrohistiocytomas are benign or malignant tumors that can : Rebecca Heidrich Thoen José Vicente Tagliarini José Vicente Andrea Goldwasser David, Carlos Barone Junior, Debora Gabriela Pilon Meira, Gustavo Leão Castilho, Luis Alan Cardoso To report an extremely rare case of a malignant tumor of the parotid parotid the of tumor malignant a of case rare extremely an report To : d C coepi dermoi ugMu a dren hil Gland in C bjective ntroduction fibrohistiocytoma are malignant fibrohistiocytoma, schwannoma, dermoid cyst, and metastasis. It is important to correctly diagnose this widely depending on the diagnosis. varies since the treatment condition in a non-typical location. a resident of Rio de Janeiro, presented at with the a cervical otolaryngology mass practice near the mandibular been angle growing for the on past year. She did the not complain of right pain, dysphagia, that had dyspnea, hoarseness, or any other symptom. She had stopped smoking 15 thyroidectomy a undergone had and cancer, of history no had before, years for benign disease. Physical examination demonstrated an elastic mass, approximately 5 cm wide, fixed to the deeper tissues at levelright side IIBwithout any onclear margin with the the inferior portion of the parotid gland. Ultrasound showed no other abnormality in Puncture the of the mass salivary showed no glands. malignant cells. The patient underwent incisional biopsy with a diagnosis of benign referred for fibrohistiocytomaa posterior resection of andthe lesion. Post resection, the was problem completely resolved. I thor: Main Au thors: Co-Au 18 - report A case fibrohistiocytoma: cervical of slow and progressively growing nodule in the associated cervical growing region, and of progressively slow nodular firm 1.5-cm a revealed examination Physical palpation. on pain with lesion in the deep lobe of the left parotid biopsy gland. (FNAB) Fine diagnosed needle aspiration a pleomorphic adenoma of the Magnetic parotid resonance imaging gland. showed a heterogeneous irregular lesion in the left parotidectomy with parotid 2 adjacent lymph enlarged nodes. Total was performed on May 6, 2013. The pathologic diagnosis was low-grade mucoepidermoid carcinoma, according to the classification of OMS,x 1.5 1.0 cm, with perineural invasion, positive margins, and 3 lymph nodes free of cancer, AJCC staging pt1 pN0 pmx. thors: Co-Au O 17 - thor: Main Au be found most commonly in deep skin, but are also seen in bone and soft tissues in any part Benign of isfibrohistiocytoma the abody. solitary tumor composed of histiocytes and fibroblasts usuallyfound in the orbit and in the skin of the fingers. Petrungaro Migueis, Leonardo Guimarães Rangel, Natália Raye Maciel Guimarães Rangel, Natália Raye Migueis, Leonardo Petrungaro de Melo carcinoma carcinoma is the most common malignant tumor of the salivary prognosis. good gland very a has carcinoma in mucoepidermoid Low-grade children. It can mimic the clinical features of a benign in tumor, the such present as case. that FNAB seen can also yield false negative results, here, despite as the fact seen that it has high accuracy (87–96%), specificity, and sensitivity. gland. This disease comprises 1–3% of all malignant head and neck tumors. tumors. neck and head malignant all of 1–3% comprises disease This gland. In the pediatric population, 10% of all tumors are salivary glands, 88.5% mucoepidermoid of predominance a with malignant, 22.5% and benign are carcinomas. August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 opr tnilcoy ih osla bos fr nta management. initial for biopsy tonsillar with tonsillectomy compare approach. trans-cervical open the Zenker’s by of case treated a diverticulum presents paper This manifestation. clinical main dysphagia its with as presents and wall, posterior its through hypopharynx the of action in cases of tonsillar asymmetry, but the majority of the articles support thechoice oftonsillectomy. the of majority the but asymmetry, tonsillar of cases in action of Frizzarini Paris Cavassani, Tatiana Orlando CunhadeCarvalho Matos Marcelo Marques, Israel Carolina Barreira, Ritta Santa Eduardo C C O Co-Authors: Main Author: 22 - O Co-Authors: Main Author: sUrgical approach forZenker`sDivertic u 21 - despite thedevelopment ofendoscopictechniques. recurrences, and complications of rates low with option management valid a be to continues approach open The clinically. suspected is condition the after condition the diagnosing in help tests Imaging dysphagia. of diagnosis differential the in considered be still should but common, not is diverticulum tonsillectomy, especially when there is a suspicion of malignant disease. malignant of suspicion a is there when especially tonsillectomy, after margins surgical tumor-free achieve to failure the about concern is there hand, other the On misleading. be because can biopsies situations, non-representative such in tonsillectomy over biopsy of desirability the makes one tonsil appear larger than the other. There is no consensus about of apparent asymmetry are caused by a distortion of the local anatomy that cases of majority Thelymphadenopathy. cervical and loss weight as such with out symptoms other of absence the in especially tonsils, the of asymmetry true ruled have was not do patients myeloma Most examination. radiological and Multiple tests laboratory cells. plasma of proliferation monoclonal by characterized tumor rare a plasmocytoma, showed which examination, histopathological for biopsied was tonsil right the Therefore, lymphadenopathy. no was there and size, tonsillar in change no showed follow-up on examination antibiotics; prescribed of course the completing after return to advised was patient The counterpart. theright its than bigger with tonsil over in size exudate asymmetry significant purulent showed which revealed tonsils, both examination Physical disease. history any family or of personal no was There days. 3 past the for throat sore and lymphadenopathy, fever, with clinic emergency otorhinolaryngology either any complication or any evidence of recurrence. of evidence any or complication any reveal either not did procedure the after months 6 done endoscopy another and chronic with diverticulum inflammation and severe mucosal erosion. The patient improved satisfactorily, pharyngoesophageal confirmed examination was complication Histopathological feeds.enteral her adjusting bycorrectedwas that diarrhea post-operative only The nutrition. enteral for used tube nasogastric the 13 handle to difficult it found for family her and she because hospitalized days, was She anesthesia. general under approach cervical patient The andendoscopy. CT scan a open myotomyan cricopharyngeal throughdiverticulectomyunderwent with by confirmed was diagnosis the diverticulum; Zenker’s a to corresponding wall, esophagus posterior the off lymph nodes, or crepitus. Barium swallow showed a saccular mass projecting enlarged mass, revealedno neck the Palpationof ago. years 12 hernia hiatal of repair surgical undergone had She diverticulum. Zenker’s of diagnosis a wasreferredwith neck service the our in to stuck lump havinga of sensation a and food, of regurgitation dysphagia, of complaining woman 68-year-old onclusion ase bject bjective

R i Report tonsil case report ofunilateral plasmocytoma ofthe ve eport : : Zenker’s diverticulum is a herniation of the mucous membrane of of membrane mucous the of herniation a is diverticulum Zenker’s o eot cs o uiaea pamctm o te osl and tonsil the of plasmocytoma unilateral of case a report To Isabela Neto Aguiar, Ludmila Helene Ferreira de Freitas, Ronaldo Carlos Mendonça, Patrocínio do Coutinho Carvalho Adriana : There is no consensus in the literature about the best course best the about literature the in consensus no is There CamilaMutaiVargas JoãoMachadoBarrêtodeMenezesNeto : n 8ya-l Cuain eae rsne href o the to herself presented female Caucasian 18-year-old An Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. C onclus C l ase um: C i on

: R Zenker’s eport ase : A 41 R surgical, 1-year follow up. follow 1-year surgical, of improvement partial was post-the on seen was lesion the Thererecurrenceof no surgery; after dysphonia schwannoma. of diagnosis a to led The examination space. histopathological paraglottic and laryngofissure left by resected the was lesion in diameter, in cm 3 measuring lesion, heterogeneous rounded a showed contrast, with neck the of tomography Computed string. projectionfalse a with space paraglottic left the in lesion bulging a showed tele-laryngoscope 70-degree rigid a with laryngoscopy Indirect exertion. on dyspnea and throat the in lump a having of sensation a of complained also She months. 6 past the over worsened had and ago Paulo Pires DeMello,Thais LimaErthal to bilateral cervical lymph nodes and mediastinum and metastases to the the lungs andspleen. to metastases and mediastinum and nodes lymph cervical bilateral to spread local thyroidsarcomatoidfociwith anaplastic carcinomawith an with consistent was result Autopsy type. in anaplastic poorly or follicular, differentiated or papillary, been have could that carcinoma thyroid aggressive an days after admission to PS. 8 The presence of died pulmonary metastases suggested she and deteriorated, consciousness of level her treatment, oxygen from weaned be not could She oxygen. supplemental required that dyspnea normal. The patient deteriorated clinically during investigation with worsening dL; CEA: 4.38 ng/mL; calcitonin <0.2 pg/mL; other laboratory test results were ng/ anti-TPO-Ab:<0.2 anti-TG-Ab:ng/dL; TG IU/mL; 1.25 IU/mL; 8.55 150.78 past 6 years. Laboratory test results were as follows: TSH: 13.1 mU/L; Free T4: overthe loss weightgradual and sweating,excessive loss, hair weakness, of complained also She time. over improved partly had symptoms these ago; years 5 odynophagia and dysphagia, hoarseness, of history a gave The radiography.patient chest on lesions progressive with along limbs, developed lower the of patient edema and dyspnea, the nocturnal paroxysmal orthopnea, when rest, at dyspnea requested was evaluation Endocrinology lobes were classified as Bethesda category V on cytopathological examination. thyroid both in nodules of aspirates needle Fine trachea. the of compression pulmonary nodules suggestive of metastases. Bronchoscopy showed extrinsic the of isthmus thyroid that wasand compatible with a neoplasm; in addition there were multiple lobe left the in mass a revealed neck and chest the of tomography Computerized investigation. for admitted was patient the and lesions pulmonary revealed examination Radiological that. to prior months 6 for sputum whitish with cough of history a wasthere hemoptysis; of episode An 82-year-old female patient presented herself at the PS-UNESP after a single José CândidoCaldeira Xavier Junior, JoséVicente Tagliarini O Co-Authors: Main Author: schwannoma ofthelarynx -acase report and 23 - Co-Authors: Main Author: sarcomatous Anaplastic Thiroyd C 24 - case of schwannoma of the larynx and present a relevant literature. relevant a present and larynx the of schwannoma of case a here report We nerves. other than often more nerve laryngeal superior the affect and folds, aryepiglottic of the in commonly tumors most occur larynx, benign the of 0.1–1.5% only represent schwannomas Laryngeal parapharyngealNeurogenicspace. tumorsare larynx the of extremely rare. the in often most neck, and head the in occur tumors neurogenic About of 45% cells. Schwann of consist and sheaths nerve in arise that tumors of thetumor, andcompletesurgical excisionisthetreatment ofchoice. morbidity. Imaging of studies are important minimization for determining the the size and extent with allows treatment appropriate which of diagnosis, institution prompt early the enable to needed is suspicion clinical of airway even and index high A lesion. the of location and fixation size the on depending obstruction, fold vocal dysphonia, cause can uncommon, eport bjectives neurogenic laryngeal tumors. review oftheliterature. KeyWords:schwanomma, : A 10-year-old girl presented with dysphonia that had started 3 years : Carolina Fiqueira Selorico, Imad Saleh Hijaz, Luzia Abrão El Hadj, al gaiin agel nns Fbo asht Yamamoto, Massahito Fabio nunes, arguello graciliano carla cwnoa ae lw rwn ad nasltd benign encapsulated and growing slow are Schwannomas LarissaSalomaoPereira Alessandra Loli C onclusion : Laryngeal schwannomas, although schwannomas, Laryngeal arcinoma C ase

Posters Otorhinolaryngology A 16-year- A : oxical doxical eport R

ase C report - a case lt du JFMS, a patient 57-year-old from : eport R

ase C PVCM is characterized by dysfunctional coaptation of the vocal the of coaptation dysfunctional by characterized is PVCM : on i m toxin in the treatment of para treatment in the linum toxin Ricardo Alexandre Basso Alexandre Ricardo Grazzia Guglielmino Grazzia The head and neck region is the second-most common site : Amanda Carvalho Villa De Camargo, Antônio Carlos Cedin, Amanda Carvalho Villa de Camargo, Cristiana Vanderlei Melo To highlight To the signs and symptoms of tonsillar lymphoma that To report the case of a patient with paradoxical vocal cord motion : : onsillar lymphoma in an a lymphoma onsillar onclus ve er: a case report disorder: a case cord motion vocal i C bjective bject ion onclus old, brown, female student born 10 suddenly started in had that stridor and breath of shortness São of attacks recurrent Paulo presented with a history of months ago. She was being treated for asthma during hospitalization for acute attacks that continued to recur despite the use Spirometric of test prophylactic medication. results were normal, so the laryngealflexible that dyskinesia laryngoscopy The showed with patient PVCM. patient underwent transnasal was treated with 8 U of botulinum toxin injected into the lateral cricoarytenoid the in reduction significant revealed procedure the after done Endoscopy muscle. amplitude of abnormal adduction during inspiration, and the patient remained asymptomatic for the next 4 months. Afterwards she suffered another attack that again controlled was with injections fresh of botulinum toxin into the vocal cord. cords cords that adduct instead of abduct during inspiration1. It occurs episodically, causing airflow obstruction, dyspnea andThese stridor2,3. symptoms are often thein results this success; without accordingly treated and asthma to attributed patients getting a diagnosis of asthma4. treatment-refractory The diagnosis of laryngoscopy, on motion cord vocal abnormal demonstrating by made is PVCM4 in a patient who has no evidence of altered lung function on spirometry5. Our responseof lack the but asthma, of case a be to considered initially was patient to treatment suggested the alternative diagnosis of vocal cord dyskinesia. The detection of paradoxical of movement the vocal cords confirmed the diagnosis, vocal the into toxin botulinum with treatment to well responded patient the and cords. Therefore, the injection of botulinum toxin into the vocal cords can be PVCM. for treatment as an alternative considered Manaus, Amazonas, presented with swelling and pain in the left palatine tonsil for the past 2 months; the swelling had been biopsied earlier with a histopathological diagnosis of tonsillar granuloma lacking any features of Tonsillar malignancy. asymmetry was present; the left tonsil was larger than its counterpart and had a white lesion on it. CT scanning of the head increase an without side left the on infarction node lymph showed neck and in soft tissue in the peritonsillar site. Laboratory tests for granulomatous diseases and swabs for fungi yielded negative results. A obtained second biopsy for histopathological the erosion; superficial of areas and with hyperplasia lymphoid atypical revealed immunohistochemical examination final diagnosiswas diffuse large B-cell lymphoma, stage II1.The patient underwent tonsillectomy after 6 months of combination follow chemotherapy; up till present date has not months was shown submitted at any tonsillectomy recurrence staying in and monitoring after until now. 6 28 - t thor: Main Au thors: Co-Au O C 27 - u ot b thor: Main Au thors: Co-Au O Leandro Lemos Minarro, Luciene Mayumi Sato Luciene Mayumi Lemos Minarro, Leandro Lins, Karina Marçal Kanashiro, Luciene Mayumi Sato, Noemi G. de Biase Sato, Noemi Luciene Mayumi Kanashiro, Lins, Karina Marçal after the gastrointestinal tract to be affected by extranodal Approximately lymphomas. half of head and neck lymphomas involve the commonest the and lymphomas, Waldeyer’s non-Hodgkin’s are these of all almost ring; histological type is the diffuse large disease influences treatment cell choice between stand-aloneradiotherapy lymphoma. or The stage of radiotherapy the with combination chemotherapy. Early diagnosis of lesions improves the prognosis by allowing the prompt institution of appropriate treatment. usually presents insidiously. usually presents insidiously. (PVCM) disorder and its treatment with botulinum toxin. toxin. botulinum with treatment its and disorder (PVCM) 42 It : A 32-year- : ion onclus C eport Syphilis is often : R

ase C ion onclus C Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. syphilis ary report a case - loma A 34-year-old patient who had lived in Rio de Janeiro : eport Bruno Batista Goretti Marcelo de Souza Otaviano Marcelo R Ana Cristina da Costa Martins, Jair de Carvalho e Castro, Larissa Castro, e Carvalho de Jair Martins, Costa da Cristina Ana Marcelo de Souza Otaviano Marcelo

To report the case of a patient with secondary syphilis presenting presenting syphilis secondary with patient a of case the report To To report the case of a 34-year-old patient with a vascularized, : : ase C bjective bjective since birth, sought care from the Otorhinolaryngology Service of Hospital Geral da Santa Casa da Misericórdia do Rio de Janeiro, complaining of a bleeding and associated with lesion was The in the palatal region. swelling pain during meals, and had been growing over the past 30 days. Physical pedunculated and non-tender mass in a vascularized, examination showed approximately measured shape, in irregular was lesion The area. palatal the 3 cm across, and was associated with fiberoptic with nasopharyngolaryngoscopy, computed local tomography candidiasis. of the Investigation subsequent and tests, blood enhancement, contrast with sinuses paranasal hemangioma capillary lobular of diagnosis histopathological a to led biopsy, or pyogenic granuloma. anesthesia, with The complete relief from symptoms. The patient lesion attends our was clinic for regular extirpated follow up and has under been healthy till date. general old, male patient came to our herpetic otorhinolaryngology with earlier diagnosed been clinic had He month. a over with for odynophagia persistent stomatitis and had received treatment with 2 mg, courses 5 times a of for day, 7 days, along Acyclovir with Prednisone 20 200 mg per day for 5 involvement showed examination Otorhinolaryngologic relief. no with days, of the oropharynx with several flat andhyperemic ulcers that had white and serpiginous margins, and disappeared had that lesion genital small a of history the elicited questions were suggestive of spontaneously; syphilis. in addition, Leading physical examination and non-pruritic revealed lesions on his back small, and chest. The non-treponemal VDRL scaly test was reactive in a titer of 1:256 and the patient treponemal was treated TPHA with 2 doses test. of Benzathine The Penicillin 1.2 million units by the IM route; this resulted in a complete clinical response. The patient was followed up with the VDRL test repeated every 3 came down months; to the 1:2 by titer the end of 12 months. encountered encountered in otorhinolaryngologic practice; therefore, it is necessary to early of interests the in manifestations mucosal and cutaneous its recognize diagnosis that can enable the prompt institution of effective treatment to minimize sequelae. is important to suspect the occurrence of benign hyperplastic lesions early treatment. their diagnosis and allow unusual locations to facilitate in O thor: Main Au thors: Co-Au 26 - secon d oropharyngeal O 25 - gran u pyogenic ral o thor: Main Au thors: Co-Au Richa Lopes, Marcelo de Souza Otaviano, Sharon Maria Soares de Lima Avila with oral lesions at the otorhinolaryngology clinic of da Santa Casa the da Misericórdia do Hospital Rio de Geral Janeiro. pedunculated pedunculated lesion compatible with pyogenic granuloma in the palatal area. August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 prompt initiation of effective treatment conducive to a favorable outcome. favorable a to conducive treatment effective of initiation prompt TB as a cause of laryngeal lesions to promote early diagnosis and permit the e s rsnl o oohnlrnooia flo up. follow otorhinolaryngological on presently is He ethambutol. and pyrazinamide, isoniazid, rifampicin, of consisting therapy anti-tuberculosis began he where home, his nearest clinic the to referred biopsied specimen, confirmed the diagnosis of laryngeal TB. The patient was a of examination bacteriological and Histopathological tuberculosis. M. for negative Chest was culture side. sputum right and the abnormalities no on showed extensive radiography more were that lesions cords vocal granulomatous both in ulcerative, revealed Videolaryngoscopy abuse. alcohol or smoking in indulging or loss, weight or fever,chills, cough, had dysphonia and pain in the right side of the neck. The patient denied having progressiveof 2-yearhistory a Janeirowith de Rio Misericórdiado da Casa Santa da Geral Hospital of service otorhinolaryngology the to referredwas of our institution, with a brief review of the literature. the of review brief a with institution, our of f crufrnil n hmgnos ayga ms ta shows that mass laryngeal homogeneous calcifications onCTandlow signalintensity inT2-weighted MRIimages. and circumferential a of Bruno BatistaGoretti, JairdeCarvalho eCastro, Márcia Pinho Henrique BortotZuppani,Stefano Tincani C squamous cellcarcinoma, whichhasaguarded prognosis. i.e., diagnosis, differential main its excludes also morbidity.It reduces and quality voice of maintenance the to contributes TB laryngeal of diagnosis started. treatmenteffective and made is diagnosis correct the after outcomes treatment successful have cases Most larynx. the of granulomatouslesions of cause leading the is TB hand, other the on TB; pulmonary extra primary, of site uncommon an is larynx The difficult. diagnosis make can that presentation clinical variable C I Co-Authors: Main Author: primary laryngeal tuberc 30 - O Co-Authors: Main Author: imaging oflaryngeal amyloidosis -areport of2 29 - itptooia eaiain ofre te igoi of amyloidosis. diagnosis the confirmed examination histopathological and patients, both from obtained were Biopsies enhancement. gadolinium intense with sequences, T2 hypointensein and T1, in surroundingmuscles supraglottic, glottic, and subglottic regions; the lesion was isointense to the the in mass homogeneous and circumferential MRI a showed by which scanning investigated was patient other The erosion. bone no was There regions. supraglottic and glottic the in foci calcified with mass tissue soft homogeneous circumferentialand revealeda that scanning CT underwent were 2 patients—a 66-year-old woman and a 40-year-old man. One patient ntroduction ase onclusion bjective

R cases withareviewoftheliterat ure eport : To report the imaging features of laryngeal amyloidosis in 2 patients Ana Carolina Gonçalves Rêbelo, Ana Cristina da Costa Martins, Costa da Cristina Ana Rêbelo, Gonçalves Carolina Ana TOYAMA, CARLOS Silva, da Jorge Carlos Jr, Lucas Ademar : Amyloidosis should be considered in the differential diagnosis differential the in considered be should Amyloidosis Sharon MariaSoares deLimaAvila NataliaTeles Farias Leite : : Laryngeal tuberculosisLaryngeal granulomatousa is (TB) a with disease 4-erod snl, acsa mn okn a a driver a as working man Caucasian single, 46-year-old, A O bjective Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. : To emphasize the importance of importance the Toemphasize losis C C ase onclusion

R eport : : There Early 43 first manifestation ofthedisease are usuallyoral. the as otorhinolaryngologists, by diagnosis early of importance the highlights work associated with a high mortality rate if not diagnosed and treated properly. This report had disappeared after anti-tuberculosis treatment. that lesion supraglottic detected initially the but polyp, the not airwaywas inthe lesion vocalright cord. Therefore, the obstructed that lesion the wethat assumed a polypoid was finding pathological only the treatment; of months 3 after repeated was laryngoscopy Video treatment. tuberculosis PPD yieldedastrongly positive reaction, sothepatientwas startedonanti- with testing Tuberculin atelectasis. showed check-up preoperative of part a as done radiography Chest airway. the obstructed partially that lesion laryngoscopy showed significant Reinke’s edema, along with a supraglottic Video normal. was examination and otorhinolaryngological hypertension of Clinical history diabetes. a gave also she year; a 90 cigarettes about of smoking packs to admitted but fever any same having the denied over She weight period. kg 6 lost had she months; 3 for cough nocturnal and dyspnea, solids, to dysphagia odynophagia, dysphonia, progressive with presented housekeeper, a as working woman white 65-year-old, A controlled with prednisone and dapsone. and prednisone with remission, controlled in now is patient The vulgaris. pemphigus of diagnosis the confirming blisters, suprabasal with epithelium squamous showed lesions of Biopsy gastritis. Stevens–Johnson pemphigoid, syndrome, paraneoplastic Chron.disease, Behçet’s pemphigus, EDA antral mild and vulgaris, pemphigus candidiasis, oral diagnosis: VDRL - FAN - FR negative. The following conditions were considered in the differential 0% atypical lymphocytes; Creatinine = 1.3 mg/dL; Glucose 104 mg / dL; PCR +, HIV - follows: Hemoglobin = 15 as g/dL; TLC = 13,800 were/ µL, with 3% basophils, 19% results lymphocytes and test laboratory Initial improvement. without nystatin and and palatal gingival, fluconazole, amoxicillin-clavulanate, prescribed was buccal, She mucosae. hypopharyngeal the in plaques white and thrush ulcers, from apart hyperemia, mucosal showed examination Clinical herpes. genital and ulcers gastric of history a gave and diet, orthomolecular her to relatedwere problems her Shefelt diarrhea. and fever, intermittent dysphagia, drooling, thrush, from apart onset, the at mouth the in blisters reported She days. 10 past the over worsened had that months and discusses the difficulties encountered in diagnosing it. in diagnosing encountered difficulties the discusses and describes a case of tuberculosis of the larynx treated at a university hospital paper This Janeiro. de Rio in especially Brazil, in endemic is Tuberculosis Dantas LodideAraújo, Raquel GuedesMonteiro cent. per twenty below down rate mortality the brought now have treatment in advances a mortality rate of around 90% mortality before the introduction of corticosteroid therapy; acanthocytes inside suprabasal vesicles in the epidermis. PV used to be associated with features,clinical byits diagnosed characteristicbyfeatures the and histopathological of be can PV skin. the affecting before lesions oral with presents usually PV age. of years 60 and 50 between often most seen is and population, 1,000,000 per 1 prevalenceof disease autoimmune approximate an uncommon has It membranes. mucous and skin the of blistering an by characterized is (PV) vulgaris Pemphigus BACKGROUND: Silva doNascimento Co-Authors: Main Author: laryngeal tuberc 31 - Co-Authors: Main Author: pemphigusv 32 - of malignantdiseases,asseeninthepresent case. those resemble symptoms and signs its because otorhinolaryngologist, the to challenge diagnostic a presents tuberculosis laryngeal mass Primary laryngeal lesions. of diagnosis differential the in condition important an is C with tumors ase

R ln Ciótm, ae Csa o Ri, acl Ld, Pedro Lodi, Marcelo Reis, dos Costa Jader Crisóstomo, Aline Alonço Viana, Daniella Leitão Mendes, Mariana Raddi, Nilma Raddi, Mariana Mendes, Leitão Daniella Viana, Alonço eport SabrinaMendonçaGuerreiro LucianaRibeiro Magalhães : A 60-year-old female patient was referred with odynophagia for 2 2 for odynophagia with referred was patient female 60-year-old A lgaris -acase report losis -differential diagnosis C onclus i on : Although uncommon, PV is is PV uncommon, Although C onclusion : Tuberculosis C ase

R eport :

Posters Otorhinolaryngology

: eport R

ase C um uma with pneumomediastin Respiratory complications are responsible for the for responsible are complications Respiratory : We report the case of a 22-year-old woman with : eport ion onclus R C

Closed laryngeal trauma is rare, but calls for rapid and Relapsing polychondritis (RP) is a rare disease presenting : : Alexandre Beraldo Ordones Beraldo Alexandre Andrea Goldwasser David Goldwasser Andrea ase Gilberto Morio Gisele Dos Takahashi, Velloso Santos Reale, Luis Carlos Barone Junior, Livia Gonzaga, Marcelo Cardoso Figueiredo, Figueiredo, Cardoso Marcelo Gonzaga, Livia Junior, Barone Carlos C laryngeal tra d laryngeal lose after ornamental jumping after ornamental report case ntroduction ntroduction significant morbidity and mortality associated with RP. The results of systemic of results The RP. with associated mortality and morbidity significant could diagnosis earlier although disappointing, been always have treatment patients experience symptom many lead to better outcomes. Nevertheless, progression and eventually require tracheostomy, which may not be fully palliative because of softening and frequent obstruction of distal airways site. the tracheostomy beyond RP that had started 10 years ago with an after attack of she auricular chondritis got her ear pierced. for She severe had dyspnea, been for hospitalized which a examination showed deformity year and she hyperemia of the ago ears underwent and the saddle tracheostomy. Physical of the nose. Videolaryngoscopy revealed fixed arytenoidsubglottic cartilages stenosis; these and findings were confirmed on disease CT scanning. remained out of control despite The the regular use of prednisone and methotrexate. 36 - c thor: Main Au thors: Co-Au I effective management. It is accidents, with sports injuries seen contributing a very small most share. Therefore, commonly pneumomediastinum has after hardly automotive ever been reported of as closed a laryngeal complication trauma resulting from sports injuries. 35 - - a dritis polychon in relapsing involvement ir way a thor: Main Au thors: Co-Au I most commonly as inflammation of the cartilage of the ears and nose.The diagnosis is made essentially by clinical means. may Cartilage involvement cause collapse and obstruction of the airways. Respiratory complications have accounted for most deaths due antibodies to RP. against The type frequent II presence of collagen gives etiology. credence to an autoimmune Gustavo Cattai Zamboni, Maura Catafesta Das Neves, Sang Yun Sin Sang Yun Das Neves, Catafesta Cattai Zamboni, Maura Gustavo Rebecca Heidrich Thoen, Roberto Campos Meirelles Roberto Thoen, Rebecca Heidrich A 23-year-old man presented otolaryngology at service the of emergency started had symptoms The the neck. the of girth increasing and pain department worsening University of Hospital the of bodybuilding a during wrong went jump ornamental an when earlier São days 3 Paulo with practice session; first aid had been given at the time. Physical examination revealed subcutaneous emphysema in the neck, pneumomediastinum, a and rare complication of closed laryngeal imaging trauma. The showed patient was treated conservatively as advised in the literature, with total of in the regression 2 weeks without Trauma any complications. Keywords: in Sports; pneumomediastinum. Larynx; Dysphonia; Trauma 44 A 2-year-old girl was : Deep neck infections : eport R

ion onclus ase C C Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. A 10-year-old girl presented with a swelling swelling a with presented girl 10-year-old A : eport iatric patient - a case - a case patient la in a pediatric R

ase C Janaina Oliveira Bentivi Pulcherio Janaina Oliveira Cláudia Márcia Malafaia de Oliveira Velasco de Oliveira Malafaia Cláudia Márcia Luiz Cláudio Costa Pinto da Silva, Marcos Aurélio Baptista de Daniela Pereira Rezende, Eduardo Oliveira Machado da Silva, To present a case To of ranula in a pediatric patient treated with an To highlight the importance of early diagnosis and treatment unging ranu : : report HOOD D IN CHIL NECK INFECTION DEEP bjective bjective brought brought to the otolaryngology service with sore throat and loss of appetite for the past 3 weeks. Otorhinolaryngological examination showed bulging in the left peritonsillar without region exudate, along with cervical bilateral lymphadenopathy with a larger number of side. nodes Treatment palpable was on initiated the with left antibiotics and enhanced CT scan of steroids. the neck a showed hypodense lesion with peripheral A contrast- enhancement involving the parapharyngeal space; the lesion extended to the left with narrowing of the oropharyngeal air space. The abscess was drained under general anesthesia with the release of abundant pus. There was partial relief after the procedure, and the patient was asymptomatic at the time of discharge 2 days later. O thor: Main Au thors: Co-Au 34 - pl O 33 - thor: Main Au thors: Co-Au Oliveira, Rosane Siciliano Machado, Wallace Nascimento de Souza Rosane Siciliano Machado, Wallace Oliveira, Janaina Oliveira Bentivi Pulcherio, Lícia Oliveira Resende, Rosane Siciliano Machado unusual procedure. procedure. unusual of deep neck infections and abscesses. in the right side of the floor of the mouth and in the submandibular triangle submandibular the in and mouth the of floor the of side right the in with treated was lesion The month. 1 for dysphagia with along neck, the of simple drainage that led to complete remission. COMMENTS: A ranula is a pseudocyst caused by the extravasation of mucus from the sublingual glands; these are classified as intraoral, cervical, or plunging (extending into the neck through the mylohyoid muscle), and mixed. The is diagnosis made from the clinical appearance, but imaging studies are needed to evaluate the extent of the lesion. Most ranulas appear in the third second decades or of life. There are many approaches to the management of ranulas, but management protocols in pediatric patients is still based on protocols for adult patients. The literature suggests that simple drainage is ineffective, although it provided lasting relief in our case. Recurrence is a frequent complication, occurring more often in patients managed with less invasive approaches. The approach to the management of ranulas in pediatric patients, as well as in adult patients, needs to be studied further protocols. appropriate more to develop are are important in medical practice because they can progress imaging a makes in Contrast-enhanced unless quickly treated and effectively. severity to difference management by facilitating the diagnosis and suggesting the literature the in controversial remains topic The treatment. to approach best needed in the area. and further studies are August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 Keywords: Sportsinjuries;Laryngealtrauma; Dysphonia from theexperiencewith othercasesreported intheliterature. The lesion completely responded to conservative management, as expected follow-up. advised and treatment São preliminary given of was he University where Paulo, the of Hospital University the of emergency clinic the otolaryngology attended He rugby. playing while suddenly started problems had the dyspnea; no but pain neck and dysphonia with presented cutaneous malignantmelanomasthat develop from precursor lesions. unlike sinuses, paranasal and cavity nasal the of membrane mucous the in melanocytesfrom directly arise melanomas Sino-nasal life. of decade sixth the after seen typically are and rare,are neck and head the of melanomas the diagnosis of melanoma was confirmed. was melanoma of diagnosis the after started was interferon and chemotherapy with treatment Adjuvant the melanomas. other in since seen commonly characteristics countries, several lacked lesion different from inputs expert with revisions several through go to had and controversy, fierce to subject was diagnosis final Thehistopathology. on tumor-free be to found both were node lymph the and margin,surgical new the from tissue node; lymph sentinel removethe and margins surgical the widen to again operate to findings these of basis an the wason decision made A melanoma. weremalignant of those to similar showed examination Histopathological epithelioid and spindle cell malignancy, and immunohistochemical findings surgery. during inferior the from turbinate originate to found was lesion The hemangioma. or nasal angiofibroma juvenile either CT was on diagnosis or provisional examination The clinical scanning. on either apparent not was lesion the origin of of site The cavity. nasal right the bloody occluding surface, with the on tumor crusts a showed examination Otorhinolaryngologic cavity. nasal right the in lesion growingrapidlymass a and obstruction nasal with associated side, right the on epistaxis moderate-volume and intermittent Benini Guércio Wilson Guércio, Silva Da Moura Nathália Espíndula, Assis Monik Macedo, Pedro Augusto Magliarelli Filho, SangYun Sin rua r coe i nature. in closed are trauma theysites; are rarely Fewinjuries. sports with associated laryngeal of cases C Co-Authors: Main Author: melanoma inthenasal cavity -acase report 38 - I Co-Authors: Main Author: c 37 - ntroduction ase

practice R losed laryngeal tra eport Adriano De Carvalho Nascimento, Miguel Eduardo Guimarães Eduardo Miguel Nascimento, Carvalho De Adriano Takahashi, Morio Gilberto Jacob, Fabio Goto, Yoshimitsu Elder Rafael Fernandes GoulartDosSantos LuisGustavo CattaiZamboni : Laryngeal trauma comprises less than 1% of all trauma at all at trauma all of 1% than less comprises trauma Laryngeal : PB a 6ya-l fml suet rsne with presented student female 16-year-old a MPCB, C ase uma duringrgby

R eport Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. : 2-erod ae patient male 23-year-old A C onclusion : Primary mucosal Primary 45 a tumorthat requiresearly diagnosis to prevent morbidity and complications. Prado Barreto Maria Valéria Júnior, Santos Carvalho Ronaldo Silva, da Firmino Lorenna development ofretinoblatoma andnaso-sinusalleiomyosarcoma. the the between interval shortest highlight the as well as to occurrence, its of also age lowest and rarity, its of naso- because of leiomyosarcoma case sinusal a here report We leiomyosarcoma. including neoplasms, of range wide a of risk higher a at are retinoblastoma hereditary treated with Patients neoplasm. muscle smooth malignant a is Leiomyosarcoma Holleben, OtávioBPiltcher external carotid artery. the ligated and embolized having despite surgery bloodduring of units four method Caldwell-Luc approach.transfusedendonasal Thebe expanded with to with had patient by performed was Surgery unaffected. was skull base The sinuses. maxillary the of obliteration partial and cells, cavityandtheposterior ethmoid nasal the regionof posterior bone the to with extension sinus lysis sphenoid and nasopharynx the obliterat and contours Results: We found a tumor that had the consistency ofsoft tissue andirregular period ofchemotherapy andradiotherapy. the including course, intra-operative the through continuing and surgery Methods: We monitored a pacient of JNA for 16 years, starting from before therapeutic optionsbut themosteffective issurgical excision. manyThere arecranium. and orbit the invadeeventually and nasopharynx and cavities nasal the to extend foramen thesphenopalatine in is originate tumors The teenagers. male of disease a nasal typically is including JNA obstruction. symptoms, consequents with manner aggressive vascular an in significant its however, histology; component can bleed and lead to severe epistaxis, and it can invade locally on appearance presents It benign tumors. neck a and head all of 0,05%-0,5% for accounts that I Co-Authors: Main Author: 39 - Co-Authors: Main Author: naso-sin usal leiomyosarcoma inpatient with 40 - ntroduction Report Juvenile nasopharyngeal angiofibroma:C treated bilateral retinoblastoma Arlete Cristina Granizo santos, Francis Vinicius Fontes de Lima, de Fontes Vinicius Francis santos, Granizo Cristina Arlete aoie esh oe, eie a ot Hv, nr Lia von Luiza Inara Huve, Costa da Felipe Royer, Persch Caroline MarianeBarreto Brandão Martins MichelleManzini : Juvenile nasopharyngeal angiofibroma (JNA) is a rare tumor, rare a is (JNA) angiofibroma nasopharyngeal Juvenile C onclusion : Juvenile nasopharyngeal angiofibroma is ase

Posters Otorhinolaryngology A six-year-old, black, male child : A 48-year-man presented at A nose,our 48-year-man ear, : eport The clinical presentation of this case is by cryptococcal used by cryptococcal R :

eport R

ase C ase C ion onclus C ilomatrixoma) - (Pilomatrixoma) Epithelioma alcifying Cryptococcal meningitis should be considered a cause of rapid : on i Marcello De Oliveira Marcello Paulo Tinoco Paulo onclus Amanda Costa Rossi, João Paulo Rezende Felicio, Mario Edwin Aline Araujo Saraiva, Lara Bonani De Almeida Brito, Marina C To present a rare case of pilomatrixoma involving half of the : To report a case of rapid hearing loss caused by cryptococcal meningitis in : meningitis a rare case report a rare case ve i bjective bject and throat (ENT) ambulatory clinic with complaints of sudden hearing loss for 24 hours without any other symptoms. Normal ENT hearing sensorineural examination severe showed audiogram An and nerves. cranial the in abnormalities otoscopy revealed no at 100 dB in hearing loss and 8% speech recognition loss in the right ear and moderate administered was patient The recognition. speech show not did ear right The ear. left the prednisone 60 mg/day and was requested to return in 24 hours for audiometry. The patient returned with complaints of in tremors his upper limbs and intense headaches, which worsened with change in recumbency. Neurological examinations an revealed altered mental status, normal results in cerebellar tests, preserved strength, no and signs of meningeal disorders. The patient was admitted to with the a Neurology Clinic tentative diagnosis of piriform sinus thrombosis. discontinued. Corticosteroid therapy A was computed tomography (CT) scan imaging and (MRI) was brain suggested along magnetic with assessment resonanceof serum levels of antibodiesto HIV and hepatitis B and except results normal yielded tests C, laboratory All ink. India using a (CSF) fluid cerebrospinal complete blood count (CBC), and analysis of the for a positive CSF analysis; therefore, a CSF culture was carried out. The imaging test showed no lesions in the central nervous system (CNS). The patient was treated with internation,During mg/day. 800 fluconazole and mg/day 50 deoxycholate amphotericin and gait failure, ataxia, treatedrenal which were the hydrocephalus, patient developed liposomalwith replaced was deoxycholate Amphotericin punctures. CFC repeated with amphotericin. After 4 days, audiometry was performed again and revealed bilateral anacusia. The patient was discharged with hearing improvement, and currently is an outpatient. consistent with i.e., that a described benign in tumor the usually literature, nodule subcutaneous mobile single a as presenting childhood, in occurring of elastic consistency, generally in the face, neck and upper limbs. There is a predilection for the white race and the female sex, none of which was the case in our patient. It is considered a rare case by some authors, and only apparently rare by others because of misdiagnosis. It diagnose is clinically, difficult and to requires an excision biopsy for histopathological identification. The differential diagnosis includesseveral clinically similar lesions such as hemangiomas, dermatofibroma, and basal and squamous excision. surgical by always is treatment The others. among carcinomas, cell it is Recurrence important is as rare, is malignant however, transformation; up these patients. to follow hearing loss even in immunocompetent individuals. hearing loss even was was brought with a lesion in the left hemi-face; the lesion had arisen two examination External since. ever steadily growing been had and ago months showed a child, overall in good The condition, hemiface. left with the in a skin, with single covered lesion tender nodular, slightly and elastic, mobile sent and skin, overlying the of incision after surgery on removed was lesion for histopathological examination, resulting in a diagnosis of Malherbe’s Calcifying Epithelioma. 44 - ca rapid hearing loss thor: Main Au thors: Co-Au O 43 - C alherbe’s m thor: Main Au thors: Co-Au O Bandoli De Oliveira Tinoco, Saulo Bandoli De Oliveira Tinoco, Vânia Lúcia Lacerda Carrara an immunocompetent patient. face face of a six-year old child. Gretters, Nilesh Joriel Moniz, Silvio Antônio Monteiro Marone Nilesh Joriel Moniz, Silvio Antônio Monteiro Gretters, 46 Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. llary plasmacytoma of the plasmacytoma llary s carcinoma of the nasal cavity: a cavity: of the nasal s carcinoma amou Michelle Manzini Michelle Manzini Andreia Melchiors Wenzel, Carolina Fischer Becker, Caroline Adriana de Carli, Camila Degen Meotti, Carolina Becker, Fischer nasopharynx rare disease. thor: Main Au thors: Co-Au 42 - extramedu thors: Co-Au 41 - u enosq aD thor: Main Au Persch Royer, Gabriel Kuhl Royer, Persch Extramedullary plasmacytoma (EMP) is a category rare of entity non-Hodgkin belonging lymphoma. to EMPs the make cell up tumors and 4% most cases (80%) of occur in all the upper aerodigestive plasma tract. We report a case of a 57-year-old, female patient with a nasal mass that had developed over two years and extended to the nasopharynx and the oropharynx at the time of presentation. She was treated with naso-sinusal diagnosis the to led examination immunohistochemical surgery; endoscopic of plasmacytoma. She was evaluation. subsequently referred for hematological Caroline Persch Royer, Gabriel Kuhl Royer, Persch Caroline We report the case of a 60 a year-old, male bloody patient who discharge complained from of one obstruction. He side underwent nasal surgery and biopsy of to remove the mass. the nose carcinoma, adenosquamous an revealed examination histopathological and The right-sided nasal of which only are there about eight cases in entity, reported the a rare very medical literature. August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 can causepermanentdefects ifidentifiedtoolate. of is history morbidity and paramount importance for slight, diagnosis of neurological or systemic howeverdiseases, which dizziness, of evaluation challenging. Proper becomes etiology peripheral the and central the signal, neurological distinguishing associated no is there If ear. inner the and middle hemisphere, the involvingcerebellar bridge, the changes of region of lateral-inferior structures, peduncle spectrum cerebellar wide a cause functions these infarction, (AICA) artery cerebellar inferior anterior the On and functions. vestibular auditory decreased to leads usually causes vascular to due dysfunction a fvrbe ept dsotnain f treatment. of discontinuation despite favorable was outcome physiotherapy.The motor and rehabilitation vestibular was proposed outand carried treatment The also ear. right the was in loss hearing neurosensorial moderate revealed Audiometry right. ofEIFO caloric revealed absence which and areflexia out, carried accompaniment ambulatorial was in vectoelectronystagmography paralysis. put and facial was peripheral patient the right hospitalization, developed After he later, days Two peduncle. (MRI) was suggested. MRI revealed acute ischemia in the right middle cerebellar imaging resonance magnetic results, examination physical and history medical patient’s the on Based ataxia. gait and semi-spontaneous, and spontaneous both nystagmus, horizontal left revealed examination Physical conducted. was ear-nose-throattherefore,ear,evaluation an and right (ENT) the in loss hearing of complained he hospitalization, of vomiting, day third vertigo, the On sudden crisis. hypertensive with and room emergency the to admitted was man 45-year-old A REPORT: infarction. myocardial and hypertension, dyslipidemia, of history a had patient This origin. peripheral of vertigo as presented initially soito ad s ey motn fr h teaetc prah n such in approach patients. therapeutic the for important this very reinforces is and report association Our mastoid pneumocephalus. cause and may hyperpneumatization maneuver Valsalva the that demonstrated reports Co-Authors: Main Author: o 46 - O Co-Authors: Main Author: vertigo isthefirst symptom ofabrainstroke 45 - ups: o eot h psil rltosi bten otologic between relationship possible review.literature brief a with the institution our at patient reporta Valsalvain maneuverthe and pneumocephalus To Purpose: Renato HNunes,Stefano Tincani ots ae soe icesd pneumocephalus. increased showed 10 later to scan CT months follow-up continued a and patient daily, maneuvers the Valsalva various perform advice, medical Despite pneumocephalus. epidural adjacent homolateral with associated cortex inner mastoid scan the in (CT) tomography discontinuity computed bone of foci with hyperpneumatization A mastoid left revealed tinnitus. or dizziness, pain, fever, have not did He daily. maneuvers Valsalva multiple perform plugged to were used ears and his that feeling a had progressive He ear. left 2-year his in a loss hearing with presented therapy antiretroviral undergoing Resende, Rafael Paschoalim Antonio,RubensArianiMangabeira Albernaz bject i with theV ve tologic pneumocephal : To report the case involving a patient who had a stroke that that stroke a had who patient a involving case the report To Guilherme AndersonGuilherme MangabeiraCarneiro Janaina Albernaz, de dmr ua J, als og d Sla CRO TOYAMA, CARLOS Silva, da Jorge Carlos Jr, Lucas Ademar HenriqueBortotZuppani Teodoro MendesBorges Passos alsalva maneuver C ase

R us: apossiblerelationship eport Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. : A 38-year-old HIV-positive man HIV-positive38-year-old A C onclus C onclusion i on : Labyrinthine Labyrinthine : Some 47 been performed because the patient’s poor general condition. general poor patient’s the because performed been has procedure surgical No canal. auditory internal the of portion proximal damaged walls of the semicircular canals and the cochlea, extending to the well as all the mastoid trabeculae. In the inner ear, it was possible to see the as Chaussé, spur and chain ossicular the destroying ear, middle the filling density tissue soft with hypodensity showed The image observed. tomography was mastoid ear left the in perforation membrane tympanic discharge with purulent abundant examination, otologic During otorrhea. by Audiometry revealed bilateral hearing loss to deafness in his left ear caused otorhinolaryngology service with constant otorrhea in his left ear for 2 the years. at presented man white 84-year-old An Presentation: Case ear. inner the of invasion and cholesteatoma large a is with case a and report to is rare study is this of ear aim The paralysis. facial inner and loss hearing by the of accompanied usually invasion of to involvement leading The lysis, structures. bone adjacent and capacity expansive temporal the with of areabone, pneumatized any or ear middle the within keratin Introduction and José Jarjura Jorge Junior, KrystalCalmetoNegri,PriscilaYukie Aquinaga paralysis andsensorineural hearingloss. with invasion and bone destruction and lead to complications such as facial Despite being benign, cholesteatoma when not diagnosed early, can evolve a hv rsle de o novmn o te nenl uioy system. auditory internal the which of involvement sequence, to due 3D-FLAIR resulted bilateral a have may on and evident detachment, was hyperintensity retinal cochlear with thickening choroidal bilateral VKHDisease the revealed (MRI) by imaging resonance Magnetic Criteria. VKH disease Diagnostic Revised incomplete as classified was which old woman presented with bilateral decreased visual acuity and headache, might contributetothediagnosticcriteriafor thisrare disease. finding new This patient. our of ears inner the in content protein high or literature. This bilateral cochlear hyperintensity suggests minor hemorrhage the in feature imaging this of report first the is this knowledge, our of best the To sequence. 3D-FLAIR a on evident hyperintensity, cochlear bilateral C Co-Authors: Main Author: v 47 - Co-Authors: Main Author: c 48 - incomplete Vogt-Koyanagi-Harada (VKH) disease. Vogt-Koyanagi-Harada(VKH) incomplete with patient a in sequence (3D-FLAIR) recovery inversion fluid-attenuated (3D) 3-dimensional a on hyperintensity cochlear demonstrate To Purpose: Renato HNunes,Stefano Tincani onclusion resonance imaging findings inner ear ase Report: Cholesteatoma withinvasion ofthe ogt-K : Amanda Feliciano da Silva, Ana Maria Faria Ferreira de Oliveira,FerreiraFaria de Maria Ana Silva, da Feliciano Amanda Carlos Jorge da Silva, Carlos Toyama, Henrique Bortot Zuppani, Toyama,Bortot Carlos Henrique Silva, da Jorge Carlos e rsne a ain wt icmlt VH ies and disease VKH incomplete with patient a presented We AdemarLucasJr MarianaLombardi Guidi oyanagi-Hara O bjective : Cholesteatoma is the accumulation of exfoliated d a disease:cochlearmagnetic C ase

R eport : A 19-year- A C onclusion :

Posters Otorhinolaryngology al clinical presentation clinical al NEUROPATHY UDITORY The first case is that 35-year-old a of : FOR A LTS eport R

These results demonstrate that auditory neuropathy neuropathy auditory that demonstrate results These : ase C ion onclus A 3 brought by years-old boy, his mother who noticed a mass C : Daniela Polo Camargo da Silva Camargo Daniela Polo Aline Sacomano Arsie Aline Sacomano Carolina Carolina Schaffer, Joao Paulo Felicio Rezende, Joao Paulo Althoug rare, Kimura’s disease should be part of the differential differential the of part be should disease Kimura’s rare, Althoug Gustavo Gustavo Leão Castilho, Jair Cortez Montovani, Priscila Suman : To investigate the findings of peripheral centraland auditory To report an unusual clinical presentation of Kimura’s disease Kimura’s of an unusual clinical presentation report To : : RESU UDIOLOGICAL eport CASE UM DISORDER: A FAMILIAR SPECTR R

bjective bjective ase ion onclus spectrum disorder causes peripheral disorder with normal cochlear outer hair cell function and abnormal auditory function nerve and normal central auditory function. in the external auditory canal of the left ear. Otoscopy: presence of otorrhea of presence Otoscopy: ear. left the of canal auditory external the in mass The canal. auditory external the obliterating lesion polypoid red, a and was painless and its insertion was sessile. Imaging study MRI) was carried (CT out and an revealed extensive erosion of scan the bone of the and external auditory canal and an extention to the fossa. Biopsy infratemporal was done trought the endoaural examination approach. revealed The lymphohistiocytic anatomopathological disease. with Kimura’s compatible was immunohistochemical analysis infiltrate without atypia and 52 - a thor: Main Au thors: Co-Au O 51 - an unusu disease: imura’s k thor: Main Au thors: Co-Au O C C diagnosis of temporal bone lesions. diagnosis of temporal Lopez, Victor Nakajima Lopez, Victor assessment of 2 subjects from the same family with auditory neuropathy spectrum disorder. woman woman who presented with complaints of difficulty in oral lips hearingand tinnitus within the no right ear. Pure tone audiometry revealed mild neurosensorial hearing loss in the left ear and moderate hearing neurosensorial loss in the right, both with rising configuration.The second case is that woman who of presented a with 17-year-old complaints of difficulty in hearing, tinnitus, and vertigo. She had difficulty undergoing pure tone actions audiometry her such and hand as performing in raising the silence. cases, 2 the In ears. both in loss hearing neurosensorial mild was result The hearing. of degree the with incompatible was index recognition speech the Type A tympanometry was observed and otoacoustic distortion product Transient absent. were acoustic reflexes and ipsilateral and contralateral emissions were present in normal and was potential event-related auditory evoked the brainstem However, absent. auditory-evoked potential was cases. both Valente, Nilesh Joriel Moniz, Silvio Antonio Monteiro Marone Monteiro Joriel Moniz, Silvio Antonio Nilesh Valente, 48

: ion onclus C Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. It is a challenge to prevent the progression progression the prevent to challenge a is It : ion onclus C A 45-year-old woman presented with a 7-month history of : Livia Arruda de Melo Norima Hernandez Dias Norima Hernandez Emanuel Celice Castilho, Gabriela Pilon Meira, Gustavo Leão Ana Livia de Barros Rocha, Henrique Ribeiro Mansur Barbosa, To demonstrate To how rapid interventions in middle ear infections To report an extremely rare case of congenital cholesteatoma : : eport report media: a case chronic otitis Bone R

bjective bjective ase Castilho, José Vicente Tagliarini, Marco Antonio Zanini Marco Tagliarini, Vicente Castilho, José of ear infections to chronic otitis. Treating chronic media is otitis critical. correctly In cases of complications, surgical treatment may change the of the patient. prognosis Mirian Cabral Moreira de Castro, Roberto Eustáquio Santos Malaquias Ramos Vinicius Guimarães, thor: Main Au thors: Co-Au 50 - of angle abscess as a complication sinodural C thors: Co-Au O 49 - d Temporal the Mastoi of Cholesteatoma ongenital c thor: Main Au O may may prevent serious complications. An 18-year-old girl with a history malodorous otorrhea of since childhood presented with headache, earache, and vomiting episodes for the past 2 months without nausea that ceased spontaneously. Physical examination revealed fever important (Tax otalgia, 39°C), and pallor, purulent otorrhea. (CT) images Prior revealed destruction computed and tomography opacification of the mastoidtympanic cells, cavity veiling, and epitympanum with extensive ossicular bone and wall destruction. A solution of continuity the was tegmen observed tympani between and the dural. CT the revealed sinodural angle, pneumocephalus and greater near bone destruction in the middle ear and mastoid in relation to the first examination. The patient broad-spectrum was started antibiotics, on and examination of the excluded the cerebrospinal possibility of fluid meningitis with subsequent radical right exhibition nerve of meninges and large facial observed We side mastoidectomy. dehiscence in the horizontal portion and lateral semicircular canal fistula and an abscess near the sinodural angle, which was drained. The patient revealed effusion ear middle the of culture A postoperatively. well recovered faecalis. Enterococci (CC) of the mastoid region. The occurrence mastoid site, with process only is a small the number of least cases frequent reported worldwide. Congenital mastoid cholesteatoma has a variable presentation, the most common being an incidental finding, as described in ourreport.Therefore, as the main diagnostic method. imaging remains recurrent recurrent episodes of nonspecific dizziness, self-limited, lastingfor a few minutes with gradual progression. At the same time, she had complaints of uninterrupted tinnitus on the left side characterized by a thin whistling sound. She had no prior ear infection, trauma, or hearing examination loss. revealed Physical normal tympanic membranes without or perforation retraction in both ears. resonance imaging Computed (MRI) tomography of the (CT) temporal bone and showed a soft-tissue-density magnetic lesion large, occupying dense, the posterior portion of the mastoid process, which had eroded only the bony plate of the posterior fossa. MRI revealed a diffusion restriction. Cerebral angiography showed no perfusion. tumor Audiometric examination, impedance, and caloric tests normal. During were surgery (transtemporal approach), the mastoid was found to be filled with cholesteatoma, which had almostcompletely destroyed the posterior fossa bony plate and ad the aditus attic, ear, middle bony The removed. completely was plate disease The sinus. covering the sigmoid antrum, and the antrum were unaffected. It was not possible to establish a relationship between the patient’s symptoms and the lesion. August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 of recurrence. of up, radiologicalor clinical evidenceremainsno patient with the asymptomatic, follow of months was 7 After adenocarcinoma analysis. histopathological and after diagnosed approach, transmastoid was lesion the The using bone. resected petrous underlying area the focal of with a destruction cortical and lesion, of enhancement hypoattenuating contrast iodinated a peripheral showed discreet cistern. (ct) cerebellopontine tomography correspondent Computed the obliterating partially sac, endolymphatic the topographyof the in bone, petrous left the of face back resonance imaging (mri) showed an expansive lesion located adjacent to the electronystagmography, which revealed left hyporeflexia. Nuclear magnetic traumatic underwent antecedents, He exam. otologic (ent) ear-nose-throat the prior to changes or any injury, brain have not did He days. 15 in deafness to evolved which side, loss, hearing left progressive his rapidly and on vertigo, tinnitus continuous with presented man 46-year-old a makes itharder orimpossibletoproceed with surgical treatment. diagnosis in delay a although cases, all must in investigated and paragangliomas suspected be and neglected be never should symptoms These tinnitus. pulsatile and loss hearing are symptoms main Thebilateral.rarely are but region this in occur that neoplasms benign frequent most the These are promontory. ear middle the and region gulf jugular the system, in located neuroendocrine the extra-adrenal of part nonchromaffin the by formed structures are which bodies, glomus on originate paragangliomas C O Co-Authors: Main Author: 54 -BILATERAL JUGU O Co-Authors: Main Author: enDOLYMPHATIC SAC TUMOR 53 - Orlando RibeiroVanessa Sousa, de Alves José Nicodemos Garcia, Mattos Marcelo n te or lncl odto o te ain. h ptet s currently is patient radiotherapy. The palliative for patient. assessed the being of condition clinical poor the and extent lesion definitive the a treatment,to is due which suggested not was treatment, surgicalevaluation, initial the After enhancement. contrast and Both T1 at hypointensity and T2 at hyperintensity werewith cistern. heterogeniclesions angle cerebellopontine the and fossa cranial posterior on the itself projecting left, the on extensive more area, jugulotympanic the in bilaterally located hypercaptation with mass a revealed (MRI) imaging pulsatile tumor in the LE obliterated the LE canal (LEC). Magnetic resonance tympanic membrane and a retrotympanic pulsatile purple-redtranslucent mass. Thea revealedred RE the of with Otoscopy LE. associated her was in mostly and loss, (RE) hearing ear right the to moved then and (LE) ear left the in present initially was tinnitus The years. 10 past the for tinnitus advancement ofimaging. technological great the by propitiated being is which diagnosis, early and iscomplete ofchoice resection of the treatment lesion. Therefore, it is very important the to achieve an accurate Currently, deficits. nerves cranial and vestibular symptoms, and hearing at later stages, neurological show alterations, including typically elst with presenting Patients nerves. cranial and angle, cerebellopontine canals, semicircular mastoid, bone, petrous the of portion rear the to up expanding often aggressive, are neoplasms these Clinically, investigated. be always should neoplasms These (vhls). syndrome hippel-lindau von with associated are or sporadically occur that Vanessa Ribeiro Orlando Castro, de Moreira Cabral Mirian Sousa, de Alves Castro Marcelo Rabelo, ase bjective bjective

R eport : : o eot cs wt bltrl uuoypnc paraganglioma. jugulotympanic bilateral with case a report To Report: (elst). tumor sac endolymphatic of case the report to Ana Maria Doffemond Costa, Marcelo Castro Alves de Sousa, de Alves Castro Marcelo Costa, Doffemond Maria Ana ig Csa e oz Frer, utv Fgerd Nunes Figueiredo Gustavo Ferreira, Souza de Costa Diego AnaElisaMotaSilveira Magalhães AnaElisaMotaSilveira Magalhães : An 83-year-old woman presented with complaints of pulsatile of complaints 83-year-oldwith presentedAn woman C onclusion LOTYMPANIC PARAGANGLIOMA : endolymphatic sac tumors are rare neoplasms rare are tumors sac endolymphatic Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. C onclusion : lms uos or tumors Glomus 49 eaiiain program. rehabilitation vestibular a in is he Currently, plane. (LARP) posterior right – anterior left (GN resounddevice Otometrics) showed bilateral impulse hypofunction on the lateral canal head and video The side. right the to tending gait, large oscilopsy, dizziness, developed He period. this during taking medications was the he about that information any went divulge not and did He shock coma. a skeptic into developed he Subsequently, performed. was Nephrectomy A septicemia. and with pyelonephitis diagnosed to wasleading nephrolithiasis, He center. unit care intensive the at stay month 3 ye ihbtr ws odce i te er Pelncl tde and studies Preclinical year. the in found. also were studies cross-sectional prospective conducted was inhibitors 5 type onphosphodiesterase study first The studies. scientific 9 5 yielded search type phosphodiesterase the keywords, Using Results: Portuguese. sildenafil, in words related and inhibitors, loss, hearing as such deafness, keywords, entering sudden by Bireme, and PubMed/Medline as such databases, the using conducted was review Thissystematically. reviewed weresubject this on studies all inhibitors,and 5 phosphodiesterase type of use the about SSHL with patients on conducted was study analytical An Methods: and Material SSHL. with association its and inhibitors 5 types phosphodiesterase of use the on studies reviewall to and inhibitors 5 type phosphodiesterase using after (SSHL) loss hearing sensorineural sudden jussandra cardoso rodrigues, lourival franco desáneto filho, rodrigues monteiro cláudio jose Nunes, Acatauassú Tobias Cláudio oe n tra dcos ET otr) n etg ivsiain. Studies investigations. should becarriedouttogenerate awareness inthecommunity vertigo in doctors) (ENT doctors throat and nose diagnosis andfollow uppatientswithbalancedisorders. the in important very is deviceTherefore, this 2012). (Barim, treatment the along patient same the from obtained results the to compared be can and impulse device is small, easy to handle and the results obtained are objective head video The canal. lateral the analyze only can and uncomfortable very is test caloric The canals. semicircular investigate to used device objective sudden sensorineural hearing loss (SSHL). has increased, even in hypertension,children and young men. Some of pulmonary these patients develop as such conditions, forerectile clinical or dysfunction whichindicated andtaladafil, vardenafil, (Viagra), sildenafil I Co-Author: Main Author: inhibitorsPhosphodiesterase of Type 5(IPDE-5)and 55 - C O Co-Authors: Main Author: videohea 56 - type 5inhibitors onauditoryfunctions. phosphodiesterase of effect exact the ascertain to out carried be to need samples larger with studies otorhinolaryngology.Therefore,further clinical has garnered more interest due to higher occurrence of cases and reports in ntroduction ase bjective

R Sudden Sensorineural Hearing L loss: Acase report. eport : Fayez BahmadJúnior The video head impulse test is a new testing device to aid ear, aid to device testing new a is test impulse head video The camila de oliveira rodrigues, Cláudio Tobias Acatauassú Nunes, TobiasAcatauassú Cláudio rodrigues, oliveira de camila MoniqueAntunesdeSouzaChelminskiBarreto Silvana Nobre deAssisMaxixeiro : : A.L.A, A 40 year-old man, developed balance disorders after disorders balance developed man, year-old 40 A A.L.A, h ue f hshdetrs tp 5 niios sc as such inhibitors, 5 type phosphodiesterase of use The d impu C onclusion lse test andbilateral vestibu : h vdo ed mus ts i an is test impulse head video The O bjective oss : To analyze 4 cases with C onclusion : This topic This lar

Posters Otorhinolaryngology

: ion onclus C Foreign bodies in otorhinolaryngology are frequently : Alfredo Alfredo Rafael Dell’Aringa, José Carlos Nardi, Lucas Lara Gabriela Zandonadi Carvalho Gonçalves Gabriela Zandonadi Carvalho Lucas Antonio Gusato Lucas Antonio Fernando Fernando Cezar Cardoso Maia Filho, Gabriel Cardoso Ramalho To report a case with cholesteatoma, which evolved into a To report the experience during an emergency and emergency : : ion onclus bscess as a complication of Brain Abscess as a complication ase Report: C at the reference service in the reference aid at in first otorhinolaryngology me dia d chronic otitis untreate bjective bjective Hahmed, Ricardo Guimaraea Marim Guimaraea Hahmed, Ricardo 60 - c thor: Main Au thors: Co-Au O 59 - experience 1-year dren: a chil bodies in oreign f thor: Main Au thors: Co-Au O observed observed at the ready-pediatric care service. The foreign body could show many symptoms or no symptoms depending on the location it is lodged. The treatment may be simple but removal by an unskilled professional or without the proper equipment can result of these children. the parents for cause anxiety and worry in serious complications and cerebral cerebral abscess and resulted in subsequent death. Report: A 47-year-old Mason. He had white born man in was Jaú - SP and Marília-SP, came from cholesteatoma of the middle ear and did not follow up. He presented at the emergency room complaining of otorrhea in his left ear, left temporal headache, fever, dizziness, and confusion for the past examination revealed 3 drowsiness, disjointed days. words, and Physical fetid otorrhea in extensive an revealed skull the of imaging resonance Magnetic ear. left the started was He signals. cerebritis and lobe temporal left the in abscess brain on ceftriaxone, oxacillin, metronidazole, dexamethasone, and The brain abscess mannitol. was drained using the classical neurosurgical approach (craniotomy). The patient died 2 days after the procedure. care care of children in a service medical residency in otorhinolaryngology and neck surgery presidente prudente-sp from July 2012 to June 2013. Fifty- five childrenreceiving first aid at the hospital regionalpresident with presented sagechildren These assessed. sp were 2013 June to 2012 July from foreign bodies lodged in their ears, nose, and oropharynx. Out of the children, 55 31 (56.4%) were 3 years old while 8 (14.5%) were between the ages of 4 years and 8 years. With regard to sex, 31 (56.4%) children were girls while 24 (43.6%) were boys. In 38 (69.1%) children, the foreign body was found lodged in their ears while in 14 (25.5%) the foreign body was in their nose. Antibiotic therapy was administered to 31 (56.4%) children for local lacerations or infection. Only 8 (14.5%) to patients undergo were surgery required under general anesthesia for removal of body. the foreign Cerebral abscess is one of the most serious complications of cholesteatoma of complications serious most the of one is abscess Cerebral long periods of time. with this condition for patients for Neto, George do Lago Pinheiro, Mychelly de Sá Carvalho, Rafael Enes Nogueira Toledo 50 anal in a anal Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. llary plasmocytoma of the plasmocytoma llary atient ary extramedu ary A while 31-year-old woman born in Rio de Janeiro presented : Deusdedit Brandão Neto Deusdedit Brandão raquel guedes monteiro raquel Aline Crisostomo, João Felippe Vilarinho, Pedro Dantas Lodi de José Celso Rodrigues De Souza, Leandro Parilla Foltran, Nathalia Foltran, Parilla Leandro Souza, De Rodrigues Celso José oung P eport report ear: a rare case Y R

ase at the Hospital Universitario Antonio Pedro with a slow-growing mass in her in mass slow-growing a with Pedro Antonio Universitario Hospital the at left external auditory canal along with ear fullness, otalgia, and otorrhea. Otoscopy revealed a mass of fibroelastic consistency occupying the entire lesion the that showed (CT) tomography Computed canal. auditory external was restricted to the auditory canal. Excisional biopsy was performed, and the histopathological analysis revealed a cholesteatoma of the auditory external canal, which was successfully conducted removed. after The the audiometry procedure was test normal. In conclusion, of this presentation case is important due to the rarity of this disease occurred and because in it a young woman. The patient was due to the possibility of recurrence. under clinical observation currently surgically treated and is thor: Main Au thors: Co-Au 58 - second C thors: Co-Au 57 - C itory Aud of the External holesteatoma c thor: Main Au Araújo, Raphaella Costa Moreira Simen, Rodolfo Duarte Bissoli Duarte Simen, Rodolfo Moreira Raphaella Costa Araújo, Cholesteatoma of the external auditory canal (CAE) is a rare disease with an incidence of 1:1000 among patients who visit an otologic practice. This disease is characterized by an invasion of the squamous epithelium with erosion of a localized area within the bone canal. CAE is more commonly observed is in usually the unilateral, elderly, and causes insidious pain and mild hearing loss. It is difficult to clinically differentiate betweenCAE and conduct. auditory external the of granuloma such diagnoses, differential its The aim of this case report is to describe the clinical presentation and the conduction of case this and rare to it compare with literature. the available Soares Campos, Ricardo Ferreira Bento, Vanessa Mika Kinchoku Bento, Vanessa Ferreira Campos, Ricardo Soares We present a hearing progressive ear, the of fullness with Department Otorhinolaryngology case of (EAC). canal auditory external the in mass polypoid growing a rapidly a and loss, 78-year-old man In who 2009, the patient was diagnosed with multiple myeloma and amyloidosis presented at and was in the follow-up. A computed tomography (CT) scan requested by the hematology department revealed an oval lesion with soft tissue attenuation occupying the EAC and the tympanic The cavity. mass had eroded the walls middlethe invaded had and timpani, tegmen and hammer, incus, EAC, the of cranial fossa preserving the inner ear structures. An incisional biopsy performed, was which revealed a histopathological diagnosis extramedullary plasmacytoma. The plasmacytoma is a of rare malignant tumor, a secondary originated proliferation, and irreversibly independent of plasma cells. It may appear as a circumscribed mass or diffused infiltration that accumulates in the bone marrow or in extramedullary sites and is usually found in multiple myeloma patients. Plasmocytoma extramedulare is the head and commonly neck, especially in found the paranasal sinuses, in nasopharynx, and tonsillar region. Reports of cases with middle ear plasmocytomas are rare. Many of these plasmocytomas manifest as solitary part plasmocytomas of or as widespread bone diseases. Treatment includes local surgical radiation control, therapy, or a combination of the prognosis of this injury is 2 uncertain, and its relationship with disease treatment activity methods. The requires further studies. The objective of this report is to present a rare case of plasmacytoma of the middle ear associated with multiple myeloma and discuss the diagnostic challenges and possible treatment methods injury along with its prognosis. of the August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 fe 1 hmteay yl, h dvlpd etoei fvr n died sepsis. and of fever neutropenic developed she metastases. cycle, breast chemotherapy 1 and After mediastinal showed CT Chest rhabdomyosarcoma diagnosed. embryonal was and performed was sinus sphenoid the in mass the of biopsy endoscopic An worsened. symptoms her however, corticosteroid; and antibiotic an with rhinosinusitis complicated fortreated decreased ocular movements. Nasal endoscopy did not reveal pus. She was of invasion without nerve the orbit. On physical examination, optic the patient displayed mild proptosis and the of course sinuous a and mass, a by revealed obliteration of the right the sphenoid sinus and posterior ethmoid cells of compression (MRI) imaging resonance with Magnetic muscle. rectus lateral and lamina nerve optic papyraceous right the in mass component inflammatory inflammatory an and sinuses an sphenoid and showed ethmoid right the (CT) occupying tomography Computed fever. or days, 15 for eye right her progressing in to amaurosis. The patient did not present sinonasal complaints vision blurred with 2012 8, December on ooodl rcdn agolsy yas ago. years 3 angioplasty preceding monocordil and sinvastatina, somalgin, propanolol, substrate, of doses Oroscopic, regular with alterations. treated wasPatient absent. was nystagmus and right without the at test Romberg exams laboratory rhinoscopic, and otoscopic examinations were normal along with a positive underwent she internment, of period the In symptoms. the in which improvement slight Dramin, caused administered was was and She days days. 7 15 for past hospitalized the previously for ear left her in humming and aural plenitude, vomiting, dizziness, with ambulatory the at presented woman, old paranasal sinusdiseases,sinceearlydiagnosisimproves theprognosis. chemotherapy.to We awarebe must among neoplasms of existence the of respond not do who those in and tumorsresectable initial, for used be can treatment radiotherapy.Surgery and chemotherapy is rhabdomyosarcoma parameningeal for treatment The prognosis. poor a with tumor aggressive the department of otorhinolaryngology at a hospital in Porto Alegre, Brazil.Porto Alegre, in hospital a at otorhinolaryngology of department the agent. causative the and lesions ear internal the of intensity the to related is prognosis The recommended. are exercises rehabilitation vestibular and antivertigo and etiology the on depends Treatmentadministered symptom. main the is dizziness and use, anticoagulant or trauma, skull leukemia, by caused is It vertebra). basilar and carotid (extracranial fistula arteriovenous and atherosclerosis, failure, hypertension, blood pressure, acute myocardial infraction, congestive heart labyrinth a is cardiovascularrelatedto is as that such vascularorigin diseases of disease hemorrhage Labyrinthine patient. heart a in hemorrhage Ávila, MarinaZottisdeDeusVieira, SamanthaFernandes deCastro C O Co-Authors: Main Author: sinonasal rhabdomyosarcomau sim 62 - O Co-Authors: Main Author: labyrinthinehemorrhage 61 - etg ms b rcgie a a ypo b otorhinolaryngologists; by symptom a as investigation ofitsetiologyisimportantfor initiationoftherapy. recognized be must vertigo Rojas Neto Paulo Henrique Bicalho de Barcelos, Rita de Cassia Soler, Torcuato Sanchez ase bjective bjective

R complicated rhinosinusitis eport : : To report a case of sinonasal rhabdomyosarcoma evaluated by evaluated rhabdomyosarcoma sinonasal of case a report To labyrinthine to due caused case vertigo peripheral a report To Camila Janke Lopes, Geraldo Druck Sant´anna, Izabela Rodrigues Camillus Magalhães Carneiro dos Santos, Larissa Claret de Lima, C Stéfanie MüllerdosSantos Felipe LongoDelduqueTeixeira : M. L. M., 19 years of age, presented at the emergency room emergency the at presented age, of years 19 M., L. M. onclusion : hboysroa f h prnsl iu i an is sinus paranasal the of Rhabdomyosarcoma C ase

Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. R eport : ain SU a 72-years- a SMU, Patient C onclusion lating : Peripheral 51 may require extensive surgery inaminorityofcasestoprevent recurrence. and aggressive locally be appears tumor far,this Thus cases. additional of identification the to lead hopefully will tumor this of Recognition types. cell distinct clinical entity that shows a differentiation representstoward this neural and that myogenicbelieve we features, cytogenetic and morphologic, clinical, of basis the On approach. endoscopic an as well as craniofacial tumor endoscopic An open an using disease. patient a managing comfortable equally be should surgeon sinonasal malignant to applied be can base skull the within endoscopically described techniques surgical the of ht t smtmtlg i te ae s ht f omn nasosinusal common of that as same disorders. the is symptomatology its account that in taking diagnosis, differential the in tumor this of importance hs epam nld a ait o bng ad ainn mesenchymal for malignant papilloma. inverteda as well as tumors, and benign considerations of variety a include diagnostic neoplasm this Differential pattern staining immunohistochemistry. biphenotypic monophasic unique, on or a shows fibrosarcoma but adult sarcoma, an synovial resembles closely most tumor rehabilitated with multidisciplinary follow-ups. and outcome clinical craniofacial good a presented ipsilateral patient the years, the 2 After region. of radiotherapy adjuvant and exenteration, a showed maxillectomy,right orbital cavity full a for opted patient Thesarcoma. nasal high-grade and sinus maxillary right the of Biopsy brainintegrity. and fossa cranial anterior the with contact showed (MRI) imaging resonance Magnetic cavity. nasal and sinus, maxillary the of wall lateral palate, hard orbit, right the of floor the to cavity,extending nasal right the in mass infiltrative heterogeneous, solid, a showed sinuses paranasal the movement and visual acuity were preserved. Computed tomography (CT) of right palate, a lump in the right nasal dorsum, and ipsilateral proptosis. Eye endoscope. Other findings included a mass inthe the gingival sulcus causing bulgingof of the progression the preventing and cavity nasal right the An ear, nose, and throat (ENT) examination showed a whitish mass blocking exposure. inhalant or loss weight denied patient The pain. oculofacial and and anosmia for 6 months that evolved with unilateral epistaxis, rhinorrhea, obstruction nasal right progressive of complaints with presented smoker, Mário EdwinGretters, SilvioMonteiro Marone Iyomasa, RobertoSantosTunes, Sergio KimleTrindade O Co-Authors: Main Author: sinonasal sarcoma: acase report fromthePuc- 63 - O Co-Authors: Main Author: endoscopicSku 64 - diagnosis ofearlychronic sinonasaldisorders. differentialthe in it include to important is it outcome, patient on diagnosis neck with survival rates less than 50% in 5 years, and the influence of early and head the of tumors malignant all of 1% than less represents sarcoma with clinical follow-up, and had a favorable evaluation. favorable a had and follow-up, clinical with neural and myogenic with features. The patient sarcoma opted for adjuvant sinonasal chemotherapy low-grade a revealed analysis Histopathological surgery. with base skull endoscopic expressionunderwent patient The diffuse. proteinand strong S-100 for immunohistochemistry positive with neoplasm cell spindle hemorrhagic extensively an identified biopsy nasal A fossa. nasal right the in ceiling hypervascularized a and edematous be to appeared that lesion a found examination Physical symptoms. other or episodes previous denied She 2012. January in initiated that cavity nasal right the of epistaxis self-limiting recurrentand of history a with presented bjective bjective C Malignancy –AC ampinas O : : To report a rare case of sinonasal tumor and to emphasize the emphasize to and tumor sinonasal of case rare a report To acms f h snnsl ein r rr. itlgcly this Histologically, rare. are region sinonasal the of Sarcomas Bruno Bernardo Duarte, Manayra Lourenzo Cunha e Carvalho, e Cunha Lourenzo Manayra Duarte, Bernardo Bruno lsada oi Js Vcne alaii Rnt Mizusaki Renata Tagliarini, Vicente Jose Loli, Alessandra C Alessandra deOliveira Brandão Pinheiro CarlaGraciliano Arguello Nunes ase

R eport torhinolaryngology Service : . . . a 8-erod oa ad longtime and woman 85-year-old an S., M. M. ll B ase Report ase Surgery forSinonasal C ase

R C eport onclusion : A 55-year-oldA woman C : Considering that onclusion : Many

Posters Otorhinolaryngology Hematological : ion onclus C a 9-year-old Caucasian girl presented in the : eport R

ase C a glabrata - chronic sinusitis in an a glabrata Priscilla Gueiral Ferreira Priscilla Gueiral Ludmila Helene Ferreira De Freitas Ferreira Ludmila Helene Alonço da Cunha Viana Junior, Daniella Leitão Mendes, Lara Fabio Rezende Pinna, Nelson Almeida D’Ávila Melo, Richard To report a case of epistaxis in a child with Glanzmann’s : andid immunocompetent patient bjective disorders disorders should be considered normal. hematological tests are if routine even problems, in patients with recurrent bleeding 68 - c thor: Main Au thors: Co-Au 67 - de caso relato de Glanzmann: rombastenia t thor: Main Au thors: Co-Au O Silva de Carvalho, Mariana Raddi, Nilma Silva do Nascimento Mariana Raddi, Nilma Silva de Carvalho, Silva Studies have shown that the diagnosis of chronic rhinosinusitis by caused fungi is increasing. Traditionally, it most is susceptible believed to that this the infection population is we report the a immunosuppressed; rare however, case of rhinosinusitis an caused immunocompetent by patient. Candida glabrata A. in P. the S., ambulatory a otolaryngology clinic 19-year-old at woman, Marcilio Dias visited and 2012, complaining of nasal obstruction, assessment in hyposmia, April Navy Hospital for persisted had symptoms these that reported She rhinorrhea. yellowish thick, for 5 years with no even improvement, after treatments several for rhinitis. computed a acquiring by began symptoms patient’s the of investigation The tomography (CT) scan of the sinuses, which opacification of the maxillary sinuses, and the septum showed to deviating the left. subtotal, bilateral Functional endoscopic sinus surgery was indicated, which was performed were secretions yellowish lumpy, antrostomy, the During 2012. December in for approach Caldwell-Luc the using access requiring sinuses, both in found a complete, bilateral cleaning of the maxillary sinuses. Growth of Candida glabrata was observed in a culture for fungi, which led us to investigate butimmunodeficiency, with negativeresults. A major obstacle in Candida glabrata infections is their innate resistance to azole antimycotic therapy; 15 days. for caspofungin treatment necessary to prescribe it was therefore, In January 2013, a new puncture was made in the maxillary control the patient’s sinuses healing. There was to no growth of Candida glabrata in culture. Chronic, fungal sinusitis should be considered as a diagnosis patients. as immunosuppressed in immunocompetent as well Louis Voegels, Samanta Marques Reis e Silva Samanta Marques Louis Voegels, thrombasthenia. thrombasthenia. otorhinolaryngology otorhinolaryngology emergency department with profuse, sudden-onset bleeding in the left anterior nostril, without history any previous of trauma. after bleeding more no with packing nasal anterior-posterior underwent She the procedure. This was her third episode of spontaneous non-traumatic epistaxis that needed packing. Additionally, she had a history of bleeding after minimal trauma and gingivorrhagia. Platelets and thromboplastin coagulation partial activated tests factor, Willebrand Von fibrinogen, including time, thrombin time and prothrombin time pale, her heart rate before were the packing normal. was 160 beats She per minute, looked blood pressure was 90/50 mmHg and hemoglobin was 4.4 g%. Because of the severity of the case, the patient underwent ligation of the sphenopalatine artery, but despite correct identificationof the artery and cauterizationof its major branches, the bleeding did not stop. Therefore, it was that the decided surgery should be stopped and nasal packing resumed. A platelet natural with aggregation no was there and performed was test aggregation platelets agonists collagen (ADP, or amino acids), there was aggregation The thrombasthenia. Glanzmann’s diagnose to us led which ristocetin, with patient received a platelets infusion and the packing was removed in the operating room, with no subsequent bleeding. 52 Although : P. S. S., 12 P. years : ion onclus C eport R

ase C Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. Primary sinonasal melanoma affects : A 46-year-old man visited the otolaryngology ion onclus : C eport R

ase C Imad Saleh Hijaz Daniela Pereira Rezende Daniela Pereira Acute rhinosinusitis is an inflammatory process that lines the alexandra torres cordeiro lopes de souza, carolina figueira Cláudia Márcia Malafaia de Oliveira Velasco, Eduardo Oliveira : To report a To case of primary melanoma of the maxillary sinus and : ure review rhinosinusitis and a literat bjectives bjective uncommon, if complicated rhinosinusitis is suspected in children, it should reduce to and treatment appropriate institute to order in early diagnosed be the morbidity and mortality in these patients. department complaining of pain in the right hemifacial region associated with periorbital edema for the past 6 months. The ear, nose, (ENT) and throat physical examination was normal. A computed revealed tomography a scan large mass in the Magnetic right maxillary resonance sinus with imaging bone formation erosion. in showed the right maxillary a sinus with into bone heterogeneous, the erosion adjacent soft and tissues expansive extension and primary neoplastic involvement of the maxillary sinus was suspected. A maxillary using sinusotomy the Caldwell-Luc approach, was and the results performed of the pathological and immunohistochemical examinations were compatible with a diagnosis of melanoma. The patient was referred to the oncology and head and neck surgery departments. nasal cavity and paranasal sinuses. Complications are uncommon, seem to than anatomical often to in in linked occur adults, children more and are relationships between the sinuses and the other structures of the head. Simultaneous complications involving the orbit and the intracranial space are extremely and rare should be treated, aggressively as they pose a high risk of We report mortality. a case of orbital and intracranial complications in a child and correlate it with the literature. O thor: Main Au thors: Co-Au 66 - of complications and intracranial orbital O 65 - sinus of the maxillary melanoma rimary p thor: Main Au thors: Co-Au selórico, larissa salomão pereira, nicolau tavares boechem, thais lima erthal lima thais boechem, tavares nicolau pereira, salomão larissa selórico, Machado da Silva, Janini Oliveira Nascimento Souza Resende, Wallace Matos de Figueiredo, Lícia Oliveira to raise awareness of this diagnosis in patients with symptoms. inexpressive nasal 0.15 individuals per 100,000 individuals. The are most nasal obstruction common and epistaxis. symptoms It presents as a polypoid, intra-nasal mass, blackish or yellowish in and color, the most frequent tumor sites are the nasal septum and the inferior and middle turbinates. This condition, although rare, should be included in the differential diagnosis of sinonasal atypical symptoms. in patients who present even tumors, of age, presented oral with from improvement a clinical no with history prior week 1 of started which headache, nasal congestion, runny nose, and antibiotics. He was hospitalized and subsequently developed a worsening edema. periorbital right and fever, epistaxis, rhinorrhea, purulent headache, He was started on broad-spectrum tomography intravenous (CT) antibiotics. of Computed the paranasal sinuses pronounced increase in showed the pansinusitis volume patient of The pneumocephalus. and soft and between tissues bubbles a in gas discrete the with frontotemporal region had a poor generally condition, ptosis, amaurosis, and right A hemiparesis. contrast CT scan showed epidural and subdural empyema, and continued presence of pneumocephalus. Endoscopic drainage of the sinuses, a right subperiosteal abscess, and an intracranial abscess were performed, along with administration of antibiotics intravenous and clinical and neurological monitoring. The patient improved the important was discharged without initial sequelae or complications. framework and August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 transformation. malignant or recurrences possible detect to order in required is follow-up Close otolaryngologists. for challenge therapeutic and diagnostic a tumor malignancy rate of 7–15%. The nonspecific clinical presentation makes this benign lesion, the tumor has a potentially invasive nature and an associated demonstratecases exclusiveinvolvement.the sinus consideredAlthough a of 5% Only fossa. nasal the of tumor benign rare, a is papilloma Inverted besufficient will therapy for our patient in the years to come remains to be seen. Comments: surgery single this whether However, nasofibroscope. flexible a using detected been have recurrence days of signs 50 no surgery, to after up and Clinic, outpatient Neck and Head been the has in followed-up patient The achieved. was lesion the of resection complete A papilloma. inverted suggested Histopathology analysis. section frozen for the inside identified was sphenoid sinus. A biopsy was performed and lesion a fragment of tissue was sent papillomatous bleeding, endoscopic transnasal A a approach. through sphenoidotomy a The bonyintegrity. underwent patient apparent with sinus sphenoid opacified an showed CT Sinus to recess. extending sphenoethmoidal the sinuses, and cells sphenoid ethmoidal inboth posterior the expanding and filling lesion revealed head a the of (MRI) imaging resonance Magnetic forgetfulness. recent and head, the elevating by worsened otalgia occasional headache, frontal a of complaints with clinic outpatient our at presented woman, old lymph). the in bacilli acid-alcohol-resistant of evaluation an and (bacilloscopy tests laboratory and lesions skin as such diagnosis, the define that to come evidence would the preceded findings otorhinolaryngologic the case, the of chronology the in However, symptoms. pulmonary associated the and werelesions Thecomplaints skin diagnosis. patient the the relatedmain to of evidence otorhinolaryngologic alterations in the nose, ear, phenomenon-associated and larynx consistent with Lucio’s with leprosy lepromatous of a specific case of leprosy. case specific a of sinus. sphenoid the i.e., location rare a aila eto eds Ln Ptii Sua otno Picla Gueiral Ferreira Priscilla Moutinho, Souza Patricia Lana Mendes, Leitão Daniella Antunes Freitas Vinícius Castro, de Moreira Cabral Mírian Ferreira, Souza de Costa Diego cases. the observation of otorhinolaryngologic changes in the evaluation of leprosy O Co-Authors: Main Author: c 70 - O Co-Authors: Main Author: inverted Nasal P 69 - bjective bjective Lucio’s phenomenon otorhinolaryngologic alterations associate d with ase Report: Lepromatous leprosywith C : : o rsn oohnlrnooi atrtos n h context the in alterations otorhinolaryngologic present To in originating papilloma nasal inverted an of case a present To onclusion Ana Carolina Daflon Scoralick, Daniel Braz Nunes Azevedo, Nunes Braz Daniel Scoralick, Daflon Carolina Ana Santos, Hollanda Bruno Magalhães, Silveira Mota Elisa Ana LuizFelipe Lira deMoraes Gustavo Figueiredo NunesRabelo : From the evidence found, we note the importance of importance the note we found, evidence the From apilloma: aC C ase

Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. C R ase eport ase Report

R : eport e rsn a ae of case a present We : L. F. D. C, a 56-year- a C, F.D. L. 53 maintain anopening atthesiteofNPS. the use of a prosthetic palate represents an important alternative to fix and symptom of by followed rate management Endoscopic correction. surgical high after recurrence the considering NPS challenge, but a literature, remains the treatment in described are techniques treatment Several is low, which may impede the development of effective surgical techniques. patient is being monitored in the infirmary without relapsing. without infirmary the in monitored being is patient The The epithelium. mucosa. mucosal nasal nasal confirmed the examination of histopathological marsupialization and excision with surgery nasal endoscopic underwent He mucosa. nasal the to coloration in similar nasopharynx, the of position middle the at located mass mucosal smooth a and right the to the deviation septal of a revealed formation endoscopy Nasal cystic adenoid. topographical a and spondyloarthrosis of diffusive signs and discrete showed which (MRI), image resonance magnetic spine yearprior.cervical approximately1 last started broughthis which He presented with neck pain and nasal obstruction, especially during the night, R among others. hemangioma, and osteoma, chordoma, meningoencephalocele, benign diseases of the midline, such as mucous gland cysts, encephalocele, would like to increase the awareness of its differential diagnosis from other we disease, uncommon an considered is cyst Thornwaldt a though Even intraoperatively using a pharyngeal bulb. pharyngeal intraoperativelya using pharynx the from palate soft the separated and technique endoscopic an using correction stenosis palate a performed endoscopy.We nasal during nasopharynx posterior and palate the of obstruction and fibrosis, mucosa, nasal degenerated septum, nasal the In of absence postoperatively. an identified we cannulation 2013, nasopharyngeal utilized and approach transpalatine a with imperforation channel the and of correction region a the pharyngeal performed in a granuloma identified We epistaxis. and obstruction nasal persistent with 2008 in returned He 2003. in septoplasty a and 2000 in rhinoseptoplasty underwenta obstruction chronicnasal and Simões deLaRocque Claudia Tatiana Castro, e Carvalho de Jair Pereira, Barroso Araujo Flávia endoscopic surgery associated with the use of a palatal prosthesis. palatal a of use the with associated surgery endoscopic to treat. We report a case of a patient with secondary NPS who underwent diphtheria, tuberculosis, and lupus, bullous pemphigoid. syphilis, NPS is a tertiary rare abnormality, including tonsillectomy,and difficult (NPS), after stenosis pharyngeal common more are they naso- in result can disorders organic uvuloplasty.adenoidectomy,Some case, or this in As stenotic secondary lesions. or primary of site the be can nasopharynx The Goal: Souza Santos dos Tallita Oliveira, de Athayde Manuela Aferri, Carneiro Homero aa e ieioda RJ. - Misericordia de Casa Santa at Otorhinolaryngology of Department the of Infirmary Second the at occurred as therapy and etiology,diagnosis, its as well as cystThornwaldt euig h psiiiy f relapse. of possibility the reducing edges, the of marsupialization and excision surgical is treatment The loss. hearing and rhinorrhea, posterior obstruction, nasal as leading such symptoms, to secretions a increasing When with progresses location. cyst the their clogged, on is drain depending acquired, or congenital be may I Co-Authors: Main Author: c 71 - Co-Authors: Main Author: endoscopicsurgery ofnasopharyngeal 72 - ntroduction eport stenosis : 2-erod a wt a orce bltrl lf lp n palate and lip cleft bilateral corrected a with man 29-year-old A ase Report: Thornwal d Ana Carolina Gonçalves Rebêlo, Ana Cristina da Costa Martins, Costa da Cristina Ana Rebêlo, Gonçalves Carolina Ana Christiano de Giacomo Carneiro, Eduardo Boaventura Oliveira, Boaventura Eduardo Carneiro, Giacomo de Christiano Patricia IazzettiBrentan AlicianeMotaGuimarães : ein ahlge o te aohrn ae ae ad cysts and rare, are nasopharynx the of pathologies Benign C ase

R eport t cyst O bjective : pro a, 6 er o age, of years 36 man, pardo A C onclusion : o ecie cs o a of case a describe To : The incidence of NPS of Theincidence C onclusion C ase :

Posters Otorhinolaryngology Nasal : ion onclus C lting from lting Foreign bodies in the nasal cavities : J. S., a 68-year-old black man, married J. S., a 68-year-old : ure and Literat ase Report eport ion onclus R

C ase C uma: C y in the nasal septum resu y in the nasal W. P. A., a 9-year-old boy who is a student and residing in : Daniela Santos Bosaipo Daniela Santos Bosaipo Daniela Santos Carolina Santos Bosaipo, Eduardo Pereira Bosaipo Pereira Santos Bosaipo, Eduardo Carolina Carolina Santos Bosaipo, Eduardo Pereira Bosaipo Pereira Eduardo Santos Bosaipo, Carolina The authors report a case of a foreign body in the nasal septum The authors The describe a case nasal myiasis relapse, its treatment, : : eport Review external tra external ure and literat report case myiasis: nasal review R

bjective bjective ase farmer, natural, and a resident of farmer, the Rural Zone of Santa Ines-MA, sought the service of with ENT-HMTM intense facial pain and nasal bleeding for the companion 10 of During days. the the patient medical reported history, another case of myiasis 18 decrease months in the before. nasal dorsum, An and anterior inspection rhinoscopy showed revealed bilateral myiasis. He a underwent manual removal of the larvae and drug treatment with ivermectin (200 µg/kg in a single dose). He recovered with general improvement and the pain and bleeding disappeared. 76 - foreign bod thor: Main Au thors: Co-Au O C 75 - thor: Main Au thors: Co-Au O are are common, especially in children under 4 corresponding to years, 11% of cases, the of 22% in occur Complications emergencies. otorhinolaryngology resulting from removal attempts by non-qualifiedpeople, inexperience in the management of foreign bodies, long lack a for body foreign the of of presence and hospitals, public of infrastructure departments in emergency duration. The most common complication is septal perforation. In the case external only with care, initial the in mismanagement was there presented, trauma. the after symptoms of monitoring and pyramid nasal the of suturing Regardless of age, but especially in physical examination should be performed in patients with unilateral nasal children, a complete history and obstruction, and this is very important for early diagnosis and treatment as of complications. the prevention for as well resulting from external trauma, the treatment used, and a literature review. review. literature a and used, treatment the trauma, external from resulting and a literature review. review. and a literature Santa Ines-MA, visited the ENT Clinic of the Martins presenting with signs of inflammation Municipal in the left nasal cavityfor 3 Hospital Tomaz months due to trauma of the nasal from a pyramid tree branch after diving into a river, which caused nasal obstruction and occasional nosebleeds. Computed tomography (CT) of the paranasal sinuses body in showed the nasal septum. a After the trauma, he was first foreign treated only with external he sutures. Later, underwent excision of the foreign body (a piece There septum. nasal the of suturing and anesthesia, general under wood) of was no septal perforation. myiasis is a cavity infestation by larvae of Diptera, Cochliomyia hominivorax hominivorax Cochliomyia Diptera, of larvae by infestation cavity a is myiasis being the most common in Brazil, which evolves as the parasites feed on the living or dead tissues of the host. Rare in tropical and humans, rural it areas, is in frequent people in over deposited 50 are Eggs years preference. gender of no shows and age, status, socioeconomic in areas of low directly into the cavity or deposited near the nasal cavity when the patient is sleeping, after being transferred to the nasal hygienic conditions or by the finger of cavity thepatient. Atrophic rhinitis is a risk because of poor Early factors. attractive are rhinorrhea, and poor hygiene and ulcers, factor, diagnosis prevents complications, such as orbital, nasal, and tissue, paranasal and even intracranial complications. relapse, we advise To improvements in hygienic conditions and the reduction prevent incidence and factors. of risk and attractive 54 It is : ion onclus A 73-year-old : C eport R

We describe a case of We : ase C eport R

ase Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. C Osteoblastoma of the paranasal sinuses is rare. Although : Marcos Aurélio Araújo Silveira Araújo Aurélio Marcos Carolina Fischer Becker Fischer Carolina Clarissa Eufrásio Gomes Parente, Felipe Cordeiro Gondim de Caroline Persch Royer, Fernando Procianoy, Gabriela Gomes To report a case of a patient with peritonsillar myiasis whose initial whose myiasis peritonsillar with patient a of case a report To Osteoblastoma is a benign bone tumor that generally occurs in : : eritonsillar Abscess: A Peritonsillar Myiasis Mimicking avitary ase Report ion onclus C report C bjective bjective a benign osteoblastoma that developed in the ethmoid sinus of an 11-year- an of sinus ethmoid the in developed that osteoblastoma benign a old girl. Her chief symptoms were progressive left pain, facial nasal and epistaxis eventual of obstruction complained also She and asymmetry. facial which did not correlate with the time of the day. Computed tomography (CT) showed an expansive mass having the same density as bone with an irregular border in the left ethmoid cells, extending to the frontoethmoid cells, the left nasal cavity, the left maxillary sinus, and the medial wall of diameter maximum The globe. ocular the of deviation causing orbit, left the of the lesion was 3.1 cm. endoscopic Complete view and using an open removal surgical excision approach. Histologic was accomplished under inspection showed osteoid tissue with richly vascular, fibrous stroma.The and findings, histopathologic presentation, clinical on based was diagnosis the size of the No tumor. recurrence was evident at the 3-month follow-up visit. O thor: Main Au thors: Co-Au 74 - c it is a benign tumor, the lesion Differential diagnoses grows consist of in other a kinds of locally fibro-osseous lesions, aggressive like manner. osteoid osteoma. The osteoblastoma diagnosis was based on the clinical the of resection Complete findings. macroscopic and microscopic, features, treatment. lesion is the preferred thors: Co-Au O 73 - us - a case ethmoi d sin of the steoblastoma o thor: Main Au Paiva, Paiva, Mateus Aguiar de Azevedo, Thiago da Silva Carvalho Correia de Oliveira, Viviane Manica, Michelle Manzini, Otavio Bejzman Piltcher Manzini, Otavio Manica, Michelle important to note the possibility of the diagnosis of myiasis in the cavity and nasal pharynx because of the value of early treatment and to avoid of adjacent structures. invasion clinical diagnosis was a peritonsillar abscess. the vertebral column or in the long bones of the extremities. Involvement of Involvement extremities. the of bones long the in or column vertebral the sinuses is rare. the nasal and paranasal diabetic woman with a 3 year history of cacosmia and serous nasal crusts visited the otolaryngology service with a 4 day history of and fever, malaise, sore throat that made it difficultregion. She redness in the leftsignificant bulging peritonsillar and revealed to swallow. Physical examination was alert, afebrile, oriented, and cooperative, with crackles in both lung bases and otoscopy showing mucopurulence in the left external auditory canal. The oral bulging was punctured and showed no secretions. Within hours, the patient’s state evolved with signs of septicemia, a decreased level of consciousness, and blood desaturation; she was referred to intensive the care unit (ICU) the next day, requiring She orotracheal underwent intubation. a new puncture, obtaining negative were results, observed in but the left larvae posterior tonsillar pillar and left nostril minutes pulmonary bilateral of the chest revealed A radiograph after the procedure. infiltrates in the lower third. Iodoformwas applied to the oral and cavity and ivermectin was nasal administered via an orogastric tube, and broad- spectrum antibiotics intravenous were utilized. During the first 3 days, just over 150 larvae were removed, after which no more larvae appeared. The patient in worsened the week,firstrequiring vasoactive drugs, butevolved with progressive improvement from the second week on. August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 early diagnosiscanreduce thedamagecausedby thisdisease. an making as properly, it handle to and syndrome the diagnose to ability the both has sought, be professional to first the often otolaryngologist, the that important very is It Curacao. of criteria the to according diagnosis a reach to characteristics 4 of 3 requiring relatives, degree with first in epistaxis clinically present that of history family a and lesions, visceral telangiectasias, recurrentepistaxis, malformations arteriovenous multiple by syndrome is a disorder with autosomal dominant inheritance, characterized This malformations. arteriovenous visceral of presence the excluded tests Complementary cauterized. was that bleeding recent of point a showed face,oralthe cavity, of telangiectasias rhinoscopy with Anterior hands. and lips, presented she examination, On history. same the with grandfather a and brothers 2 has She bleeding. to for had department emergency often the to she go period, this During years. 15 past the over worsening breathlessness. The patient had mild epistaxis in and childhood with progressiveepistaxis recurrent of history a with department pulmonology HUAP-UFFthe by otolaryngology the to referred was woman, 48-year-old a R., eeac o icuig hs ydoe n h dfeeta danss of diagnosis differential practice. the daily our in in symptom common a syndromeepistaxis, this the including show of to relevance intend we as case, known this With also syndrome. Osler-Weber-Rendu syndrome, telangiectasia hemorrhagic hereditary with diagnosed epistaxis recurrent of case a present to is paper this of aim The Reis, Rodolfo DuarteBissoli,Sabrina MendonçaGuerreiro Co-Authors: Main Author: pott’sumor t 78 - Co-Authors: Main Author: hereditary hemorrhagic telangiectasia inthe 77 - region,intracranial orboth. region, orbital the in complications avoid nasal to order endoscopic in with surgery treated was He sinuses. maxillary and ethmoid, the sinuses of showed an contrast exacerbation of chronic with sinusitis bilaterally CT in the frontal, a assessment, new a In improvement. symptom slight had and days levofloxacin 10 with treatedwasfor He drip. postnasal and pain retro-orbital left of development after days 20 began that bone frontal bulging progressively a with associated headache recurrent who a had and hypertension and mellitus diabetes for treated and diagnosed and mortality. In this study, we present a 49-year-old morbidity male patient who was reduce to essential is treatment Early imaging. complication with be confirmed can a suspected, once as and clinical seen is diagnosis often The sinusitis. frontal is of and osteomyelitis; bone frontal with associated abscesses subperiosteal more or one having by characterized is it children in common more is that entity infrequent an is tumor Pott’s Katúcia Bezerra Viana, LuizYamashita differential diagnosis ofepistaxis -case report Davi Lins Grilo, Edna Patricia Charry Ramirez, Jader Costa dos Costa Jader Ramirez, Charry Patricia Edna Grilo, Lins Davi Bernard Beraldin, Flaviana Lima Verde, João Ricardo Fonseca, Ricardo João Verde, Lima Flaviana Beraldin, Bernard AnnieCaroline deMacêdoGomes RaphaellaCostaMoreira Simen Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. C ase

R eport : R. R. S. R. R. 55 tmia snstm wr performed. were sinusotomy 14-day ethmoidal a After sinuses. the recovery,and antrostomywithout maxillary medication the with treatment of tomography computed and treatment ceftriaxone for admitted was child The hemiface. ipsilateral the of edema was seen in the left nostril, as well as a purulent secretion in the left eye and secretion yellowish abundant rhinoscopy,an with otoscopy; and oroscopy with apparentwere alterations no examination: physical a revealedduring were following The sessions. radiotherapy 12 chemotherapy,and surgery, rhabdomyosarcoma had been treated years ago with otorhinolaryngological previoushistory of a uncountable exacerbations as of acute well sinusitis. The as patient’s leukocytosis,left-eye and fever, rhinorrhea, purulent sided left- of because pediatrics to referred was (LG) girl 5-year-old a case, this In radiotherapy. and resection, surgical chemotherapy, including patient, each for individualized be Treatmentmust symptoms. presenting common and head the neck. Nasal obstruction, in rhinorrhea, and recurrent otitis occurs media are the most mainly and children in tissues soft the of tumor malignant common most the is Rhabdomyosarcoma sinusitis. recurrent of n itmt cnat ih h cvros iu. u suy describes study Our sinus. cavernous endoscopic nasalsurgery for transsphenoidal the excisionofthelesion. with contact intimate and extension lateral with presenting clivus, the of destruction bone showed and posteriorly, extending and sinus sphenoid the its in component with largest lesion, heterogeneous expansive an cranial showed the scan CT to A nerves. changes without rhinosinusitis chronic and obstruction, nasal headache, recurrent left hemicranio frame with pigmentosa, retinitis had and years 9 of age the since impaired visually was who patient male 40-year-old a report We prognosis. for factors important most the of one and treatment of mainstay the is irradiation, postoperative with combined Although the surgical approach remains controversial,structures. total neurovascular tumor resection, vital around extension for potential the as as well rate, recurrence high and invasiveness, location, its of because treat to difficult is that tumors base skull the of one represents and notochord Chordoma clivus is rare lesion that originates from remnants of the primitive Barros, FábioMartinelli Co-Authors: Main Author: chordomaclivus 79 - O Co-Authors: Main Author: rhabdomyosarcoma associated withrecurrent 80 - described case. the in as treatment, prior having despite sinusitis recurrent is symptoms presentingfirst the of one neck, or head the in located If involvedlocation. the to according complications and symptomatology various with presents José Ribeiro Ulisses Neto, TorcuatoRojas Barcelos, Sanchez de Bicalho Henrique Paulo bjective sinusitis : A patient with rhabdomyosarcoma of the left eye with a history a with eye left the of rhabdomyosarcoma with patient A Camillus Magalhães Carneiro dos Santos, Larissa Claret de Lima, n Crln Fvr, ni Gms Buo agd, Denise Salgado, Bruno Gomes, Annie Favaro, Carolina Ana Bernard Beraldin Felipe LongoDelduqueTeixeira C onclusion : Rhabdomyosarcoma

Posters Otorhinolaryngology usal do Nasosin Alex Felippu, Alexandre Felippu Neto, Antônio Maurício Matheus Chioro Correa Matheus Chioro Matheus Chioro Correa Matheus Chioro Alex Felippu, Alexandre Felippu Neto, Ana Carolina Favaro, arcinoma Indiferencia arcinoma venile nasopharyngeal angiofibroma nasopharyngeal Juvenile Antônio Maurício Facchinetti, Flaviana Lima Verde Flaviana Antônio Maurício Facchinetti, tumor benign histologically rare, a is angiofibroma nasopharyngeal Juvenile that is very aggressive and is seen exclusively in adolescent males. These tumors are highly vascularized within the pterygopalatine fossa and have different growth patterns, including possible extension to adjacent tissues and bone destruction by compression, dura. the beyond extend can they occasions, rare on as however, involvement; well as possible intracranial surgery therapies, nonsurgical of literature the in reports are there Although a 21-year-old present to be considered the We is ideal presently treatment. epistaxis, anterior unilateral right obstruction, nasal right with patient male contrast with scan tomography computed A years. 3.5 about for anosmia and extension of the lesion to the pterygomaxillary fossa of the sinuses showed and pterygoid lamina; the lesion was successfully resected endoscopically without embolization of the tumor. An endoscopic approach is in effective the treatment efficiency the to of refers case this of presentation angiofibromas The morbidity. postoperative in their initial stage, embolization, without lesions, these treating in surgery nasal endoscopic of reduced with even in advanced stages of the disease, with acceptable blood loss; not changing endoscopic resection of all tumor and demonstrating that this is youth. of nasopharyngeal angiofibroma treatment the for alternative a safe Facchinetti, Fernanda Miyamura, Janaína La Rocca Miyamura, Fernanda Facchinetti, occurring tumor, aggressive highly uncommon, an is carcinoma Nasosinusal to difficult is and symptoms few has cavity; nasal the of portion upper the in diagnose; with and a is usually tumor diagnosed presents because a larger nasal carcinoma diagnosis of undifferentiated differential The course. rapid carcinoma, nasopharyngeal carcinoma, cell squamous includes and broad is neuroendocrine carcinoma, olfactory neuroblastoma, lymphoma. Because of the large number of melanoma, differential diagnoses, further and characterization is necessary, including immunocytochemistry in order to microscopic make a definite diagnosis. A 20-year-old examination and man had progressive bilateral nasal obstruction, anosmia, and epistaxis frequent for about 1 year. A computed tomography scan of of contrast uptake suffering lesion a with ill-definedlarge borders, revealed the sinuses medium, occupying the right nasopharynx, and extending into the as as signs well of light obstruction. Because tumor it is a rare nasal cavity, right without a defined protocolfor best treatment, treatment includes surgical resection and adjuvant therapy, such as radiotherapy and chemotherapy, in order to improve the patient’s survival and quality of life. underwent endoscopic The nasal patient surgery to resect the lesion that is currently in clinical ENT and oncology practices. performed 84 - thor: Main Au thors: Co-Au 83 - c thor: Main Au thors: Co-Au 56 A : We : eport R

bjective ase O C Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. Patient 1 was a 16-year-old boy who : eport R

ase C Frontoethmoidal mucoceles are benign and curable : Otorhinolaryngologists should remain alert to cases of : Although there has been great development in the diagnosis Felipe Cordeiro Gondim De Paiva Cordeiro Felipe Ana Maria Faria Ferreira de Oliveira Ferreira Ana Maria Faria : André Alencar Araripe Nunes, Marcos Aurélio Araújo Silveira, Amanda Feliciano da Silva, Godofredo Campos Borges, Krystal ion onclus C ion onclus C approach ackground with the use of nasal endoscopic techniques. However, early diagnosis and diagnosis early However, techniques. endoscopic nasal of use the with of capable are mucoceles these as importance, paramount of are treatment causing not only simple local complications, but also more serious ones at levels. the orbital and intracranial presented presented to the emergency department with bulging a frontal headache, bone; fever, and was clinically demonstrated improvement. After treated stopping treatment, the with bulge recurred oral antibiotics; and with a worsening of his general condition, after which he was referred to the Department of Otorhinolaryngology. He had edema and fluctuation in the frontal region. A nasal endoscopy revealed polyps in the right middle meatus, and a computed tomography of of signs and the sinuses frontal paranasal and ethmoid, sinuses maxillary, right the revealed of opacification frontal within osteomyelitis a bony fistula. He underwentendoscopic sinus surgery (FESS), with external access to the frontal bone and debridement and drainage of the 17-year- a was 2 abscess, Patient remission. in was he which after and therapy, antibiotic was then treated with intravenous old boy who developed periorbital pain, headaches, fever, and worsening edema, after treatment for conjunctivitis and influenza. In the Department of Otorhinolaryngology, a computed tomography of the paranasal sinuses opacificationshowed of and the ethmoid left sinuses frontal, maxillary, but computed a after however, region; orbital the in erosion bone of evidence no tomography revealed a left extradural abscess, the patient was referred to the neurosurgical service. Drainage of the brain abscess and endoscopic sinus surgery conducted, were with symptom resolution after an antibiotic cycle. present present here a case of complicated by an a right eye proptosis, extensive and given we its Also, aspects. frontoethmoidal clinical its analyze manifestation, as well as case sinus this of approach our present mucocele we discuss the diagnostic imaging techniques used, the treatments applied, other therapeutic alternatives, and postoperative results. thor: Main Au thors: Co-Au 82 - sinus mucocele of a paranasal report a case thors: Co-Au 81 - service tertiary sinusitis: frontal of omplications c thor: Main Au B Calmeto Negri, Mariana Lombardi Guidi, Priscila Yukie Aquinaga Guidi, Priscila Yukie Mariana Lombardi Calmeto Negri, and treatment of sinusitis, serious a complications. cerebral abscess and Pott´s tumor are Mateus Aguiar de Azevedo, Raphael Oliveira Correia, Thiago Correia Oliveira de A case report of a paranasal sinus mucocele ABSTRACT sinusitis that evolve poorly with clinical treatment treatment. including emergency multidisciplinary treatment, aggressive and should consider 47-year-old 47-year-old man had right eye proptosis, visual turvation, well-defined a showed tomography tearing, computed A hyposmia. and congestion, nasal mass in the frontal and ethmoid sinuses with right intraorbital extension. A nasal endoscopic surgical excision was performed, after which a great improvement in the presenting symptoms surgery. occurred immediately after August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 Laryngeal granulomatous disease: when thinking of leishmaniasis Oliveira de Correia Thiago Correia, Oliveira Raphael Silveira, Araújo Aurélio Marcos including diagnosis and therapy. and diagnosis including To report a case of laryngeal granulomatous disease with an atypical course, diagnosis andtreatment ofthesepatients. because of the scarcity of parasites in this clinical form, leading to delays in difficult is diagnosis specific Theinjury. nasal associated an with cases in considered as a differential diagnosis of granulomatous diseases, especially nerve, it is important to note the finding of the patient’s postoperative patient’s the of recovery finding of her visual acuity despite chronic compression the of the optic nerve. note to important is it nerve, optic the involvementof the considering case, Fromthis growth.fast its of because conditions severe cause can it nature, benign its Despite cavity. compression. resection a nerveoptic decompression,subsequent prolonged evenand with case a in of outcome favorable the report to and otorhinolaryngology in neoplasm this of manifestation important and atypical an clarify to are report this of objectives the Thus, bones. facial the in manifestation rare its of because tumors nasal of vertebrae.diagnosis differential the in and considered is It bones long the in located is and people young usually in It occurs characteristics. invasive with tumor radiological expansive and an clinical as behavior its of because “pseudo-tumors” called lesions examination. we verified total recovery of visual acuity, confirmed by an ophthalmological perform surgical excision by nasal endoscopy. On the first ethmoid postoperative day, for visualized was topography. mass After an incisional the biopsy with inconclusive results, exam, we chose to endoscopy nasal a During nerve optic compression and advanced including impairment of her ipsilateralcells, visual acuity.ethmoid right the in tumor cystic a with diagnosed She was referred to the Department of Otorhinolaryngology, HC-UFMG, and eye.right the progressivein proptosis,and acuity pain, worseningvisual of e oz Huie Broa Puo enno omn ogs Crosara, Borges Tormin Fernando Roberto EustaquioSantosGuimarães Paulo Barbosa, Haueisen Souza de ein wt endoscopy. with lesions of appearance the and improvement new symptom had patient A The process. B. amphotericin and inflammatory nonspecific chronic a cefepimeshowed examination histopathological with treatment and biopsies, laryngeal tracheostomy, included and commenced was approach new A injury. upon exudate purulent and breathing, difficulty nocturnal loss, weight fever, dysphagia, having started he and observed, orlesion was appearance improvement Nosymptom tuberculosis. for treatment specific a administered initially was He laryngitis. granulomatous non-caseating chronic showed biopsy laryngeal the of results Thecavity. nasal right the of entrance the in lesion granulomatous a with appeared recently patient recovered.Thefully he which from palate, soft the of situ in carcinoma for chemotherapy and radiotherapy underwent patient the presentation, this the vestibule and glottis, with preserved vocal fold mobility. Six years before occupied and epiglottis the destroyed partially a that sawlesion granulomatous we telelaryngoscopy, with year; a for dysphonia progressive had Co-Authors: Main Author: laryngealu gran 86 - O Co-Authors: Main Author: recovery ofvisu 85 - bjective of leishmaniasis optic nervecompressionbyananeurysmal bonecyst : The aneurysmal bone cyst (ABC) is included in the group of bone groupof the in included is cyst(ABC) Thebone aneurysmal Danilo Santana Rodrigues, Luciane Maria Pereira Michel, Pamela André Alencar Araripe Nunes, Clarissa Eufrásio Gomes Parente,Gomes Eufrásio Clarissa Nunes, Araripe Alencar André Felipe Cordeiro GondimdePaiva Marcela Silva lima C C onclusion ase

R eport : The ABC can rarely present as a tumor in the nasal : C 1-erod eae ain hd udn eye sudden had patient female 19-year-old A al ac uity afterremoval ofchronic onclusion lomatous disease:whenthinking C ase : ayga lihaiss hud be should leishmaniasis Laryngeal

R Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. eport : A 65-year-old male patient male 65-year-old A O bjective :

57 CIMDL. in limited is therapy Immunosuppressive complicate. can serology ANCA The disease. autoimmune an with diagnosis differential a determining in difficulty the of reminder a is case this of importance The occurred. (1/80) P-ANCAthe in decrease a and started, was methotrexate and prednisone but dysmorphic erythrocytes (70%), and the P-ANCA tissue, was 1/640. Treatment with granulation with hematuria showed test urine with a later, days Sixty malignancy. without process inflammatory chronic a showed only septal perforation without sinus injuries. A biopsy of the nasal mucosa showed sinuses paranasal the of tomography computed A negative. were speed was 44 mm, with platelets of 479,000, and the P-ANCA and C-ANCA septum with crusts. Of the laboratory tests ordered, the nasal hemosedimentation the of destruction extensive was there examination, physical Upon cocaine. using to admitted patient the however, queries, subsequent In patient denied the use of cocaine or other illicit drugs during the first inquiry. history,smoking therewerea addition, reportsof In the disease. but the of with diagnosed was patient The systemic lupus erythematosus 25 months. years ago but did not have any symptoms 15 about for pain nasal and hyposmia, crusting, bleeding, nasal rhinorrhea, purulent obstruction, nasal 44-year-oldhad A phenomenon. autoimmune an with associated (CIMDL) lesion destructive midline cocaine-induced a of report case a describe to is inhalation that leads to nasal septum perforation. The objective of this work intranasal is cocaine powdered of administration of route used frequently of clinical pathologies related to spectrum this form of drug broad abuse is emerging. Thea most cocaine, of use illicit widespread increasingly With Co-Authors: Main Author: cocaine-induced mi 87 - Co-Authors: Main Author: c 88 - of life thatsofar hasproved effective. It was an attempt at a palliative intervention to improve the patient’s quality described the use of this technique for extensive hemangiomas of the face. reports No telangiectasia. hemorrhagic hereditary of severeforcases used wasdevisedbyYoung originally is fortreatmentatrophicand the of rhinitis technique This dehiscence. after epistaxis of episode 1 only with months, 4 for followed was patient The epistaxis. the stop to attempt an as cavity nasal left the of closure indicated HCFMUSP at group otolaryngology the alternatives, more no were there As embolize. to arteries feasible more no werethere as procedure, the continue to possible not was it but sessions, treatment for her. She received hemostatic radiotherapy and 5 embolization and neck surgery departments that evaluated head her, and and neither indicated surgical surgery epistaxis plastic the recurrent Both consequences. hemodynamic with caused presented she hemangioma; extensive hemifacial an with patient female 32-year-old a of case the describe We Priscila MunizFontinele, Richard LouisVoegels hemangioma: acase report recurrent epistaxis inanextensivefacial losure ofanasal cavity asatreatment for Fabio de Rezende Pinna, Mona Sayed, Nathalia Soares Campos, helena mariagonçalves becker, leandro brandao guimaraes Frederico Castro DePaula Vanessa MikaKinchoku line destructive lesions

Posters Otorhinolaryngology Patients undergoing a undergoing Patients : ion onclus C report a case syndrome: lbright A case description of suppression of post-caloric nystagmus : Lilian Felipe Nathalia Soares Campos Nathalia Soares Fábio de Rezende Pinna, Fernando de Andrade Balsalobre, Denise Utsch Gonçalves, Gabriela Souza de Melo Silva Denise Utsch Gonçalves, eport ’S PHENOMENON : BELL EXAMINATIONS R

ase Leandro Parilla Foltran, Richard Louis Voegels, Vanessa Mika Kinchoku Vanessa Louis Voegels, Richard Foltran, Parilla Leandro McCune Albright Syndrome is a classical clinical triad: dysplasia Osseous with fibrous variant polyostotic, coffee with milk spots and precocious puberty. It (cafe is a rare au illness with a lait), prevalence varying from 1/100,000 to 1/1,000,000. Osseous head and neck involvement is present in 50%–100% of the polyostotic forms. Diagnosis is based on suggestive clinical discoveries and helped by imaging and biopsy. In this case report, we will report on an 11-year-old female patient, who presented with the complete clinical triad. Fibrous dysplasia seems to be the most common component of the syndrome and is more clinically relevant to changes in proximal the are dysplasia by affected most are that areas The definition. its reason, this For asymmetry. facial by manifested often base, skull and femur otolaryngologists provide many of the diagnoses for this condition, so they treat and approach, multidisciplinary a propose diagnose, to able be should it. Computed tomography is the best method to reveal skull base lesions, which have the appearance of ground glass. In most cases, surgery is not but it continuous to and is observation have imaging imperative necessary, of dysplasia, as well as regular evaluation of the cranial nerves. The use of bisphosphonates remains controversial, but they were chosen for the patient in question and had satisfactory results. Objective of this report is to describe a rare case of McCune-Albright syndrome with the complete diagnostic triad and our experience in of this case. treatment the diagnosis, monitoring, and 92 - UROLOGICAL IN OTONE OF VIDEO-FRENZEL the IMPORTANCE thor: Main Au thors: Co-Au C 91 - cCune A m thor: Main Au thors: Co-Au caloric test may show an absence of post-caloric nystagmus associated with associated nystagmus post-caloric of absence an show may test caloric labyrinth disease or the inherent conditions of the test itself, without any after response bilateral of absence the In involvement. vestibular to relation with repeated be test the that recommended been has it stimulation, caloric the open patient’s in eyes the dark to is there ensure a commitment real of vestibular function or to determine if the response was suppressed by Bell Phenomenon, which is defined as deviation and adduction of the eyeball that can occur in some normal individuals during eye closure, the inhibiting onset of post-caloric nystagmus, and having no relation to lead to diagnostic errors. may disease. Ignoring this measure labyrinth is presented that was not related to vestibular The application disorders. of caloric testing Methodology: under different environmental conditions was performed. In the firstvestibular examination, the patientkept their eyes closed during the caloric test. In the second step, the same patient kept their eyes open in the dark during the caloric test using Video-Frenzel (Digital Contronic, Frenzel, Brazil). Pelotas, Results: Bilateral suppression of was noted, with result test andin athe normalfirst nystagmus post-caloric exam. second the in recorded nystagmus 58 Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. Fernando de Andrade Balsalobre de Andrade Fernando Nathalia Soares Campos Nathalia Soares Fábio de Rezende Pinna, Richard Louis Voegels, Roger Schmidt Fábio de Rezende Pinna, Leandro Parilla Foltran, Nathalia Soares Soares Nathalia Foltran, Parilla Leandro Pinna, Rezende de Fábio report case a technical d process: the odontoi Campos, Richard Louis Voegels, Vanessa Mika Kinchoku Vanessa Louis Voegels, Campos, Richard The Kartagener Syndrome is a rare recessive autosomal disease, including the following triad: chronic sinusitis, bronchiectasis, and incidence with The of dextrocardia. this genetic disorder is estimated to be situs inversus about 1/25,000. Our purpose of this case report is to present a 37-year-old woman who was seen by the otorhinolaryngology service of the Hospital das Clinicas, of University and São who Paulo had rhinosinusitis symptoms This since childhood, and infections as marital as well infertility. respiratory report shows the diagnostic methods and their challenges, as well as the recommended treatment, goals, and prognosis of the syndrome. The goal is to begin early treatment of infections of the upper respiratory tract and middle ear and the prevent development of complications such as hearing impairment and bronchiectasis. Prognosis is dependent on early diagnosis clinical follow-up. and appropriate Brock, Vanessa Mika Kinchoku Mika Vanessa Brock, This case report demonstrates the feasibility of resection of performing the odontoid a via complete an entirely transnasal and fully endoscopic approach. A 40-year-old male patient with a previous diagnosis of type I Arnold-Chiari malformation had a posterior dislocation process of that caused the severe anterior odontoid compression of the brainstem. Type I Arnold-Chiari malformation consists of a congenital malformation of the posterior cranial fossa causing herniation of the cerebellum and brainstem through the foramen magnum into the spinal canal. In ventral the brainstem presence compression, of the most widely used anterior approach to the cervicomedullary junction via the atlantoaxial region is a transoral route. This report attempts to demonstrate that an endoscopic endonasal approach should now be in selected cases. approach transoral traditional considered an excellent alternative to the thor: Main Au thors: Co-Au 90 - report yndrome: a case S kartagener thors: Co-Au 89 - of d resection an approach transnasal ndoscopic e thor: Main Au August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 occur intheheadandneckarea. an in predominantly diagnosis forms cutaneous differential isolated as of patient, immunocompromised importance the besides case, highlight, the to of rarity aims the article of This reported. is accident car a after A case of a female kidney transplant patient who acquired ear sporotrichosis petersen rosito ih eee er disease. heart severe with patient a in otitis external malignant bilateral of case a Toreport Purpose: Carrara Lacerda Lúcia Vânia Tinoco, Oliveira De Bandoli Saulo Tinoco, Oliveira De Bandoli Co-Authors: Main Author: bilateral MALIGNANT EXTERNAL OTITIS INAPATIENT 94 - Co-Authors: Main Author: external EARsporotrichosis 93 - days after surgery. after days 4 occurred replacement,Death period. postoperative valve the in unsatisfactorily mitral progressing for surgery underwent patient The clinic. at weekly the followed being is and treatment, of weeks 2 after discharged was patient ear.The left the in as resolution same the with canal auditory and external right the of stenosis developed patient ciprofloxacin, but treatment, of weeks 8 intravenous monitoring, analgesia treatments daily for 3 weeks. The resolution was satisfactory underwent after cardiac patient the and hospitalization, performed, was ears Surgical both ear. right of the debridement in uptake contrast increased of area an showed scintigraphy Gallium-67 cells. mastoid the of opacification without canal auditory external right the in swelling showedComputed mastoid ear.the of tomography left the in helix right and canal, auditory external pinna, therapy.antibiotic the in necroticEctoscopytissue showedpresenceof the improvewith not did after and otorrhea ipsilateral and swelling with associated days 20 earache right a developed presented patient The ear. right treatment, his in itching developing irregular in disease heart severe external otitis. satisfactoryprogressmalignant the of to areessential diseases systemic of diabetics, and the immunocompromised. The correct treatment and control patients, elderly mainly affects that disease fatal potentially and infectious WITH HEART DISEASE Caroline Persch Royer, Inara Luiza von Holleben, leticia schmidt leticia Holleben, von Luiza Royer,PerschInara Caroline ln Aaj Sria Lr Bnn D Amia rt, Marina Brito, Almeida De Bonani Lara Saraiva, Araujo Aline Paulo Tinoco MichelleManzini C onclusion C ase : Malignant external otitis is an aggressive an is otitis external Malignant

R eport Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. : 5-erod a, eie with retired man, 56-year-old A 59 is scheduled. is radiosurgery and palsy, facial right and loss hearing including sequelae, with remains was patient The days. 15 Surgery in occurred resolution and diameter. noted, was greatest its in cm performed with a partial removal 4.9 of the tumor, cerebrospinal fluid rhinorrhea measuring and cerebellopontine the angle in right the on schwannoma vestibular a showing with right facial paralysis. The following year, an MRI of skull was years, acquired, 2 evolved condition patient’s the years, 2 After In investigated. been not has that balance. ear right the of in loss hearing sensorineural loss moderate showed audiometry progressive and experience headache, to began vertigo, he later, years Seven ear. right his in loss hearing and fullness, ear tinnitus, sudden reported age, of years 30 man a P.N., ons n hmn oc, n cno dsrmnt vwl, od, or follow-up. words, of vowels, years 2 discriminate after cannot sentences and voice, human and sounds Themean environmentalThethresholddetect HL. tonal only wasdB can 46.2 patient were achieved. window. improvements round threshold hearing the field via Sound inserted partially was array electrode cochlear A preservation. nerve facial and cochlear, functional anatomic, with RLA via accomplishment removalwas tumor Complete stimulation. promontory CI. Functional assessment of the cochlear nerve was performed by electrical from NF2 underwent a vestibular schwannoma resection and simultaneous 36­ A Report: Resumed surgery. same the during window round the through CI and preservation nerve cochlear with RLA via resection schwannoma vestibular underwent patient with a progressive evolution of about 12 years. 12 about of progressiveevolution a with patient preferably MRI.Keywords: Neuroma, acoustic;Tinnitus; Audiology. enter into the differential diagnosis, and it is necessary to perform imaging, vertigo, and unilateral sudden hearing loss, vestibular schwannoma should evoked are auditory brainstem examinations response and MRI. In summary, core in patients with tinnitus, The manifestations. neurological central larger dimensions, it can also affect the facial or trigeminal nerve or present reaches it initial When complaints. first the as vertigo and tinnitus, the loss, hearing often, Most year. per inhabitants symptoms are neurotological, including progressive unilateral million sensorineural per cases 200 of approximately 9% of intracranial tumors. A Danish study found an incidence to corresponding angle, cerebellopontine the of tumor common most the methods. fossa cranial middle and retrosigmoid, translabyrinthine, were described approachesTheliterature. the in reported been have patients (NF2) 2 type I Co-Authors: Main Author: aRETROLABYRINTHINE APPROACH FORCOCHLEAR 95 - O Co-Authors: Main Author: vestibU 96 - Varginha, PriscilaRamalhoOliveira Barreiros, RenataBraga Barhouche Ricardo Ferreira Bento,RubensdeBrito,Tatiana Alves Monteiro: purpose andfeatures anoptionfor hearingpreservation inNF2patients. this for adequate is RLA achieved. are preservation nerve functional anatomic and cochlear when NF2 in option restoration auditory feasible a is ntroduction bjective IMPLANTATION INNEUROFIBROMATOSIS TYPE2 NERVE PRESERVATION ANDSIMU : To report a case of schwannoma of the cochlear nerve in a young O Aline Gomes Bittencourt, Maria Valeria Schmidt Goffi¬Gomez, Schmidt Valeria Maria Bittencourt, Gomes Aline eik eria e laeg, aed Mra vl d Silva da Ávila Maria Nadejda Alvarenga, de Ferreira Herick LarissaVilela Pereira Thamiris CristinaSantosLopes : bjectives Few cases of cochlear implantation (CI) in neurofibromatosis in (CI) implantation cochlear of cases Few C onclusion LAR SCHWANNOMA: ACASE REPORT : o ecie cs o a NF2­ a of case a describe To year : A vestibular schwannoma (acoustic neuroma) is neuroma) (acoustic schwannoma vestibular A l wmn ih eee iaea haig loss hearing bilateral severe with woman ­old C onclusion LTANEOUS COCHLEAR : oher implantation Cochlear efnd ain who patient deafened C ase

R eport : F.P. J.

Posters Otorhinolaryngology A higher : : A CASE ion onclus We emphasize the : C ion onclus C We describe a case of a 29-year-old : eport R

ase C An elderly hypertensive and insulin diabetic reported reported diabetic insulin and hypertensive elderly An : eport R

ase Carolina Figueira Selorico Figueira Carolina Emidio Oliveira Teixeira Emidio Oliveira Alexandra Alexandra TorresCordeiro Lopes de Souza, Imad Saleh Hijaz, Danielly Solar Andrade Oliveira, Helena Cunha Sarubi, Juliana Necrotizing external otitis is a potentially lethal infection that C : Cholesteatomas are cystic lesions lined with stratified squamous : URE REVIEW AND LITERAT REPORT invasive A Cholesteatom congenital bjectives bjective woman woman with facial palsy and hearing loss congenital secondary to cholesteatoma left aggressive with significantsuperior erosionsemicircular canals, the lateral wall of the of attic, the promontory lateralthe of the and cochlea, and the ossicles, and with complete erosion of and the stirrup body anvil and the tegmen tympani. importance of early diagnosis and appropriate treatment of this disease in insidious, although destructive, its to related complications prevent to order behavior. affects affects mainly elderly diabetic patients, starts canal at (EAC), and the extends to external the auditory skull base. Pseudomonas aeruginosa found in is 96 to 98% of cases. We report a case and correlate literature. it with the PALSY AND FACIAL OTITIS EXTERNAL 100 - NECROTIZING thor: Main Au thors: Co-Au O 99 - thor: Main Au thors: Co-Au O index of suspicion should be provoked early and the appropriate therapy the morbidity and mortality of patients. instituted to reduce Altavilla Van Petten Machado, Marconi Teixeira Fonseca Teixeira Machado, Marconi Petten Van Altavilla epithelium and filled withkeratin with expansive capacity and bone lysis, usually located within the middle ear or other pneumatized areas of the temporal bone, may invade adjacent even structures, after resections. and tend to relapse, the onset of right otalgia and clinical sudden response to systemic otorrhea or topical antibiotics. The for patient’s condition 45 days without progressed a with worsening pain and facial paralysis. Upon examination, grade V right facial palsy (House–Brackmann) was noted. Otoscopy found tissue granulation and pus, conduit, and shell the of edema and hyperemia at the junction of the osteocartilaginous and tympanic scan membranes. CT A Tests CRP. and ESR increased and hyperglycemia, leukocytosis, showed EAC. the in thickening and density tissue soft a with fabric mastoid revealed An ear discharge culture was positive for Pseudomonas aeruginosa and biopsy of the granulation tissue revealed chronic inflammatory technetium infiltrates. with scintigraphy Bone areflexia. stapedial noted Tympanometry captante right. Intravenous and a was there h, 48 topical After conduit. the of vacuuming daily antibiotics and control glycemic were initiated, with normoglycemia. and pain, no otorrhea, decreased granuloma, of regression Antibiotic therapy was maintained for 8 weeks. After this period, gallium scintigraphy was acquired using the VHS standard, and the otoscopy was unchanged and clinically stable. We chose to continue the ciprofloxacin and to acquire new control with scintigraphy gallium. Larissa Salomão Pereira, Nicolau Tavares Boechem, Thaís Lima Erthal Boechem, Thaís Nicolau Tavares Larissa Salomão Pereira, 60 Because of the mild : ion onclus C Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. A woman, 37 years of age, visited the : eport R

Spontaneous meningoencephaloceles are rare, rare, are meningoencephaloceles Spontaneous : ase C ion onclus C Meningoencephaloceles are herniations of the meninges, : Lorenna Firmino da Silva Firmino Lorenna Ricardo Gimenes Ferri Ricardo Ana Sarah Portilho, Ceres Cristina Bueno Dallarmi, Melissa Francis Francis Vinícius Fontes de Lima, Ricardo Barbosa Ramos Filho, To describe a case of oligosymptomatic glomus tympanicum : m: a case um: a case us tympanic glom oligosymptomatic report bjective ntroduction Ameloti Gomes Avelino, Natasha Marques Mota, Paola Morales Salarini Pinto symptoms in the early stages, the otorhinolaryngologist should be alert to the suspicion of this disease to an make early diagnosis a and thus provide possible. way the patient in the least aggressive for permanent cure O thor: Main Au thors: Co-Au 98 - I 97 - BONE OF THE TEMPORAL meningoencephalocele thor: Main Au thors: Co-Au cerebrospinal cerebrospinal fluid, and/or brain beyond the cranial cavityresulting from a bone defect. Purpose: This article meningoencephalocele of reports the were a Data temporal Methods: repair. bone rare for used technique with the case as well as a picture, of clinical slightly idiopathic suggestive patient, the with interview an records, medical of review a through obtained a and undergone, has patient the methods diagnostic of records of review a review. literature and small at diagnosis. Ronaldo Carvalho Santos Júnior, Rosa Grazielle de Barreto Prado Lima, Valéria Maria otorhinolaryngology clinic with non-pulsatile tinnitus of the right ear for 1 of otoscopy An fullness. ear and dizziness, loss, hearing ipsilateral with year the right ear verified the presence of areddishretrotympanic, lesion above the A promontory. hypothesis of tympanic paraganglioma was suggested. Temporal bone CT displayed a rounded lesion on the promontory middle not ear size described with that in a was the diminutive radiological of the for tympanotomy exploratory an underwent patient The examination. report a specimen was macroscopic that of result showed the lesion. The removal 2 small, brownish, and elastic fragments, the largest measuring 0.2 cm × 0.2 cm × 0.2 cm and the smallest 0.1 cm × 0.1 cm × 0.1 cm. Microscopy showed a neoplasm of epithelioid cells hyaline stroma and and capillary a ectasia. There trabecular was a presence pattern of trabecular with bone tissue adjacent to the neoplasm. histopathological were The features compatible with tympanic paraganglioma. with an incidence of approximately 8.6% among meningoencephaloceles. This case illustrated the diversity of clinical meningoencephalocele of the presentations temporal bone, demonstrating its of the rarity, idiopathic difficultyof making the diagnosis in the presence of a suggestive clinical picture, and additionally warning about the importance of considering it in meningitis. diagnosis in cases of recurrent the differential August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 despite the presence of synechiae in the left nasal cavity.nasal left the in synechiae of presence the despite symptoms angiofibroma. developed clinical nasopharyngeal patient no The postoperative immediate and of diagnosis the trans-operativeuneventfully.confirmed progressed Histopathology period The block. en lesion the removeto degloving mid-facial via transparency.performed was a Resection showed sinuses paranasal with preservedwere cavity.sinuses Thenasal left and the in lesion hypodense nose the of tomography Computed wasthat nasopharynx freetissue. a tumor and of choanae, patent meatus, normal their and conchas anatomical revealed nasal examination right The the septum. inspect to used was mm/00) (4 septum. endoscope nasal nasal rigid anterior-superior A the of region mucosa the in originated have to appeared that bleeding, lesion, a revealed examination Physical obstruction. also nasal ipsilateral and He cavity nasal bleeding. left the in of tumor a amount reported the in increase months progressive a two with about earlier started had that epistaxis recurrent with presented angiofibroma (ENA), an extremely rare tumor. Nearly 65 cases were 65 2004. Nearly to prior literature rare tumor. the in described an extremely (ENA), angiofibroma affected patients. for strategies treatment at tailored more condition in result this will diagnosis of of time Awareness the prognosis. poor a with associated and diagnose, to difficult aggressive, extremely is that disease a is granuloma Belchior Lima Vinícius Azevedo, de Aguiar Mateus Feijão, Justa da Melo Regina Maria Selorico, ImadSalehHijaz,LarissaSalomão,NicolauTavares Boechem of a tumor in the head or neck associated with nasal or paranasal bleeding. case the in suspected be should ENA atypical. more even here presented case clinical the rendered which sinus, common maxillary the is involvement most of site The years. 10–20 aged those among prevalent more are O Co-Authors: Main Author: 102 - Extranasopharyngeal angiofibroma:case report O Co-Authors: Main Author: 101 - Lethal mid the context of previously published data. published previously of context the in patient, young a in disease this of case a report to Weaimed cells. killer with associated strongly is infection It by the Epstein–Barr virus (EBV) men. resulting in the migration affects of natural predominantly and decade 4th the around occurs that disease rare a Non-Hodgkin’s is type nasal granuloma.the of lymphoma midline idiopathic or lymphoma, Hodgkin’s non- granulomas reticulosis, polymorphic granulomatosis, midline Wegener’s as Lethal classified are region. mediofacial the palate, of sinuses, tissues paranasal deep cavity,and nasal the of destruction progressive oioig ad aiteay ih chemotherapy. with radiotherapy and monitoring, clinical and debridement, surgical to palate subjected was the patient The cavity. destroying nasal rapidly, progressed condition type). patient’s (nasal The lymphoma extranodal revealed analysis Histopathological positive. EBV were cultures The biopsied. were pharynx and cavity nasal the and analysis, for obtained were samples blood antibiotics, spectrum broad- administered was patient The pillars. tonsillar mutilation and tonsil left and the of cavity nasal the a of necrosis noted with we patient emaciated examination, very physical On epistaxis. patient’s and the condition of general worsening discharge, foul-smelling brown, runny with associated become had cough the time, Over loss. weight and cough, dry presented at our institution 5 months ago with odynophagia, evening fever, bjective bjectives literature review : To present an atypical manifestation of an extranasopharyngeal an of manifestation atypical an Topresent : André Alencar Araripe Nunes, Felipe Cordeiro Gondim de Paiva,de Gondim CordeiroFelipe Nunes, Araripe Alencar André Figueira Carolina Souza, de Lopes Cordeiro Torres Alexandra ehl iln gauoa s snrm caatrzd by characterized syndrome a is granuloma midline Lethal Marcos Aurélio Araújo Silveira Thaís LimaErthal line granu loma: case report and Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. C C ase ase

R R eport eport : : C An 11-year-old boy 11-year-old An A 23-year-old man 23-year-old A onclusion C onclusion : Midline : ENA 61 C hemiatrophy. Marília FábiaBentiviAndrade the patient underwent surgery for facial filling with methacrylate. with filling facial for surgery underwent patient the and made was syndrome Romberg Parry of diagnosis The structure. brain in change no showed imaging resonance magnetic Cranial cheek. left the in tissue adipose of destruction the to due asymmetry facial and structure face. her bone preserved of showed sinuses side paranasal the left of tomography the Computed of muscle and tissue subcutaneous atrophic facial asymmetry presented at our clinic. The physical examination revealed O Co-Authors: Main Author: 103 - P synthetic materials(e.g.,silicone,methacrylate,hydroxyapatite). graftsand/or bone of use Moresevererequirethe may osteotomyor cases implants, and reconstruction with adipose tissue, muscle and pedicle flaps. inorganic collagen, bovine or injections silicone facial with deformity the of correction involves Treatment exams. imaging by confirmed clinical, is tissue. Bones and muscles are affected in more severe cases. The diagnosis subcutaneous and skin involving usually cases), of 95% in (unilateral face women.Thecharacterized byis slowly condition progressive atrophy the of young affects mainly that etiology unknown of disease rare extremely an minimize postoperative complications autologous such as septoplasty are and turbinectomy. options to important is planning surgical surgicalOptimal biomaterials. and implants nasal primary The irrigation. nasal involves typically treatment conservative lacking, currently are criteria diagnostic resection of the turbinate and septal perforation. Although well-established with associated is condition cavity.This nasal broad a despite obstruction nasal paradoxical iatrogenic by characterized disorder rare a is syndrome nose empty Thesurgery. turbinate by accompanied usually is septoplasty deviation, turbinate inferior contralateral the of hypertrophy compensatory n mitie o cnevtv treatment. conservative on maintained and syndrome nose empty with diagnosed was patient The ethmoidectomy. and turbinectomy partial turbinate middle of signs septal as well as large perforation, a revealed endoscopy Nasal septoplasty. and polypectomy undergone had he since anosmia and obstruction nasal reported patient efre ooayglgcl surgeries. otolaryngological performed Barbeira, RosaneSicilianoMachado O Co-Authors: Main Author: 104 - Empty nosesyndrome-case report omments bjective bjective arry RombergSyndrome : : o rsn a eteey ae ae f rgesv facial progressive of case rare extremely an present To o ecie rr cmlcto o oe f h ms commonly most the of one of complication rare a describe To : Parry Romberg syndrome (or progressive facial hemiatrophy) is hemiatrophy) facial progressive (or syndrome Romberg Parry oo eo Sua etv, acn Cu Mrn Soares, Moreno Cruz Marcone Bentivi, Sousa e Melo João Marcos Aurélio Baptista de Oliveira, Patrícia Bittencourt Barcia Bittencourt Patrícia Oliveira, de Baptista Aurélio Marcos JanainaOliveira BentiviPulcherio JanainaOliveira BentiviPulcherio C ase

R eport : 2-erod eae ain wt progressive with patient female 24-year-old A C ase

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Posters Otorhinolaryngology We : E.P.S., E.P.S., : The use : eport A patient R eport

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ase ase C ase C ion onclus C C Dacryocystocele should be : To report a To rapid prototyping : bjective ion onclus O C ucopyocele acryocystom A patient diagnosed with mandibular 1: ase C lt case of d case lt du Welington Martins Vieira Welington Guilherme Webster Describe a rare case of dacryocystomucopyocele caused by Flávio Serafini Ana Lívia Muniz da Silva, Érica Carla Figueirêdo de Souza, : bjectives of rapid prototyping biomodels in the treatment cases provided of superior diagnostic these evaluations and improved intervention two reported 1, case in especially time, surgical in reductions consequent with planning, possible. customization was prosthesis where with orbitozygomatic fracture sequelae, midface complaining asymmetry. The biomodel of was constructed diplopia for of and the contralateral comparison orbital and zygomatic measurements, and for osteotomy planning prior to orbitozygomatic block repositioning. the surgical approach taken to the paranasal sinuses. biomodel used in two cases of facial reconstruction. uctions 108 - reconstr for facial del biomo a rapid prototyping thor: Main Au thors: Co-Au rare a rare A 107 - thor: Main Au thors: Co-Au O The The complexity of treating injuries reconstruction to can the be facial addressed skeleton strategic effectively and defects, existing of evaluations that diagnosis, facilitates by approach require rapid prototyping. This planning of the surgical event, potentially involving the customization of the alloplastic implants to be used. Paloma Paloma Simoni Gama Ferreira Bigatão, Patricia Maria Sens, Vinicius Lopes Barbosa Sampaio 61-year-old 61-year-old brown man started to complain swelling in of the left redness, eye, cacosmia, tearing, and bloody/purulent pain, oral discharge 9 months ago. There were no other complaints. At follow-up, there was an increase in intraocular pressure due to the presence of a lesion expanding toward the orbit. As a child, the (Caldwell patient Luc). had The physical undergone examination sinus revealed surgery bulging of the floor. orbital Anterior rhinoscopy revealed on thea left fistula with purulent discharge exam showed oral meatus. The no active discharge in the middle canine. of Tomography the orbits revealed an expansive lesion infiltrating the left nasolacrimal duct, infratemporal and extending temporal fossae, with to slight marginal enhancement of the masticatory the lesion, corresponding to mucocele. Intravenous antibiotic therapy space was and administered and endoscopy was performed (uncinectomy and maxillary observed abundant We antrostomy). purulent discharge from the maxillary sinus and a lesion cystic thick-walled in the of region the nasolacrimal sac. The cyst was removed from the left nasal cavity by Luc” using the technique. “Caldwell Pathological analysis allowed respiratory mucosa for with hyperplasia of the seromucosa acini, fibrosis, the and identification of chronic nonspecific inflammation. considered considered in the differential diagnosis of patients with obstruction of the lesion. lacrimal sac or duct in association with an expansive condyle osteochondroma. A rapid facial prototyping biomodel was used to customize the condylar prosthesis prior to surgery. followed two cases followed of facial reconstructions guided by biomodels obtained by rapid prototyping. 62

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ase ion onclus C C REPORT : CASE A 13-year-old male patient male 13-year-old A : eport R

Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. eport ase R ase C C Melanoma: avity Douglas Antonio de Resende Gonçalves Rafael Fernandes Goulart Dos Santos Fernandes Rafael João Machado Barrêto de Menezes Neto, Marcelo Braz Vieira, Adriano De Carvalho Nascimento, Miguel Eduardo Guimarães Sinus teratocarcinosarcoma is an extremely rare malignant tumor malignant rare extremely an is teratocarcinosarcoma Sinus : This study reports a case of malignant melanoma localized primarily : bjective im teratocarcinosarcoma teratocarcinosarcoma is a malignant neoplasm that should be considered in the differential diagnosis of tumors of the nasal cavity in young people complaining of nasal obstruction and epistaxis. recurrent Early diagnosis is important due to the of aggressiveness the which tumor, may compromise the patient’s prognosis. to the nasal cavity in the context of the relevant literature. O thor: Main Au thors: Co-Au CAVITY OF THE NASAL 106 - TERATOCARCINOSARCOMA A asal C asal N 105 - thor: Main Au thors: Co-Au Martha Tatiane Mesquita dos Santos, Oswaldo Oliveira Allemand Lopes Azevedo Paula do Júnior, Nascimento Macedo, Monik Assis Espíndula, Nathália Moura Da Silva Guércio, Wilson Benini Guércio presented complaining of nasal obstruction for the past 4 years and recurrent recurrent and years 4 past the for obstruction nasal of complaining presented the in lesion a revealed examination physical The childhood. since epistaxis right nasal with cavity nostril externalization. of Computed the tomography skull and paranasal sinuses revealed a lesion occupying the entire nasal cavity and right maxillary right sinus with no bone lesion erosion. The was not detectable by CT angiography with contrast enhancement. The lesion was excised surgically. Histopathological analysis identified the lesion as malignant and poorly differentiated. The immunohistochemical analysis yielded a diagnosis patient The of is teratocarcinosarcoma. currently under treatment with chemotherapy in the oncology department. that arises from epithelial pluripotent olfactory cells in the nasal cavity. It consists of neuroectodermal, epithelial, and mesenchymal proliferations of variable degrees of maturation. The presence of fetal squamous with cells clear cytoplasm is considered as a pathognomonic histopathological finding. Clinically, the patientsnasal obstruction, present but other symptoms may arise recurrent with as anosmia, mental epistaxis epiphora, disturbances, proptosis, and visual and loss, depending on the extent of tumor growth. Herein, we report the Otorhinolaryngology case of Service the to of presented who teratocarcinosarcoma, a young patient with a DF. - Armadas Forças das Hospital of A 43-year-old man presented complaining of nasal obstruction that had worsened progressively over the recurrent with associated was and side, right the to previous predominantly localized 8 months. The obstruction self-limiting epistaxis and weight loss (10 kg in 3 months). examination revealed a The large, pale physical red tumor within the right nasal cavity were There cavity. nasal left the towards septum nasal the pushing was that otoscopy. or cavity oral the in changes nodes, lymph cervical identifiable no A sinonasal computed tomography scan occupying the revealed nasal cavity and hypodense paranasal sinuses to material the right, The erosion. extending or destruction bone of signs without rhinopharynx, the towards anatomopathological analysis revealed a poorly differentiated malignant neoplasm. The immunohistochemical malignant melanoma. Conclusions: presentation The of a melanoma in the results were melanomas. all of 2% approximately for accounting rare, is mucosa primary consistent with Melanomas are tumors originating from melanocytes, cells derived from the neuroectoderm located in the basal layer of the skin, its attachments, and more rarely in the mucosa. Mucosal melanomas typically involve the nasal and cavity, these account for 4% of all sinonasal malignancies. This case report, which describes a rare tumor of the nasal is cavity, expected to improve the recognition and referral of this condition by ear, nose, and multidisciplinary management. (ENT) specialists for throat August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 intraorbital abscess. nr-prtv bod os a ecsie n a lo tasuin was transfusion blood a required. and excessive was loss blood Intra-operative option. treatment a as embolization preoperative with surgery endoscopic evaluation, finally and (CT) tomography (MRI)/computed imaging ophthalmologic resonance magnetic to endoscopy, subjected nasal was with patient examination The clinical institution. our at JNA of management intraoperative and preoperative the reducedreporting at aims study morbidity.This with associated procedures open to approach alternative an is resection Endoscopic time. surgical and bleeding reduce to considered be may embolization but surgery, is choice of treatment The males. young in lesion, benign exclusively almost occurs a rare and invasive, local and is vascular highly is which (JNA) angiofibroma nasopharyngeal Juvenile Ribeiro Magalhães,NilmaSilva doNascimento,PriscillaGueiral Ferreira Gonçalves, LucasLara Hahmed,Vanessa RamosPires Dinarte Co-Authors: Main Author: 110 - C O Co-Authors: Main Author: 109 - C evolution was unremarkable; he was discharged two weeks after surgery.after weeks two discharged was he unremarkable; was evolution clinical patient’s The drained. were abscesses intraconal and extra- the as Luck incision) and frontal sinusectomy by Linch incision. The sinuses as well Caldwel– a (using sinusectomy open-jaw to subjected then metronidazole frontduralleft fold. The and wasoxacillin, patient treatedceftriaxone, with revealedskull the empyemaof the laminar resonanceimaging in Magnetic pansinusitis. as well as orbit, left the of compartment intraconal and extra- the in abscesses revealed sinuses and nose the of tomography computed leftward shift; cerebrospinal fluid analysisa revealedwith leukocytosis a revealed bacterial tests infection.laboratory Orbit The stiffness. neck and eye, The physical examination revealed proptosis, chemosis and ptosis in the left fever,eye,edema, vomiting.followedleft and the headache byin pain and 3 days after swimming in a pool. The symptoms evolved to include palpebral presentedyellowishand nose, stuffy a sneezing, of complaining rhinorrhea patient TheFerraz-PR. Barbosa Ourinhos-SP,in from driverborn forklift but onclusion bjective JNA at Hospital Naval Marcílio Dias. preoperative an d intraoperative management of Juvenile nasopharyngeal angiofibroma(JNA): of acute bacterial rhinosinusitis. ase Report: Intraorbital abscessasacomplication : To report a case of acute sinusitis that evolved in association with Alonço da Cunha Viana Junior, Daniella Leitão Mendes, Luciana Carvalho Zandonadi Gabriela Dell’Aringa, Rafael Alfredo : Onecomplicationofbacterialsinusitisisanorbitalabscess. MarianaRaddi Ricardo Guimaraes Marim C ase

R eport : The patient, J.L.F, was a 51-year-old white Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. 63 f ygnc granuloma. pyogenic diagnosis of a of suggestive were results These ulcerated. was epithelium infiltrate, surrounding The inflammatory neutrophils. and mixed cells, plasma and lymphocytes, comprising edema, tissue, loose on supported lesion hyperplastic well-perfused, a revealed analysis Anatomo-pathologic electrocoagulation. by followed excised surgically was cm) × 0.4 × cm cm (1.0 0.7 tumor The epistaxis. and obstruction nasal frequent causing months, previous4 overthe growing slowly been had that cavity nasal left the in tumor a of complaining presented She Bosaipo. ORL Clinic ENT the a 12-year-old white girl, born and residing in Zé Doca-MA, sought service at results of the pathology analysis were consistent with fibrous dysplasia. fibrous with consistent were analysis pathology the of results The symptoms. patient’s the alleviateremoved wasto sinus maxillary right the in Thelesion bones. spinal the of regions the involvingmainly and side right the on evident most characteristics similar with areas calvarial glass, face indicated right expansion, swelling, and severe sclerosis, with ground- the of structures bony the in Changes mm. 20 × mm 21 measuring area bony adjacent The areas. bony nearby on the pressure atrophic determine this of to effect sought We septum. nasal right the to adjacent lesion nodular solid a revealed sinuses the of CT A dysplasia. fibrous suspected history included report of a mass in the distal region of the right femur with medical patient’s The loss. weight or fever, pain, of absence local obstruction, nasal by accompanied growth progressive with months 2 for right wing nasal and maxillary the between cm 2 about located nodule a assess could doctors that so presented patient The 2012. April in Otolaryngology Hospital of Department SP,the - referredto Epitácio wasPresidente natural brown, Regional months, Surgery9 and years 2 VGSA, Facial Summary: 2012. in Prudente-SP Presidente and Otolaryngology of Department associated treatment in the context of a literature review. surgical treatment andiscurrently inregular outpatienttreatment. rarely.only affectedjaw the successful underwentwith The patient bones, occipital and temporal, parietal, ethmoid, sphenoid, frontal, the descending are order in affected most bones The fibrous, tissue. becomes trabecular bone disorganized, normal where disorder bone a by characterized Toledo EnesNogueira Rafael Dias, Romero Lais Michelle Belfort, Godoy de FrancoAurélio Marco C O Co-Authors: Main Author: 111 - Fibrous d O Co-Authors: Main Author: 112 - few symptoms, treatment can be delayed because the lesion is likely to disappear completely orinpartattheendofpregnancy.likely is with lesion the women because delayed be pregnant can treatment symptoms, treating few When electrocoagulation. or excision surgical is treatment The bone. surrounding even and cartilage, mucosa, nasal the of lesions ulcerative cases, severe in and, cacosmia; rhinorrhea; purulent-bloody bleeding, obstruction; nasal unilateral include symptoms Common ulcerated. or nodulated, pedunculated, flat, or lobulated friable, is lesion The imbalance. hormonal female viral and trauma, ulcers, chronic involve infections, can causes The turbinate. inferior the nasal by followed the in found WhenKiesselbach, plexus or area years. Little’s to localizes <18 typically growth cavity,the aged women men women, and pregnant years >40 in ages common most is condition in uncommon The is children. condition The cavities. nasal and oral the in especially membranes, mucous and skin the is affecting that non-neoplastic, and proliferation reactive vascular benign a is hemangioma, capillary lobular onclusion bjective bjective patients under2yearsofage: acase report review pyogenic granu : : To report a case of polyostotic fibrous dysplasia treated at the at treated dysplasia fibrous polyostotic of case a report To hs eot ecie a ae f ygnc rnlm ad the and granuloma pyogenic of case a describes report This enno ea Croo aa ih, ua Atno Gusato, Antonio Lucas Filho, Maia Cardoso Cezar Fernando Carolina SantosBosaipo,Eduardo Pereira Bosaipo : iru dslsa s bng dsae f nnw etiology unknown of disease benign a is dysplasia Fibrous CarlaLealBortoli DanielaSantosBosaipo ysplasia oftherightmaxillary sinusin C loma: case report andliterat ure onclusion : ygnc rnlm, lo nw as known also granuloma, Pyogenic C ase

R eport : JRS,

Posters Otorhinolaryngology A : eport R

ase C Nasopharyngeal : ion onclus C Felipe Longo Delduque Teixeira Felipe Gecildo Soriano Dos Anjos Gecildo Soriano The silent sinus syndrome is an entity that must be recognize : Camillus Magalhâes Carneiro dos Santos, Larissa Claret de Lima, de Claret Larissa Santos, dos Carneiro Magalhâes Camillus Ana Carolina Guimarães Delfino, Mariana Raposo De Alencar, Ronan Alencar, De Raposo Mariana Delfino, Guimarães Carolina Ana Relate a silent sinus syndrome case with his atypical symptoms The lymphoepithelial nasopharyngeal carcinoma is a malignant : : REPORT CASE bjective bjective ion onclus Barbosa Ramos, Vladia Maria Nascimento De Lima, Yenly Gonzalez Perez De Lima, Yenly Vladia Maria Nascimento Barbosa Ramos, 29-year-old man presented with 29-year-old in pressure the right hemiface, with onset seven years ago, without more symptoms or previous investigations. Signs of sinus disease were recorded without oroscopy or otoscopy alterations. Held paranasals computerized tomography, demonstrating reduction right maxillary of sinus diameter with right maxillary sinus ostium obliteration ilent sinus syndrome ilent 116 - S thor: Main Au thors: Co-Au O C : A CARCINOMA NASOPHARYNGEAL LYMPHOEPITHELIAL 115 - thor: Main Au thors: Co-Au O Paulo Paulo Henrique Bicalho Barcelos, Rita de Cassia Soler, Torcuato Sanchez Rojas Neto by by the otorhinolaryngologist, with endonasal endoscopic surgery the ideal to treatment. approach and treatment adopted. The silent sinus chronic syndrome atelectasis is of the characterized maxillary by sinus. An important manifestation the is presence of ocular asymmetry without visual compromise. The cause remains unknown, and the treatment is eminently surgical. tumor rarely found in the head and of neck, which all represents about malignancies. 1% Diagnosis and is histopathology. based Herein, on we clinical nasopharyngeal lymphoepithelial carcinoma, treated at the report history, department of imaging, the case otorhinolaryngology and of cervico-facial surgery of Adriano a Jorge Hospital, patient who girl, 9-year-old a was RLE, patient, The Description: Case Manaus-AM. with presented to the ER complaining of a “swollen accompanied of the parotid, high on the left side a cervical tumor, revealed neck.” The examination by earache, when he was diagnosed with mumps high and oral antibiotics and analgesia. The patient was hospitalized because her were biopsy results suggestive of lymphoepithelial She is carcinoma currently undergoing of chemotherapy. the carcinoma is highly nasopharynx. prevalent in the southern regions of China and linked to infection by the Epstein–Barr virus. This tumor differs significantly from other cancers of the head and neck in terms clinical of its occurrence, behavior, causes, and treatment. neoplasia is rare. Its occurrence in the nasopharynx, 64 ymphoma PRP has shown good results in : Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. ion onclus C F.M.C., a 27-year-old female patient underwent one surgery : Lucas Lara Hahmed Lucas Lara Elen Carolina David João De Masi David Elen Carolina Diffuse large cell lymphoma is an aggressive tumor rarely found found rarely tumor aggressive an is lymphoma cell large Diffuse : Alfredo Rafael Dell’Aringa, Gabriela Zandonadi Carvalho Andre Tha Nassif, Edson Marques G Flavia Ferreira, David João To report a case of Diffuse Large Cell Lymphoma in the nasopharynx the in Lymphoma Cell Large Diffuse of case a report To To report the case in which platelet rich plasma (PRP) was : : ell L Diffuse Large Cell ase Report: eport d with associate in the nasopharynx aromatic polycyclic exposure to occupational hydrocarbons. report case R

bjective bjective ion onclus ase the healing of wounds. Among 50 selected studies that addressed the use of PRP, 80% exhibited positivity; only 6% exhibited negativity. Increased research casuistry was associated with positive studies results. Twenty-six with cases All 0.001). = (p results positive 25 reported humans in conducted of concentration average The succeeded. involvement tendon and cartilage PRP used was 1,056,000 platelets/µL; there was no relationship between and results. concentrations C thor: Main Au thors: Co-Au O 114 - C C thors: Co-Au O healing: in wound healing: platelet-rich-plasma use of he T 113 - thor: Main Au Gonçalves, Ricardo Guimaraes Marim, Vanessa Ramos Pires Dinarte Pires Ramos Marim, Vanessa Guimaraes Ricardo Gonçalves, De Masi, Flavia Vieira Meggetto, Stela Kremer Bezerra Paes Bezerra Meggetto, Stela Kremer Vieira De Masi, Flavia in the nasopharynx, and is associated with exposure to PAHs along with genetic factors that predispose an individual to carcinogenic action of the compound. in patients with a history of occupational exposure to Polycyclic Aromatic who pensioner, female 68-year-old S., A. B. L. Report: (PAHs). Hydrocarbons worked in a remote production line in tire born factory, in Santo André/SP with complaints of nasal obstruction for presented of Tupa/SP and resident 1 year, associated with runny and itchy nose, snoring, and sleep apnea. Her grandparents had a history revealed pallor of the of nasal mucosa and septal oral deviation to the right cancer. and Physical the examination presence of palpable lymph nodes These nodes in were painless and the mobile, bilateral with no cervical fibroelastics adhered adenoid which showed performed, was endoscopy chain. to deep planes. Therefore, tissue occupying 100% of the nasal cavity. Two incisional biopsies of the lesion were obtained, and immunohistochemical study revealed large cell diffuse lymphoma. The patient was referred for follow-up with oncology and is currently awaiting outcome of the cervical lymph node biopsy. effective effective in promoting wound healing and discuss relevant literature. for for acoustic neuroma in the left ear. Three months after the surgery, the patient’s left face exhibited palsy. An ulcerated lesion had led to a loss of substance in the left upper and lower lips, and nasal vestibule. Rheumatic diseases and granulomatous findings were investigated and with Treatment topic steroids discarded. was undertaken for a year without success. Owing to the possibility of vascular PRPinsufficiency, was suggested. PRP was performed 3 times at intervals of 30 days. After the last application, upper and inferior lip tissue began to regenerate, beyond that required for healing of the nasal vestibule. August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 appropriate treatment. initiate professionalto awarethe complication be of must symptoms the of as just as a possible outcome. Septal surgery and granulomatous diseases - These will be needed to address the septal perforation as a statistic, and not complication. a perforationas septum haveinvestigatednasal Fewstudies the main cause. Septal perforations (12.28%) were idiopathic. were (12.28%) perforations Septal cause. main the as leishmaniasis and 17.54%, with appears infectious causes, these After cause. of common most the causes being surgery important septal with (42.11%), most perforation reported the were commonly causes is Iatrogenic literature. what the with in consistent were results The review. a literature weperformed quantification, After quantified. and classified from January 2007 to July 2012. The etiology of these perforations was then observedseptum, nasal perforationthe of of diagnosis established an with ossifying fibroma of the ethmoid sinus and emphasize itssurgical andemphasize sinus ethmoid importance. the of fibroma ossifying Blumenau/SC. of Otorhinolaryngology of department the in seen patients in perforation only solutionistoperform completeresection ofthetumor. the and complications, possible avoid to measures main the are follow-up appropriate and planning Surgical prognosis. poor a featuring recurrence, the from differs case forwardaggressiveness Theand involvement premature the because literature women. in predominantly this and occurs decades, fourth condition and third the is diagnosis at age average The mandible. and maxilla the in generally but region, craniofacial other any in seen be can It misdiagnosed. easily is and sinus, paranasal and cavity complications. without follow-up postoperative continuing is patient The neuronavigator. the using adopted was approach endoscopic An cavity. nasal right entire the affected had tumor the years, 3 After 2010. May in and fluidleakfrom theethmoid were corrected endoscopicallysuccessfully Meningoencephalocele histopathological fibroma. cemento-ossifying and juvenile of assistance diagnosis neuronavigator resected was which with ethmoid, the endoscopically of roof the to extended wall, orbital ipsilateral the the rejecting lesion, in friable a surgery, tumor During cavity. nasal a right showed sinuses the of scan CT A preserved. movement eye with but eye, right the in epiphora and proptosis marked a with old, years 4 was he when service our to referred Pindamonhangaba-SP,was Wiltgen Machado, Francisco Pierozzi D’Urso, OrlandoSchulerdeLucena C O Co-Authors: Main Author: 118 - A O Co-Authors: Main Author: 117 - Etiology andiagnosis ofnasal septumperforation onclusion bjective bjective Sinus at O ggressive Cemento-Ossifying Fibromaof Ethmoid : : To report a case of a patient with aggressive juvenile cemento- juvenile aggressive with patient a of case a report To septal of causes possible the identify to is study this of aim The Antonio Carlos Cedin, Cristiana Vanderlei de Melo Lins, Fernanda LucasEijiYanese, Victor BrunoMonteiro Rodrigues : Cemento-ossifying fibroma is a rare benign tumor of the nasal the of tumor benign rare a is fibroma Cemento-ossifying torhinolaryngology ofBl KarinaMarçalKanashiro JanAlessandro Socher C ase C ase

R

eport R eport : h ptet GC, n -erod o, from boy, 8-year-old an GGCL, patient, The : e nlzd eia rcrs f 7 patients 57 of records medical analyzed We Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. umena u/SC C onclusion :

65 ean i a roeaie tts aatn a e sria procedure. surgical new a awaiting status, preoperative a in remains acuity.visual of Thepatient loss a without but proptosis, ocular and region hemifacial left the in area hyperdense extensive, an showing imaging CT with asymmetry facial and eye, left the of epiphora pain, facial with clinic the to returned patient the procedure, second the after months Four time. of period short a within radiation more to patient the subjecting avoid to performwaspostoperativenot takendecision nerve. to A optic the CT near combined method 7 months after the first surgery, leaving a remnant lesion wall.orbital medial The underwentpatient newa procedure same the with the of bulging with fibroma, ossifying the of growth showed scan CT new a deformity, and facial with returned patient the months, 4 After fibroma. ossifying of diagnosis a confirmed pathology The nerve. optic the to injury of risk the of because region ethmoid posterior the in tumor removalthe of without but Caldwell-Luc), expanded and (endoscopic approach a combined via 2012 May in lesion the of excision underwent He region. maxillary ethmoidal left the in lesion hyperdense circumscribed, a revealed sinuses the of asymmetry.facialimaging in and CT obstruction nasal with associated Sergipe / HU pain facial left and headache frontal of a of assessment an for 2012 January department otorhinolaryngology the visited child, 1 week of treatment. of week 1 recoveredPenroseTheafter patient a drain.satisfactorily of placement the cystic lesion in the right nasal cavity. Surgical drainage was performed with the right nostril. Computed tomography of the paranasal sinuses revealed a coloration, painful with palpation of the bilateral nasal septum, and larger in in consistency,reddish moveable,in soft node, a of presence the revealed Ectoscopy improvement. without clinic and another at vasoconstrictor collagenase additional nasal rhinitis, a allergic with for treatment treated received been subsequently had and he Initially, region. septal the in lesion nodular a and epistaxis, obstruction, nasal with presented He ago. consecutive surgical procedures. surgical consecutive outpatient treatment. patient receiving is The and diagnosis, drain. late Penrosethe despite progress a satisfactory showed of placement the involves with treatment drainage The surgical complications. involving cases in important are or both nostrils with the presence of reddish swelling. Complementary tests one occluding septum bulging a shows examination Physical location. and pain, obstruction, nasal noting clinical, essentially is diagnosis factors.The surgery, triggering nasal the among appearance spontaneous rarely a identified and trauma, facial We subarachnoid meningitis. as and such abscess, brain complications empyema, intracranial as well as cartilage, septal necrotic of absorption local to related alterations can aesthetic to treatment lead and diagnosis delayed since otolaryngology, in the emergency situation and an considered septum is nasal It the mucoperichondrium. of or cartilage mucoperiosteum or bone the between blood of within ashorttime. nature, requiring close monitoring and often a series of surgical procedures Purpose: To report a case of septal hematoma with a satisfactoryoutcome. Toa Purpose: with hematoma septal of case reporta Carrara Lacerda Lúcia Vania Tinoco, Oliveira De Bandoli Saulo Tinoco, Oliveira De Bandoli rnã Mris Ptii Aaj d Adae Rnlo avlo Santos Júnior Carvalho Ronaldo Andrade, de Araujo Patricia Martins, Brandão C Co-Authors: Main Author: 119 -Late diagnosis ofaseptal hematoma C O Co-Authors: Main Author: 120 - A ase onclusion bjective

R eport ggressive ossifyingfibroma:acase report : To rapidlygrowing,of fibroma case ossifying a requiring describe ln Aaj Sria Lr Bnn D Amia rt, Marina Brito, Almeida De Bonani Lara Saraiva, Araujo Aline Carlos Rodolfo T Gois, Lorenna Firmino da Silva, Mariane Barreto : Ossifying fibroma, although benign, can have an aggressive have can benign, although fibroma, Ossifying Paulo Tinoco RosaGrazielle deLima : A white male child, 6 years of age, visited the clinic 15 days 15 clinic the visited age, of years 6 child, male white A C onclusion : Nasal septal hematoma is a collection a is hematoma septal Nasal C ase

R eport : J. A. O., a 6-year-old male 6-year-old a O., A. J.

Posters Otorhinolaryngology A 27-year-old : Hemangiomas are eport : R

ase C ion onclus C A 58-year-old woman reported symptoms starting 6 : eport R

Juliene Ribeiro Ferraz Juliene Ribeiro Carlos Toyama Rosai-Dorfman disease is a rare, benign disease that can cause can that disease benign rare, a is disease Rosai-Dorfman : Frederico Chaves Salomão, Lucas Gomes Marcell Patrocínio, de Carlos Jorge da Silva, Henrique Bortot Zuppani, Lidio Granato, The objective of this study is to report a case of Rosai-Dorfman ase : C bjective ion onclus man presented with left frontal and maxillary pain, rhinorrhea, and bilateral bilateral and rhinorrhea, pain, maxillary and frontal left with presented man nasal congestion, as well as greenish secretions over become more intense in 4 the last 6 months. A CT years scan demonstrated a soft that had tissue mass with calcifications and heterogeneous enhancement causing expansion of the left slightly mass, maxillary heterogeneous a showed MRI cavity. sinus, nasal the into extension thinning of its medial wall, hyperintense and on T1, markedly hypointense hyperintense rings on with T2, and complete consistent with various peripheral blood degradation remaining products. left The maxillary sinus evidenced a high signal on T2, consistent with secretions and a mucosal inflammatoryreaction. Surgical resection revealed a mass with hemorrhagic products and necrotic areas compatible with cavernous hemangioma. years years prior with nasal obstruction and a reduced sense of smell and taste. that the nasal mass. She reported a bilateral exam showed endoscopic The nasal obstruction had worsened, with nasal discharge and headache. CT revealed a bilateral nasal mass and pansinusitis. revealed Surgery polyps was the performed, of exam anatomopathologic An patency. nasal improving histiocytosis and was positive for the S-100 protein, diagnosis of RDD. RDD is a histiocytosis, is most common in young people, which indicated a A painless. and cervical generally lymphadenopathy, by accompanied is and and head the in 75% manifestations, extranodal have patients these of third neck region. In this case, the patient was with a a 58-year-old nasal mass. The treatment of this condition can involve corticosteroids, radiotherapy, and chemotherapy with inconsistent results in the literature. Recurrence is seen in a majority of cases. At the topical moment, the corticosteroid, patient without is utilizing nasal, a systemic, or nodal manifestations. C In Rosai Dorfmam Disease inus Involvement 124 - S thor: Main Au thors: Co-Au O s hemangioma sinu axillary M 123 - thor: Main Au thors: Co-Au Melo Naves, Valmir Tunala Junior Tunala Valmir Melo Naves, Renato H Nunes, Stefano Tincani Stefano Renato H Nunes, Purpose: To report the CT and MRI hemangioma characteristics in of a patient a from our maxillary institution. sinus sinus manifestations, and surgery in addition to topical corticosteroids can of the symptoms. maintain good control disease (RDD), which is a rare condition that involves the neck and head region. vascular vascular lesions that rarely compromise the paranasal cavities. features Imaging have been rarely reported, vascular small of and presence The planning. surgical for important is diagnosis the preoperative presumptive calcifications (phleboliths) is a major finding with a high specificity for the intensity signal heterogeneous show may hemangioma A diagnosis. correct on MRI sequences resulting from thrombosis. vascular associated with intratumoral various blood degradation products 66 avity avity Lymphoma should be should Lymphoma : ion onclus C A 76-year-old woman with an : Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. eport R

ase C aranasal Sinuses aranasal Vânia Maria da Cunha Paes Michelle Manzini Christiane de Souza Lopes, Gustavo Guimarães Rangel, Isabelle Carolina Fischer Becker, Caroline Persch Royer, Cláudia and P pport for respiratory for respiratory support airway alternative distress part of the differential diagnosis of nasal lesions. part of the differential immunohistochemical diagnosis of diffuse large cell lymphoma received treatment with chemotherapy (R-CHOP) with full remission of the tumor. The sequel was a lesion on the nasal side wall, and she underwent nasal reconstructive surgery. Discussion: B-cell lymphoma is less common and lymphoma. cell T/NK than aggressive less thor: Main Au thors: Co-Au asal C “B” of the Nasal lymphoma 122 - Diffuse large cell thor: Main Au thors: Co-Au ding deman in neonates uction obstr asal N 121 - Mury Cavalcante, Luanda Guimarães Soares Aguiar Portela de Souza, Renato Ponte Non-Hodgkin’s lymphoma is a paranasal rare sinuses, tumor with of clinical epistaxis, the manifestations and rhinorrhea. nasal of cavity nasal and obstruction, Schweiger, Gabriel Kuhl, Jefferson André Bauer Jefferson Kuhl, Gabriel Schweiger, permanent a requires which condition rare a is neonates in obstruction Nasal alternative airway. Two cases are reported in children, one with bilateral nasolacrimal cysts and the other with surgical required Both distress. transversal respiratory and obstruction nasal to leading maxillary hypoplasia, ventilation. to discontinue mechanical in order intervention August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 clinical situation worsened, and the patient died. patient the and worsened, situation clinical He and a new drain for the empyema. The frontal. antibiotic regimen was expanded. The and ethmoidal right underwent a surgical both procedure once again with a decompressive craniotomy sinusitis, acute maxillary procedure surgical showed the after CT cranial control a and fever, persistent and anisocoria with evolved condition His started. were antibiotics where unit, care intensive the to admitted was patient The procedure. surgical urgent an is empyema of drainage Subduralcloudy. little a was that liquor showed puncture A sinusitis. acute maxillary A and fronto-ethmoid hemiface. showed CT right cranial the of edema and vomiting, fever, with associated was and prior day 1 started that headache holocranial of history a with Hospital Caucasian male came to the emergency room of Nossa Senhora da Conceição not easy, which explains the genesis of this study. Clinical Case: A 14-year-old is diagnosis The anaerobes. or cocci 4 gram-positive by to caused up is and for weeks sinus paranasal the of lining mucosal the affects that process inflammatory an is which rhinosinusitis, acute from complications bacterial osteoma. excluded the suspicion of malignancy and determined a diagnosis of frontal superior orbit was performed with bone cement and plates. Histopathology the reconstructionof A bones. nasal the of part and orbit, left frontalbone, The surgery was performed with a bicoronal flap, removing almost all of the which mass, calcified a suggested a bymalignant lesion. The MRI orbit showed no intracranialleft involvement. and bones nasal and frontal the of compromiserevealingrequested,was total surgery, scan a CT another and the to agreed company insurance health the diagnosis, after months Six sinuses showed a calcified tumor in the left frontal sinus measuring 1.5 cm. paranasal the of scan CT A obstruction. nasal with associated sometimes headache, frontal a with presented woman 34-year-old A Report: plates. and cement bone with reconstruction and resection tumor for approach malignancy,of suspicion initial an with osteoma craniofacialtreateda with Bongiolo, MariáG.K.Amado,Taise deFreitas Marcelino Patrocínio, Marcell deMeloNave and thechoiceismadecase-by-case. approach, endonasal an including removal, for access of methods various are There extension. high or growth, rapid drainage, ostial of obstruction symptoms, significant of cases in indicated only is Surgery growth. slow demonstrates commonly it Nevertheless, sinusitis. chronic of and symptoms headache with sinus, frontal the affects mainly It sinuses. paranasal O Co-Authors: Main Author: 126 - C O Co-Authors: Main Author: 125 - status to more severe manifestations such as hemiparesis, seizures, and and seizures, hemiparesis, alterations ofconsciousnessinashorttime. as such manifestations severe more to status general poor and headache intense an from vary may situation clinical the though infrequent, are still present. The diagnosis is not easily detected, since even sinusitis, of because occur that empyemas subdural that conclude we bject bjective i empyema Unus ve ase report -Sinusitiswithbraindevelopment for : : The objective of this paper is to evidence that there are no viral or or viral no are there that evidence to is paper this of objective The This study reports an unusual case of a rapidly growing frontal sinus C Afonso Possamai Della Júnior, Lays Anselmo Moreira, Manuela Moreira, Anselmo Júnior,Lays Della PossamaiAfonso Gomes Lucas Ferraz, Ribeiro Juliene Castro, Duarte Guilherme AnaCarolina Barreto DaSilva Valmir Tunala Junior onclusion al Presentation of Frontal Osteoma : Osteoma is the most common benign tumor of the of tumor benign common most the is Osteoma Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. C onclus i on : In this paper, this In 67 is high,reaching 98%. granulomatosis Wegener’s for test c-ANCA standard the of specificity The 97%. reaches c-ANCA of sensitivity the kidneys, and lungs, airways, upper the involvementof with triad classical a as presents it Whenyears. 30–50 whites, has no gender predominance, and the mean age of onset is between in common more is Thegranulomas.disease of formation the with vessels, small and medium of vasculitis necrotizing a is granulomatosis Wegener’s receiving outpatienttreatment. is and surgery after satisfactorily progressed patient The eye. contralateral the of involvement clinical or failure, treatment acuity, visual of CT,impairment on abscess an of evidence is there when antibiotic indicated is intravenous Surgery therapy. with hospitalization is treatment The diagnosis. for essential is examination eye An below. sometimes and eyelid, upper the to acute rhinosinusitis includes edema at the inside corner of the eye, extending of picture clinical The death. even and blindness, cause can complications children, in common More orbit. the affecting and mucosa nasosinusal the beyond extending processes infectious include may rhinosinusitis acute of review. review. literature a by accompanied granulomatosisWegener’s of case a describe ylpopaie n pensn, hwn improvement. with showing treated prednisone, was patient and The cyclophosphamide effusion. pleural bilateral progressing with days infiltrates, 2 pulmonary in bilateral showed radiography Chest results. positive yielded test c-ANCA a and lesions, granulomatous lying tests, commenced. laboratory and performed, was was sinus maxillary B left the amphotericin of biopsy A with treatment and assumed, was was wall sinus maxillary the of observed. A diagnosis of fungal rhinosinusitis or Wegener’s granulomatosis erosion bone and secretions fungal, the appearing with performed, was Drainage pansinusitis. left showed which sinuses, the of scan CT the a underwent she otolaryngologist, an In with epistaxis. of consulting After observed. episodes was media otitis serous examination, occasional otoscopy and loss, hearing increased obstruction, nasal with rhinorrhea purulent include to evolved symptoms the Later, ear. left her in loss hearing and otalgia with began symptoms Mariá G.K.Amado,Taise deFreitas Marcelino Purpose: To report a case of periorbital cellulitis and a satisfactory outcome. outcome. satisfactory a and cellulitis periorbital of case a Toreport Purpose: Lucia Vania Tinoco, Oliveira Carrara Lacerda Bandoli Saulo Tinoco, Oliveira De Bandoli O Co-Authors: Main Author: 127 - Wegener’s granu C Co-Authors: Main Author: 128 - Endonasal endoscopicsurgery inchildren with satisfactory follow-up in the postoperative period. postoperative the in follow-up satisfactory a with recovered patient The surgery. endonasal ethmoid, endoscopic sphenoid maxillary, and bilateral underwent patient the improvement, clinical treatment with intravenous antibiotics and corticosteroids for 2 days. Without maxillary, and sphenoid sinuses. The patient was hospitalized, and underwent ethmoid, left the of opacification and mucosa sinus frontal the of thickening showed sinuses hemogram paranasal the of A CT acuity.and leukocytosis, with visual performed was of preservation with but erythema, local and pain with associated edema palpebral left and obstruction, nasal headache, fever, high a symptoms, clinical he worsening with days, HSJA at 2 treatment sought After medicines. symptomatic prescribed and infection viral a with him diagnosed clinic fever,another and headache frontal intense with ase bjective

R periorbital cell eport C : ase Given the rare occurrence of this disease, the aim of this work is to Bruna Silva da Rosa, Ernesto Hiroyuki Iida, Manuela Bongiolo, Manuela Iida, Hiroyuki Ernesto Rosa, da Silva Bruna ln Aaj Sria Lr Bnn D Amia rt, Marina Brito, Almeida De Bonani Lara Saraiva, Araujo Aline AnaCarolina Barreto DaSilva Paulo Tinoco : Accompanying reports that a 9-year-old male child presented child male 9-year-old a that reports Accompanying

R eport : A 48-year-old woman reported that 60 days prior, her prior,days 60 that reported 48-year-oldwoman A u litis lomatosis -case report C onclus i on : Complications Complications C onclusion :

Posters Otorhinolaryngology A. M., a male 17 years of age, : eport R

ase C nasal type ymphoma of the NK/T nasal Luciane Maria Pereira Michel Luciane Maria Pereira Fernando Cezar Cardoso Maia Filho Cezar Cardoso Fernando An angiofibroma is a benign,vascular tumor, but locally invasive Danilo Santana Rodrigues, Helena M. Gonçalves Becker, Livia Gabriel Cardoso Ramalho Neto, George do Lago Pinheiro, Lucas : Extranodal NK/T cell lymphoma, nasal-type is the most common cause : To report a case of sphenoid nasoangiofibroma in a patienttreated To show the importance of To knowing diseases to make a correct diagnosis. : on eport: L ase Report: : i on i ve ve i i bject bject onclus onclus C 132 - C thor: Main Au thors: Co-Au O report case d angiofibroma: phenoi S 131 - thor: Main Au thors: Co-Au O C Arruda de Melo, Paulo Fernando Tormin Borges Crosara, Roberto Eustáquio Roberto Crosara, Borges Tormin Fernando Paulo Melo, de Arruda Santos Guimarães Antonio Gusato, Marco Aurélio Franco de Godoy Belfort, Mateus Gaspar Silva Pedroso of the syndrome known as “lethal midline granuloma.” Because of its treatment. correct diagnosis for and rapid a correct aggressive it is important to make behavior, and with a high incidence of persistence and recurrence, often occupying the thein displayed commonly less and fossa, sphenopalatine and pterygopalatine sphenoid sinus, which was the structure affected in this case. Complaints practice, ofambulatory in common are epistaxis and obstruction, nasal rhinorrhea, various diagnosis between of a differential investigation a thorough and require nasal tumors. Extranodal natural killer (NK)/T cell lymphoma, nasal-type is the most common causecommon most the is nasal-type lymphoma, cell (NK)/T killer natural Extranodal lymphoma, extranodal an is It granuloma.” midline “lethal as known syndrome the of usually with a NK cell phenotype and positivity for pathogenesis Epstein-Barr is poorly virus understood. (EBV). The at the full service Otolaryngology and Facial Cervico-Presidente Prudente / SP in March 2013. Report: A. M. S., a 27-year-old male, Sampaio brown, / from Teodoro SP was treated in of nasal the obstruction otolaryngology for 1 department year, facial the associated in pain complainingand rhinorrhea and with amounts, moderate in month self-limited 1 for epistaxis and intermittent normotrophic and deviation septal middle 2 grade a showed Rhinoscopy region. self-limited,of symptoms with department emergency the visited He turbinates. moderate, recurrent epistaxis, and was hospitalized. showed Fibronasolaryngoscopy a smooth, pedunculated lesion in turbinate the of posterior the right tail nasal cavity of with a the bleeding middle ulcer near measuring the approximately nasal 20 floor × 20 mm, occluding 80% of A the CT right scan of choana. the facial sinuses revealed a nasal septal deviation to associated the with a rightmass in the nasal cavity measuring 33 × 18 mm, extending to the posterior nasal cavity and the right sphenoid sinus with homogeneous enhancement after contrast administration. Hematological examinations were which resection, tumor endonasal for opted patient The range. normal the within was a performed Pathology revealed successfully. sphenoid nasoangiofibroma. The patient has followed up as an outpatient without further complaints. presented presented with an intranasal lesion on the right side that was rapidly complaininggrowing and2011, October in treatment received He obstruction. unilateral in resulted mainly of pus, necrotic areas, and a fetid odor. There was destruction of the nasal dorsum and septal areas from necrosis. Videofibronasolaryngoscopy revealed perforationseptal a and septum, nasal the reaching nostril right the an in lesion invasive with necrosis and crusts. The first biopsyOctober and 2011. debridement The pathology was performedwere inconclusive, in and immunohistochemistry minimal bone destruction. A fungal culture, A sinus CT scan revealed not performed. was Leishmaniasis immunofluorescence, and sputum AFBwere negative.The patient palate hard the of involvement for 2012 January in BH of Casa Santa to referred was and jaw at the midline. A daily fever, 15 kg weight loss, malaise, fetid and odor an were present. intense A sinus CT scan showed an absence of significantdestruction. bone The patient was admitted for PCR biopsy. performed for Leishmaniasis, blastomycosis, Mycobacterium tuberculosis, and Mycobacterium leprae were all negative. A test for EBV was not performed. Immunohistochemistry was performed in February 2012 after the third biopsy, and was indicative of NK/T cell lymphoma, patient nasal-type. subsequently was The hospitalized worseningwith a progressive in general condition, and specific treatmentfailed. Death occurred in March 2012. 68 ase To describe : Hamartomas are : bjective O ion onclus C A male patient, aged 46, visited 46, aged patient, male A : nasal type: C type: NK/T nasal al Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. eport hamartoma - d hamartoma denomatoi R

ase C Lymphoma of Lymphoma the extranodal NK/T nasal type is an extremely : Ana Carolina Barreto Da Silva Barreto Ana Carolina Danielly Solar Andrade Oliveira Andrade Danielly Solar Afonso Possamai Della Júnior, Bruna Silva da Rosa, Lays Daniel Caldeira Emídio Teixeira, Oliveira Helena Teixeira, Cunha As it was an unusual episode, our objective is to describe a : d extrano of the ymphoma report case report bjective ntroduction a case of extranodal non-Hodgkin’s lymphoma of the nasal type treated the Department of Otolaryngology of the General Hospital Socor Brazil. in Gerais, Minas Horizonte, Belo benign tumors, non-neoplastic, characterized for glandular proliferation, and lined by ciliated epithelium with an increase in the airway epithelium, as a result of innate changes of tissue development. Its localization inside the nasal cavity is unusual. Its association the hypothesis with that inflammation nasal maywork as polyps a trigger supports mechanism.The preferred treatment for respiratory epithelial adenomatoid hamartoma is resection. surgical O thor: Main Au thors: Co-Au espiratory epithelial a epithelial espiratory 130 - R thors: Co-Au I L 129 - thor: Main Au rare rare disease of undefined etiology,more years prevalent of among age, men 40-50 and probably virus. related According to to the contact REAL with classification, (Revised it is called angiocentric T the lymphoma, but European-American can also be known Epstein-Barr Lymphoma) as midline malignant reticulosis or lethal midline granuloma. Characterized by aggressive behavior, it is lethal in most cases. Anselmo Moreira, Manuela Bongiolo, Taise de freitas marcelino de freitas Manuela Bongiolo, Taise Anselmo Moreira, Sarubi, Marconi Teixeira Fonseca Teixeira Sarubi, Marconi case of respiratory epithelial adenomatoid hamartoma accompanied a by literature review. Clinical Case: A man snoring, presented oral with breath, complaints and of mild symptoms of other symptoms and acknowledged longtime allergic sinusitis. During the physical rhinitis. He denied exam, hypertrophy of the inferior turbinates, pallor, and a right polyp osteomeatal on complex the were noted in his paranasal nasal cavity. sinuses A was CT acquired, of which the showed maxillary sinus opacification and on ethmoid the right side, a deviated septum in thethe region right osteomeatal complex, of and a bullous middle turbinate on the left. right and cauterization turbinate inferior an and indicated, was Septoplasty polypectomy were performed successfully. our clinic because of chronic nasal obstruction Anterior and rhinoscopy recurrent showed sinusitis. an obstructive the nasal right septum confirmed deviation by to videofibronasolaryngoscope in and mucopurulence the right middle meatus. presence A of CT soft tissue scan density of in the and proximity aerated sinuses middle to conchae. the identifiedThe surgical right and the pathological nasal examination septum and immunohistochemistry revealed a diagnosis of extranodal T/NK cell lymphoma, nasal type. The patient was successfully identification treated of after tumor while early still in stage IA, underwent tumorresection and radiation therapy, and has evolved with Twelve months a after diagnosis, good he clinical has been response. followed and monitored the by oncology and otolaryngology departments without signs of recurrence to date. Conclusions: The professional otolaryngologist should be alert to the existence of lymphomas among sinonasal diseases. Early diagnosis is crucial for appropriate treatment, improved patient survival, and response the disease. for to therapies August 15, 2013 15, August

Posters Otorhinolaryngology August 15,2013 te. hrfr, dul otooy hud e mlyd o excellent for aesthetic andfunctionalresults. employed be should osteotomy double a Therefore, other. the than prominent more or wider is processes maxillary the of one nose, crookeda with patients in employed,but be can osteotomylateral single a and functional outcomes are described. are outcomes functional and results aesthetic The technique. osteotomy lateral double a using noses crooked of correction the for treatedwere who patients of cases 3 present the correction of nasal deformity. nasal of correction the for necessary is and procedure, standard the than position lateral more a in conducted is osteotomy,lateral double the osteotomy, second a cases, these In result. functional and aesthetic good a obtain to performed be to have osteotomies other nose, crooked a with as such cases some in but correction. A single lateral osteotomy can be employed in most rhinoplasties, nasal for employed are osteotomies of types several and nose, scoliotic or A crooked nose is also known as a deviated, twisted, deflected, asymmetric, aesthetic problems resulting from this deformity presents a major challenge. and functional of correction The treat. to deformities persistent of difficult most the of one recognizedas been crookedcrookedhas A a nose nose. of PCR methodthatisnotavailable atallcenters. spp. Candida a using detected of be only could which presence Leishmania, of culture the hindered The settings. outpatient routine in used not tests additional requiring ACL, of diagnosis correct the for challenge a are infections other with associated or prosthesis of presence the by modified lesions ACL healing. and injury the of scarring both was there end, the in 400 mg (total of 30 doses) with LTA and Daktarin topical gel for candidiasis; Treatment was with meglumine antimoniate 5 mg/kg/day and pentoxifylline negative, but there was growth of Candida spp. in cultivations from injuries. was Leishmania for isolation The tissue. injured in sp. Leishmania for PCR by confirmed were ML nonspecific. were results histopathological the and mm, 40 of and ballast strong dentures a showed upper test Montenegro by The hyposalivation. caused suction camera per observed also was Hyperplasia infection. secondary superimposed a suggesting background, and grainy pharynx, permeated by soft, shallow, hard, ulcerated areas a with a yellowishin present were lesions palate and uvula the of Amputation lesion for 3 years associated with odynophagia, dysphagia, and weight loss. making changes, underwent diagnosis difficult. A 69-year-old man and lesions ex-smoker presented with an oral histopathological and clinical the case, this In agents. infectious other by colonization and secondary have may conservation, poor dental relatively with or immunodeficiency with pharyngeal patients in occur (ML) nasal, lesions Mucosal membranes. mucous laryngeal and oral, the and skin the the affects of and protozoa Leishmania, genus by caused is (ACL) Leishmaniasis cutaneous American Marcia Lucena,MarianaReuterPalmeiro, Tania SalgadodeSouzaTorraca Oliveira, Marco AntonioTuzino Signorini,SilvioAntonioMonteiro Marone Co-Authors: Main Author: 134 - The difficu O Co-Authors: Main Author: 133 - A doublelateral osteotomyue forthe techniq bjective when asecond correction ofacrooke d nose : To present a double lateral osteotomy technique for the correction lui Mra aee oaio Dne Csr iv d Costa, da Silva Cesar Daniel Rosalino, Valete Maria Claudia Bruno Bernardo Duarte, João Paulo Rezende Felicio, Marcello de Benivaldo RamosFerreira Terceiro NileshJorielMoniz ltly ofdiagnosing mucosal Leishmaniasis ary infection ispresent C ase

Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. R C eport onclusion : In this study, the authors the study, this In : In most rhinoplasties, most In 69 hud eoe aiir ih t ciia peetto, igoi, and diagnosis, presentation, clinical its management. with familiar become should sinus. otolaryngologists situation, rare a sphenoid is thrombosis sinus cavernous Although the into bulge structures neurovascular the frequently more the pneumatization, of degree the greater The sinuses. ethmoid and sphenoid of infections by caused commonly neuropathies, cranial several and management of this condition are discussed. are diagnosis, condition this of management sinuses, and sphenoidal the of pneumatization peculiar patient´s the relationship, anatomic neurovascular complex The sinusitis. paranasal can beprevented. swallowing, and speech impairing muscles, of paralysis to progress may cases severe in which fibrosis, palatal and perforation, septal adhesions, as such sequelae treatment, and diagnosis proper with morbidity, low of disease a being Despite contagion. of risk the decrease to patients leprosy in essential is treatment early and diagnosis multidisciplinary A monitored. clofazimineand for progressive currentlyfollowedis being and lesions, and rifampicin, dapsone, with treated was patient The ears. the from lymph of examination an in and histopathology the in evidenced were bacilli leprae Mycobacterium facies. leonine and elbows discreet and earlobes, the to and uvula. He also had irregular, white spots on the scalp, alopecia, injuries palate hard the infiltrated leucoeritroplásica and injury and vestibule, perforation evolution nasal septal the of in years observed was 7 Crusting about diagnosis. a with without throat, sore a and obstruction, nasal secretions, nasal reporting myiasis, removalof the forFiocruz / IPEC the of clinic truck outpatient the visited a drinker and smoker age, a and driver,hypertensive, of years 63 man, A Fiocruz. / IPEC in involvement oral with diagnosed (multibacillary) LL with patient a of case a report to aims paper This affected. be also can cavity oral and larynx, pharynx, the nasal but cavity,the is tract aerodigestive upper the in leprae. involved site common Mycobacterium most of bacilli the Lepromatous leprosy (LL) can affect bones, skin, and peripheral nerves. The containing saliva nasal by or transmitted secretions disease infectious chronic neglected a is Leprosy Marcia Lucena,Mariana ReuterPalmeiro, Tania SalgadodeSouzaTorraca Oliveira, Marco AntonioTuzino Signorini,SilvioAntonioMonteiro Marone Co-Authors: Main Author: 135 - O Co-Authors: Main Author: 136 - C physical exam. physical normal a with and symptoms without follow-up at presented left patient The a drainage. pus approach, significant surgical with sphenoidotomy a right and perform pansinusectomy to decided We thrombosis. sinus cavernous of retroclival evidence and and sinuses, cavernous the fossa on converging region, middle the of impregnation meningeal presented MRI density. tissue soft by occupied fully process, pterygoid to extended that hyperpneumatization significant had sinuses sphenoidal The sinuses. both nasal cavities. A CT scan presented a soft tissue mass in the paranasal in pus showed Nasofibrolaryngoscopy preserved. was motility ocular and oroscopy, noted, were edema eyelid prostate, right and ptosis unchanged, wereotoscopy his and exam, physical the severe In a pain. eye, neck right and the headache, of ptosis and swelling with became unwell he increasingly and deteriorated, condition his admission, before days. days 7 Two for fever and rhinorrhea, purulent obstruction, nasal bilateral of complaints with hospital the in admitted was patient, male 15-year-old a bjective demonstrations inoral mucosa lepromatous leprosywith7yearsofevol Diagnosis ofapatient withmu sphenoid sinusitis avernous sinthrombosisres : o eot cs o cvros iu trmoi, following thrombosis, sinus cavernous of case a report To lui Mra aeeRsln, ail ea Sla a Costa, da Silva Cesar Daniel Valete-Rosalino, Maria Cláudia ln Scmn Ase Buo enro ure Mrel De Marcello Duarte, Bernardo Bruno Arsie, Sacomano Aline Benivaldo RamosFerreira Terceiro JoaoPaulo RezendeFelicio C onclusion : Cavernous sinus syndrome is characterized by characterized is syndrome sinus Cavernous ltibacillary lting from C ase

R eport ution and : C. E. C. L., C. E. C.

Posters Otorhinolaryngology

August) and August). th th 70 the system. from 15 to 16, August, 2013. from 15 to 16, The space for the work will be duly marked. Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. removal thereof shall be made until 05:00 p.m. (16 The assembly of the posters will begin at 08:00 a.m. (15 The Free Paper that will be presented in poster format will not compete for awards. The Free Paper that will be presented in poster format will The Free Paper will be presented in Top Floor of the Campos do Jordão Convention Center, Floor of the Campos do Jordão Convention Center, Top The Free Paper will be presented in It is essential that the presenter is present a the place to fil the form to print the certificate by It is essential that the presenter is present a the place to fil August 15, 2013 15, August

Posters Audiology August 15,2013 o nua aycrn ad ht oher mlns i te rehabilitation the process ofchildren aid withAN. implants cochlear that and asynchrony neural for tests. The available data suggest wordthat electrical stimulation and can compensate sentence open-set on results excellent that show AN demonstrated with patients programming implant first the after year 1 obtained were using a unilateral multichannel cochlear implant system. implant cochlear multichannel unilateral a using were who neuropathy, auditory with children 2 of results hearing the study To the bad ear in the gap detection threshold. and detection gap ear the in good ear bad the the between correlation no was There test. speech intelligibility pediatric the in and threshold detection with gap the results in ear worse good the had group experimental the group, normal-hearing the to Compared limitation. the of severity the with interfere not did loss noisy hearing unilateral in with ear the especially and loss hearing of activities, degree The situations. communicative in a moderate limitation of had degree predominantly of and difficulties learning of complaints with presented individuals Most measles). or mumps, trauma, meningitis, (e.g., causes undefined or unknown had and stage preschool the at began loss hearing the and participants, most in profound as classified was loss speech intelligibility tests. In the experimental group, the unilateral hearing pediatric the and gap-in-noise the underwentThe participants localization. sound and situations silent and noisy questionnaireabout questions posed self-report submitted all They questionnaires individuals. concerning limitations of their communicative activities. The 19 of consisted group Each individuals). normal-hearing (i.e., group control the (2) and loss) hearing unilateral (i.e., group experimental the (1) groups: into2 divided wereThey study. the in participated years 19 and 8 of ages the between individuals n aoecns ih nltrl ern loss. hearing unilateral with adolescents children and of activities the on limitations of self-perception and resolution sentence recognition tests. the device for 1 year, their hearing was evaluated, which included word and communication skills were assessed on a regular basis. After they had used medical condition, and to programgeneral the speech processor. Their hearing and their assess to incision, surgical to the of assessments healing complete follow-up ensure postoperative regular underwent child Each child. each for processor speech the program help to used weremeasures and intervention resources for patients with hearing loss caused by AN. absent acoustic reflexes. Technological advances have increased diagnostic and microphonics cochlear and emissions otoacoustic normal of presence the in response brainstem auditory absent or abnormal an by caused loss, poor speech discrimination that is disproportionate to the degree of hearing O Co-Authors: Main Author: perceptionOFLIMITATIONS ONCOMMUNICATIVE ACTIVITY 2 - and I Co-Authors: Main Author: cochlearIMPLANTSINA 1 - ability intemporal resolution andinfigure-to-ground. hearing of worsening to related is This environments. noisy in especially activities, communicative in limitations with present loss hearing unilateral 4 rcgiin f ooylbc words. monosyllabic of recognition 64% and vowels, of recognition 89% sentences, set open of recognition 80% showed patients the of tests perception Speech dB. 32.5 reached patients ntroduction bjective M RESOL AND THEBEHAVIOR OFFIGURE- OF TWOPATIENTS ethods : To evaluate the hearing behavior of figure-to-ground and temporal Brasília Maria Chiari, Liliane Desgualdo Pereira, Regiane Nishihata Felippe Félix,Francisco JoséVieira Osterne,Shiro Tomita : Maria IsabelKós Márcia Ribeiro Vieira Auditory neuropathy (AN) is a hearing disorder characterized by : UTION INNILATERAL HEARINGLOSS e eetd ptet wt A. nroeaie objective Intraoperative AN. with patients 2 selected We R esults : The pure-tone audiometry (PTA)of the 2 UDITORY NEUROPATHY Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. TO-GROUND ANTEMPORAL C onclusion C onclusions C ase : ern evaluations Hearing

R eport : Individuals with Individuals : : ASTUD Thirty-eight M aterials A Y im :

71 processes oflanguagelearning. auditory pre-existing in the accelerates which speech, intelligible more betweena with pre-existing skills correlations established procedure The Verdu, Leandra Tabanez doNascimentoSilva Matos Cunha speech tasks in reading printed sentences reading than in picture naming. picture in than reading sentences printed reading in tasks speech in accurate more showed initially participants Initially, implants. cochlear with children in naming picture in speech intelligible intelligibility on effect sentences, printed sentences and human actions pictures, and to verify the cin f lmns f agt etne taught. sentences taught of elements of action recombining the from derived others, sentences, six 6 and other reading and naming picture and besides taught, naming sentences three taught pictures 3 of actions reading the evaluated also Post-tests sentences. dictated same the to paired were they because construction, sentences Post-tests printed with sentence. and dictated picture relation a a relating in by comprehension pictures evaluated of on selecting of tasks by strengthenedwas recognition invariable. Theremainedauditory object the structure; subject-verb-object structure the to according with accordance sentences printed Thewordsin weresentences. selected dictated the on conditionally based construct to taught were CI) use implant cochlear of function of subject-verb-object. Four participants (M = 9 years, M = 5 years speakers)Threeimages. and werestimuli of syntactic sets with designated Brasil), that exhibited tasks involving sound stimuli (witch were amplified in PA,Belém, SANTOS,software2010, (ASSIS; ® PROLER with and, computer M O Co-Authors: Main Author: a 3 - nlzn te osbe soito bten izns ad hypertension. M and dizziness between association possible the analyzing analyze to and hypertension with associated disorders frequency otoneurological of the vestibular determine to and/or was study auditory the of the aim The impairs functions. system of impairment in result may possibility the to beyond population— world the in prevalence high its by hypertension—noteworthy disorders, circulatory the Among circulation. including balance, body with associate to related systems of operation the affecting disorders by caused be may symptoms These vertigo. called is it as a swoon sensation. When they dizziness has age rotational characteristics, instabilities instability to syncope, where which the patient from generallyranging ways,several refersin manifested be to can Dizziness that It it. environment surrounds surrounding the of or individual self the of movement I Co-Authors: Main Author: otoneUROLOGICAL SYMPTOMS INPATIENTS WITH 4 - post-caloric nystagmus research test(StimulatorE-96,Contronic, Pelotas, electronystagmography Calibrationeyeof of the comprised movements; Pendular eye tracking, and vector by Vectoelectronystagmographywhich (SCE-VENG,Pelotas,Brazil), performed Contronic, assessment vestibular underwent were patients subject The years. 38-–59 aged males, 07 females and 16 being were, They (SAH). hypertension arterial systemic with from the recombination sentence components (M = 90.98%). = (M components sentence recombination the from higher (M = a 97 10%) either with trained improvedstimuli besides as to the sentences demonstratedderived and reading sentences printed of reading in performance with 92.03%), correspondence pictures = actions (M of naming situations in action speech of intelligibility improved had comprehension, sentence dictated of tasks testing in accuracy achieved ntroduction bjective aterial ethods LOSS CHILDREN WITHCOCHLEARIMPLANTS SENTENCES INCHILDREN WITH PRE-LINGU HIPERTENSIONHYPERTENSION UDITORY COMPREHENSIONANDORAL PRODUCTION OF :

: h sml cnitd f 4 ains 1 wmn n 7 men) 7 and women (16 patients 24 of consisted sample The Strengthen the network of equivalence relations between dictated and Denise Utsch Gonçalves, Gabriela Souza de Melo Silva, Luciana Silva, Melo de Souza Gabriela Gonçalves, Utsch Denise din Lm Mrai oe, n Cada oer Almeida Moreira Claudia Ana Moret, Mortari Lima Adriane : Anderson JonasdasNeves Lilian Felipe n izns, n niiul xeine i te luin of illusion the is experiences individual an Dizziness, In M ethods : h ssin wr cnutd ih notebook a with conducted were sessions The R esults AL HEARING : l participants All C onclusion  :

Posters Audiology : eport R The results : The main goal main The : UDIOLOGIST urpose ion onclus P C Few (3.5%) participants saw the saw participants (3.5%) Few : esults R The average daily exposure was 4 h per day, the average the average 4 h was per daily day, exposure average The : The role of the audiologist in occupational health should be Bruna de Souza Reis Vera Cecilia Gelardi Vera : DPHONES Amanda Monteiro Magrini, Ana Cláudia Fiorini, Teresa Maria M. Maria Teresa Fiorini, Cláudia Ana Magrini, Monteiro Amanda Maria Esther de Araújo This research investigates the of investigates level research perception This and knowledge This was a cross-sectional descriptive survey form of secondary : : ion onclus C DEVICES WITH IN-EAR- OF USING ELECTRONIC EFFECTS HEA HEALTH IN OCCUPATIONAL ethods bjective ntroduction audiologist as a professional who is a part of the health and safety team and team safety and health the of part a is who professional a as audiologist About audiologist. an with worked have to claimed participants the of 9.4% conducting to only audiologist the of role the reduced engineers the of 50% audiometry, and most (80.95%) engineers did not have any contact with audiologists who worked in occupational health. data. The data. sample The consisted of 21 engineers professional and postgraduate students in engineering work safety in the city of São Paulo, Brazil. They answered a questionnaire concerning their knowledge of the role of the health. occupational in audiologist Santos was was to the investigate knowledge of work safety engineers concerning the of in audiologists occupational and health. the audiologist’s role profession 7 - UDENTS ON THE NIVERSITY ST the PERCEPTION OF U thor: Main Au thor: Co-Au O The high sound pressure levels are a causal factor for is hearing loss normally that associated with occupational factors. same type In of hearing recent loss has years, been found in this young users who use regularly electronic in-ear-headphones that are able to reach sound intensity of as high as 130dB (decibels), which is equivalent to the sound intensity of a jackhammer. These headphones the maximize escape of sounds energy, thereby causing by more damage preventing to hearing. produces vibratory It energy, which also directly affects the inner ear. Based on students concerning their one study sampled80 university this information, habits and customs in the use of sound equipment, history of deafness, and sound perception. The CEP FacRedentor (No.05/2012) approved the study. of level sound intensity was 100 dB, and the students exposed themselves more frequently to noisy places such as bars and concerts. people Young consider the possibility of deafness caused by using irrelevant, although this they report headaches equipment and tinnitus, which as are typical signs of sound-induced alterations. This exposure, deafness, should which be taken seriously. To avoid deafness causes in this population, early bad the clarify that adopted be to need measures educational efficient more consequences of exposure to loud sounds. auditory Keywords: perception, early deafness, sound equipment. 6 - OF A THE ROLE ENGINEERS ON DGE OF knowle thor: Main Au thors: Co-Au I to perform auditory or vocal assessments and to participate in health and safety team activities by performing actions that ensure individual hearing settings. work in health hearing collective and health M among university students concerning the negative effects of constant in- ear-headphones use associated with portable electronic devices. show lack of knowledge on the part of future security engineers concerning engineers security future of part the on knowledge of lack show the role of audiologist in the context of occupational health. They are also that an audiologist is who unaware a is skilled able professional to develop health programs for workers by acting with an interdisciplinary health and team. safety 72 The The : LOSIS The lack : There was : ion onclus C ethods ion onclus M C Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. TUBERCU DRUG-RESISTANT LTI A total of 599 records were analyzed, of which. : ANEIRO esults R more The most frequent Otoneurological symptoms were : Karla Anacleto de Vasconcelos Afrânio Lineu Kritski, Antonio Ruffino Neto, Monica Kramer Afrânio Lineu Kritski, Antonio Ruffino Neto, Monica To identify the reporting auditory/vestibular complaints of among of complaints auditory/vestibular reporting the identify To esults : R DE IN THE TREATMENT AND THE USE OF AMINOGLYCOSI WITH MU OFPATIENTS IN RIO DE J bjective tinnitus (47.0%) and vertigo (58.3%). The complaint of instability (37.5%) w was observed less frequently in among Most patients had normal results to the their Oculomotor research movements sample patients(37.5%). tests (e.g., calibration, pendulum eye tracking, and opt kinetic nystagmus) were normal, in most cases. Vestibular caloric testing were was abnormal in 15 (62.5%) patients, 25% of patients had (62.5%) being the peripheral labirintopaia deficit ,(25%) and 16% of patients hadhyporeflexia based on by absolute values(16%), the results of greater prevalence. of information about auditory or vestibular complaints in patients treated condition auditory real the of observation the affects glycosides amino with of this population in the state Rio de Janeiro. The use of streptomycin and amikacin is associated with tinnitus. thor: Main Au thors: Co-Au O 5 - BETWEEN HEARING COMPLAINTS the RELATIONSHIP Brazil). carried out a secondary data collection were collected of from the medical records of patients treated for MDR-TB between the years 2006 2010 in the state of to Rio de Janeiro. The variables studied were the and reports of hearing complaints such as hearing The loss study. this in verified symptom and vestibular the was Dizziness of symptom tinnitus. The vestibular on reports the interruption of amino glycoside due treatment to because of auditory or vestibular complaints, as well as and audiometric evaluation, were examined. patients treated for multidrug-resistant tuberculosis (MDR-TB) in the last five 5years in the city of Rio de Janeiro and to analyze therelationship of these findings with the type of amino glycoside used. disorders Abnormalities essentially in the peripheral vestibular system were were system vestibular peripheral the in essentially Abnormalities disorders in evident on examination vestibular essentially in the vestibular peripheral system. In 172 records there were records of some reported patients with auditory or complaints vestibular after had they initiated initiation of with treatment amino glycosides. Thirty-six 36(20.9%) patients were advised to take undergo an audiometry or were referred to an otorhinolaryngologist. Twenty- than more had patients 4 only and examined, were patients 24(66.6%) four one audiometric evaluation, suggesting they had hearing follow--up. 16Sixteen (6.6%) had case found some patients were kind there of hearing In loss, with being 15(93.7% (15/16) of them having) of sensorineural type hearing loss that was (compatible with ototoxicity). The grade of hearing in curves descendent with had results All severe. to mild from ranged s loss was association association statistical a was There Statistical results. the all found between tinnitus and use of amino glycoside.  August 15, 2013 15, August

Posters Audiology August 15,2013 are lived in from cities outside the metropolitan region. usersthe lived metropolitanthe in region, percent8%ofeight and usersthe of 31% capital, the in lived users service 61%) (users Most the of location The-Ear (BTE) type A (according to the service classification). Regarding the Behind- the was aid hearing selected most The configuration. audiometric was the profound sensor neural hearing loss, which with had a descending with a mean age was of60.88 years. The most frequent type of hearing loss that the population in the study studied was predominantly women and the periodically, characterize theuserpopulation. of patients treated in the a hearing healthcare service in order to be able to, possible to verify the importance of research and appropriate data recording P Co-Author: Main Author: 9 - use of hearing aids and at 6 months post-fitting (p = 0.003). the before obtained scores the between difference significant a revealed 23.71 ± 3.69 points after 6 months of using hearing aids. Statistical analysis and aids, hearing using of months 3 after points 4.12 ± 23.29 points, 4.04 ± 22.94 was score IADL average patients’ the aids, that hearing revealed using beforeanalysis Data use. of 6months after and use, of months 3 after adaptation, aid hearing before assessed was IADL The help. without activities daily perform to unable was who patient a indicated point 1 and assistance, partial needed who patient a indicated points 2 help, without Brody) in which 3 points indicated a patient who could and Lawton performby (developed scale daily IADL the activities by assessment and audiometry; tone pure history; social and history audiological included Evaluation aids. hearing of userswerenew years).All 10.4 ± 77.1 age, years(mean 58–96 women)aged [76.5%] We 13 and men [23.5%] evaluated(4 individuals 17 A Co-Author: Main Author: instrUMENTAL ACTIVITIES OFD 8 - were then submitted to statistical analysis. statistical to submitted then were theyand 2012, December and 2010 werebetweenJanuary 2012 analyzed December and 2010 January between obtained entries 906 of out registered items light eight analyzed Were consulted. was question in service of hearing healthcare. hearing of use ofhearingaidspromoted positive changesinperforming IADL. improvement of instrumental activities of daily living (IADL). living daily of activities instrumental of improvement urpose im : To verify whether the adaptation to hearing aids contributes to the to contributes aids hearing to adaptation the whether verify To HEALTHCARE INTHECITYOFBELO HORIZONTE–MG USER PROFILE INAHIGH-COMPLEXITYSERVICEOFHEARING HEARING AIDA : To characterize the profile of users of a high-complexity service high-complexity a of users of profile the characterize To Claudia GomesLigocki,Vanessa Ferreira Mariz Adriane Teixeira Natássia Tuany Alves deFreitas Juliana Carioli D M APTATION ethods : The database of the hearing healthcare hearing the of database The Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. AILY LIVINGAFTER R esults : The research showed research The C onclusion C onclusion C ase : It was is

R eport : The : 73 articles. 14 leavingthereby excluded, were studies Other nightclubs. frequented or with studies research wereand/ stereos personal used had who tinnitus, from suffering people young criteria inclusion The found. articles initially ninety-five were hundred “young.”One and “music,”“tinnitus,” loss,” “hearing were used keywords The 2008–2013. of period delimiting the in written were that articles for searched We SciELO. and Med Pub through da Silva and teachers’ answers on the CHAPPS were compared. were CHAPPS the on answers teachers’ and answers parents’ the of results The alterations. ear middle confirmed had who children preschool the of teachers the to administered was CHAPPS 6 into divided parts, to evaluate their child’s auditory perception. In the and second stage, the questions 35 of composed is which (CHAPPS), Scale administered to the parents the Children’s Auditory Processing Performance media to the parents of the children with a positive history of otitis. We then into 2stages. In the first stage, we administered a questionnaire about otitis children’s age ranged from 4 to 6 Theyears Marilia. in in school public both a from genders.children preschool 38 The with conducted study was divided hlrn n ifrn evrnetl odtos ie, am iel multiple stimuli, memory, ideal, sequence, and auditory attention). calm, (i.e., conditions these environmental different of in perception children auditory the evaluate to teachers to questionnaire the administered we selection, the After history. positive a with children select to questionnaire a administered Parentswere children. preschool in stereos affecting the auditory system of young people. personal of use inappropriate the on focused were studies 7 tinnitus; and loss hearing to susceptible more are people young that found and noise recreational to regard with habits about questions asking questionnaires administered studies 4 noise; leisure of source high-risk a are nightclubs that found studies international 2 loss; hearing consequently and tinnitus) (e.g., symptoms auditory various causes music loud to exposure excessive Figueiredo Frizzo, AnaClaudiaVieira Cardoso, Vitor EngráciaValenti O Co-Authors: Main Author: eval 10 - f esnl tro rsl i a eprr trsod hf, ern loss, hearing shift, people. young in threshold tinnitus and temporary a in result stereos personal of I Co-Authors: Main Author: a 11 - conditions. environmental most in indices negative had patients the in stage second the whereas conditions, environmental different in patients the for stage first the in results positive showed study this questionnaire, CHAPPS the and becauseofthedifficultiesadministeringitinaschoolenvironment. was not easy to administer because of the sociocultural level of the families of young people with tinnitus. with people young of hearing the on recreationalnoise of effects the demonstrate literaturethat who perform activitiesrelated torecreational noiseexposure. people young in loss preventhearing to important itis that showed studies All nowadays. noise to exposed are youth where environment typical the is which clubs, national on conducted studies no been have there years ntroduction bjective CHILDREN MUSIC: LITERATURE REVIEW COMPLAINTS ANDTHEIRHABITSRELATED TO LISTENING UDIOLOGICAL PROFILE OFYOUTH WITHTINNITS R : The aim of this is study was to evaluate the occurrence of otitis of occurrence the evaluate to was study is this of aim The esults Ana Carla Leite Romero, Ana Claudia Bianco Gução, Ana Claudia Ariane Barros Oliveira, Heraldo Lorena Guida,Isabella Bonamigo C U : Renata Sperancin Marcomini Moniane Aparecida Sumera rqet iiain o ihcus n te nprpit use inappropriate the and nightclubs to visitation Frequent onclusion ATION OFA : In the literature, 1review described studies that reported that studies described 1review literature, the In : The questionnaire was efficient in this study, but it study, but this in efficient was questionnaire The UDITORY PROCESSINGINPRESCHOOL O M bjective ethods : : We performed a literature search literature a performed We To verify findings in the research the in findings verify To M ethods C onclusion R esults : The study was : Based on Based : In recent

Posters Audiology The The : ion onclus C USING HEARING HEALTH LATION The analysis showed that 98.73% of the treated : The study was conducted by analyzing the database at database the analyzing by conducted was study The : The results show that for the time-points measured, the measured, time-points the for that show results The : esults R ethods Vanessa Ferreira Mariz Ferreira Vanessa Ariane Barros Oliveira Ariane Barros Heraldo Heraldo Lorena Guida, Isabella Bonamigo da Silva, Moniane Juliana Soares dos Santos, Juliene Bastos Lopes Juliana Soares M To To determine the sound pressure levels in public parks in the To analyze To the origin of those using Hearing Health Care of Belo ion onclus : : C HORIZONTE IN BELO CARE IN D IMPLICATIONS ASSOCIATE AND THE NOISE URBAN - SP MARÍLIA bjective bjective Aparecida Sumera Aparecida Hearing Health Care Izabela Hendrix, to identify the demographic profile of following the considered We 2010. December to January from served users variables: type and degree of hearing loss, age, gender, county and state macro-region. sound pressure levels at the center of the city of Marilia are above those and intervention recommend We regulations. current the by recommended to minimize the noise impact on city inhabitants. work prevention 15 - OF THE POPU analysis thor: Main Au thors: Co-Au O 145 - thor: Main Au thors: Co-Au O city of Marilia and SP, to check if the noise levels violate the NBR 10151 standard. Methodology: We evaluated the noise levels extending from the city of center of Marilia SP urban for 2 days, over 3 roads time-points during peak hours, between 12:00–13:30. We used a Svantek dosimeter (SV102) to analyze the band octave noise, equivalent noise (Leq), level and chronic noise Results: levels. During the 2 noise days average of the study, was 105.8on dB(A),the street withfirst level Leq73.0 dB(A) and minimum and maximum values measured respectively as 58.3 and 91.2 dB(A). The average noise level on the second street was 106.2 dB(A) and dB(A), Leq with 72.2 minimum and maximum values of 60.4 and the last 90.9 street studied, dB(A). the average noise level For was 73.5 dB(A) and Leq of 72.7 dB(A) with minimum and maximum values of 59.2 and 91.6 Even dB(A). when the additional noise during peak travel higher than were these those levels sound by recommended NBR pressure times is eliminated, 10151. Horizonte. patients hailed from the macro-Central state; the other 1.27% came from macro-Center South, South West, East Jequitinhonha. Most patients were moderate commonly most was loss hearing of degree and type The female. years. 60.8 was users of age average The neural. sensor and majority of the trainees came from the macro-Central area. The remaining users were from the South East macro-regions, South Central, and West Jequitinhonha. Most users aged over 65 years were female. Hearing loss was most commonly sensor neural in nature and The moderate in severity. users of routing the or flow service to related dissatisfaction showed results compliance. for responsible those of training more for need the perhaps and 74 Because : Problems : The study used the used study The ion onclus ion onclus : A patient presented presented patient A C : C COSTS USES AND ase eport C R

Twenty-nine percent Twenty-nine of the : ase C esults Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. R To relate a possible association between : bjective O Reiter’s syndrome is a spondyloarthropathy, which is one Rafael da Costa Monsanto Rafael Amanda Dal Piva Gresele Piva Amanda Dal : Arlindo Cardoso Lima Neto, Natal José Bobato Neto, Sara Jéssica Jabóvski, Karenina Sampson, Maristela Julio Costa Sampson, Maristela Julio Karenina Jéssica Jabóvski, To identify the most common technical problems that occurring : ? ASSOCIATION : CA HEARING CARE A HEALTH SERVICE IN bjective ntroduction Reiter’s syndrome and sensor neural hearing loss. hearing neural sensor and syndrome Reiter’s most commonly encountered were related to the breakage of parts that can that parts of breakage the to related were encountered commonly most knowledge patient of lack the to aids, hearing of users by handled easily be on the proper handling of the devices. These data highlight the need strengthen to patient orientations and follow up after the adjustment, and thereby increase the life of hearing aids, reduce the costs in involved early repair. the higher estimated costs for and reduce replacement, Lauriano Rodrigues, Sílvia Carolina Almeida Sandes, Ulisses Catossi Junior Almeida Sandes, Ulisses Catossi Lauriano Rodrigues, Sílvia Carolina with joint pain in the lumbar column, left knee, and left conjunctivitis; foot; and urethral discharge. Immuno fluorescence of theurethra material showed Chlamydia from the infection; in and column therefore, lumbar the in synovitis Reiter’s showed scintigraphy Bone diagnosed. syndrome was sedimentation erythrocyte and increased the left showed knee. Blood work rate and C3 fraction of the complement. The patient complained of rapidly progressive hearing loss and tinnitus in the left ear a few days after initial the presentation. Audiometry showed severe sensorineural hearing loss demonstrated (BERA) audiometry response evoked Brainstem ear. left the in increased absolute latency on the left side. Magnetic resonance imaging (MRI) did not show any noteworthy findings; the however, MRI scanwas disease. the of phase acute the after year 1 performed I thor: Main Au thors: Co-Au 13 - : A POSSIBLE ’S SYNDROME AND HEARING LOSS reiter thors: Co-Au O 12 - A D INTO AID FITTE OF HEARING PROBLEMS technical thor: Main Au of the diseases known as reactive arthritis. It occurs as a non-supportive such bacterias producing polysaccharide lip by infection an of complication as enterocolitica, Yersinia Campylobacter jejune, and Chlamydia trachoma is. Its pathogenesis is unknown, but Reiter’s syndrome is associated with the HLA-B27 gene. Its classic triad is defined as arthritis, conjunctivitis and peripheral and central as such occur also may manifestations Other urethritis. neuropathy, mucocutaneous lesions and heart issues such as pericarditis and valvular lesions. there is Reiter’s there between no correlation study any showing in the literature syndrome and hearing loss, we propose that an association between them. We could thus suggest that exist more studies be performed to get a of the association. better understanding in hearing aids adapted in a repairs. for costs estimated hearing the and causes, health care service, the possible database of the Hearing Aid Laboratory of the Federal University of Santa Maria (Santa Maria, Brazil). All repair requests recorded from July 2009 to July 2012 were analyzed to very the following information: problems with hearing aids, their possible causes, and the problems repair technical common most cost. the which There among requests, were repair verified 254 were related to the breakage of battery compartment, the box, or the ear hook of the hearing aids. The possible causes of these identified problems were divided into 2 groups: (1) problems resulting from hearing aid bad or (2) an use unknown cause. of the problems problems were associated whit mishandling by the patient. The average estimated costs of repairs for hearing aids that were outside the warranty period was R$ 493.27 (approximately US $219.23). August 15, 2013 15, August

Posters Audiology August 15,2013 ewe rgt n lf er i te antd o sprsin though suppression, of magnitude ear. left the in the common more was suppression in ears left and right between differences significant no were There ears. both in (50–65%) kHz 1.4 and more common at 2 kHz, 2.8 kHz, and 4 kHz (65–80%) as compared to 1 kHz was Suppression ears. both in kHz 1.4 and kHz 1 bands at suppression of magnitude greater a and kHz 2 and kHz, 2.8 kHz, 1.4 bands at emissions child withBPVC a in integration system sensory and balance, control, postural improving in effective was rehabilitation vestibular for instrument therapeutic a as systems. vestibular and visual and proprioceptive, the among integration and reflex vestibulospinal reflex, vestibulo-ocular the strengthen to order in sessions, therapy for NWFP an use to advised was patient The home. at exercises adaptation vestibular perform to advised was child the and treatment, to refractory were symptoms Her andheadache, abnormalities. medical other vertigo any with without presented first who girl 10-year-old a was that her symptoms had resolved completely.resolved had symptoms her that reported and hips, and limbs lower the of balance dynamic and static of pn tmlto b cnr ltrl noise. lateral contra by stimulation upon emissions otoacoustic of suppression the by measured be can activity Its environments. noisy in perception speech improvingfor responsible is that The medial olivo cochlear efferent tract is a part of the efferent auditory system ytm ucinlt aog on adults. young among functionality system auditory efferent on emissions otoacoustic transient suppressing of effect iul adtr ad oo atvte; tlzs nertn sses and systems; integrating regimen. treatment the with utilizes compliance patient improves activities; motor and auditory visual, assist in rehabilitation. Use of this device improves postural control through to used been has (NWFP) Plus Fit Wii Nintendo life. The of years 4 first the during arises typically condition The migraine. by preceded sometimes are symptoms These sweating. and vomiting nausea, pallor, by accompanied vertigo without cochlear symptoms (tinnitus, hearing loss), and is frequently I Co-Authors: Main Author: vestibU 17 - Co-Authors: Main Author: effect OFSUPPRESSIONINNORMAL 16 - NWFP as a tool for vestibular rehabilitation therapy.rehabilitation vestibular for tool a as NWFP using by BPVC with child a in intervention therapeutic of effectiveness the no hearingcomplaints. with adults young among system auditory efferent the of function distinct suppressionof was greaterlow a forof frequencies,suggests bands which aea 6-BP wie os, mn 2 nra-ern sbet, with subjects, complaints. hearing no normal-hearing 20 among noise, white 60-dBSPL lateral contra a with stimulation upon emissions otoacoustic transient recorded ntroduction OTOACOUSTIC EMISSIONS A VERTIGO OFCHILDHOO DU R Leni Sayuri Mizuta, Lizanne Ikegaya e Silva, Lucia Kazuko Nishino esults Adriana Ribeiro Tavares Anastasio,ErikaBarioniMantello LTS: BAN DS FREQUENCY ANALYSIS OFTRANSIENT : Lissa Maira Matsuo Caroline Favaretto Martins Benign Paroxysmal Vertigo of Childhood (BPVC) manifests as manifests (BPVC) Childhood of VertigoParoxysmal Benign LAR REHABILITATION INBENIGNPAROXYSMAL : After 5 sessions, the child showed improvements in terms R esults : Data analysis revealed higher otoacoustic higher revealed analysis Data Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. A im C M onclusion : ee e netgtd the investigated we Here C aterials -HEARING YOUNG onclusion C

ase : and The use of NWFP of use The

: R The magnitude The O M eport bjective ethods : G.L.A.B. : Verify : We We 75 of prevention. purpose the for importance paramount of is which noise, to susceptibility increased thosewith identifying in effective also were The guidelines values. NIOSH benchmark below results with those identifying in effective was (NIOSH) Law American the of principles the to according conducted erig problems. learning without children vs. dyslexia with children in evokedpotentials auditory of of noise-induced hearing loss. preventionthe to relation in method, NIOSH the using monitoring auditory Figueiredo Frizzo, SimoneAparecida Capellini O Co-Authors: Main Author: a 18 - R O Co-Authors: Main Author: theEFFECTIVENESS OFNIOSHA 19 - utilize complex auditory skills. auditory complex utilize deficits that would hinder primary and secondary school students, who must and Fz, differed significantly for both ears. These results suggest processing Cz at measured N2-P3, amplitude inter groups, between compared were group as compared with the control group. When components of the LLAEP dyslexic the in elongated were ear right the in MLR the of components C4 in Nb and Na The Discussion: and Results software. Statistical using t-test by analyzed were potentials, evoked auditory of latency long and medium UNESP.The/ FFC Speech of Department Learning Deviations Research of Laboratory the at screened and yearsold were>8 children All disabilities. population comprised 30 children, 15 diagnosed with dyslexia study and 15 without learning The analysis. descriptive and qualitative, quantitative, employees could not have been identified. havebeen not employeescould testing had been performed according to Ordinance 19, with the rest, these This subset of employees may be highly susceptible to noise. Notably, if the rest. auditory with retesting after NIHL exhibited (6%) 6 only rest, without exam the in NIHL showed who (15%) employeesHowever, among15 2%). employees; (2 NIHL worsening of suggestive those vs. 98%) employees; (99 results stable of prevalence high a revealed analysis evolutionary The NIHL. of suggestive thresholds had (6%) employees thresholds;6 hearing rest. We then analyzed the auditory threshold retest exams for confirmation. hearing a without examinations sequential parameters: NIOSH to adhered testing All spreadsheet. management audiological an into entered were test benchmark the to compared showedabnormalities who those of Data dB. 80 exceeding noise to company,exposed aviation civil a by employed study of secondary data. We obtained audiological data from 101 individuals schoolchildren. dyslexic perceivedby stimuli sound linguistic investigatethe to stimulation speech LLAEP include should research Future population. this in function expedient an in training auditory-linguistic fashion. However, further studies are needed utilize to elucidate auditory pathway to then allowing by dyslexia, with children of diagnosis early the in aids processing auditory in esults bjective bjective AMONG AVIATORS : The results showed that 95 of 101 employees (94%) had normal had (94%) employees 101 of 95 that showed results The UDITORY EVOKED POTENTIAL LATENCY AMONGD : : To study the medium (MLR) and long latency (LLAEP) components h am f hs td ws o netgt te fetvns of effectiveness the investigate to was study this of aim The Ana Carla Leite Romero, Ana Cláudia Bianco Gução, Ana Cláudia Vera CeciliaGelardi Simone Fiuza Regaçone Gabriela Savioli LopezFernandez M ethods : h suy a cosscinl ein with design cross-sectional had study The M C onclusions ethod : This was a retrospective, descriptive : UDITORY MONITORING C The detection of a dysfunction a of detection The onclusion : Auditory monitoring Auditory YSLEXICS

Posters Audiology To investigate : The research was was research The : UDITORY bjective eport O R

IN OF LIFE ALITY ase C All subjects were evaluated : We evaluated 10 evaluated We patients, 4 men : ethod M esults R We observed the We presence of OAE at single : WITH DIZZINESS ALS ion onclus C The elderly individuals suffering from dizziness, who : D QU AN LAR REHABILITATION Marina Santos Teixeira Andrea Paz Oliveira Paz Andrea Anacléia Melo da Silva Hilgenberg, Fayez Bahmad Júnior, Teresa Maria Momensohn Dos Santos Maria Momensohn Dos Teresa To investigate the effects of vestibular rehabilitation in a group ion onclus : C UM DISORDER A OF SPECTR INVESTIGATION (DENA) NEUROPATHY INDIVIDU DERLY EL bjective were were included in this study, showed impaired quality of life in relation to physical, emotional, and functional DHI components. After VR, all reported quality in increase an with balance improved and dizziness RV in decrease a and static all in improvement showed VR in participated who Seniors life. of tests after RV. able to complete more dynamic tests and were (40%) and 6 women (60%). In this sample, 60% of patients had tinnitus. The The tinnitus. had patients of 60% sample, this In (60%). women 6 and (40%) average age was 68.9 years. All subjects exhibited improved performance on the walking tests, eyes open (EO) or closed (EC), after VR. The average pre-EC VR was 1.5; average The and VR 4.4 for EO post-VR. was 3.3 pre-VR the average after RV was 3.7. DHI scores were lower after the subjects, RV with in average all DHI before RV = 33.8 and average = DHI after 8.0. RV auditory function (outer hair cells) through OAE in 3 children with DENA in function. cochlear of loss any identify to order 23 - EMISSIONS IN THE USTIC OF OTOACO assessment thor: Main Au thors: Co-Au 22 - U vestib thor: Main Au thors: Co-Au O Fernanda Fernanda Ferreira Caldas, Tatiana Medeiros Ramalho Aragão Deperon, Thaiana Larissa The literature states that the absence or presence of at single otoacoustic frequencies emissions does not (OAE) exclude the auditory diagnosis neuropathy of spectrum an disorder (DENA). frequencies in 2 children before cochlear implant surgery, which suggests a suggests which surgery, implant cochlear before children 2 in frequencies loss of cochlear function. chronic of elderly patients with dizziness. conducted in 3 children:2 brothers with bilateral profound sensorineural hearing loss and criterion the “passed” DENA and OAE using treated screening hearing newborn at underwent a rehabilitation well as center. examination ENT an All with assessed also was children child Each evaluation. of of Two reflexes. acoustic (ABR) Response Brainstem Auditory the of tests as 2 approximately at (CI) implantation cochlear undergone had children 3 the child other The cases. both in noted OAEs of presence the with age, of years who did not undergo surgery presented no OAEs when assessed several months after birth. according to the dizziness handicap inventory and underwent tests of static of tests underwent and inventory handicap dizziness the to according and dynamic balance with open eyes and closed eyes and before after the RV. There were 8 VR sessions in groups of 3–4 subjects. The Hawthorne and Cooksey protocol was used. 76

ial ater M UDIOLOGY Both groups presented : USERS OF LT DU esults R Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. SP Despite auditory thresholds within normal limits, OAE : This was a cross-sectional descriptive study in - 67 subjects, : Bruna de Souza Pedroso Machado Bruna de Souza Pedroso George do Lago Pinheiro George Carla Leal Bortoli, Fernando Cezar Cardoso Maia Filho, Gabriel Daniela Gil, Renata Coelho Scharlach ion onclus To evaluate hearing among young adult users and nonusers of To describe To the socio-epidemiological characteristics of patients : : C UNG A DISORDERS IN YO UDITORY ethods STEREOS PERSONAL UTE OF A INSTIT THE AT LOSS WITH HEARING PRUDENTE- PRESIDENTE M bjective bjective 37 women and 30 men. The subjects were divided into 2 groups, defined as follows: Group I (GI), individuals who typically used a personal stereo, and Group II (GII), individuals who typically did not use a personal stereo. The participants underwent basic audiologic testing and were evaluated distortion and (OAE) evoked transient emissions otoacoustic to respect with product (DPOAE). The sound pressure level at which GI members listened to their personal stereos was recorded. Cardoso Cardoso Ramalho Neto, Lucas Antonio Gusato, Núbia Goedert Soares de Souza were sensitive to noise exposure. The SPL to which users are exposed, daily, daily, exposed, are users which to SPL The exposure. noise to sensitive were be damaging to the auditory system. and may high was O and thor: Main Au thors: Co-Au 21 - a O thor: Main Au thors: Co-Au 20 - OF PATIENTS PROFILES DEMIOLOGICAL AND EPI social auditory thresholds within normal limits; however, 3 kHz thresholds were lower in GII. DPOAE amplitudes were higher in GII for frequencies of 3 and 4 kHz. The medium NPS used in personal stereos was 85 dB (A) and the maximum was 91 dB (A); 100% of GI participants reported 220 min, 6 days daily use was use, average The the time, at the maximum level. most of a week. personal stereo by using behavioral hearing and electro acoustic evaluation evaluation acoustic electro and hearing behavioral using by stereo personal device. each for (SPL) level pressure sound the analyzing as well as - with hearing loss at the We Institute of Audiology Presidente Prudente-SP. the evaluated medical of records 675 patients diagnosed with hearing loss treated at a referral center during the period from 2003–2007. The data was review conducted from September to November 2012. in this sample, 314 patients (46.5%) were men and 361 (53.5%) were women. The most common age group was>61 years, corresponding to 51.5% of the visitors (n= 349). There were 60 patients (n= 8.9%) aged <18 years. With regard to city of origin, 49.2% (n= 331) of the patients originated from Presidente neighboring or cities macro-region from came others the while Prudente-SP, states. When asked to provide 304 schooling, of level the their evaluating When White. being reported subjects ethnicity, 67.7% (n= 456) of the (45.1%) patients reported having completed elementary education; only 8 (1.2%) patients had completed tertiary education. As for occupation, 201 as retired. themselves (29.9%) patients reported August 15, 2013 15, August

Posters Audiology August 15,2013 eeomn, o lvl oprbe o ht f er itnr. Keywords: listeners. Cochlear implant,LanguageDevelopment, Rehabilitation. peer of that to comparable language level speeds a to implant development, cochlear a of use the that suggests research years (n = 8). = (n years 71–75 years (n = 24); Group 4 (G4), 76–80 years (n = 10); Group 5 (G5), ≥81 60–65 years (n = 25); Group 2 (G2), ages 66–70 years (n = 22); Group 3 (G3), subjects included in the study were divided into 5 groups: Group 1 (G1), aged which assesses concern about falling during 16 activities of daily living. The Each individual was evaluated using the Falls Efficacy Scale (FES-I-BRAZIL), stratified by age. We evaluated elderly individuals of both sexes (≥60 years). agae eeomn ad comprehension. and development language to regard with expressive and perception up speech accelerate implants The skills. language followed been had implants cochlear using those of acquisition. language follow to closely evaluated be therefore must Users acquisition. I Co-Authors: Main Author: lingUISTIC PERFORMANCEAMONGCHILDREN WITH 25 - O Co-Authors: Main Author: fearOFFALLING AMONGTHEELDERLY 24 - fear offalling. and age between correlation no was therehowever, falling; fear to likely Macangnin Seimetz,Deborah SalleLevy, Ícaro Walbrohel population. Brazilian a among investigated as children, in implants cochlear of use the 19.8. G4, 21.12; G5, points; 23.86 of average an had G2 points). (24.95 score average highest second the had G3 questionnaire. the on points) (25.04 highest scored G1 study. southeastern region of the country.the of region the southeastern in primarily performed were studies These of relevance. because thematic included their were 12 articles database, 66 electronic SCIELO the the Among in 2012. found to 2005 from published studies Brazilian Batista Ribeiro ntroduction bjective COCHLEAR IMPLANTS:ASYSTEMATIC REVIEW : To determine the prevalence of a fear of falling in older adults, older in falling of fear a of prevalence the determine To nay Csa e avlo Snr Csa oer, Vanessa Moreira, Costa Sandra Carvalho, de Costa Annalyz din Rbio exia Ade Kue Gnavs Bruna Gonçalves, Kruger Andrea Teixeira, Ribeiro Adriane : Mariana dosSantosPedrett Leticia SousaFlores O M oher mlns rmtcly aiiae rl language oral facilitate dramatically implants Cochlear bjective R ethod esults : h cru ws ae o a ytmtc eiw of review systematic a on based was corpus The : : This study sought to provideThisto rationalesought underlying the study Ultimately, 89 elderly individuals participated in the in participated individuals elderly Ultimately,89 C onclusion R esults : The youngest patients were most were patients youngest The Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. : The results showed that 100% showedthat Theresults C onclusion . : vrl, the Overall, 77 and accuracy in finding target symbols). (speed subtest symbols” “search a and symbols) graphic of reproduction from the Wechsler Adult Intelligence Scale: a “code” subtest (rate of written designed to provide the processing speed index (PVI), which were extracted tasks 2 on performance their on based evaluated2 were Subjects and months). years 20 age mean women, 11 and men (26 participants deaf 37 in tasks oculomotor and visual during processing of speed the evaluated when compared tothenormative group. speed processing in increase no showed participants these that indicating showed that most participants scored within normal limits on both subtests, hearing screenings duringtheprenatal period. conclude that mothers are provided with little guidance regarding newborn We done. was it how understand not did they hearing, for screening the with relieved, satisfied feeling good, despite that, felt reported also others mothers The happy. the and question; the answer not did mothers 9 child’s hearing. As for the feelings of mothers upon learning the test results, did not answer; the others considered the test an important measure of the provided informationwas adequate. As the to the importance of that the examination, 4 reported mothers 75% surveyed, those Among hearing. and was a test to see if the baby hears well and/or would have trouble speaking the survey question asking what they knew about the test; the others said it answer not did mothers Five 5%. in member family a and 30%, in nurse a cases, of 30% in doctor a was information this for responsibleprofessional information only on Teste do Pezinho; 35% were not directed to any receivedtest. The 30% Olhinho; e Orelhinha Pezinho, do Teste O about information received mothers of 34% that showed results survey The average. an on visits 6.8 with care, pre-natal received had Each months. 7 and years 22 The Belém-PA. questionnaire comprised in 10 questions. The averageUnits age of the mothers Health was Primary in mothers 20 in conducted was the TESTE DA ORELINHA as part of the Hearing Health Program. The survey The objective of this study is to analyze the views of mothers on insertion of rcsig mn da individuals. deaf among processing visual in involved skills specific the evaluate to necessary is it field, this in the of development studies national overall of lack the and findings inconclusive the the Given individual. promoting senses, other from derived that with integrated then is information This immediately. world external the of characteristics the register to individual the allows function Visual I Co-Authors: Main Author: effect OFHEARINGIMPAIRMENT ONVISU 26 - Co-Authors: Main Author: theVIEWSOF MOTHERS ONANEWBORNHEARINGSCREEN 27 - visual processing among deaf individuals. deaf among processing visual ntroduction PROCESSING IN THEPRIMARY HEALTH UNITSAT BELÉM/PARÁ Dagma Venturini Marques Abramides Teresa MariaMomensohn-Santos : Maiara Aparecida BolottiGiacomelli Amanda Monteiro Magrini ern ipimn my ed o ueir iul skills. visual superior to lead may impairment Hearing O bjective R esults M ethods : o sals te pe of speed the establish To

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This exploratory study exploratory This C onclusion AL : The results

Posters Audiology

: : : : Some ethods : bjective bjective O O M ion onclus C esults and

R It was acquired acquired was It Tritium, Hearing Hearing Tritium, : : The study showed showed study The : ials ater ethods M eywords M K Invited observers registered registered observers Invited ion onclus and :

C esults Hearing aids, Batteries, Reference : R ials ater M eywords K Regardless Regardless of the brand or model of hearing all of them Tritium (T2 Tritium ou 3H2) produced in the laboratory in the form of Ricardo Ferreira Bento Ferreira Ricardo Ricardo Ferreira Bento Ferreira Ricardo : : Silvio Pires Penteado Silvio Pires Silvio Pires Penteado Silvio Pires AID BATTERIES ntroduction ntroduction Aids, Visible Light. Aids, Visible as good lighting source of hearing aids with tritium, fine for the purposes of purposes the for fine tritium, with aids hearing of source lighting good as location in the dark, without, illuminating however, to excess. 31 - d by Tritium Aids Glowe hearing thor: Main Au thors: Co-Au I gas encapsulated with phosphorescent material produces a continuous glow of low intensity, which can shine for more than exposure ten to years light without having as characteristics to be weatherproof, no wires required, to be maintenance-free, to do not consume electricity and it can be obtained in assortment of is colors. used Tritium in military applications (e.g. flashlights, lensatic compass) also has commercial applications (eg. harm to lead not do tritium to exposures Continuous signs). safety watches, or danger who uses this type of lighting device, neither members of the community. Hearing aids that use tritium can help users to find their aids in the dark, also to correlate aids with left or right make it ear, more fun to use aids, and help companies in the promotion of new products. Tritium can be used to glow hearing aids in the dark, issues. without hazards health or damaging functioning aid hearing 30 - OF HEARING BRAN DS OF EIGHT ANALYSIS performance thor: Main Au thors: Co-Au I Standards, Laboratory Equipments. Laboratory Standards, locally eight brands of batteries for hearing aids in four sizes above, mentioned which are submitted to the same standard of performance test in laboratory, in accordance with Annex G of IEC 60086-1. brands brands predominated in certain sizes, however, there is not a brand that sizes. four in others the among predominates demand for one battery to its circuit. A electronic power battery is a device for converting chemical energy into electrical energy with a set amount of voltage and current needed to power an electrical circuit or electronic, but marketed are aids hearing for batteries the Brazil, In span. life limited a with by international brands in sizes numbered 10, 312, 13 and 675. up which brands and sizes of batteries with of expense the at performance best the better favors reader the to contribute may performance, which those of poorer performance. Introducing the first hearing aids glowed by tritium. by glowed aids hearing first the Introducing Tritium vials were acquired in several colors and attached to BTE hearing observers. invited to showed be to aids Analyze the dynamic performance of eight brands of batteries for hearing market. Brazilian the in available aids 78 CARE The noise The : esults R INTENSIVE REPORT A): EXPERIENCE D NEONATAL This cross-sectional descriptive A : The level of noise in the NICUs Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. : IN ethods M ion onclus C This was a descriptive study in the form of an : EXPOSURE ethods M NOISE The cochlear implant dramatically facilitates oral language karla Anacleto de Vasconcelos Mariana dos Santos Pedrett Mariana dos : Heyder Heyder Vieira da Conceição, Isabela de Oliveira Marchesi, To address the To scarcity of call centers for the hearing impaired Annalyz Costa de Carvalho, Sandra Costa Moreira Sandra de Carvalho, Annalyz Costa : To verify the need of implementing noise reduction programs : To publicize the work done by AMADA, during the period from : IMPLANTS (AMA WITH COCHLEAR UNITS bjectives bjective ion onclus ntroduction Jéssica Araújo Cerqueira Moura, Larissa de Almeida, Tamiris Silva Akbart Silva Larissa de Almeida, Tamiris Moura, Cerqueira Jéssica Araújo experience report. The related research was carried out at the institutions providing speech therapy services for children with cochlear implants. All institutions included in the study use the Aurioral method, which focuses on auditory and language skills. These institutions also of recruit the UNINORTE help students and provide family were initiated counseling. based on These the recommendations activities of implant centers, which stressed the importance of rehabilitation after implantation of the device. analysis was approved by the conducted IRB/UFES at under University No. Hospital 201 (HUCAM) 539. NICU of It Cassiano Federal was University Antonio of de Espírito metropolitan Santo Moraes (UFES) area located of in the During each. beds 6 Vitória/ES. the of capacity maximum a with risk) high The and (medium environment consists of 2 measurements, the units staff was asked to maintain its routine work, without deliberate noise reduction. The noise level was measured 3 times a (08:30, day 12:30, and 15:30) over 1 week. A decibel meter with data logger, measurements. for used was DEC-49, Instrutherm model studied is above the levels recommended by the AAP reflecting and ABNT, the need for immediate development and implementation of programs to noise in this environment. reduce in the Neonatal Intensive Care Units (NICUs) of a university hospital, measuring by the ambient noise. O thor: Main Au thors: Co-Au 29 - ambient O thors: Co-Au I 28 - AMAZON IN THE DREN IN CHIL REHABILITATION speech thor: Main Au C acquisition. In the Amazon, most of Manaus. these After surgeries activation are of performed the in speech received these implants processor, return to children Manaus for who speech rehabilitation, with have appointments scheduled for 3–6 months to map the IC. AMADA Thus, has demonstrated a long-term commitment to the success of these surgeries. level varied randomly with a general average of 64.66 dB (A), which exceeds which (A), dB 64.66 of average general a with randomly varied level the maximum decibel (dB) level of 45 dB recommended by the American 1997) and the desirable and Academy acceptable of (AAP, levels Pediatrics Association Brazilian the by recommended respectively, dB, 45 and dB 35 of Technical Standards (ABNT, 1987). There was no difference between the noise levels in the 2 units. in the northern region of the country, the AMADA program was established was program AMADA the country, the of region northern the in to provide speech therapy for a population without access to The therapy. program also fosters family participation in monitoring the child who uses an IC. 2010–2012, and its implications for professionals who care for children with children for care who professionals for implications its and 2010–2012, cochlear implants. August 15, 2013 15, August

Posters Audiology August 15,2013 intervention alone. either than improvement significant more with associated is intervention olg teachers. college 42 to provided were (VAPP) Profile Participation and VoiceActivity the and sensations/symptoms vocal of identification and characterization sample did not lead to significant improvement, despite improvements insome parameters. vocal isolated improvements despite improvement, significant to lead not did interventions isolated that observed was it (direct/indirect), interventions isolated and combined between comparison the wasfocus whose studies, other In time. of period short overa often interventions,improvement after indicated review this in included studies The teachers. in disorders voice preventing for methodology best the as reported was intervention indirect rils ht eotd ujcs ih oa pathologies. vocal with subjects reported that articles evaluation of interventions in teachers as their main objective. We excluded S P Co-Authors: Main Author: interventionsvocals direct andinirect teacher: 33 - A Co-Authors: Main Author: association betweentimeofteachingd voice an 32 - correlation. social communication, (inverse) negative daily a showed restriction on participation and Effects communication, scores. VAPP total andthe and career partial ofteaching duration between correlation was significant There no (40.4%). hoarseness and (66.6%) throat dry were symptoms vocal reported most The population. sample the in predominated gender compromise thevoice-related qualityoflife. professionalof voice and not time the did the of addition, use In activities. daily professional their of limitations in reflected not was this symptoms, teachers. in disorders voice preventing in interventions vocal indirect and/or direct and voice self-assessment in college teachers. h icuin rtra Fu ohr rils ie b te tde ta had that these. studies to added the were available text by full the cited articles other Four criteria. inclusion the met which of 5 identified, were studies 677 search, initial the of result a Pub Med), Pub Med, LILACS, SciELo, Scopus, and Web of Science (WoS). Science of Web and Scopus, SciELo, LILACS, Med, Pub Med), Pub via (accessed MEDLINE databases: electronic following the in 2013 April Vieira urpose election im : To investigate any association between duration of teaching career teaching of duration between association any investigate To Systematic ReviewoftheLiterat ure sectional observational st ud self-assessment incollege teachers: cross : sseai ltrtr rve t eaut te fetvns of effectiveness the evaluate to review literature systematic A

S C Mauriceia Cassol,Patricia daSilva klahr éa oçle Gre, arci Cso, aul Hochmuller Raquel Cassol, Mauriceia Gurgel, Gonçalves Léia earch ritera Tanise CristaldoAnhaia Tanise CristaldoAnhaia C onclusion

S : R trategy e nldd admzd otold ras ht had that trials controlled randomized included We esults : lhuh h suid ouain eotd vocal reported population studied the Although : : hr drto o tahn cre ad female and career teaching of duration Short We searched for articles from January 1980 to 1980 January from articles for searched We C onclusion : Combined direct and indirect vocal indirect and direct Combined Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. y R M esults ethods : Combined direct and direct Combined : A questionnaire for D ata

A nalysis : As 79 order tomake appropriate referrals. in disorders 2 these of understanding better a have to need teachers that the which explains disorders these children the with of referrals. in misclassification appears It APD, and of ADHD characteristics specific between improving thesubjective sensationsofvocal production. it signals; periodic decreased and energy harmonic increased as well as PGTIW was associated with increased SPL, resonance, and vocal projection, teachers use to classify these referrals. these classify to use teachers the second and third formants, and smoothness of the tracing. the of smoothness and formants,third and second the improvedvoice, of better definition a of correlation sensation the and PGTIW between positive significant a was There PGTIW. after observed were voice better a of sensation the and value, SPL the harmonics, of number the harmonics, of first and the formant of definition fourthformant,the the in water (PGTIW) in normal women. immersed normal in tube (PGTIW) water glass in a in phonation after sensations self-reported and different symptoms as present in ADHD or APD. classify to participants the asked questionnaire The Paulo. São of city the from teachers school public 19 by completed was (2005) Reis and al. (1998), et Chermak (1998), Keller to according APD, and ADHD of symptoms or APD.” or activities, and which, according to the teachers, are “characteristic of ADHD daily of performance the and performance academic with interfere which disorder processing classroom,and auditory the behaviorsin and symptoms manifest Thesestudents (APD). (ADHD) disorder hyperactivity deficit attention having of suspected adolescents referrals and children of of number teachers from large a receive clinics medical and therapy Speech Co-Authors: Main Author: teachers’ KNOWLEDGEOFTHESYMPTOMS OFA 34 - O Co-Authors: Main Author: phonation INAGLASSTUBEIMMERSEDWATER 35 - misclassified. frequently speech were disorders, 2 discriminating the in rates in different at occur difficulty which (5.2%), and (10.5%); behavior impulsive or (42.1%); hasty (15.7%); hyperactivity (36.8%); behavior cooperation of lack and aggressive restlessness and disorganized, inappropriate, (57.8%); problems socially conduct (68.4%); distraction as such symptoms that spectrographic analysis was performed. Statistical significance was wasconsideredsignificant). significance 0.05 (P< tests Statistical Spearman and Chi-square, on, Wilcox the performed. using evaluated was analysis spectrographic narrowband and Wideband CG. the in silence of period a after and SG the in PGTIW after and before sensations, vocal self-reported and (NPS) the assessed and /a:/ vowel the of phonation their evaluated we (CG); group control the to 12 and (SG) group study the to assigned were 12 years, 40 bjective APD PRESSURE ANDSELF-REPORTED FEELINGS IN WOMEN:VOCAL SPECTROGRAPHIC, VOCAL SOUND : To evaluate changes in spectrograms, sound pressure level (SPL), P Amanda Monteiro Magrini, Teresa MariaMomensohndosSantos Carla Aparecida Cielo,Fabrício Scapini urpose Angelica BiazusMendoncadaFonseca Joziane Padilha deMoraes Lima C onclusion : To investigate the behavioral signs and symptoms that symptoms and signs behavioral the investigate To : Teachers demonstrated difficulty in differentiating R esults : In the GE, increases in the intensity of intensity the increasesin GE, the In M M ethods ethod : Of 24 women, aged 18 to 18 aged women, 24 Of R : A questionnaire about 20 about questionnaire A esults : The results showed DH AN C onclusion :

Posters Audiology USION There was considerable uncertainty about : ion onclus C Adriane Ribeiro Teixeira Adriane Ribeiro Roberta Curty Soares Roberta Curty Andréa Kruger Gonçalves, Annelise Ayres, Bruna Macagnin Claudiane Cardoso Balbi Henriques, Maria Esther de Araújo Henriques, Maria Esther Balbi Claudiane Cardoso We investigated opinions of normal subjects about cognitive : PEOPLE INCL FOR THEIR STRATEGIES bjective 39 - DER DERS IN OL DISOR DS AND MEMORY THRESHOL hearing thor: Main Au thors: Co-Au 38 - ASSESSING DEAF: DS THE UDES TOWAR ATTIT societal thor: Main Au thors: Co-Au O Seimetz, Leticia Sousa Flores, Maira Rozenfeld Olchik Rozenfeld Maira Seimetz, Leticia Sousa Flores, The aim of this study was to investigate the association between hearing thresholds and memory disorders in a group of elderly subjects patients. were Twenty evaluated, aged 60–84 years (mean 72.1 ± 6.6 years); 18 (90%) were female. The evaluation included audiological and neurological history, pure tone audiometry, and the Rey Learning Auditory-Verbal Test (RAVLT), which is used to evaluate recent short- learning. This test and has been long-term validated for the memory Brazilian population. and It comprises a list of 15 words that are read several times to the subject. At the end of each reading, the subject is requested to repeat the words (recent learning). After the fifthrepetition, a differentword list isread to the patient as interference. The patient is then immediately asked again to recall the original list (short-term memory) and asked again 30 min later (long-term memory). Testing showed that 11 (55%) subjects had normal hearing. The showed RAVLT normal results in 15 individuals in the recent learning phase. In the evaluation of short-term memory, 8 (40%) subjects within normal were of results limits. long-term The normal memory in were 12 (60%) seniors. Statistical analysis showed a significant difference only in long-term memory, with those scoring poorly on the RAVLT showing a higher mean hearing threshold (P = 0.025*). It was concluded that there is an association between hearing thresholds and changes in long-term memory. deafness and the needs of the deaf. The normal the individuals deaf considered to have reduced cognitive relation ability. to There communication, was because, while a they dichotomy considered it in to important communicate with the deaf, they did conversation. not show The interest results in public’s initiation indicate the change to strategies appropriate plan that to necessary is it solution, instead of a simple inclusive implement to as well as legislative deaf the towards philosophy and thinking reality. social a deaf the of inclusion of process the make to order in policies socialization. looking; listening; deaf; Keywords: and social issues of deaf people, as well as their knowledge of inclusion policies. The 2010 Census (IBGE) reported indicated hearing that impairment. Severe 9.7 hearing million impairment Brazilians was by more than 2.1 million people. reported Of these, 3442 were deaf and 1.7 million had great difficulty hearing.These data supportedresearch into strategies for deploying social policies that meet the needs of this conducted population. We a study, approved by the Research Committee population normal the of attitude the on focused that 10/2012), (nº College of Redeemer towards the deaf population. There university were and 200 participants, college including hearing employees. impairment, communicative They competence, answered social language inclusion, questions skills. and about 80 We found found We : ion onclus C

and

esults R Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. The female predominance may have been : The The data of 20 elderly Voice Clinic patients : ion onclus C escription D

Jayne Guterres de Mello Guterres Jayne Karoline Weber Dos Santos Weber Karoline ase Carla Aparecida Cielo, Fernanda dos Santos Pascotini Cielo, Fernanda Carla Aparecida C Mauricéia Cassol To review the literature in order to identify the pertinent findings of findings pertinent the identify to order in literature the review To By using a combination of descriptors, dysphasia, vocal quality, : : To verify the occurrence of the types of dysphonic, maximum TIME, AND LARYNGEAL YSPHONIA, MAXIMUM PHONATION : DERLY IN THE EL ABNORMALITIES D ERS DISORD SWALLOWING ethods bjective urpose due to the fact that women seek care for vocal abnormalities more often than men. OD due to presbyphonia without laryngeal pathology or visible in MPT /a:/ values. with the expected decrease predominant, was cracks voice, voice, acoustic analysis, and aspiration, we carried out databases a EMBASE, MEDLINE search (Pub Med), in LILACS, and Google the Scholar to find articles with objectives of comparingvocal assessment data pre -and dysphasia. with individuals of post-feeding phonation time (MPT) of /a:/, and laryngeal abnormalities in elderly clinic patients. examined between August 2002 and the June database 2011 of was a extracted clinical from Sciences. school This study included of 12 women and Speech, 8 men, Language, with an age and of range 62–85 Hearing years (mean age, 71 years). Speech pathology diagnoses were as follows: organic dysphasia (OD) (55%), functional dysphonia (35%), and organofunctional dysphonia due to vocal cord nodules (ODF) (10%). The causes of OD patients included presbyphonia (25%); partial laryngectomy (15%); vocal cord paralysis (10%); (30%) gap and (30%) Laryngeal vocal were abnormalities without disorders and gastroesophageal reflux (5%). predominant, followed by partial laryngectomy (15%), vocal nodules (10%), paralysis, and gastroesophageal reflux disease (5%).Wefound (10%), that 95% of patients had subnormal MPT /a:/, suggestive of air escaping during phonation. only 6 articles that fulfilled the inclusion criteria. The studies showed that the that showed studies The criteria. inclusion the fulfilled that articles 6 only association between changes in vocal markers by perceptual analysis and the presence of food residue after swallowing showed varying specificity the of specificity poor suggesting dysphasia, of detection for sensitivity and presence of residues and vocal changes as indicators of Acoustic evaluators. among dysphasia. perceptions of variability the to This due mainly was analysis was more reliable, indicating post-swallowing vocal also studies changes The fluoroscopy. in video on diagnosed dysphasia with individuals indicated that voice evaluation should be considered a good indicator of dysphagia when associated with other clinical parameters. Despite these findings, the studies hadvery restricted samples with no control groups, consistency. assessed with only 1 food was and performance P thor: Main Au thors: Co-Au 37 - M thor: Co-Au O 36 - OF DETECTION FOR A PARAMETER AS ASSESSMENT voice thor: Main Au post-swallowing changes in vocal parameters of individuals with dysphasia. with individuals of parameters vocal in changes post-swallowing August 15, 2013 15, August

Posters Audiology August 15,2013 which iscommoninthispopulation. perforation, and/or ear middle the of inflammation to due be may findings absence of acoustic reflexes—in a high proportion of children with HIV. The with and bilateral, or unilateral HL—mild-to-moderate, conductive found hearing deficits. of importance the intervention with these highlights subjects in order to minimize Thisdifficulties arising from score. the with negatively correlated levelachieved correlatedloss Hearing positivelyscoreDPS. the the with on otologic monitoring. otologic de Azevedo, SinéiaNeujahrdosSantos O Co-Authors: Main Author: a 41 - A Co-Authors: Main Author: 40 - r 00 Hz. 4000 or that 3% had absence of contralateral acoustic reflex at frequencies of 2000 who had hearing thresholds within normal limits, above 15dBNA, we found perforation. children In bilateral HL. conductive with children in had absent were reflexes Acoustic 22.7% and perforation membrane tympanic bilateral conductive HL. We found that 18.5% of the subjects had unilateral moderate (75%) had (25%) 3 and (HL), 9 loss hearing conductive bilateral mild had tested, frequencies more or one in change threshold hearing a fluctuating mild HL associated with secretory otitis media. otitis secretory with associated HL mild fluctuating had children studied the of most that verified We impairment. ear middle from arising mostly HIV, with children in common are disorders auditory severe hearing loss, 28.86%. subjects with moderate hearing loss, 34.04%, and subjects with moderately 54.32%, loss, hearing mild with subjects was88.52%; hearing normal with subjects of scoreaverage The 95%. graduates, college and 87.5%; school, high completed who subjects subjects 88.33%; school, high school, complete 46.62%; not did who school, elementary elementary complete completed not who subjects did 45.81%; who subjects 26.64%; had anaverage of score subjects Illiterate were analyzed. scores their and field free in conditions named the in DPS the administered were They status. hearing and schooling of years total by classified were years, 60–87 aged Care from the Universidade Federal de Santa Maria. Thirty-one participants, Sciences Hearing and Language Speech, of Service the at Aids Hearing of Laboratory the in conducted was study The status. hearing and scholarity Sequence test (DPS) of older adults and determine any correlation with their lge W ue aosi imtac maue ad oa ad vocal and tonal and measures audiometry. immittance acoustic Porto used in We Conceição da Alegre. Senhora Nossa Hospital at sector speech the Pediátrica AIDS to a Atenção de Grupo by referred were children these development. All their during changes otologic of history any and HIV with im bjective : o ses eut i te ae cniin o te uain Pattern Duration the of conditions named the in results assess To CHILDREN INFECTED WITHHIV A RELATION TO SCHOLARITY ANDHEARINGSTATUS INOLDER DURATION PATTERN SEQUENCETEST SCOREANDITS UDIOLOGICAL ASSESSMENTANDMONITORING IN DU : To measure the hearing ability of children with HIV and track their Andrea Ortiz,EdmundoCardoso, Laura Bonfada, PricilaSleifer Amanda Dal PivaManoel Dal Milena Amanda Gresele,Costa, Julio Maristela LTS Letícia Gregory Alexandre Hundertmarck Lessa R D esults iscusson : We found that 12 children (34.3%) had experienced had (34.3%) children 12 that found We M ethods : codn t te ieaue ioae peripheral isolated literature, the to According C : We evaluated 35 patients, aged 7–12 years,7–12 aged Wepatients, evaluated 35 onclusion : We confirmed that the educational Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. C onclusion : We We 81 comprehension. language and recognition in difficulty and speech, spontaneous in words temporal Auditory ordering score. ability declined with worsening quality of speech, difficulty finding cognitive lower and age older with correlated aspect changed. Lower dichotic listening score and temporal ordering score the analysis of gender, hits per ear resembled and the elderly presence or absence ordering of cognitive and listening dichotic The aids. hearing (BTE) behind-the-ear bilateral used and loss hearing sensorineural to-moderate evidentimprovement frequencymild- had patients Most aids. hearing of use the with and with recognition speech tests, good had subjects listening the that showed dichotic assessment Audiometry, years. 90 and 60 treatment protocols used in elderly individuals of both sexes, aged between auditory media service in Caxias from Dec 2009 to Oct 2010. We selected 31 path, shows a sound benefit at least upthe to 6 monthsas after the cessation ofear training. affected more the setting listening, dichotic in training figure-ground that recommended is It intervention. the of cessation after by behavioral tests and questionnaire showed satisfactory results 6 months n lel pplto o haig i ues n creae ih cognitive with correlate assessment. and users aid hearing of population elderly an of this approach. this of Training with emphasis on complications in order to verify the effectiveness O Co-Authors: Main Author: temporal PROCESSING,DICHOTIC HEARING,AND 42 - O Co-Authors: Main Author: a 43 - intervention was stopped. temporal ordering that persisted in the second evaluation 6 months after the the in target the at brain. The arrival assessment immediately after the intervention showed improved of signal the as ear affected more the using training in figure-ground exercises and in dichotic tasks for 4 more sessions, resumed then and sessions, 12 after performance Weassessed months. 6 after and training the after immediately it administered and Functioning Auditory of Scale the called questionnaire a used We a environment. silent in materials technological of use the involving tasks with sessions, 16 of consisting training auditory to subjected was (APD), disorderprocessing decreased temporal ordering anddichoticlisteningscores. bjective bjective A COGNITION INELDERLY USERSOFHEARINGAIDSAFTER UDITORY TRAINING UDITORY TRAINING:MYTHSANDFACTS : : o netgt tmoa poesn ad ihtc itnn in listening dichotic and processing temporal investigate To To describe the evolution of a case after clinical Formal Hearing Formal clinical after case a of evolution the Todescribe Aline Bovolini, LilianeDesgualdoPereira Liliane DesgualdoPereira, Sandra NunesAlves Viacelli Sandra NunesAlves Viacelli Aline Bovolini C ase C

C onclusions D ase escripton

R eport C onclusion : ontv ipimn i ascae with associated is impairment Cognitive : : A 12-year-old boy diagnosed with auditory with diagnosed boy 12-year-old A e nlzd aa rm cgiie and cognitive a from data analyzed We : The evaluation of auditory processing

Posters Audiology This was a field a was This : Patients at a Patients hearing : ethods M The incidence of systemic ethods and :

M The study included 30 subjects : and ial ater

M ion onclus esults C R ial ater M Analysis with the Fisher’s exact test revealed no : IN DURING SWALLOWING LAR COMPENSATION ions onclus C Angela Ribas Gabriela Rodrigues da Silva Gabriela Rodrigues

EMERGENCE ON BEHAVIOR OF MASTICATORY UENCE Deisi Cristina Gollo Marques Vidor, Karoline Weber dos Santos Weber Karoline Vidor, Gollo Marques Deisi Cristina To verify To the influence of mastication in atypicalswallowing by Angela Ribas : To describe the otological complaints and systemic diseases : and

AID COMORBIDITIES OBSERVED IN HEARING SYSTEMIC SERVICE LOCATION A HEARING HEALTH USERS AT OF MUSCU SMOKERS bjective bjectives esults (age, 53–85 years; 19 [63%] women and 11 [37%] men) who had hearing used aids for at least 6 months. used The bilateral majority hearing aids, of and 20% the reported subjects noncontinuous use (87%) of the device, alleging dermatological discomfort or problems on the phone or in noisy environments. Family history of hearing loss was reported by 40%, and systemic comorbidities by hypothyroidism 80%, and diabetes and (46%), of hyperlipidemia (79%), hypertension which the most frequent were (29%). Regarding the presence of otological complaints, all least one symptom in addition to hypoacusis, the most commonly reported reported at being tinnitus (83%), pruritus (63%), cerumen impaction (50%), dizziness (33%), and recurrent otitis (13%). health service location accredited by SUS who hearing reported problems aid with adaptation were evaluated language pathologist. by A patient a history was physician taken, followed and exam and by audiological evaluation. an speech– ENT and audiological complaints was high in the studied comprised population, which mainly seniors. It the improving to contribute can actions such because is entirety, in evaluated recommended that these patients quality be of life and assist in the process of adaptation of device. the hearing aid study with a prospective cross-sectional descriptive and comparative design comparative and descriptive cross-sectional prospective a with study each in participants 24 comprising and nonsmokers and smokers comparing swallowing the influence may that aspects masticatory following The group. pattern were analyzed: difficulty chewing, chewingfood, crushing of the food, chewing pattern, speed of chewing, atypical muscular contractions, and lip closure. In addition, assessed muscle by behavior evaluating during the swallowing contraction muscles of was and contraction of the neck muscles, the together with the presence orbicularis and mental of head movement during swallowing and residues after swallowing. comparing smokers and nonsmokers. nonsmokers. and smokers comparing 47 - COMPLAINTS AND OF OTOLARYNGOLOGISTIC prevalence thor: Main Au thor: Co-Au O 46 - infl thor: Main Au thors: Co-Au O R statistically significant differences between the study groups inrelation to the masticatory aspects and no significant influence of masticatory pattern on muscle compensation during swallowing. These findings corroborate other studies that do not identify a relationship between variability of the masticatory pattern and the appearance of atypical muscle compensation during swallowing, and do not identify tobacco as a determinative factor in these changes. In conclusion, other factors smokers. of perception, cause sensory in variability as well the as swallowing, atypical appearance of reported in patients using hearing aids and to correlate these characteristics characteristics these correlate to and aids hearing using patients in reported with hearing effective aid use. 82 : This This : escription D eport

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ase C ase C . Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. There was a significant association between hearing between association significant a was There : ion onclus Pregnant women, primiparous women, and teenage and young young and teenage and women, primiparous women, Pregnant Carla Thamires Rodriguez Castelli Rodriguez Carla Thamires Cecília Cristne Pohren Dhein Pohren Cecília Cristne : C Cristina Loureiro Chaves Soldera, Fabiana de Oliveira, Márcia Marcia Angelica Peter Maahs, Sheila Tamanini De Almeida Maahs, Sheila Tamanini Angelica Peter Marcia To identify To and describe the doubts and difficulties of pregnant : DERLY EL OF LIFE IN THE ALITY The aim of this research was to verify the association between the the between association the verify to was research this of aim The : DING WITH BREASTFEE QU bjectives bjective ions onclus loss and the perception of hearing. The elderly respondents had high scores scores high had respondents elderly The hearing. of perception the and loss on the test used to assess quality of life, emphasizing the importance of participation in social gatherings, and demonstrating in this population. quality of life the high level of women women have more doubts and difficulties inrelation to breastfeeding. An intervention strategy by a treatment team is warranted to educate women doubts and difficulties. and to address about breastfeeding and postpartum women regarding breastfeeding. O thor: Main Au thors: Co-Au 45 - FOR OF SPEECH THERAPY AND DENTISTRY collaboration This This is an analytical cross-sectional observational study in a convenience sample. We administered the World Health Organization tonal pure performed and questionnaires Quality WHOQOL-Bref and (WHOQOL-old) of Life audiometry as well as conducted an interview with questions regarding participants’ hearing and The study’s clinical finalhistory. sample included 50 subjects. elderly All (72% of female) them took part in social gatherings. Of the 34 subjects who 61 had to hearing 84 years. from ages ranged Their (29.4%) 10 and hearing good having reported (52.9%) 18 audiometry, on loss complained of hearing loss. There was no significant association between the presence of hearing loss on audiometry, self-perception and of complaint hearing, about hearing loss (P> 0.05). The average scores WHOQOL-Bref and on WHOQOL-old the were significantly higher in participants who did not have hearing loss (P = 0.040). Other associations significant. were not thors: Co-Au 44 - , AND LOSS , HEARING OF HEARING -PERCEPTION self thor: Main Au C O self-perceived self-perceived hearing of functionally active non-institutionalized elderly, and the actual condition of hearing and quality of life. cross-sectional cross-sectional descriptive study included and 116 80 postpartum, women, and 36 23355). was A pregnant questionnaire approved was generated by that comprised questions the about breastfeeding and CEP/Santa was submitted to the study groups. Casa The variables were (Nº analyzed through associations between the responses of the groups with the chi-square, Fisher’s exact, and Student’s t tests. Mothers had higher knowledge scores overall about breastfeeding than pregnant women (p = 0.001). The main concerns reported by women were in relation to milk production (11%), postpartum colostrum (11%), and milk secretion during pregnancy (8.3%). In the puerperal group, the most frequent complaints in to relation were latching on (27.6%), pain breast (27.6%), and mammary fissure (13.8%). In addition, considering the influence of age, there was a significant positive association between age and percentage of puerperal women primiparous inexperience, maternal Besides 0.011). = (p knowledge had more complaints than women with one or more child (p = 0.014). Salgado Machado August 15, 2013 15, August

Posters Audiology August 15,2013 hc caatrzs hs ok s cs study. case a as work this characterizes which subjects, of number the to according descriptively, analyzed were results The voices. the of (spectrograms) patterns speech acoustic of generation image evaluationand perceptual auditory for used also wasvowel /a:/ the of Emission loudness. and pitch usual at /a:/ vowel the emitted subjects evaluation, the During technique. sound basal of minutes 3 of after execution and before area, closure VPS the of quantification and registration image for nasopharyngoscopy, through evaluation otorhinolaryngological treatment. palate pathologist speech–language cleft previous without post-foramenand repaired with subjects adult 5 in (VPS) sphincter velopharyngeal the was identified. oral Suction for early Standard with compared changes Regarding of frequency high feeding,a evaluation. pathology speech for referredthe characterize to sample possible was it study, this In 31.43%. in S/P >8 and 34.28% in S/P <5 were (S/P) Pause for Sucks arrhythmic of numbers the in Maintenance of Suction Rhythm; 60% of the sample was considered, and observed differences were significant most Theresults. adequate obtained newborns of 8.57% Sucking, Non-Nutritive and Reflex, Oral Attitude, Oral Behavior, of Organization the of State items Of assessment the In breastfeeding. weeks. 34 to equal or than werebyfedorally 20% and tube wereorogastricbyfed 54.28% newborns, greater age corrected a had 80% newborns; 35 evaluatedWe(UFCSPA). Alegre Porto de Saúde da Ciências the academic measuresof speech pathology of the Universidade Federal de Hospitalar Irmandade Santa Casa de Misericórdia de Porto Alegre, by using Complexo Clara, Santa Hospital the at evaluated were subjects All 2005). (Fujinaga feeding oral for readiness preterm for instrument evaluation an applied we 2013, May through 2012 December fromevaluation pathology speech for submitted unit care intensive the of newborns the characterize Tobirth. after hospitalization prolonged for need the and newborns the of immaturity the of because problematic is prematurebabies of feedingOral O Co-Authors: Main Author: effect OFBASAL SOUNDINCLOSURE OFTHE 49 - Co-Authors: Main Author: characterization OFSPEECHTHERAPYFINDINGSINA 48 - effects onthevoice andVPSclosure area afterbasalsoundachievement. erae hoarseness. decreased with adequate loudness, decreased hypernasality, improved voice type, and auditory perceptual evaluation showed of improvement of results overall vocal the quality, of Analysis hypernasality. of reduction revealed evaluation Spectrographic closure. VPS of area regarding closure improved displayed bjective VELOPHARYNGEAL SPHINCTER SAMPLE OFPRETERMNEWBORNS : To verify the effect of the basal sound technique in closure of closure in technique sound basal the of effect the verify To Carla Aparecida Cielo, Geraldo Pereira Jotz, Vanessa Santos Elias Paula Colvara deSouza,SheiaTamanini deAlmeida Mara Keli Christmann Luíza Silva Vernier M ethods : h suy nldd sbet wo underwent who subjects 5 included study The C onclusion : h peet td idctd positive indicated study present The Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. R esults : or subjects Four 83 and speed of mastication. patterns grinding and chewing as well as retraction, bygingival and redness characterized problems periodontal and caries, of suggestive lesions halitosis, verifywereloss, to amendments tooth teeth of number assessed: oral following each: The smoked. of 24subjects never had who individuals and users tobacco consisting groups 2study 48 into of classified consisted subjects sample study The design. comparative and descriptive of premature infants with difficulty sucking and swallowing, which is of paramount importancetosensory–motordevelopment. is which swallowing, and sucking difficulty with infants premature of rehabilitation and stimulation for important extremely is therapist speech changes, whichgenerate increased variability inchewing.dental and smoking between association an is there Thus, smokers. in the tongue, chewing the the with crushing in of predominantly variation consisted more which pattern, was there and changes, occlusal with associated was and reduced was speed mastication chewing, Regarding loss. tooth to lead can which problems, periodontal of presence the with associated was halitosis that and nonsmokers, with compared problems periodontal and caries, of suggestive lesions halitosis, more had smokers control group. Furthermore, analysis with the Fisher exact test revealed that the than losses smokerstooth the higher but had test, t Student’s the with significant difference in tooth loss between the groups according to analysis A Co-Author: Main Author: prematURE INFANTS WITHSUCKINGANDSWALLOWING 50 - M O Co-Authors: Main Author: changesRES U 51 - n atctr fnto cmae wt idvdas h nvr smoked. never who individuals with compared function masticatory on Márcia AngélicaPeter Maahs lrns, n aeae oc drn sucking. during force average reflexes, and pathological during alertness, crying, were encountered stimulation swallowing manifestations and sucking common most The gastrostomy. required infants premature of weight 15% Only hadgreater improvement. rapid showed and infants premature older the that verified We 2011. PauloprematureSão in hospital public a infantsin from throughborn 2010 2006). We reviewed the medical data from 30 preterm and low birth weight unit; and type, form, and amount of prescribed power (Rocha and Delgado, medication used, need for mechanical ventilation, and length with of stay on the together period postnatal the in complications clinical score; Apgar and weight, birth age, gestational delivery; and pregnancy of history the concerning raised are Data infants. premature the of history the of in-depth survey an with begins nursery neonatal the in therapist speech the of nat my eur sec teait care. therapist speech require may infants premature functions, and organs of immaturity of Because effectiveness. preterm and low birth weight premature infants by assessing presence and im bjectives aterial : This study aimed to analyze functionality of sucking and swallowing in DISEASES AMENDMENTS INSMOKERS

: Zelita Caldeira Ferreira Guedes and To verify oral changes in smokers and the impact of changes of impact the and smokers in changes oral verify To Deisi Cristina Gollo Marques Vidor, Karoline Weber do Santos, do Weber Karoline Vidor, Marques Gollo Cristina Deisi Danielly Fernanda Dias Rafaela Soares Rech M ethods : LTING FROMMASTICATORY ORAL hs td hd popcie cross-sectional prospective a had study This R esults

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C onclusions C ase C : There was no statistically onclusion

R eport : : h evaluation The h neonatal The

Posters Audiology

esults R The workshops workshops The : ethods M and

ial ater M From January 2012 through June 2013, 7 voice workshops workshops voice 7 2013, June through 2012 January From : Rachel Ferreira Loiola Rachel Ferreira Rafaela Soares Rech Soares Rafaela Andrea Andrea Wander Bonamigo, Bianca Regina Dresch, Fabiana de Carolina Xavier Alves, Tatiane Aparecida Bosco Aparecida Capelo, Carolina Vanessa Xavier Alves, Tatiane To provide teachers and community schools that adopt the : OF SPEECH OURNALS J NATIONAL ions onclus C

bjectives Oliveira Ferreira Mariz Ferreira Parkinson’s disease is a motor neurodegenerative impairment disorder that characterized can lead by to voice, and impairment swallowing. of This study speech involved a articulation, literature review of studies published in national journals of speech with descriptors containing June through 2007 January from published and the disease” “Parkinson’s term and articles 13 including subject, the on publications 16 identified We 2011. 3 abstracts distributed in 4 journals of speech; journal D accounted for 9 (18,75%); and C, one (6,25%). (18,75%); B, three studies (56,25%); A, three Regarding the study types, there were 6 case-control studies (37,5%), 6 cross-sectional studies (37,5%), 3 literature reviews (18,75%), and 1 case report (6,25%). Regarding author qualifications, speech therapists present were in all 16 studies (100%), doctors in 5 (31,25%), physical therapists in 4 (25%), a bachelor’s degree candidate (6,25%), and in a biomedical engineer information in 1 (6,25%). systems This study revealed in that 1 disease has Parkinson’s major influences on speech, although publications are limited. Most studies have disease Parkinson’s addressed to related disorders swallowing the and cognitive of studies area of voice, and more warranted. are are are conducted in a group as an informal “chat” where Initially, teachers atmosphere. interactive listen and relaxed a to in experiences and questions the theoretical aspects are developed, then practical exercises, such vocal as warming, are performed. This teaches participants how to prepare for the excessive use of voice. During the workshop, apples and mineral water are provided, which are symbols of a polished posters voice. are Educational displayed in the workshop environment, and selected health education materials, folded in the shape of apples, are supplied. extension program Health Fairs with guidelines on vocal health the teacher in finding alternativesfor to proper useof thevoice help suited to the activities practical and changes vocal possible recognize To routine. working to develop a better knowledge of aspects such practice. professional for preparation as breathing and voice and 55 - BLISHED IN ’S DISEASE PU PARKINSON UDIES ON st thor: Main Au thors: Co-Au 54 - TEACHERS FOR WORKSHOP voice thor: Main Au thors: Co-Au O were were held in different schools and majority were of attended whom by were 167 teachers. people, There the is knowledge to who professionals suffer from excessive use of a voice such as shortage in the according reports supply through assessed is workshop of the of impact The teachers. to positive evaluations such as routine changes and acknowledgement of the importance of participation. 84 : eport R Elderly

: ase C ion onclus C The study subject was : AFTER LTS ethods M Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. RESU AL After surgery, there were improvements in there improvements were After surgery, : PEOPLE WITH DERLY IN EL UENCY esults R FL Y OF VERBAL Bárbara Costa Beber Bárbara Joziane Padilha de Moraes Lima de Moraes Joziane Padilha The thyroplasty type I improved the auditory–vocal perceptual Bruna Franciele da Trindade Gonçalves, Carla Aparecida Cielo, Aline Nunes da Cruz, Marcia Lorena Fagundes Chaves Fagundes Lorena Aline Nunes da Cruz, Marcia : To verify the auditory–vocal perceptual modifications after : U PERCEPT –VOCAL UDITORY DEPRESSION COMPLAINTS OF A CASE THERAPY IN I AND VOICE TYPE THYROPLASTY PARALYSIS D FOL VOCAL To verify if verbal fluency is impaired in elderlyTo people with depression : bjective im ion onclus complaints and which variables are correlated with fluency. patients with depression complaints have impaired performance only in PF, only performance in PF, impaired patients complaints with have depression functions. to executive more which is related a 32-year-old man with right vocal fold paralysis due to injury caused by a traumatic firearm projectile who underwent type thyroplasty I and brain of Auditory spontaneous evaluation voice perceptual 6 sessions of therapy. pitch, aspects the and scale RASATI the to according evaluated was speech loudness, and resonance before and after surgery and after voice therapy. audios The analyzed were by 3 speech therapists with experience in voice, and the results of the analyses were considered together to determine the predominant judgment in each parameter. The voice therapy consisted of the following techniques: overarticulation, lip constriction, and points with the tongue. cardinal A Patients from the Hospital de Clínicas de Porto Alegre (HCPA) aged more than 65 years with depression Depression Scale complaints (GDS) and without according a diagnosis of to other neurological or the psychiatric diseases were included Geriatric in the The study. study also included a provided and participate to agreed subjects All group. control elderly healthy and (PF) Fluency Phonological for assessed were Patients consent. informed Semantic Fluency (SF). Statistical analysis was performed using the t test, U Mann–Whitney test, test, and Pearson Spearman test (0.05 significance level). Each group included 15 subjects. The healthy elderly group showed SF of 12.50 and PF SF of of 26.00; 10.56 showed the and group depression in the PF groups between (p a significantwas difference PF of 17.78. There (r with = education PF 0.674, group in correlated the healthy = 0.040). The p = 0.008). The SF correlated with the (MMSE) Mini (r = Mental 0.709, State p Examination = 0.004) in the healthy group. thor: Main Au thors: Co-Au 53 - UD st C thor: Main Au thors: Co-Au 52 - a O aspects of breathiness, asthenia, hoarseness tension, without and influencing pitch the instability and the Thus, the aspects of and hoarseness instability. improved therapy voice aggravated resonance,and and the is emphasized. after laryngeal surgery therapy importance of voice breathiness (moderate degree became discreet), asthenia (discreet became became (discreet asthenia discreet), became degree (moderate breathiness normal), tension (moderate became discreet), and pitch (discreet became normal); worsening of hoarseness (discreet became moderate); modifications and in no instability (remained were there moderate),therapy, voice After (normal). roughness and intense), hypernasal (remained resonance improvements in hoarseness (moderate became normal) and (moderate instability became discreet). Other aspects showed no modifications. surgical surgical intervention and voice therapy. Vanessa Veis Ribeiro Veis Vanessa August 15, 2013 15, August

Posters Audiology August 15,2013 Alves MendesRocha Vieira, Vanessa Ferreira Mariz Mendes RochaAlves Vieira, Vanessa Ferreira Mariz different publications in the field of health. of field the in publications different review. literature a through aging with themselves of and communication. and revealedperception,image body self-image, terms the among associations term articles the Four disorders. mentioning eating to articles them correlated of image self-image/body number great A study. one to related necessarily not were and articles of number the reflect These not did (9.5%). instances 2 journal Speech the and (19.1%), 4 journal Nutrition the self-image, body with associated (23.9%) terms 5 mentioned each journals articles mentioning the topic searched. Nursing, Psychology, and Psychiatry and, consequently, reduce bodydissatisfaction. population the of life of these quality the improve to aging of to related complaints minimization considering act must we professionals, health as Thus,dissatisfaction. body regarding elderly the of complaint main the are body the of aspects Functional image. body with satisfied not are people development. of phases all in issues image body female in interested more is public the fact that women account for the majority of the elderly population and that the by explained be can This elderly. the on studies published numerous fields of nursing, physical education, nutrition, and geriatrics, and there are the in prevalent most is subject this on work literature, among the In elderly. common the is dissatisfaction image body that elderly, shows the research of and majority the to troublesome are changes Such body. the throughout factors of degeneration progressive slow by characterized is O Co-Authors: Main Author: boD 57 - O Co-Authors: Main Author: boD 56 - number ofstudiesonthesubjecthas reduced. the that noteworthy is It area. each in self-image body term the regarding esteem. The study period included the previous 10 years. 10 previous the included period study self- The and esteem. self-image, body image, body aging, aging, aged, descriptors: followingthe and databases electronic using literaturesearch a performed correlation topic researched communication. the and type, search article, self-image, the in these of body applications and definitions with same associated terms publication, of year name, frameworkjournal followeda containing developmentdata of by analyzing and all collecting included providestechnique study The this articles. research full because regular consulted, source only the query was SciELO copies with online together website SciELO the online; performed was researchThe Capes. Qualis by rating highest the on based was journals of journals in the areas of health care for the period 2007–2012. The selection bjective bjective DIFFERENT AREASOFHEALTH ACTING WITHSENIORS : : o odc a uvy f o bd sl-mg i adesd in addressed is self-image body how of survey a conduct To have people older that image body of perception the study To Luana Alves Marsicano, Patricia Valente Moura Carvalho, Thais Carvalho, MouraValente Patricia Marsicano, Alves Luana Luana Marsicano Alves, Patricia Valente Moura Carvalho, Thais Carvalho, MouraValente Patricia Alves, Marsicano Luana Y SELF-IMAGE: ASYSTEMATIC REVIEWONTHE Y SELF-IMAGE : BIOPSYCHOSOCIAL CONSIDERATIONS IN Rachel Ferreira Loiola Rachel Ferreira Loiola C onclusion C onclusion : This study revealed that the majority of elderly of majority the that revealed study This : In general, there are differentdiscussions arethere general, In Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. M R esults ethods : We found a total of 22 : We selected leading selected We R M esults ethods : Aging : We We 85 mobility, andswallowing disorders. disorders. The patient in swallowingGroup 3 showed and changes in organsstructural system, poor stomatognathic the of mobility poor presented 2 Group in patient Theswallow. to refused and of system stomatognathic assessment the structural for required Group movements in the perform patient the not The did and I. 1 mucopolysaccharidosis disease, had mitochondrial 3 had Group in 2 patient Group in patient the aciduria, organic had 1 Group in patient The molecules. complex of catabolism or synthesis the errorsin energy,had of 3 Groupuse and or production the in deficiencya exhibited Group2 chronicintoxication, or acute in culminating metabolism intermediary in defects with presented 1 Group group. each evaluation The from one patients, the of 2008). analysis forrecorded and visually performed was Ferreira, and Felicio Scores; with Myofunctional Protocol (Assessment AMIOFE system stomatognathic the of protocol the oty hscl ocrs ad h FC (&) drse emotional/ addressed (H&N) FACT concerns. psychological the and concerns, physical mostly explored UW-QOL the therapy, speech for questionnaire useful most the was (H&N35) QLQ EORTC The choice. better the become questionnaires the and application, interview the invalidate studies However,population strategies. therapy swallowing and speech appropriate of the determination in assist to clinician insufficient is the use its however, allowed better; clients formather hear to interview semi-structured the of use The apply appropriate therapy.to changes these of aware be to needs therapist speech the severity; of levels differing with changes showed patient Each dysphagia. and system stomatognathic the of mobility poor and/or changes structural revealed P Co-Authors: Main Author: qU 58 - C A Co-Author: Main Author: 59 - efficient qualityoflife assessment. an for critical is purpose investigation the for adequate most instrument life.questionnaireof each Because addresses area, specific the a choosing quality individual’s an of dynamics evaluatethe and strategiestherapeutic of planning the with assist to assessment life of quality one than more of receiving speech therapy for the acquisition of esophageal speech. removal larynx total with years 62–68 aged and EORTC patients 4 (H&N35)—in QLQ FACT(H&N), cancer—UW-QOL, neck and the head are for that compare specific questionnaires to and process used interview semi-structured were a analysis of use qualitative a and quantitative A laryngectomy.total with individuals in life of quality the assess to used are urpose ase im : To verify the mechanisms of dysphagia in patients in 3 IEM groups. IEM 3 in patients in dysphagia of mechanisms the verify To

R different assessmenttools ARE VERY VARIABLE. MU ERROR OFMETABOLISM (IEM)DISEASEPRESENT WITH METABOLISM BORNWITHINBORN DISEASES PATIENTS D eport : YSPHAGIA INPATIENTS WITHINBORNERROROF h peet td amd o vlae ifrn isrmns that instruments different evaluate to aimed study present The ality oflifeintotal laryngectomy: analysis of Zelita Caldeira Ferreira Guedes LTIPLE SWALLOWING DIFFICU Lucia Figueiredo Mourão : Danielle Patricia Algave Gabriela FurtadoLoureiro We evaluated 3 patients with 3 different diseases by using by diseases different 3 with patients 3 evaluated We C onclusion : C The results use concomitant the justify onclusion LTIES, ANDTHEISEASES : Evaluation ofthe3patients R esults :

Posters Audiology There was no difference in : A retrospective cross-sectional : ethod ion onclus C M The aim of this study was to describe fiberoptic : bjective Huntington’s chorea is a degenerative, autosomal dominant O Thaís Coelho Alves Coelho Thaís Luíza Silva Vernier Luíza Silva : Paula Paula Cristina Cola, Rarissa Dallaqua dos Santos, Roberta Ana Guardiola, Chenia Caldeira Martinez, Deisi Cristina Gollo Both individuals had verified presence of laryngeal and pharyngeal and laryngeal of presence verified had individuals Both : ISEASE ’S D HUNTINGTON ENCEPHALOPATHY -ISCHEMIC HYPOXIC WITH NEONATAL esults ntroduction clinical case study. Two male patients from the same family aged 32 and 63 and 32 aged family same the from patients male Two study. case clinical years old and diagnosed with Huntington’s chorea with 5 and 13 years of identified were and study the in participated respectively, evolution, disease as individual A and individual B. consistencies patients offered of were pureed, thickened liquid, and liquid. FEES evaluation was performed and Gonçalves da Silva, Suely Mayumi Motonaga Suely Mayumi da Silva, Gonçalves sensibility, sensibility, posterior oral escape for thickened liquid and liquid, absence of salivary stases, presence of pharyngeal residues presence in of pharyngeal small clearance, quantities, and absence of laryngeal penetration and/or laryngotracheal aspiration. endoscopic exam of (FEES) swallow findings at periods different of disease evolution in Huntington’s chorea. 63 - IN ENDOSCOPIC EXAM OF SWALLOW fiberoptic thor: Main Au thors: Co-Au I genetic disease. One of its symptoms is oropharyngeal dysphagia, which studies few becomes more evident with the disease However, progression. have objectively addressed swallowing population. characteristics in this patient R 62 - REN D OF CHIL PERFORMANCE UISTIC AND LING DER gen thor: Main Au thors: Co-Au FEES findings in patients with Huntington’s disease with distinct disease times. progression Marques Vidor Marques aim of linguistic The this the between study relationship to was investigate performance and convenience gender a with study cross-sectional a was of This (NHIE). encephalopathy children with neonatal hypoxic-ischemic sample that included 70 children, aged 0 to 24 months, with language NHIE. performance data were The collected using the Brunet-Lezine Scale, totaling 18 testings to evaluate this specificdomain of cortical function in an Ambulatory Pediatric Neurology Service of the Irmandade Santa Casa de Misericórdia de Alegre Porto Hospital during a 2-year period. Language and gender variables were analyzed statistically using Fisher’s exact test in SPSS version 10.0. It was observed that until the tenth month, with the exception of language tasks for the month, seventh in which boys excelled (71.4%) compared to girls (33.3%), the performance of both genders was quite similar. After this period, the clearly linguistic better, although the results were not statistically performance significant. Itwas of girls was to is concluded gender related with that in language children development significant statistically provide not did analysis statistical the although EHIN, results. Correlations with higher levels of significance should is suggested. in this area arise samples. In this context, further research larger from 86 : - eport R

ase C UDIOLOGICAL Oculo-auricular-vertebral Oculo-auricular-vertebral : WITH POST DOLESCENT Although these patients have eport : R

Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. ase C ion onclus C Auditory rehabilitation in post-lingual hearing loss was : AND A OF STOMATOGNATHIC ATION REPORT : CASE HEARING LOSS AL Andressa Ribeiro De Oliveira Ribeiro Andressa Maiara Aparecida Bolotti Giacomelli Aparecida Maiara U Adriane de Lima Mortari Simeão Graziella Moret, Munhoz, Kátia Zelita Caldeira Ferreira Guedes Ferreira Zelita Caldeira To describe the process of hearing rehabilitation after cochlear : ion onclus C DENHAR SYNDROME DREN WITH GOL IN CHIL SYSTEMS LINGU To describe the stomatognathic systems and audiological features in : bjective im 2 children with Goldenhar syndrome. syndrome. Goldenhar with children 2 de Freitas Alvarenga, Leandra Tabanez do Nascimento Silva do Nascimento Tabanez Leandra Alvarenga, de Freitas beneficial for restoration of complex auditory skills and good performance in performance good and skills auditory complex of restoration for beneficial speech perception in noise. Even in post-lingual hearing loss, the auditory rehabilitation process must be structured based on achievement of goals, with initial, intermediate, and final goals identified according to individual performance ability, and effective participation of specialized professional. the patient and the A thor: Main Au thor: Co-Au 61 - eval A 16-year-old patient with profound bilateral sensorineural hearing following loss bacterial meningitis received a unilateral the cochlear right implant ear, in the only ear with the cochlear electrodes. patency Weekly 50-minute allowing speech insertion therapy sessions of started after cochlear implantation. Over an 18-month aimed at period, guiding and the advising the speech patient/family to help therapy them difficulties causedby hearing loss face in adolescence, andfocused the on hearing rehabilitation to restore auditory skills, especially perception auditory in quiet and and speech in noise. implant, At the patient demonstrated 90% sentence recognition in quiet, at 3 7 months of use of months, the he reached 96% sentence recognition in cochlear noise (S/R +10 dB), and at 18 months, the patient showed a significant improvement in sentence recognition in noise with the HINT test, reporting −1.4. quiet 52.7 dB; noise thors: Co-Au O 60 - IN AN A REHABILITATION hearing thor: Main Au the same disease, the manifestations of Goldenhar syndrome differ, and care. individualized therapeutic each patient requires dysplasia (Goldenhar syndrome) is characterized by a triad of ocular, auricular, auricular, ocular, of triad a by characterized is syndrome) (Goldenhar dysplasia multifactorial, is and syndrome congenital rare a is It diseases. vertebral and every in 1 is incidence The variable. very phenotypically and heterogeneous, 5.600-26.500 live births, with a male:female ratio of 3:2. The still etiology unknown, is but the condition is believed to result from changes in the formation of structures arising from the first and second branchial arches. Major auricular changes observed in patients with Goldenhar syndrome are microtia/anotia, auricular appendices, the pavilion and and the external acoustic meatus. complete In the eyes, the absence presence of of epibulbar dermoids and microphthalmia is reported. Along with facial asymmetry, vertebral, pulmonary, and cardiovascular diseases are found. We evaluated hearing and stomatognathic systems Goldenhar in syndrome and compared the 2 findings with alterations children reported with in the literature on patients with this syndrome. Both patients palate had at cleft birth, auricular malformations with hearing loss in at least one and ear, changes in stomatognathic function (e.g., address deglutition). To the physical, mental, and social welfare of therapist works on of development the impaired skills, making it these necessary patients, the speech to intensify research that will contribute to the continued enhancement of speech therapy for future cases. implantation implantation in an adolescent with post-lingual hearing loss. August 15, 2013 15, August

Posters Audiology August 15,2013 in clinicalpractice. the understanding is important and can serve as a reference for routine use of these measures that conclude stimulus the of variations to response Weelectrophysiological the of behavior rarefaction. in only significant statistically difference a was there stimulation, of polarities groups different of at comparison overall In 21.7/sec. of rate the at interval I–V the as well as stimulation, of rates for values lower had interval interpeak III I– the ear, right the in also and used, was polarity rarefaction When sec. 21.7/ of rate the at waveV in and presentationat stimulus of rates three I the wave of values latency lower observed We second. per stimuli 47.7 and 27.7, 21.7, auditory of rates presentation and condensation, rarefaction, the with presented of were polarities various of evaluation stimuli which in response underwent brainstem participants hearing The any have not impairment. did and center rehabilitation and diagnostic a at 20 included study trainees and students were cross-sectional who years, 30 to 15 aged Thisparticipants, female hearing. normal with response adults brainstem in auditory during presentation stimulus of rates and Thecharacterizecompareto and variationspolarities presentaims of study Luque Lemes,Vitor EngráciaValenti in workers whoare simultaneouslyexposedtonoiseandpesticides. suppression effects can be useful for early identification of hearing damage with prevention of hearing loss as a goal. a as loss hearing of prevention with noise, and pesticides to exposed hearing normal with workers in effects Co-Authors: Main Author: stUD 65 - O Co-Author: Main Author: noiseANDPESTICIDES: ETERMININGOTOACOUSTIC 64 - differences. effect, lesser effects were observed in GRA, with the presence of significant suppression the Regarding exams. DPOAE and TEOAE the in results worse demonstrating participants GRA with groups,two the differencesbetween upeso effect. suppression product otoacoustic emissions (DPOAE) examinations and evaluation of the distortion and (TEOAE) emissions otoacoustic evoked transient underwent participants All pesticides. or noise to exposed not were who participants 86 dBA and organophosphate-type pesticides, and GC was composed of 30 representativea to exposed average levelexposure occupational of daily of werewho participants 25 of composed was GRA (CG). groupcontrol a and years, divided into 2 groups: a group exposed to noise 35 and pesticides (GRA) to 18 from ranging ages with hearing, normal with participants 55 of bjective RESPONSE EMISSIONS ANDSUPPRESSIONEFFECT : o nlz eoe oocutc msin ad suppression and emissions otoacoustic evoked analyze To Adriana BenderMoreira deLacerda Ana Carla Leite Romero, Ana Claudia FigueiredoFrancinyFrizzo,Claudia Ana Romero, Leite Carla Ana Ana CláudiaBiancoGução Patricia ArrudadeSouzaAlcarás Y OFCHANGESINSTIMU C onclusion R esults : The results suggest that evaluation of OAEs and OAEs of evaluation that suggest results The : h rsls niae saitcly significant statistically indicated results The L Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. US OFA M ethods UDITORY BRAINSTEM : The sample consisted sample The 87 improved oral intake and a 95% confidence interval (CI). interval confidence 95% a and intake oral improved non- of (RR) FOIS risk relative improved the without estimated We therapy. those after measurements and with those groups: two into divided were Patients conditions. respiratory and complications, clinical disease, neurological age, including intake,oral recovery of the interferewith could that conditions the noted also and sessions, therapy speech the after and before scores (FOIS) scale intake oral functional recorded We therapists. speech hospital of team a by evaluated were patients ICU 558 of total A still far from beingideal. areimprovements the although citizens, all for life of quality and health in to note that Brazil, as an emerging country, has been pursuing improvement necessary also is It alteration. hearing early of diagnosis preventionand of losses by audiometric findings, it is necessary to emphasize the importance conductive of number high the all above data, available the Considering respectively. (0.49–0.83), 0.64 and (0.2–0.32); 0.25 (0.41–0.69); 0.53 (1.16–2.6); = 1.74 (CI) RR with presented disease pulmonary of absence with those and complications, clinical no with those disease, neurological degenerative non- with those ventilation, mechanical Patientson conditions. pulmonary respiratoryand complications, and clinical neurological disease, of etiology statistically significant factors affecting the recovery of oral intake were age, recovery of oral intake in ICU patients with neurogenic dysphagia. Department. Inclusion and Education ParanáSpecial the State of service health hearing Martins Machado Regina SandraBrasil, Do PedroAlvarengaAmericano Emmanuel and socialization. and I Co-Author: Main Author: a 66 - O Co-Authors: Main Author: obstacles TO RECOVERY OFORAL INTAKE ININTENSIVE 67 - bec o ciia cmlctos ad bec o ln dsae were disease lung of absence associated withimproved prediction ofrecovery oforal intake. and complications, clinical of absence disease, neurological non-degenerative while intake, oral of non-recovery and Metropolitanand Area students. well as the horizontal configuration (OD 81.5% to OE 78.4%). OE to 81.5% (OD configuration horizontal the as well as 19.3%) OE to 17% (OD slight to 19.3%) OE to 20.5% (OD mild was loss grade students (OD 38.6% to OE 39.8%). The predominant degree of hearing infantwasamong loss Theconductivehearing loss. greatestoccurrenceof Audiometric results revealed that 29.5% of the student sample had hearing 32%. problems, hearing moderate and 39.6%; schoolwork, performing in difficulties 73.1%; diagnosis, otolaryngologist follows: as were evaluation audiometric to referral for reasons The Area. Metropolitan and Curitiba of All participants were students of state 1 council schools and private schools male yearsaverageyears).years8.1 an 15 (range,2 of with to age participants), 61.8% and female (38.2% genders both of teenagers and children ntroduction bjective METROPOLITAN AREASTUDENTS CARE UNIT(ICU)PATIENTS WITHD UDIOMETRIC FINDINGSAMONGCURITIBA AND : To estimate the interference of different clinical conditions with conditions clinical different of interference the estimate To Adriana BenderMoreira DeLacerda hitan Baaz, aile elne, aile Oliveira, Danielle Deslandes, Danielle Bragazzi, Christianne : Regina MariaKlas Mariana Pinheiro Brendim Hearing loss can compromise language, the learning process,learning compromisethe can language, loss Hearing R C onclusion esults O bjective : The sample consisted of 646 students, which included : Mechanical ventilation is the main risk factor for factor risk main the is ventilation Mechanical : To study audiometric findings among Curitiba among findings audiometric study To M ethods : Analysis of data collected at the at collected data of Analysis YSPHAGIA R C esults onclusion M ethods : The : :

Posters Audiology To : It was : bjective O esults R A retrospective : The The patient was a Speech in therapy : : ethod eport M R

ion onclus ase C C BRAIN INJURY UMATIC A simultaneous evolution of cognitive : ion onclus C The aim of this study was to describe the relationship relationship the describe to was study this of aim The : bjective The risks of oropharyngeal dysphagia and cognitive- Fat embolism is defined as a blockage of avascular lumen Thaís Coelho Alves Coelho Thaís Joyce Gonçalves dos Santos Gonçalves Joyce : : O Fabiana Fabiana Akemi Yamamoto, Kalil Garcia do Nascimento Silva, Ana Filipa Murteira, Ana Lúcia Cruz, Sandra Isabel de Sousa SOUTH FOR TRA REHABILITATION REPORT : A CASE SYNDROME ntroduction ntroduction 21-year-old 21-year-old man with polytrauma of the lower limbs due to a motorcycle He had feedings. nasoenteral-tube and exclusively accident, tracheostomy, a history of prolonged intubation (20 days), exhibited searching and bite reflexes, spontaneous swallowing with frequent coughing on swallowing assessment, and a positive result on the Blue Dye test. classified He as was initially level (severe 0 dysphagia)(ASHA) with absence of phonation. initiated, was Speech focusing therapy on swallowingthe rating scale on swallowing and voice functions. The patient progressed and to breathy asthenic voice quality. Tracheobronchoscopy nasendoscopy exams revealed left vocal-fold paresis. The and patient had 10 speech fiberoptic therapy sessions during the hospital stay, and was discharged from hospital the with exclusive oral feedings, multiple consistencies (ASHA level 6), improved voice intensity and quality, and return of airflow through the upper (weaned from tracheostomy). airways aspects and swallowing rehabilitation was verified in this patient with TBI. must we rehabilitation, swallowing functional a for that suggest results The consider an individual’s cognitive-communicative skills and aspects of swallowing. addition to the physiological behavior in verified that pre-speech therapy, the patientdysphagia had with oropharyngeal severe severe risk of aspiration; RLA III; FIM comprehension, 2; expression, 2; memory, 1; FAM attention, During 1; speech therapy, and the swallowing patient had level, RLA 1. V; expression, 4; 3; memory, FAM FIM attention, 3; and swallowing level, 4. comprehension, After 4; speech rehabilitation, the oropharyngeal dysphagia was FIM mild; comprehension, 6; RLA expression, 6; VII; memory, 6; FAM attention, 6; and swallowing level, 7. 71 - PROGRAM OF THE CENTER FOR MEDICAL therapy thor: Main Au thors: Co-Au I communicative disorders are elevated in individuals with traumatic brain (TBI). injury 70 - EMBOLISM IN FAT INTERVENTION THERAPY speech thor: Main Au thors: Co-Au I by fat droplets, typically originating from bone fractures. The condition is considered a syndrome in the affected. commonly presence most of the lesions being brain involving and one lungs or with more organs, Milena Vaz Bonini Milena Vaz cross-sectional cross-sectional clinical case study. The patient was Portuguese a speaker 26-year-old with male TBI confirmed by neuroimagingin and cognitive resulting disorders and oropharyngeal swallowing dysphagia. rehabilitation The evolution and of the analyzed through ratio application before, during, and with after speech therapy of cognitive aspects the following scales: the Mann Assessment of Swallowing Ability (MASA); were memory and expression, comprehension, of items (RLA); amigos los Rancho Functional Assessment Measure (FIM) scale; and items of attention and swallowing Functional Assessment Measure (FAM) scale. report the progress of a patient with post-traumatic fat embolism syndrome syndrome embolism fat post-traumatic with patient a of progress the report who received speech therapy intervention. fat embolism syndrome proved to be of utmost importance in recovery from from recovery in importance utmost of be to proved syndrome embolism fat impairments of organs involved in swallowing and phonation. Conducting objective exams helps to confirm the clinical findings and aids in follow-up during speech therapy. Martins, Vera Lúcia Mangas Martins, Vera between between oropharyngeal communicative evolution dysphagia in patients with TBI. rehabilitation and cognitive- 88 To The : : esults bjective R O The risk of falling : ion onclus UENCE OF PHARYNGEAL C Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. We evaluated 52 patients of both : ethods UNCTION LAR HYPOF Y OF THE INFL M WITH IN PATIENTS USED BY DIZZINESS and

An experimental group of 25 vertiginous patients with : ials ater It was found that 64% (33/52) of patients had significant M : UD YNAMIC ST Pharyngeal flap surgery is a widely procedure used for ethod Mariana Roseiro Mendes Mariana Roseiro Rafaela Maia Quitschal Rafaela : Heloisa Helena Caovilla Malavasi Ganança, Jackeline Yumi Pharyngeal flap surgery modifies nasal airway dimensions. Ana Paula Fukushiro, Inge Elly Kiemle Trindade, Rafaeli Higa : M esults R ON UPPER AIRWAYS FLAP SURGERY CA OF DISABILITY U VESTIB UNILATERAL To correlate the risk of To falling in patients with vertigo due to unilateral : im ion onclus ntroduction vestibular vestibular hypofunction with their self-perception of disability caused by dizziness. unilateral unilateral vestibular hypofunction and a homogeneous control group 32 healthy of individuals underwent neurotological evaluations including the Brazilian version of the Dizziness Handicap Inventory (DHI) and TetraxTM static posturography (Sunlight Medical Ltd.), composed of a platform with 4 individual plates to capture variations in index was calculated using a weight patented algorithm that weighted the results distribution. The fall of the parameters TetraxTM in 8 different sensory conditions. Scarmagnani, Renata Paciello Yamashita Scarmagnani, Renata Paciello investigate investigate the effect of pharyngeal flap surgery on the dimensions of the nasal airways. I thor: Main Au thors: Co-Au 69 - D aero A thor: Main Au thors: Co-Au 68 - -PERCEPTION AND SELF RISK FALL BETWEEN correlation C surgical surgical management of velopharyngeal insufficiency. The The reduction of the nasal airway dimensions in a significant proportion of patients undergoing pharyngeal flap surgery highlights the importance of postoperative evaluation and follow-up in the pressure-flow these technique is cases. areliable method In to analyze addition, the effect of on the upper airways. pharyngeal flap surgery experimental group showed experimental significantlygroup showed higherfall indexvalues compared ± 33.3 was group experimental the for score DHI mean The controls. the to 24.4 (range, 4 to 80) as the total score; 9.12 ± 5.57 points for the physical aspect, 9.36 ± 10.04 points for the emotional aspect, and 14.8 ± points 10.45 for the functional aspect. All DHI scores positive showed linear significant correlations with and fall index. Fukunaga, Maurício Malavasi Ganança Malavasi Fukunaga, Maurício genders genders (mean age, 17 with years) cleft repaired palate (isolated only) and Participants underwent aerodynamic residual velopharyngeal insufficiency. evaluation of breathing (pressure-flow technique) before pharyngeal flap surgery and, on average, 12 months after surgery (post) to determine the minimal cross-sectional nasal area. The nasal area was estimated during described as measurement flow and pressure of means by rest at breathing by Warren and Dubois (1964). The pre- and postoperative measurements were compared individually by calculating the difference between them (NApost − NApre). Individual variations between pre- and postoperative measurements were considered clinically significant when >10%, which corresponds to the error inherent to the method, as stated et by Watzke al (1990). reduction reduction of nasal airway dimensions after pharyngeal flap surgery. in vertiginous patients with unilateral vestibular hypofunction is dizziness. disability caused by directly of self-perceived with the degree correlated August 15, 2013 15, August

Posters Audiology August 15,2013 breastfeeding, preventing premature weaning ininfants whoare atrisk. management through and appropriate guidance, it is possible to establish and maintain exclusive that concluded is it and Gr1, of population the of >85% therapyfavorable had with speech results that confirmed Thisstudy mother- 5 = observation. and evaluation n with pairs), baby (Gr2, group control mother-baby the and guidance, and (Gr1; n = 7 mother-baby pairs), with performance assessment, intervention, group mother-babystudy the groups: 2 into divided were participants The municipality. that by adopted criteria risk the considering Fortaleza-CE, in located Unit Health Basic a in performed was collection data The months. 2 and 0 between aged and genders both of infants with included, dyads mother-infant at-risk 12 were There materials. disposable and protocols, WORDS: Pharyngealflap,Hyponasality, Nasometry, Speech,Cleftpalate. pharyngeal byflap, and shouldcaused be objectively investigatedobstruction postoperatively.airway KEY upper of indicator speech. an be compromise may presence and Its surgery flap pharyngeal after occur may that of suggestive nasalance surgery. present after (<43%) hyponasality to began (41/171) 24% that showed patients individual of analysis the hyponasality, of absence the indicated surgery after and to before values 57% preoperatively mean the Although postoperatively. 49% from <0.001), (p significantly decreased scores t risk. at babies for breastfeeding of process the describe to and weaning early of palate. cleft with patients in hyponasality of management of velopharyngeal insufficiency on speech nasalance in terms Yamashita O Co-Authors: Main Author: speechTHERAPY CAN PREVENTEARLY WEANINGINAT 73 - O Co-Authors: Main Author: hyponasality AFTERPHARYNGEAL FLAPSURGERY IN 72 - early weaning, while in Gr2, 4 babies (80%) were weaned early. ~14% of rate a therapy, had speech Gr1 After infants. at-risk in difficulties breastfeeding for resource a as used supplement, food a as bottle the in milk artificial of inclusion the was study this in observed weaning early of causes the of one but mothers, the by breastfeeding of management the in practice of lack and infants the of immaturity of characteristics certain from arising population this in breastfeeding to challenges initial are there “t” test, adopting a significance level of 5%. of level significance a adopting test, “t” between Student comparison the using performedwas values postoperativenasalance and pre- The hyponasality. suggest percentage this below sentences five determined Values43%. scoreof cutoff a with sounds, predominantlynasal containing of set wasa read patient nasality) the while nasometer of a of means correlate by acoustic (the Nasalance after. evaluation of speech 1 to 4 days before surgery and, on average, 14 months flap. nasometric underwent pharyngeal forPatients indication surgical and insufficiencyvelopharyngeal residual with lip and palate repairedcleft had who years, 57 to 6 ages genders, both of individuals 171 included study bjective bjective RISK INFANTS PATIENTS WITHCLEFT LIPANDPALATE M : : To determine the effectiveness of speech therapy in the prevention the for surgery flap pharyngeal of impact the investigate To ethods Ana ElizangeladoMonteAlmeida,Ronara NepomucenoSilva Ana Paula Fukushiro, Inge Elly Kiemle Trindade, Renata PacielloTrindade, Renata Kiemle Elly Inge Fukushiro,Paula Ana Alexsandra Barros DeSouza Flávia Ferlin : aa ee olce uig usinars assessment questionnaires, using collected were Data C onclusion Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. R R : Hyponasality is a symptom a is Hyponasality esults M esults aterial : : The mean nasalance mean The It was observed that observedwas It

and M ethods C onclusion - : The :

89 of detectionandmanagementcontrol ofNIHL. impact noise of firearms. Simple audiometric testing is an important means the and noise occupational to exposure to due PAIR a developing for risk at population a are officers police military the that revealed analysis data in the region of Fortaleza-CE and verify that the audiologic findings are findings audiologic compatible with a possible hearing loss induced by noise-PAIR. the MATERIAL/ that verify and Fortaleza-CE of region the in to minimizetheconsequencesofhearing lossduringinfant development. of importance intervention programs the through specialist referrals and guidance for parents identify to possible was it development, hearing late and loss hearing indicating results the account into taking and, year, first the during system nervous auditory central the in confirm process maturation could the responses hearing of evolution the that concluded was verbal it and instrumental Therefore, to age. of increase with observed be could tones pure and sounds responses skill in hearing Evolution late or development. loss hearing responses sensorineural of and incidence conductive of was indicative there However, ranges. age for expected responses the of incidence high a revealed data The tympanometry. and audiometry; reinforcement visual commands; verbal of recognition reflex; verbaland instruments cochleopalpebralmusical with sounds; assessment their until CEPRE/UNICAMP second year. The at infants were evaluated by history; meatoscopy; behavioral development language and auditory of monitoring for enrolled were who premature, and term months, 12 at 40 and months 6 at 60 infants, 100 assessed We loss. hearing late-onset or results in hearing screening, but showed normal risk indicators had for progressive ICU, and/ neonatal the in been had who infants in old 12-months and/or 6- at responses hearing analyze to was study the of purpose The M O Co-Authors: Main Author: a 74 - Co-Author: Main Author: hearingRESPONSE ININFANTS WHOWEREINTHE 75 - 25%). 6/5, = (n comprehension speech reduced and 75%), 15/18, = (n fullness ear 50%), 30/37, = (n tinnitus were ones main The symptom. of type some had studied population the of much that indicated histories patient of Evaluation loss. hearing noise-induced with audiometry in observed commonly as kHz, 6 and kHz 4 of frequencies at was possible to verify that the peaks are located at higher hearing thresholds 8 (5%) with hearing loss of grade 7. In the pure tone audiometry analysis, it hearing loss, 42 (25%) with grade 2 loss, 45 (28.12%) with 1 grade 3 loss, grade and with ears (34.37%) 55 ears, normal (6.25%) 10 revealed findings n os-nue haig loss. hearing noise-induced in audiometry verify to order in (1979) al. et Merluzzi of classification the to audiometry, audiometry.speech according and analyzed were findings The tone audiometric pure audiology, from obtained data the verify to order bjective ethods APAIR BASIC A YEAR NEONATAL INTENSIVECARE UNIT(ICU)DURINGTHEIRFIRST UDIOLOGICAL FINDINGSINMILITARY POLICE OFFICERS: : : Retrospective study of 80 military police officers (160 ears) in ears) (160 officers police military 80 of study Retrospective To investigate the audiological profile of military police officers police military of profile audiological the investigate To Maria Francisca ColelladosSantos Ana Elizangela do Monte Almeida, Maria Odenys Alves de Moura Alexsandra Barros DeSouza Aline Buratti Sanches UDIOLOGICAL EVAL R esults U ATION INTHEDETECTION OF : Classification of the audiometric the of Classification C onclusion : Audiologic

Posters Audiology

: ion onclus C The The research : eport R

ase The therapeutic progress progress therapeutic The : C Sixty-six ears were analyzed. were ears Sixty-six : ion onclus esults C R IN DIAGNOSIS UDIOLOGICAL Thirty-three patients underwent chemotherapy : ethods M Alexsandra Barros de Souza Barros Alexsandra Priscila Feliciano de Oliveira Priscila Feliciano Aline Cabral de Oliveira-Barreto, Izabella Moura de Azevedo Germana Bica de Oliveira, Paula Isabel Vieira Paula Germana Bica de Oliveira, To evaluate the of treatment a patient evaluate after total in laryngectomy To To analyze hearing complaints and the audiological profile of : : PRODUCTION ONCOLOGY bjective bjective patient was male, aged 65 years, who had undergone total laryngectomy because of squalors cell carcinoma. He lived in the city of Fortaleza, Ceará surgery. the underwent patient the after months 2 began Treatment (Brazil). in week per sessions 2 with 2012, April to 2011 May from lasted sessions The permission the with video on documented was therapy The practice. private and prior written consent of the patient. The speech evaluation showed no adaptive mechanisms in communication or negative social-emotional impact In on the fewcommunication sessions,first after the laryngectomy. patient quickly incorporated the technique of esophageal speech. After 2 months of intervention, the patient had good coordination of air injection with esophageal phonation and the articulation, production which allowed of short sentences with a single injection of air; significant improvement of speech intelligibility with every week of treatment; significant and changes in substantially the emotional and social condition of the family. his patient, by reported also was which Based on 45 audiometry, ears had normal hearing thresholds and 28 ears the among years 46.4 was age average The loss. hearing neural sensor had normal hearing individuals, and the patients were predominantly females (95.6%). On average, the patients courses and had 18.44 undergone radiotherapy courses. 8.2 In chemotherapy patients the sample, subjectively 42.2% reported of hearing the difficulties;no significanthowever, difference (p there = 0.29).The was average agehearing in The (85.7%). females the were them of most and hearing years, 50.5 was loss group loss group on average had undergone 27.6 radiotherapy courses and 5.9 chemotherapy courses. In the hearing loss group, all patients expressed hearing complaints. Mann–Whitney test showed a significant difference when the variables of age (p = 0.008) and the number of chemotherapy courses (p = 0.004) were compared between these 2 groups. has been rapid and notorious, indeed decisive engagement of patients and patients of engagement decisive indeed notorious, and rapid been has satisfactory results. An intervention needs to thatreflect therapy combines an ethical and humane health care outlook that then generates significant of patients. the quality of life for results Souza, Larissa Azevedo Ramalho, Manoela Eleonor Furlan Barreto, Tâmara do Carmo Fontes Figueiredo 79 - VOICE HUMANIZED IN ESOPHAGEAL warning thor: Main Au thors: Co-Au O 78 - IN A COMPLAINTS hearing thor: Main Au thors: Co-Au O the acquisition and use of esophageal speech. cancer patients. and/or radiotherapy treatments in the oncology section of the Hospital de Urgências de Sergipe (Aracaju, Brazil). An anamnesis was taken and tonal performed. was audiometry vocal and Hearing complaints in patients an seeking when especially evaluation, audiological in information valuable undergoing cancer treatment provide early diagnosis. 90 On : LAR eport The The study R

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ase C U -CEREBROVASC Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. Elderly patients with cognitive impairment : After 5 months of therapy, the patient PEOPLE WITH DERLY IN EL UENCY : ion onclus Statistical analysis was performed using ANOVA and ion onclus C : C esults R FL Y OF VERBAL Bárbara Costa Beber Bárbara Ana Elizangela do Monte Almeida Ana Elizangela Aline Nunes da Cruz, Marcia Lorena Fagundes Chaves Fagundes Lorena Aline Nunes da Cruz, Marcia Alexsandra Barros de Souza, Ronara Nepomuceno Silva Nepomuceno Ronara de Souza, Barros Alexsandra To show the importance of speech therapy for a neurological : DIFFERENT COGNITIVE IMPAIRMENTS DENT ACCI To analyze the performance of verbal fluency tasksby elderlypeople : bjective im progressed well and TQT and GTT were discontinued. He is currently able to able currently is He discontinued. were GTT and TQT and well progressed of all consistencies orally. eat foods included patients from Hospital de Clinicas de Porto Alegre (Porto Alegre, Brazil), who were older than Alzheimer’s disease 65 (PRAD), vascular years dementia (VD), and and presented mild impairment cognitive with (MCI). The probable diagnostic criteria were National based on Institute those of of the Neurological Stroke and and the Communicative Alzheimer’s Disorders Disease and and (NINCDS-ADRDA), National Related Institute of Neurological Disorders Disorders and Stroke Association and Association Internationale pour en la Neurosciences (NINDS-AIREN), Recherché and Petersen et (1999). The l’Enseignement included study a healthy also elderly group. All study participants provided informed semantic and (PF) fluency phonological for assessed were Patients consent. fluency (SF). with different types of cognitive impairment. had worse performance in verbal fluency The PF thanand SF healthyseem elderlyto be people. associated differently with different cognitive impairments. A thor: Main Au thors: Co-Au 77 - UD st thors: Co-Au O 76 - POST IN PATIENTS PRACTICE speech thor: Main Au disease and for the positive evolution of the patient. January 25, 2012, a 55-year-old man experienced a hemorrhagic stroke because of high blood pressure. The left brain was most affected. He was admitted to the intensive care unit (ICU) for 30 days. continuous with TQT was He ward. the to He transferred was he when therapy started speech mechanical ventilation, disoriented, with GTT. The initial speech diagnosis was neurogenic oropharyngeal dysphagia, severe. After discharge, which the patient continued was speech therapy and graded daily feeding as orally once a day with without a TQT (removed after joint pasty treatment between the speech diet, therapist and maintained GTT and but physiotherapist). He was more awake, cooperative, and Because of his conscious. progress, more food choices were added by VO diets, with the guidance of nutritionist, to maintain nutritional balance and hydration. When the patient was administered 3 diets the team pasty agreed to consistency, feed all diets orally for BC a week while in semisolid, liquid, or maintaining the patient under observation. At this time, and posture regarding the trained and instructed were caregiver his patient, and family, his proper use of food utensils (e.g., tablespoon for pasty and semisolid foods and a small cup for liquids), and the use of post-swallowing maneuvers, when necessary. the Kruskal–Wallis test (0.05 was the significance level). All groups had 17 patients. The healthy elderly group showed mean SF and PF values of 12.69 and 26.37, respectively. The PRAD group showed mean SF and PF VD The values mean of group showed SF 6.40 and and 14.50, respectively. PF values of 6.00 and 24.00, respectively. The MCI group showed mean SF and PF values of 11.27 and 15.00, There was respectively. a significant difference between the groups in SF (p < 0.000) and in The PF PF differed significantly between(p each patient group< and the group of 0.000). healthy individuals. August 15, 2013 15, August

Posters Audiology August 15,2013 language development. a because stimuli language and and processing auditory child’s a damage may lobe temporal the on lesion auditory in continuity be must there the result of the maturing of the central auditory nervous system. However, be may This responses. its in evolution an characterizes which increased, taosi eisos vlain (TOAE). evaluation emissions otoacoustic R M A Co-Authors: Main Author: leftTEMPORAL LOBE SCHIZENCEPHALY 81 - O Co-Authors: Main Author: a 80 - 4 months were then compared with its responses at the age of 11 months. 11 of age the responseswereat its months compared with 4 then of age the Theresponsesat speech. child and noise, tone, puremodulated instruments, musical through performed was stimulation auditory monthly by usingTOAE. protocol audiological an establish to important is it Thus, data. evaluation Santos Andrade, Manoela EleonorFurlanBarreto, Tarsila SantosAmaral wereperformed.TOAE and audiometry vocal and tonal and obtained, was oncology anamnesis An the studied. in were Brazil) (Aracaju, Sergipe de Urgências radiotherapy de Hospital of sector and/or chemotherapy underwent who (p = 0.830). = (p groups without the between or difference significant with a show patients not did in chemotherapy amplitude TOAE the between relation The emissions. without and with groups the and 0.925) = (p radiotherapy or 0.096) = (p chemotherapy of courses of number the between significant difference no showed test Mann–Whitney The sample. the of 85.7% in average amplitude of otoacoustic emissions was 11.56 dB and was present The loss. hearing sensorineural had 14.3% and threshold hearing normal a had patients the of however,85.7% patients; the of 71.4% by reported was chemotherapy after symptoms hearing of worsening A tinnitus. had complaints, 64.3% of patients had hearing difficulties and 92.9% of patients hearing Among cancer. of history family a reported patients the of 71.4% in 57.1% of the patients, followed by cervical cancer (28.6%). In the sample, presentwas cancer Breast patients. the among prevalencefemale(92.9%) child. betweenperiod researchercontact the mayrelatedshort be the to the and This period. stimuli the during sound single a emit not did and months, 11 and 10 at orders theauditory simple to respond not during did infant However, the period, 11 months. monitoring at words first his spoke and months 8 at babble to started child the parents, the to According ages. all located the voice of the evaluator, and presented cochlea palpebral reflex at development of an infant diagnosed with left temporal lobe schizencephaly. esults im bjective ethod : The purpose of this study was to monitor and stimulate the auditory the stimulate and monitor to was study this of purpose The C LIFE STIMU OTOACOUSTIC EMISSIONS : : onclusion h cid ipae atnin o l peetd tml, bilaterally stimuli, presented all to attention displayed child The UDIOLOGICAL DIAGNOSIS INONCOLOGY WITHTRANSIENT rm h fut t te lvnh ot atr h ifn’ birth, infant’s the after month eleventh the to fourth the From : o vlae acr ains y uilgcl n transient and audiological by patients cancer evaluate To Maria Francisca ColelladosSantos,Tatiana Tazinazzio Costa ln Cba d Oier-art, aia iv Oier, Joice Oliveira, Silva Camila Oliveira-Barreto, de Cabral Aline Priscila Feliciano deOliveira Laís CezarinoMoreira C LATION INANINFANT INTHEFIRST YEAROF onclusion : O The child’s responses became more elaborate as its age its as elaborate more became responses child’s The utcomes : The inclusion of TOAE complements audiological complements TOAE of inclusion The : The patients’ averageTheyears,patients’ was44.5 with age Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. M ethods : A : UDITORY oren patients Fourteen 91 efficiently. to and safely performed be NEA to transition the allow from will This alimentation. oral transition the for important are professionals hearing and members donotcommunicatewiththedeafchildthrough LIBRAS. family other life, everyday in however, for children; their important of development fundamentally the is LIBRAS that believe participants Parent Down syndrome carrier who was hospitalized with acute viralacute bronchiolitis.Downwaswith syndromewho hospitalized carrier efficient sucking pattern. This prompted the removal of thenasoenteric of tube. the removal prompted This pattern. sucking efficient an and breathing, and swallowing sucking, of handling and coordination tested was appropriate observed: infant were following The breast. maternal the the with again while, a After (NNS). sucking non-nutritive with BF,with stimulation undergo NEA, stimulation undergoon and maintained infant be the that it was recommended this, of Because suction. inefficient that examination swallowing had infant the that revealed examination clinical The (BF). breastfeeding included a had patient the improvement, clinical After auscultation. cervical noisy with pattern sucking disorganized a and rest, at lips and cheeks flaccid posture, tongue protruded and low a of structures orofacial the had infant the that found evaluation therapist’s hearing and speech The ventilation. mechanical and (NEA) alimentation nasoenteric received and days 7 for hospital the in remained patient The (AVB). bronchiolitis viral acute having as diagnosed was infant The effort. breastfed until being hospitalized with symptoms of wheezing and respiratory A Co-Author: Main Author: theINCL 82 - C O Co-Authors: Main Author: aSPEECHTHERAPY INTERVENTIONINCHILDREN WITH 83 - a nvriae saul e apns FM UIAP (ã Paulo, (São UNICAMP) (FCM- Brazil). Campinas de Estadual Universidade da Médicas Ciências de Faculdade the of Committee Ethics the by approved and research qualitative attending a as been characterized was study had The institution. child the their that time of amount the or deafness, of degree the deafness, the of cause the account into take not did study This 6–10-year-olda parentof a child. be deaf wasto forTheinclusion criterion State. Paulo São in Center Rehabilitation the in approach bilingual a with program service a attending children deaf d of parents 8 with interviews ebr hv sm tobe omnctn wt te child. the with communicating trouble some have members family other the since home at interpreter of role the acquiring thereby it, learning for responsible is cases most in mother the practice in institution, the in classes LIBRAS the participate parents both Although themselves. developing are children the LIBRAS through is it that argued furthermore fundamental a as modality for their child recognizedto express himself or herself and to be “heard.” They and to referred they which LIBRAS, used environment. family the in occurs child their with communication the how and (LIBRAS) parentshearing childrendeaf with Brazilian the concerning Language Sign ase im bjective : The purpose of the present study is to understand the perspective of perspective the understand to is study present the of purpose The

R C ENVIRONMENT CASE REPORT DOWN SYNROMEANACUTE VIRAL BRONCHIOLITIS: A eport onclusion R : esults To describe a speech and hearing therapist’s intervention in a in intervention therapist’s hearing and speech a describe To Angélica Bronzatto dePaiva eSilva Lisiane DeRosaBarbosa,Rafaela Soares Rech : Camila deOliveira Vanessa SouzaGigoski A 3-month old nursing infant with cardiopathy was exclusively M : In the discussion, most parents affirmed they exclusively they affirmed parents most discussion, the In ethod USION OFLIBRASINTHEFAMILY : The evaluation, monitoring, and intervention by speech by intervention and monitoring, evaluation, The : The study was conducted through semi structured semi through conducted was study The C onclusion :

Posters Audiology The The : ion onclus There were 4 : C ions onclus C

and

esults R The focus of the activity was to practice public practice to was activity the of focus The : ethods M and

AL, a 13-year-old patient, had extensive cicatrices on the : Bianca Regina Dresch Lisiane De Rosa Barbosa Lisiane De Rosa Andrea Andrea Wander Bonamigo, Fabiana de Oliveira, Rafaela Soares Camila Lucia Etges, Carla Thamires Rodriguez Castelli Rodriguez Etges, Carla Thamires Camila Lucia To develop activities for improving (or enhancement) for To describe the speech therapy process for the reintroduction : : ials ater eport BURN A FACIAL WITH IN A PATIENT R M

bjective bjective ase Rech speech therapist is a trained professional who can work on a reintroduction reintroduction a on work can who professional trained a is therapist speech for the patient. efficient, and enjoyable that is safe, feeding of oral speaking. After a presentation of the theoretical aspects, the participants make a brief oral report, which is analyzed and discussed in regard to its positives and the that features need Guidelines improvement. are provided well. communicate to how on demonstrated are maneuvers and videos and Participants return to speak again, seeking to put into practice what has been developed in the workshop. workshops, workshops, each lasting 1 h, in participated. different The schools. In results 2012, of 60 the people differences between workshop the first and second are speech of each participant. noticeable The through the speakers revised their stance, look, and had better articulation resolving and of speech enhancing words. in activity the of impact the underlines This doubts as well as enhancing the satisfaction of students and the school community that attended the workshop. 87 - WORKSHOP AND ORATORY expression thor: Main Au thors: Co-Au O 86 - AFTER TRACHEOSTOMY FEEDING OF ORAL DUCTION reintro thor: Main Au thors: Co-Au O C communication in public. These activities are targeted at teenagers and adults. The workshop aims to discuss, guidance answer on expressiveness questions, and education, and elementary oration. of years final provide It the in particularly is key, is understood communication that effective for the improvement of education, on both a level. personal and professional of oral feeding after tracheotomy in a pediatric patient with facial burn. face face and limbs because of a burn suffered at home in 2004. The patient developed respiratory failure and was hospitalized. He arytenoidectomy later and underwent tracheotomy (TQT). In the pediatric unit intensive (ICU), care the otolaryngology team requested speech lips the of mobility evaluation adequate showed for patient The swallowing. the his evaluating from cicatrices the of because cheeks the of mobility restricted tongue, and the burn, and adequate intraoral and extra oral The sensitivity. patient did not swallowing saliva, but instead ejected it through the anterior region of exercises indirect with therapy speech performed patient The cavity. oral the On swallowing. saliva practiced and exercises, functional my swallowing, of achieving the objectives outlined, the saliva was colored with blue dye to no observable were There of swallowing. and efficiency the safety evaluate signs suggestive of tracheal aspiration. A swallowing evaluation was then The dye. blue and dye colored using by food pasty and liquid with performed patient had appropriate oral and pharyngeal phases and was allowed to consume pasty food and liquids. After the fifth day of intervention, hewas discharged, feeding exclusively by mouth foods with pasty, semisolid and assessments. follow-up for returned He consistencies. liquid 92 Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. We conducted a bibliographic review by : We found 18 scientific articles within that SPEECH OF THE PRACTICE Y ON : In general, vocal disturbance affects negatively negatively affects disturbance vocal general, In : The analyses of the questionnaires from the 87 ethod : esults M R During the International Voice Campaign Day, which Day, Campaign Voice International the During OF LIFE ALITY : Most productions followed the study and research esults : R ion onclus C ethods M Voice is fundamental for communication and it is able to Eny Regina Bóia Neves Pereira Regina Bóia Neves Eny Jéssica Jacomini Rocha Lemos Jéssica Jacomini : Elaine Lara Tavarez, Regina Helena Garcia Martins Regina Helena Garcia Tavarez, Elaine Lara ion onclus Profa. Dra. Helenice Yemi Nakamura Helenice Yemi Dra. Profa. C Search literature articles that report the role of the speech therapist therapist speech the of role the report that articles literature Search : D OF WORKER HEALTH THE FIEL THERAPY IN urpose ntroduction was was held in the Centro de Saúde Escola Brazil) on (Botucatu-SP, April 12, 2013, attendees answered a questionnaire on life and voice quality (QVV). answered them of 87 only but Campaign, the at individuals 122 were There the questionnaire. period. One of these studies was indexed on 2 search networks and counted counted and networks search 2 on indexed was studies these of One period. only 1 time. These articles were classified according to the guidelines of National on Policy Health Worker and Safety (NPWHS). We found 7 works in the audiology field, 7 in thevoice field, 2 studies on or facial motricity, 1 study on health vigilance, and 1 study concerning humanization. Nine studies were published in CEFAC magazines, 6 studies were published in the Journal of the Society Brazilian of Speech; 2 published studies by were published was study 1 and Otolaryngology; of Association International the in the Brazilian productions Journal The found that of 89% Otolaryngology. of the had works an expert outlook on the on practice speech WH, therapy and 11% of the works had a generalist outlook on speech practice therapy on WH. using the integrated search of the Universidad Estadual de Campinas and health” “worker headings subject the with Online Library Electronic Scientific and “speech therapist.” The study took into consideration texts published in national magazines 2008 between and 2012 with summaries that fit the purpose of this study. in the field of worker health (WH).and qualitative search. current The studyquantitative is a thor: Main Au thors: Co-Au I 85 - AND QU voice thor: Co-Au P 84 - UD ST bibliographic thor: Main Au influence the quality of life of individuals in society and in their professional professional their in and society in individuals of life of quality the influence life. Goal: To evaluate the degree that dysphasia life. of affects quality an individual’s guidelines of the NPWHS and had an expert look on speech therapy in ST. is a lack of There publications concerning actions practical in service. Most journals. in specific speech therapy (83%) publications were attendees (31% male; 56% female) indicated that the attendees did not have difficulties when speaking or in being (60%) took respondents number a when female of larger speaking. breaths heard in noisy places. The initiating when concerns expressed (42%) females the and (16%) males The speech because they did not know how their voice would sound after they started talking. In 35 patients, the females showed frustration, anxiety, or became depressed because of the vocal alteration. In 60% of the patients, attendees Most phone. the using in struggle greater a reported females the had struggles at work because of their voice, but they did not avoid going of matter any affect not did females and males both of voice The socially. out communication. the quality of life in women and men. in women the quality of life August 15, 2013 15, August

Posters Audiology August 15,2013 skills inunderstanding andexpression thanthosewithnormalhearing. greater had impairment hearing with “F,”children and “E,” “D,” “C,” “B,” “A,” Items Gestures”)on and Part (“Actions In II loss. hearing childrenwith to compared acquisition, vocabulary in and language oral expressing and show that children with normal hearing have a greater skill at understanding hearing impairment) in regard with to items “A,” children “B,” normal “C,” and “D” of of Part parentsI with (“First Words”)of children responses the of to (compared parents hearing the of responses The age. with increased increasing gestures and actions of number the children, 40 the For quality of websites on dyslexia. on websites of quality containing the definition of the dimensions and sub dimensions relative the sites” and “dyslexia,” and (2) the elaboration and validation of the construct of “evaluation topics the on study reference theoretical a (1) steps: 2 into for reliable information on this subject. search users and professionals the assist to dyslexia on sites informational transformations to understand and interact with the world. the with interact and understand to transformations behavior that is marked by the appearance of symbolic conduits and related hne i ptet. hs iuto i nt ifrn i speech–language in differentpathology. not is situation This patients. in changes behavioral causing Internet the on conveyed are of that misconceptions because the professionals healthcare to concern of is fact This annually. I Co-Authors: Main Author: 89 - M I Co-Author: Main Author: commUNICATIVE DEVELOPMENT WITHMACARTHUR’S 88 - has beencreated andisbeingvalidated. questionnaire A “Interaction.” and “Design” subdimensions the following website should facilitate clarification and understanding of the information, g. ains Te td icue 4 cide, gd –6 ots 20 months; 8–16 aged (EG). hearing normal had children 20 and impairment children,hearing had children 40 included study The Patients: age. same the of children hearing-impaired with them compare to and hearing, normal have who months, 16 to 8 aged children and infants of gestures describe the communicative profile in regard to the first words, actions, and (1997). Words and Gestures, which was adapted to Brazilian Portuguese by Teixeira First Macarthur’s: Development Communicative protocol: the as used was use of available informatics resources. informatics available of use the and site the of model graphical the to refers which Presentation, (3) and modalities; treatment and diagnosis, concept, the as such dyslexia of which refers to items that are fundamental and necessary forRelevance, (2) the subdivisions; clarification as site” the of “purpose “credibility,”and and “authorship” information,” “source “scientific,” “ethical,” with information, reliable of dissemination the allows and site the on information of quality aredimensions 3 contains follows:and as Reliability,(1) involveswhich the ntroduction ntroduction ethods INFORMATIONAL WEBSITESOFSPEECH—D DEVELOPMENT OFAMODEL FORTHEEVAL HEARING-IMPAIRED CHILDREN BETWEEN CHILDREN WITH NORMAL HEARINGAND INVENTORY R : To evaluate the communicative behavior of children, the following esults Adriane LimaMortariMoret Carolina SturmTrindade, DeisiCristinaGolloMarques Vidor O : : Geane Grapiglia Ferreira Gabriela Aparecida Prearo h apaac o lnug i “” hne n child’s a in change “A” is language of appearance The The search for health information on the Internet is growing is Internet the on information health for search The bjective : Thegroups. resultsage main variedthe among —A COMPARISON OFLANGU : o rae n vldt a usinar t evaluate to questionnaire a validate and create To R esults M C Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. : onclusion The construct has been defined been has construct The ethodology : The presentation of the of presentation The : AGE DEVELOPMENT The study was divided U YSLEXIA ATION OF O C bjective onclusion : To To :

93 showed a beneficial effect in the evolution of the suction pattern in the in PTNIs. pattern suction the of evolution the in effect beneficial a showed application of an oral stimulus, independent of the technique administered, hn efrig ot f hi atos I i iprat o implement to important is It actions. preventive measures for thisinstitution. their of most performing when supervision on dependence the and balance of lack the of because actions everyday performing in difficulties have patients elderly Institutionalized Lorena Guida, Moniane Aparecida Sumera, Sueli Mayumi Motonaga Onofre by a trained researcher. At the end of the stimulation, the protocol was protocol reapplied. the stimulation, the of end the At researcher. trained a by accomplished was which days, consecutive 10 for daily once stimulus a received groups Both group. G2 the and group G1 the between PTNIs the divided randomization The 2005). (Fujinaga feeding oral for infant preterm PTNIs were evaluated through a protocol that assessed the readiness of the All pathologies. serious not had and stable clinically wereThey weeks. 36 2013. It included 21 PTNIs whose gestational age ranged from 30 weeks to a randomized clinical trial, which was performed from January 2012 to May surgery. cause life, of quality thirdon dependence and immobility after mortality high cause and parties, the to damage serious cause can They increased. I Co-Authors: Main Author: riskANDPREVENTIONOFFALLS ININSTITUTIONALIZE D 90 - unit of the Santa Casa de Porto Alegre (Porto Alegre, Brazil). care intensive the in place took research The G2). (i.e., stimulation motor they whether on facialor or sensory G1) received (i.e., suction non-nutritious of stimulus the based (PTNI), infants newborn preterm of groups 2 in the evolution of the suction pattern and the conditions of the breast-feeding I Co-Authors: Main Author: oral STIMU 91 - with moderate risk of falls, and only 1 patient at high risk of falls. results of BSE identified 5 elderly patients with a low risk of falls, 9 patients The foot. one on only relying and sideways, or other,forward body the the of bending front in foot one with standing remaining closed, eyes the with standing remaining as such actions perform to safety for supervision needed theyHowever, walking. while min, balance good 1 had for patients 12 securely and stand to able were patients elderly 11 that showed et (aaç e a. 96. e xldd lel ptet wo were who patients elderly excluded walkerswheelchairs.used and Wewho or stand to unable 1976). al. et (Ganança tests balance through and 2003) al. et (Whitney (BBS) Scale Balance Berg the Paul(Marilia–SP,de Vincent administering St. through Brazil)of Institution non-nutritious suction NNS and 2 infants received OSMS. received infants 2 and NNS suction non-nutritious breastfeeding. Of the 4 PTNIs with exclusive and complement breastfeeding, a of 2 use infantsthe for receivedindication medical with left PTNIs (81%) 17 and breastfeeding exclusive with left PTNIs (19%) 4 hospital, the from score was from 12.7 for the G1 group and 13.5 in the total G2 group. the At discharge in increase average The evaluation. first the to compared PTNIs, nains n t prom rvnie esrs o eue h ipc of impact fallsrisks. fromthese the reduce to measures preventive perform to and inpatients ntroduction ntroduction ELDERLY INPATIENTS BENEFITS FORTHEPROGRESSIONOFORAL STIMU O bjective R Jaqueline Facin, SheilaTamanini deAlmeida n Cáda iuieo rzo Ain Bro Oier, Heraldo Oliveira, Barros Ariane Frizzo, Figueiredo Cláudia Ana : : Isabella BonamigodaSilva Ângela BigolinTussi esults niec o fls mn te lel i Bai hs greatly has Brazil in elderly the among falls of Incidence The study aimed to verify the influence of oral stimulation on stimulation oral of influence the verify to aimed study The : : This study aims to estimate the risk of falls in elderly in falls of risk the estimate to aims study This The total score in the protocol increased in 100% of the of 100% in increased protocol the in score total The LATION INPRETERM NEWBORNINFANTS: M ethodology : Wethe in evaluatedpatients elderly 15 R esults C M onclusion ethod LATION : Theresults C onclusion : This is : The :

Posters Audiology To identify in the in identify To : bjectives O Bibliographical research of the : YSPHAGIA Retrospective chart review. The study ethods : M To determine the To major disorders of the oral : The complications of pediatric dysphagia IN INFANTS YSPHAGIA : ethods M urpose The major clinical symptoms were cyanosis and : P ion onclus C esults R Infants with dysphagia are at increased risk of developing lung developing of risk increased at are dysphagia with Infants Nathália Anastopulos dos Santos Nathália Anastopulos dos Santos Nathália Anastopulos : Fabiola Fabiola Custódio Flabiano Almeida, Karina Bernadis Bühler, Swallowing dysfunction is frequently observed in premature Karina Bernadis Bühler, Suelly Cecilia Olivan Limongi Suelly Cecilia Olivan Bühler, Karina Bernadis : Ten full Ten articles were selected Based for review. on the literature, : esults ion onclus R ntroduction enrolled 17 infants (age range, 6–90 days), who were referred from January from referred were who days), 6–90 range, (age infants 17 enrolled 2012 to May 2013 for clinical evaluation and a video fluoroscopic swallow study (VFSS). available available literature, studies about the etiology and evaluation of pediatric dysphagia, and elaborate algorithms for treatment, follow risk up reduction, and of this population. an algorithm was developed for the clinical evaluation and follow this up of population. oxygen desaturation during feeding; 70.5% of the infants were premature. On VFSS, 23.5% of the infants presented with nasopharyngeal reflux, 41% presented with laryngeal penetration, and 23.5% presented aspiration. with No abnormalities silent were observed in the oral phase. of 53% scale, Functional Rosenbek the On infants. the of 47% in observed was swallow with presented infants the of 5% and 23, 1, degree with presented patients reduction. rate flow and thickening comprised Intervention 8. and 2 degrees These strategies were effective in controlling aspiration during the VFSS. C 95 - D oropharyngeal thor: Main Au thors: Co-Au I disease, malnutrition, prolonged hospitalization, and impaired interaction with their caregivers. 94 - D PEDIATRIC IN algorithms thor: Main Au thors: Co-Au Pediatric Pediatric dysphagia has increased in recent otorhinolaryngology, years because pediatrics, of pathology, its speech growing of fields the in importance development typical with children in 25%–45% is prevalence Its others. and and 33%–80% in children with a developmental disorder. American Speech According and Language and Hearing to Association (ASHA), speech pathologists should manage, identify, and monitor dysphagia. Thus, the standardization of the processes and procedures for evaluating pediatric adequate an and procedures of safety the ensure to important is dysphagia childhood. in disorders swallowing of follow-up infants. The VFSS provided an objective and systematic method for analyzing for method systematic and objective an provided VFSS The infants. intervention. establishing an appropriate and for swallowing infant Marília de Paula Giogertti, Suelly Cecilia Olivan Limongi Giogertti, Suelly Cecilia Olivan Marília de Paula and pharyngeal phases of swallowing in the severity; infant; and classify investigate dysphagia the relationship between swallowing disorders and medical diagnoses. MEDLINE, PUBMED, and LILACS databases, from 2000 to 2013. The key words were “pediatric dysphagia,” “evaluation,” “treatment,” “children,” “management.” and “video fluoroscopy,” may may be reduced if it is diagnosed early and if evaluation and appropriate of development an interventions are performed. The algorithm for pediatric intervention and diagnosis differential the for guidance the favors dysphagia situations. different in many 94 AND AGE IN : EXPERIENCE Since the 1980s, the speech, The resident in management : , LANG U ; SPEECH : Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. eport R

ion onclus C ase C Rachel Ferreira Loiola Rachel Ferreira Karolline Cruz Sérgio Vasconcelos Cruz Sérgio Karolline Elenir Fedosse, Jayne Guterres de Mello, Mirna Dorneles Glauciene das Graças Costa Pereira, Vanessa Ferreira Mariz Ferreira Vanessa Costa Pereira, Glauciene das Graças DENCY RESI LTIPROFESSIONAL To report the experience of speech, language, and hearing sciences hearing and language, speech, of experience the report To : -IMAGE SPEECH ABOUT SELF ; AND MANAGEMENT HEARING SCIENCES OF RS OF HEALTH COORDINATION THE 4TH REGIONAL urpose provides provides experience in other areas of public health with a generalist view (based on health indicators), and allows progress in still poorly understood in the speech, language, and hearing sciences. areas in a multi professional integrated residency program in management and warning public health system. thor: Main Au thors: Co-Au 93 - SCIENTIFIC PRODUCTION OF THE BRAZILIAN analysis P thor: Main Au thors: Co-Au 92 - U m Self-image refers Self-image to refers the recognition that we being ourselves, more realistic picture possible of our own abilities, potentials, ideas. feelings, The attitudes present and study was based studies on published in literature 4 major and national journals characterization of speech in the period of 2007–2012, which had the term “self-image” as a descriptor/self-image. We found 21 publications in which the term appeared in any part of the body of the text. In newspapers, the magazine number CEFAC had (11) the of highest articles. For methodological in prevailed 15 procedures, of the studies. In the area of survey speech, “voice” was the most studies broached subject and was present in 10 (47.62%) “audiology” (14.29% of studies) and “language” (14.29 % of studies). In 20 studies, followed by studies, at least 1 (95.24%) speech therapist participated. In 7 studies, in addition to the speech at therapist, least one professionals of the following participated: biologist, physical therapist, physician, pathologist, and/or psychologist. With regard to the section of the text, there was occurrence a (38.10%) higher of the term “self-image” in the Discussion Because section. of the theme of the articles, the most prominent correlated term study, this Through studies. 6 in present was which self-image,” “vocal was we observed the lack of studies on the subject. authors to This visualize what study has previously allowed been published the on the topic and consider adding will data therefore that can in support this research future area. language, and hearing sciences have been increasingly used in the public health system, although they initially were used in rehabilitation practices. The expansion of the promotion, fieldbut its incorporation in includes management within the preventive public health practices system and remains small. The health experience in a program at the Coordination 4th Regional of Health (RCH) actions is planned and conducted on directed the basis of at an indicator’s monitoring health and evaluation. surveillance This work focuses on worker health surveillance. A with survey was initially 32 composed the in of years 4 a previous historic the in series accidents work of of pacts notification the that concerning were compared system Information the from obtained was It RCH. this in included counties did municipalities of 50% than more data, the analyzing In health. worker on not attain the agreed number of notifications. Inregard to this, a meeting was held with municipal secretaries of health and representatives of the health surveillance of workers in which the importance of notificationsfor planning actions was discussed. Moreira, Vânia Figuera Olivo Vânia Figuera Moreira, August 15, 2013 15, August

Posters Audiology August 15,2013 Fidêncio Destro Luisa Vanessa Silva-Comerlatto, da Perin Mariane Buffa, Benjamin disorders andintherehabilitation of feeding andvocal functions. swallowing of detection the in assists HIV and neurotoxoplasmosis with improvement ofthequalitylife ofachildandeveryone around them. ass h wr t b wl itgae ad ietd o one to directed and integrated well be to work the causes involved professionals the among knowledge and information of exchange the improve to auditory, able communication, and interpersonal relationship skills of children. is The environments school and family the to extended is that care interdisciplinary and daily with fields professional other with allied eutn fo HV n neurotoxoplasmosis. and HIV from resulting (AR). aids rehabilitation aural hearing by guided and/or (CI) implant cochlear a with children of rehabilitation O O Co-Authors: Main Author: fooDCAPACITY EVOL 97 - Co-Authors: Main Author: a 96 - trained in AR. Thirty-nine children used cochlear implants and/or hearing hearing and/or aids. implants cochlear used children Thirty-nine AR. in trained graduateThese6 students. and hospital the professionalsof pathologists are sessions last for 50 min. Patients are attended to by 2 audiologists and speech weekly, and twice administered individualized, is session AR The assistance. speech-language pathology and audiology, pedagogy, psychology, and social of fields the in professionals by formed team interdisciplinary an has CEDAU The counseling. family and guidance conduct and educators; and teachers guide education; regular into child the integrate skills; writing and reading of oral of expansion development the encourage and competence; communication enable language; acquisition the encourage skills; hearing develop to are CEDAU the of objectives The aids. hearing and/or CI a with children rehabilitatesPaulo which São University of the Craniofaciaisof Anomalias de Hearing-impaired Children (CEDAU) is a program of the Hospital de Reabilitação f peh hrp—n hr oa fnto ipoe wt adequate with improved function loudness. vocal her revaluation therapy—and the speech on of swallowing functional foods—showing bland feeding with oral began she treatment, of and days direct 15 of After swallowing. consisted indirect Therapy ward. general the to transfer her until continued and ICU the in begun was therapy Speech loudness). reduced (e.g., mobility vocal and palate, the soft tongue, nausea, the of sensitivity and in strength change a were and side, right symptoms the of hemiparesis Presenting dysphagia, vomiting, performed. tracheostomy a and tube, had nasogastric permanent a had foods, pasty with feedings oral dysphagia, (Traplscale wasGUSS which moderatethe on receivedShe 2007). al. et M oropharyngeal diagnosed who therapist speech a from care received She dysphagia. and changes, sensory hemiparesis, aphasia, apraxia, diplopia, seizures, confusion, mental with associated deficits motor neurologicalcauses and centralnervoussystem affectsthe that (HIV) virus immunodeficiency human with patients in common disease neurological a neurotoxoplasmosis, of because days 45 for (ICU) unit careintensive the in 29-year-old woman who was born in Porto Alegre (RS), Brazil. She remained bject bjective C i NEUROTOXOPLASMOSIS (CED EDUCATIONAL CENTERFORTHEHEARINGIMPAIRED ve onclus UDIOLOGY ANDSPEECHPATHOLOGY THERAPYINAN : : To describe speech pathology therapy and audiology in the the in audiology and therapy pathology speech describe To To describe the evolution of a patient with a swallowingdisordera with patient Toa evolutionof the describe C Diego Fernando DornelesBilheri,SheilaTamanini deAlmeida Aline Faure, Inara Maria Monteiro Melo, Maria José Monteiro José Maria Melo, Monteiro Maria Inara Faure, Aline A Danielle MartinsOtto Fernanda deLourdes Antonio onclusion i U) on : The intensive therapy of speech pathology and audiology audiology and pathology speech of therapy intensive The : e bev ta ery peh hrp i patients in therapy speech early that observe We UTION INACASE OFHIVAND WITH C ase

Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. R OROPHARYNGEAL D eport C : ase The Educational Center for Center Educational The

R eport : .... a a was C.L.P.C. O bject YSPHAGIA i ve : the the 95 had mild OPD and 3 (20%) patients had normal swallowing. normal had patients (20%) 3 and OPD mild had be observed in the degree of OPD: at hospital discharge, 7 (46.6%) patients Patients at levels 5, 6, and 7 did not use an oral probe. A progression can also patients, to voicelevel 6 in 2 (13.3%) patients, in and to level 7 in days 2 (13.3%) patients. 16.8 of average(33.3%) 5 in level5 to was scale an FOIS the progressionin the rehabilitation, After OPD. mild (26.6%), 4 and OPD a 1. After level as swallowing evaluation, classified 6 (40%) patients were determined was to have moderate FOIS Their feeding. tube nasoenteric (40%) Six received changes. and (PO) feeding oral of restriction respiratory total on were initially patients of because breathing and swallowing between coordination of lack and secretion, hyper dyspnea, cough, were were women with a mean age of 63.1 years. The main signs and symptoms inflammation (caused initially by smoking) and by altered coordination by altered breathing. and swallowing and between bysmoking) initially (caused inflammation pulmonary with associated obstruction airflow chronic by characterized is which COPD, of because compromiserespiratory with presented who OPD wloig n hs ptet, n t a euto i te eeiy f OPD of severity initially presented the by them. in reduction a of to rehabilitation and patients, the these in to swallowing contributed therapy Speech levels. different at OPD have may COPD with patients that showed assessment clinical The therapy contributestotherehabilitation ofswallowing inthesepatients. speech and levels.Evaluationvarious at OPD present disorderscan related substance- of history a with patients that showed assessment clinical The was progression in the FOIS scale: 3 patients attained level 5. level attained patients 3 scale: FOIS the in progression was there cases, OPD the in rehabilitation voice in days 20 of average an After swallowing. normal had patient 1 and aspiration, of risk low a with OPD mild had patient 1 aspiration, of risk moderate a with OPD had patient 1 aspiration, of risk high a with grave shallow had patient 1 dysphagia, of tests, 2 patients had cough after swallowing liquids. Because of the degree food the In teeth. missing and problems, vocal loss, weight had patients 3 clinical examination at the bedside, 2 patients had respiratory problems and the In 2005). al. et (Crary scale FOIS the on 1 level as classified were and (TNE) tube nasoenteric by feeding received and feeding oral of restriction total had initially patients Two diseases. cardiovascular and neurological, increased incidence of ulcers;schizophrenia; changes in bronchial long-term memory; pneumonia; and psychomotor, bronchitis; cough, emphysema, years. Substance-related disorders is a public health problem since it causes 31 wasTheiraverage age drugs. used who women) 2 and men (2 patients of speech therapy in the rehabilitation of these patients. these of rehabilitation the in therapy speech of oropharyngeal dysphagia (OPD) in drug users, and to stress the importance ecie h mi sgs n smtm idctv o oropharyngeal of indicative symptoms and to dysphagia (OPD). signs and (COPD), main disease the pulmonary describe obstructive chronic with patients O Co-Author: Main Author: oropharyngeal D 98 - O Co-Authors: Main Author: oropharyngeal D 99 - bjective bjective THERAPY ACTING SUBSTANCE-RELATED ISORERS:REPORT OFSPEECH EVAL PU : : o ecie h mi sgs n smtm idctv of indicative symptoms and signs main the describe To To report the findings of clinical assessment inhospitalized assessment clinical of findings the report To LMONARY DISEASE:FININGSFROMSPEECHTHERAPIST Sheila Tamanini deAlmeida Bruno Francisco deFraga, SheilaTamanini deAlmeida U Danielle MartinsOtto Danielle MartinsOtto ATION M ethod : The participants were 15 patients with suspected YSPHAGIA INPATIENTS WITH YSPHAGIA INCHRONICOBSTRUCTIVE R esults : Of the 15 patients, 8 (53%) 8 patients, 15 the Of C ase

R C C eport onclusion onclusion : Four : :

Posters Audiology AL WITH ALS itory uditory -PERCEPTU Velopharyngeal Velopharyngeal dysfunction : uence of a UDITORY eport R

ase ren with dren with chil d dicappe lti-han C IN INDIVIDU YSFUNCTION Alana Verza Signorini Alana Verza Marina Santos Teixeira Marina Santos We found few studies that clearly addressed the criteria that Lauren Lauren Medeiros Paniagua, Marcus Vinicius Martins Collares, Carolina Costa Cardoso, Fayez Bahmad Junior, Fernanda Ferreira Ferreira Fernanda Junior, Bahmad Fayez Cardoso, Costa Carolina : To investigate the main methods used to evaluate velopharyngeal velopharyngeal evaluate to used methods main the investigate To : REVIEW OF THE : A SYSTEMATIC LIP AND PALATE CLEFT AND A UMENTAL MAJOR INSTR ASSESSMENTS cochlear implants - The infl cochlear therapy bjective ion onclus Sady Selaimen da Costa, Sílvia Dornelles Caldas, Tatiana Medeiros Deperon, Thaiana Larissa Araguao Ramalho Larissa Araguao Thaiana Deperon, Medeiros Caldas, Tatiana The current cochlear implant (CI) criteria for patients with bilateral sensor neural hearing loss associated with other commitments have expanded, as shown in national and international studies that show the benefits of the CI for this population. The objective of this development study is of to auditory describe the and language skills implants who in have variables that may affect the children expected performance of with cochlear these skills. This study shows the development of language and hearing skills in three specific cases:agenesis of the auditorycorpus callous, and neuropathy cerebral palsy. Patients in spectrumthis study disorder, had an effective and gradual improvement in hearing and language skills, family with associated is it when CI the of effectiveness the proving thereby involvement, regular speech therapy, and partnership with the cochlear implant programming team. This study shows that it is possible to obtain effective results with cochlear implants, even when patients have other conditions in their medical history. C D 103 - VELOPHARYNGEAL thor: Main Au thors: Co-Au O itory skills in mu skills 102 - Auditory thor: Main Au thors: Co-Au are are chosen to investigate velopharyngeal dysfunction and the association between the results of assessment. videonasoendoscopy and auditory-perceptual may cause impaired verbal communication skills in individuals with cleft lip verbal cause impaired may and palate. patients Thus, with this disorder need to undergo instrumental and auditory-perceptual assessments. literature review We of instrumental conducted and auditory-perceptual including a an analysis of the results assessments, of both evaluation methods. We found systematic 1300 studies on the topic of interest that were published between 1990 and 2012. Of these, 56 studies focused on velopharyngeal physiology; 29 studies presented data on velopharyngeal physiology using at least one instrumental assessment and one auditory-perceptual assessment; and 12 studies used the results of both types of assessments. Only 3 studies function velopharyngeal of methods both of analysis the detail in described evaluation; however, the association of their findings was not analyzed. function in individuals with cleft lip and palate and to determine whether there is an association between the results of videonasoendoscopy and auditory-perceptual assessment. 96 : LO Between U : esults The productions productions The : R A cross-sectional : ethod M ion onclus C Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. DE SÃO PA ÓLICA DE CAT A DES OF PRODUCTION ISS, a 48-year-old woman, was born in Porto Porto in born was woman, 48-year-old a ISS, : WITH US OF TETAN IN A CASE UTION YSPHAGIA eport R

There are only few reports that have included a : ase PROGRAM IN SPEECH THERAPY UDIES ST ATE C DU ion onclus Érika Sousa Ditscheiner Diego Fernando Dorneles Bilheri Diego Fernando Amanda Monteiro Magrini, Bruna Souza Diógenes, Léslie C Danielle Martins Otto, Sheila Tamanini de Almeida Otto, Sheila Tamanini Danielle Martins To describe the evolution of a patient with swallowing disorder : FOUR DECA OF ANALYSIS UNIVERSID PONTIFÍCIA AT D OROPHARYNGEAL To analyze dissertations and theses in a graduate speech therapy : bjective oal Piccolotto Ferreira, Ligia Ribas Tunes, Maria Claudia Chunha Maria Ligia Ribas Tunes, Piccolotto Ferreira, program based program on topics and methods. research Alegre (RS), Brazil. She remained in the intensive care unit (ICU) for 59 days days 59 for (ICU) unit care intensive the in remained She Brazil. (RS), Alegre because of tetanus, severe a no contagious infectious disease that affects the central nervous system and causes severe hypertension, dysphagia, tachycardia, hyperthermia, and attended gastrointestinal by the staff bleeding. speech therapist who She found severe oropharyngeal dysphagia, based on the M was GUSS et scale al. (Trapl 2007). patient The had a Her nasogastric presenting symptoms tube were (SNE) and tracheotomy. trismus, dysphagia, facial muscle hypertonia, pneumo-phono-respiratory incoordination, reduced movement and tremors of the tongue, presence of and stained material in the the tracheal aspirate after the swallowing functional test. Speech therapy was begun in the ICU and continued until swallowing and indirect direct to a and hospital involved room, her transfer After therapy. 45 days of treatment, she started consuming a pureed diet and liquids orally (PO). She had oropharyngeal dysphagia (which lead to a reassessment of speech therapy) and improved vocal functions. and respiratory professional professional speech therapist for the care of in these a patients, early tetanus speech therapy toxoid aids in patient; the rehabilitation of functions food and in respiratory and vocal rehabilitation. The patient evolved from having mild-to-severe oropharyngeal dysphagia, exclusively and received feeding by she SNE and initially evolved to PO with pasty foods and liquids which provided better pneumo-phono-respiratory coordination quality. and vocal study in the Program of Pontifícia Universidade Católica de São Paulo (PPUC- Paulo São de Católica Universidade Pontifícia of Program the in study theses and dissertations The Therapy. Speech in Studies Postgraduate in SP) have been defended in 40 years of existence, inserted into the program’s site, and categorized in specific spreadsheetsby year, title, author, leader, language, hearing, voice, (e.g., area the by followed was this summary; and (e.g., method search the and methods) clinical and health, public motor, oral assessment and diagnosis, intervention, and literature Descriptive review). analyses have been performed by linear tested absolute we and study, this relative For dispersion. frequencies and tendency and central of measures regression models (i.e., quadratic, exponential, polynomial, and potential), based on the year, the area and the research method. thors: Co-Au G thor: Main Au 101 - POSTGRA thors: Co-Au O EVOL 100 - FOOD CAPACITY thor: Main Au caused by tetanus. by caused 1978 and 2012, we analyzed 739 productions of with 24 an productions. annual (The average largest number of productions, occurred in 62 2000 productions, and 2001). Hearing and language and speech showed an increasing trend, whereas the areas of oral motor and clinical methods hearing in diagnosis and evaluation thematic The curve. convex a registered and in language and speech showed a higher number of productions: all trend. rising significant statistically a presented focused focused more on observational assessment and diagnosis in the areas of language, oral hearing, speech, and which reading/writing, over increased did not This the occur years. in which the by is of area reflected motor, oral on this subject. research the absence of a specific line of August 15, 2013 15, August

Posters Audiology August 15,2013 acquiring knowledge because of effective communication. effective of because knowledge acquiring stimulating activities; life meaningful and comprehensive language; daily developing speech patterns; and in autonomy stimulating work; team for and guidance intervention when necessary; organizational experiences; learning; developing the ability student’s the about dialogue a establishing are aims Theattendance team. that interdisciplinary an with meets periodically group a joins adolescent the on, have moment parties that From all agreement. when an working starts and project the in enrolls student The student. the for responsible guardian local the and student the with conducted is meeting private A vacancies. available and profiles their to according selected are students meeting, team the After Brazil. Alegre-RS, Porto of region metropolitan the in jobs disseminate that companies with educators, psychologist, psychopedagogist, and occupational therapist. The team maintains contact therapist, social speech of composed physiotherapist, was assistance, that team interdisciplinary institutional an by Inhaia, Gilmara Hullen market. these professionals inseekingproper treatment ofpatients. integrate to way a still is work Multidisciplinary relapse. together trial and criteria discharge to necessary as adapting still are they if even therapist, speech and dentist integrated occurs speech work that concluded of was therapy.It lack a of consequence the mostly Cases are relapses audiologist. orthodontic an of with consulting and/or to referring in dentists by and patients by resistance considerable is there but issues, ofthese functional to activity of field common professionals. The reasons for a referral for a speech therapy are more related is which the system, and fields stomatognathic the between interrelationship an for need the on agreed myology. and All specialists were located in Maringá-PR, Brazil. orthodontics All professionals in specializing dentists dentofacial orthopedics and to 14 30 speech therapists specializing in orofacial to sent questionnaire by conducted was survey myology.A facial or with people in therapy speech and dentistry between interaction the of aspects address to was goal The Co-Authors: Main Author: BETWEENODONTOLOGY105 - INTERACTION AND SPEECH- market. work the in people handicapped of inclusion social effective for incentive provide and defense in together work must family,society school, and The company. the and person the just involve not does market labor the into of making his own decisions. It is important to emphasize that the entrance capable and independent morefeel to starts student the because student, the in changes attitude the by surprised is family the Often relationships. work environment helps the person to deal with responsibilities and develop O Co-Authors: Main Author: WINDOWPROJECT 104 - OPEN bjective IN THECITYOFMARINGÁ LANGU WORK MARKET C : o rmt te nlso o hniapd epe n h work the in people handicapped of inclusion the promote To ase Ana Paula Sanders, GlauciaMaruiti ln Foe, rn Croo oçle, rsia ulr Elga Muller, Cristina Gonçalves, Cardoso Bruna Flores, Aline Renata AdamsFernandes Lailah AngélicaAuada

D AGE PATHOLOGY COMPARED INOROFACIAL MYOLOGY escripton : In 2007, the Open Window Project was developed : INSEARCHOFINCL Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. USION INTHE C onclusion : The 97 Vinicius MartinsCollares, SadySelaimendaCosta. systems responsible for balance. of the FLP of all participants showed alterations, indicating difficulties in the and nonrotatoryWeindividuals. elderly in dizziness foundalso analysis the that adults in dizziness rotatory was dizziness of type frequent most The dizziness. of complaint a with women of number larger a found study,we a patient having a moderate-to-large gap in the velopharyngeal closure. velopharyngeal the in of gap moderate-to-large likelihood a having the patient increaseda obligatory) and/or (compensatory (p 0.035) disorders = speech other of presence the and hypernasality of the severity between interaction The condition. severe less a with patients than impairment closure velopharyngeal severe more had hypernasality severe moderate/ with Patients size. gap VPS the to respect with compared were from the auditory-perceptual evaluation and the video nasal endoscopy test Hospital de the Clínicas de Porto Alegre (HCPA) at (Porto Alegre, Brazil). The up results of Clinic followed Outpatient Therapy were Speech the They and Service lip/palate. Otorhinolaryngology cleft had who sexes both of patients 49 assessed that study cross-sectional retrospective, a was This endoscopy.videonasal as such evaluationinstrument-based 1 least at and evaluation auditory-perceptual an include should function velopharyngeal muscle belt between the oropharynx and the nasopharynx. Investigations of Alves Valentins dosSantosFilha 15.38% falls) and position VI (61.54% with 23.08% falls). I position in individuals, elderly (61.54%); In position II (72.92%); position III (61.54%); position V falls).(69.23% with 13.64% with (54.55% VI TOS and falls) 13.64% with (63.64% V TOS falls); 13.64% with (68.18% III TOS involvementthe weadults analysis, foundthe FLP in the TOSof (66.64%); I individuals (61.54%), which showed an inverse proportional relationship. In elderly in dizziness non-rotatory and (66.64%) adults in dizziness of rotatory prevalence a found We men). (for years 70.70 and women) (for years 44.85 was age mean The men). [15%] 2 and women [85%] (11 individuals of 22 (63%) adults (18 [82%] women and 4 [18%] men) and 13 (37%) elderly five individuals with a complaint of dizziness were evaluated. They consisted ye nslt) n vdoaonocp (.. gp ie i individuals in size) lip/palate. cleft gap with (e.g., videonasoendoscopy and nasality) hyper C O Co-Authors: Main Author: 106 - COMPARISON OFVIDEONASAL ENDOSCOPYANA P Co-Authors: Main Author: -LASER D 107 - FOAM evaluation methods. hog te esr ognzto ts (O) n t cmae h results the obtained in compare adults and elderly individuals with to dizziness. and (SOT) test organization sensory systems the through somatosensory and visual, vestibular, the between integration urpose onclusions bjective CLEFT LIP/PALATE PERCEPTU ELDERLY INDIVIDU : o vlae y omlsr yai psuorpy FP, the (FLP), posturography dynamic foam-laser by evaluate To : To compare the findings of auditory-perceptual evaluation (e.g., evaluation auditory-perceptual of findings the compareTo ina ue Pmne, aái Mríe Frads Valdete Fernandes, Martínez Natália Pimentel, Nunes Bianca ln Vra inrn, arn eers aiga Marcus Paniagua, Medeiros Lauren Signorini, Verza Alana : Sílvia Dornelles Bruna Schio We observed an association between the findings of these 2 these of findings the between association an observed We AL EVAL C ase YNAMIC POSTUROGRAPHY INA

R U ALS WITHCOMPLAINTSOFDIZZINESS eport ATION OFSPEECHINDIVIDU : The velopharyngeal sphincter (VPS) is a is (VPS) sphincter velopharyngeal The C C ase onclusion DU

R LTS AND eport ALS WITH UDITORY : : In this Thirty- -

Posters Audiology The The : ATION U eport R

ase C These findings suggestthat the : The sample for the analysis of the : From an From initial list of 722 from words the : ion onclus C eport ion onclus R

C ase C Marizete Ilha Ceron Marizete Ilha Ceron Marizete Ilha Giséli Pereira de Freitas, Márcia Keske-Soares, Marileda Angélica Savoldi, Márcia Keske-Soares Márcia Angélica Savoldi, To judge which words would be more appropriate socially and/ This research is aimed at relating the production of linguodental : : UE THE TONG OF THE MOBILITY UMENT? INSTR OF A PHONOLOGICAL urpose urpose production of the phonemes /t/, /d/, /n/ and /l/ and the mobility the tongue the mobility the and /l/ and /n/ /d/, /t/, phonemes the of production unrelated. are or linguistically for a phonological children. Portuguese evaluation instrument for Brazilian phonemes (/t/, /d/, /n/ and /l/) to the mobility of the tongue in 125 male and female children who were aged 4.0–8.11 years old. COMPOSE THE EVAL WORDS TO ARE THE BEST 111 - WHAT thor: Main Au thors: Co-Au P AND PHONEMES LINGUODENTAL BETWEEN 110 - RELATIONSHIP thor: Main Au thors: Co-Au P judges’ 116 words with illustrations comprise the phonological assessment phonological the comprise illustrations with words 116 judges’ tool. lexicons of child and phonological assessments currently in use, 11 expert judges—3 clinical speech therapists, 5 doctors in speech therapy, and 3 doctors in linguistics—judged the best words to comprise an instrument based on theoretical and practical knowledge. these From results, a kappa agreement was calculated between the groups of expert new list judges of and words was a created with the most suitable words. 0.378, Analysis to equivalent value kappa with of agreement weak a had judges expert resulting in 316 selected words. These were illustrated and analyzed specialists by as judges not to familiarity and proper elicitation through the Likert scale. The judges were 72 male and female children from public or private schools. They were aged between 3.0 most the comprise to and words of list a produced experts not were who judges 8.11 years. The trial naming the and familiarity by word the rated They assessment. appropriate re- were names correct of number highest the with Words illustration. an of analyzed as theoretical linguistics. Another list of words was phonological created child with a make to words best the considered were that words 116 assessment instrument. research research was based on protocols from a specific database.Parents and/ or guardians responsible for the children by authorized their signing participation free and diagnosed clarified with consent a phonological forms. disorder (PD) in and The childrenthe stomatognathic with system alterations (SS). The only had been results were correlated with the period before treatment. The phonological system through the has phonological evaluation of children (FEC) been and the gravity was evaluated analyzed through the Percentage of Correct Consonants–Revised (PCC-R). The sample was divided into 4 main groups of segments (/t/, /d/, /n/ and /l/) that were subdivided into three groups: acquired phoneme, partially acquired phoneme, and absent phoneme. In the SS alterations evaluation, in the mobility of the tongue were verified, amongmany A other statistical aspects. analysis was performed through the Mann–Whitney U by test using the statistical software Statistic 9.0 (p < 0.05% was considered statistically significant). Itwas possible to verify statistical relation between the production of the nonexistencelinguodental phonemes and of a the mobility of the tongue. Barichello Gubiani 98 →/Ʒ/. The data Through the instrument, the : →/∫/ and /z/ Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. Twelve women participated in the : esults R ethods M In the definition of formant there 1, was a : The development of the phonological system of : The evaluated aspects were more greatly improved aspects more greatly improved evaluated were The esults : R A 6-year-old, girl A child 6-year-old, with moderate mixed hearing loss : ion onclus C ion onclus C Nayara Thais de Oliveira Costa de Oliveira Thais Nayara Joziane Padilha de Moraes Lima de Moraes Joziane Padilha eport UND UENCE OF SPEECH THERAPY AND USE OF SO Michele Picanço do Carmo, Teresa Maria Momensohn-Santos Michele Picanço do Carmo, Teresa Carla Aparecida Cielo, Fabrício Scapini, Mara Keli Christmann Keli Scapini, Mara Cielo, Fabrício Carla Aparecida R

To compare the modification of vocal acoustic and auditory : To demonstrate the importance of speech therapy and hearing : ase OF THE IN THE DEVELOPMENT AMPLIFICATION D WITH MODERATE OF A CHIL SYSTEM PHONOLOGICAL HEARING LOSS LARYNX A NORMAL WOMEN WITH C bjective urpose show show that the child has the phonological process fricatives in which are committed the traits and [previous] of [high], in which posteriorization of substitutions are a phoneme [+ previous] for a [– previous] and [– high] by a [+ high]. following following substitutions were identified: /s/ this hearing impaired child is very close to the system used by a hearing child of the same age. The use of hearing aid and speech therapy the since age of 2 contributed greatly to the quality of this development since children with moderate hearing loss have a deficit intemporal resolution and frequency resolution. They have the ability to perceive the voicing of consonants; however, they have difficulty understanding themanner point of and articulation. This interferes with a is which consonants, of distortions the and omissions to leads and phonemes discrimination between children. of hearing-impaired common characteristic aids in of the the development phonological system of a child with hearing loss. and flat configuration resulting from chronic otitis media participated in this in participated media otitis chronic from resulting configuration flat and study. She used a hearing aid (HA) and began therapy 4 years ago. phonological system The was evaluated through the Phonological Assessment of Child (PAC) instrument, which focuses on the analysis of phonological processes and distinctive features. group group that performed the PIGTW technique and 46 women participated in the group that performed the FK technique. The vowel /a:/ was collected for acoustic analysis. The intra-rater reliabilities for 0.57, 0.49, the and 0.53 FK and the inter-rater reliability group was 0.2. were The intra-rater reliabilities for the PIGTW group were 0.78, 0.52, 0.51 and intra-rater was inter-rater that showed scale RASATI the using perception auditory The 0.35. reliabilities for the GFK group were 0.54, 0.71, and 0.57 and the inter-rater reliability was 0.19; the intra-rater reliabilities for the PIGTW group were techniques 0.31. The was reliability 0.72, 0.56, and 0.46 and the inter-rater were performed on three series of rest 15 between repetitions, them. with 30 seconds of thor: Main Au thors: Co-Au P 109 - INFL thors: Co-Au O ES IN TECHNIQ U 108 - THETUBE PHONATION AND FINGER KAZOO thor: Main Au with the PIGTW technique than with the FK technique. perception in women without vocal complaints or laryngeal affections, after affections, laryngeal or complaints vocal without women in perception executing the finger-kazoo technique (FK) and phonation into glass tubes immersed in water (PIGTW). significant difference between the groups with improvement in favor of the favor in with improvement the groups between significant difference PIGTW group. There was a significant difference between the groups with respect to the subharmonic presence, whereas the PIGTW group showed a greater number of subjects with reduction in the standard deviation of f0 after FK. After PIGTW improvement. there was a There was a greater higher reduction in the smoothed pitch perturbation quotient, variation of f0, and voice turbulence index. These results were statistically significant. between no significant difference analysis auditory showed perceptual The the groups. August 15, 2013 15, August

Posters Audiology August 15,2013 4.8%, at level 7. and 5; level at 33.3%, 3; level at 9.5%, 2; level at 4.8%, 1; level at patients of 47.6% classified we Scale, Oral Functional the of analysis the In 5. level patients were gross level at function classified motor level at 10%, 3; at 86%, and 4; of 5% only elements, Pearsonthe of by analysis the obtained In function 0.6. was motor correlation gross of level the with intake oral functional in levelscale the of Whencomparing, function. grossmotor in 5 the studied variables. In this study, we classified 86% of the patients at level Pearson’s between correlations the possible evaluate to used was analyses, coefficient correlation statistical For Scale. Intake Oral and Functional status, the nutritional System, Classification Function Motor Gross the following: the by analyzed were They studied. were old years 2–21 were motor impairment. of level highest the with associated is mouth the of restriction greater and food functional of scale the on level lowest the between relationship The havecerebralor in impairment. extensivepalsy function motor gross motor n set f yatra ht a dsrmnt P ptet fo healthy from patients individuals intheprocess PD ofaging. discriminate can that dysarthria of aspect be to an seems parameter prosody the However, PD. of stages early the in affected not are parameters voice of most that suggest findings Current hnto tm, n te rsne f subharmonics. of presence the fundamental and time, habitual phonation maximum intensity, and included frequency length analyses intensity, habitual frequency, acoustic The prosody. and articulation, resonance, phonation, respiration, of parameters the includes Protocol—validatedPortuguese—thatBrazilianAssessment for Dysarthria the on based were analyses perceptual The analyses. voice acoustic and perceptual included collection Data individuals. healthy and neurologically PD 12 mild-to-moderate with patients 13 individuals: 25 of total a had between people with PD and healthy individuals. healthy and PD with parameters people between voice compare to aimed study present the Thus, dysarthria. PD of 80% and patients can exhibit an alteration in oral 60% communication called hyperkinetic Between (PD). disease Parkinson’s from resulting projected that by 2020, more than 40 million people will have motor disorders with inpatients palsy.Scale cerebral Oral Intake Functional and System Classification O Co-Author: Main Author: USTIC ANDPERCEPTIVEVOICE113 - ACO ANALYSES IN O Co-Authors: Main Author: 112 - RELATIONSHIP BETWEENTHEGROSSMOTOR FUNCTION prosody parameter (p = 0.012), compared to healthy individuals. smaller a and 0.039) = (p intensity extension mean longer a showed also patients PD The individuals. healthy to frequency,compared fundamental habitual higher showed both patients PD 0.025) = (p female and 0.028) bjective bjective PARKINSON’S DISEASEPATIENTS SCALE INPATIENTS WITHCEREBRAL PALSY CLASSIFICATION SYSTEM ANDFUNCTIONAL ORAL INTAKE : : With the increase in elderly population worldwide, it has been has it worldwide, population elderly in increase the With Function Motor Gross the between relationship the Evaluate Lúcia Figueiredo Mourão Alessandra Parisotto, MichelleApellanis Borges Camila Lirani Silva Lisiane DeRosaBarbosa C C ase onclusion

R eport : : In this study, most of the sample is at level 5 in Twenty-one patients with cerebral palsy who palsy cerebral with patients Twenty-one Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. C ase R

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99 usinars fe a etr aot os awareness. noise about lecture administered a were years after 13.53 questionnaires of age average an with and (44.2%) (55.81%) males Females equipment. sound portable individual used who analytical transversal study investigated attitudes and habits of 86 teenagers Valéria Melchiors Angst,Valdete Alves Valentins dosSantosFilha community schoolcancreate healthierhearinghabits. the in program active an Therefore, equipment. sound portable individual of use inappropriate of effects the from people protecting and preventing, educational actions by professional audiologists with the aim of promoting, of importance the to contrast in is Thisattitude equipment. sound portable individual of use the of consequences adverse the know not did they that intensity) individual portable sound equipment with an insertion design and tasks becauseofnoise. more are professionals disturbed by Nursing noise. Administrative staff report noisy. having difficulty in performing as settings emergency perceive others, whereas the administrative staff denied this fact. Study participants bother may that noise produced they that stated team nursing The noise. of because difficulties communication and concentration having reported administrativethe staff Only shift. noisiest the is Theshift them). afternoon bothered really (which administrative people by produced the noise identify better while can staff equipment, by produced noise identify better can professionals Nursing dB(A)]. 68.8 to dB(A) 56.6 from ranging [e.g., occupational with measuredlevels Noise reasons. problemsoccupational extra as than rather reasons, health these correlated professionals The irritability.anxiety,and stress, fatigue, wereprofessionals the health by problems reported most The participants. the of 8.4% by hazard physical a accident and ergonomic, as mentioned spontaneously was Noise biological, hazards. physical to than hazards to exposed more be to perceived teams both that showed Results used. was Meter Level Sound Integrating 2230 Kjaer and Bruel calibrated a level, noise evaluate a To questionnaire. by obtained was perception Noise staff. administrative the from were professionals 21 and team nursing the from were professionals 38 study: the in participated professionals Fifty-nine room. emergency the noise in the staff assess to is study quantitativeenvironment and the descriptive noise perception this of the nursing of team and administrative goal The C P Co-Authors: Main Author: 114 - Co-Author: Main Author: ENVIRONMENTINEMERGENCY ROOMAND 115 - NOISE y ern peeto i pbi schools. public in prevention hearing by way to avoid hearing loss from using individual portable sound equipment. sound portable individual using from loss avoidwayhearing to (68.61%) teenagers answered that decreasing the volume could be the best (81.40%) teenagers answered that the use does not cause hearing loss and 70 earphones, of use by loss hearing of unleashing the about knowledge bilateral phones (95.06%) or insertion phones (76.54%). With respect to their min/day.153.5 of Theyaverageusing reportedtime intensity—for an high teenagers used individual portable sound equipment (94.19%)—49.38% at urpose onclusion SOUND EQIPMENTINPBLICSCHOOLS USERS’ CHARACTERIZATION OFINDIVIDU PERCEPTION OFTHEHEALTH TEAM : To characterize the users of Individual portable sound equipment sound portable Individual of users the Tocharacterize Adriana BenderMoreira deLacerda : The results showed that the teenagers used (at a high sound high a (at used teenagers the that showed results The ail Bnat ds ats Mcee ags aca Otília Garcia, Vargas Michele Santos, dos Bonfanti Daniela Kátia Pase Liberalesso Walderes Aparecida Filus C ase

R eport AL PORTABLE : hs quantitative This R esults : Most

Posters Audiology The sample was nonrandom nonrandom was sample The The production of noun was was noun of production The : : eport R

ions onclus ase C C AÍ DREN IN AN EARLY OF CHIL PROFILE AGE Chenia Caldeira Martinez Chenia Caldeira Simone Nicolini de Simoni Simone Nicolini Cristina Ossig da Luz, Deisi Cristina Gollo Marques Vidor, Luíza Ana Cristina Mello Prates, Joviane Bagolin Bonini, Márcia Keske- Márcia Bonini, Bagolin Joviane Prates, Mello Cristina Ana To compare the spontaneous naming (SP) of verbs and nouns in : DREN NOUNS IN CHIL VERBS AND FROM SCHOOL AND ELEMENTARY DHOOD EDUCATION CHIL THE CITY OF TRAMAND urpose at a higher rate in most variables that were analyzed. The best performance performance best The analyzed. were that variables most in rate higher a at was in children with typical nouns phonological are words that are acquired earlier and more frequently acquisition, in the daily suggesting that lives of children, thereby facilitating their production, especially in children with typical development. Silva Vernier Silva This study aimed to investigate the speech and language profilefirst-year of students. PréThis B is and a cross-sectional study with data collection inschools public from early childhood education and elementary school from the city of Brazil. It Tramandaí, was performed in collaboration with Universidade deFederal speech and For Brazil). Alegre, (Porto (UFCSPA) Ciências Alegre da Saúde de Porto language assessment, the phonological part of the Teste de Linguagem Infantil (ABFW), a clinical method, observational and the analysis of spontaneous speech and picture naming were used. The normal development of language, speech and voice were in accordance with the national literature. For statistical analysis, the Chi-square test was used, and performed by SPSS 13.0 software. The study participants consisted of 697 children, 368 (52.8%) of which were boys. Of 697 were children (66.3%) 462 students, B Pré were children (33.7%) 235 participants, The disorder. speech-language a had children (43.6%) 304 and students, year first phonetic-phonological(58.2%), disorder phonological were disturbances observed disorder (9.9%), speech production disorder (21.4%), dysphonia (5.6%), language delay (3.9%), and disfluency (1%). The variables gender disorder and speech-language did not show a significant association (p = 0.056), disturbances more were predominant in boys. The variables speech-language disorder and school year showed a significant association (p = 0.019), indicating that theresult “not amended” is significantly associated with the year first and the result “amended” is significantly associated with the Pre B students.This demonstrates that a high childhoodearly in especially disorder, speech-language a have children of number education, and that there is a tendency of worse performance highlights for the males. necessity This of early identification of disturbances student healthcare. and promoting with disorders preventing the aim of relation to phonological acquisition (i.e., typical and atypical), type of school of type atypical), and typical (i.e., acquisition phonological to relation gender. and private), or public (i.e., and convenient; 48 children participated who were grouped according to gender, phonological acquisition, and type of school. We tested the SP of 116 words (verbs and nouns) through pictures presented on a computer. The SP was analyzed by comparing the groups. Children on average had a favorable acquisition of verbs (80.5%) and nouns (87.09%). Children in public schools had a higher average correct production of of nouns production the (100%), in However, (88.61%). children school private to compared 88.89% and the produced schools correctly private from the children verbs, production higher have boys and Girls 72.20%. schools, public from children of nouns than verbs (85.18% and 80.56%, respectively, for girls; 89.01% and 80.56%, for respectively, boys). For phonological acquisition, children nouns for responses correct of number higher a had acquisition typical with acquisition atypical with children to compared (88.46%), verbs and (89.75%) respectively) 71.21%, and (83.95% 119 - SPEECH AND LANGU thor: Main Au thors: Co-Au OF S NAMING U OF SPONTANEO ANALYSIS 118 - COMPARATIVE thor: Main Au thors: Co-Au P Soares, Marileda Barichello Gubiani, Marizete Ilha Ceron Gubiani, Marizete Marileda Barichello Soares, 100 Y Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. Chenia Caldeira Martinez Chenia Caldeira Chenia Caldeira Martinez Chenia Caldeira Camila Dalbosco Gadenz, Cleidilene Ramos Magalhães, Léia Daniel Augusto Meneghini, Mauriceia Cassol Meneghini, Daniel Augusto UD ST : AN EXPLORATORY EDUCATION PROFESSIONAL DISORDERS thor: Main Au thors: Co-Au AND HEALTH COMPETENCE IN TEACHERS 117 - COMMUNICATIVE thors: Co-Au WITH VOICE PATIENTS IN SYMPTOMS 116 - EMOTIONAL thor: Main Au This This study 27 assessed aimed that to study cross-sectional investigate a the is It presence patients. of dysphonic in anxiety symptoms and depression Otorhynolaryngology the in therapy speech ambulatory undergoing patients Service of Irmandade Santa Casa de Misericórdia de Alegre Porto Hospital (ISCMPA) (Porto Alegre-RS, Brazil) during a 9-month period. Patients were therapy. voice for indication medical after service ambulatory the to referred Voice assessment was based on auditory-perceptive evaluation of voice quality (e.g., GRBASI Scale) and measurement of anxiety and depression symptoms (Hospital Anxiety and (with Depression old years 56.11 of age mean a Scale had who women were patients (74.1%) [HADS]). Twenty 20 a standard deviation of ± 14.78 years). The most frequent laryngeal lesion was presbilarynx (29.6% of women). Among moderate the of disorders prevalence in a had the grade” GRBASI disorder “voice parameter the analysis, rate (in 48.1% of women), followed by severe rate (in 29.6% of women). The HADS findings showed that in the item 14“Anxiety,” (51.8%) patients had patients (18.5%) 5 “Depression,” of item the In score. amended an had an amended score. It is believed that a laryngeal disorderoccurred most because number a of frequently great the composed sample of was elderly individuals. The preliminary findings of this study confirm reports literature, that suggest in the that emotional symptoms can be related to voice disorders. Significant andreliable results must arise from more expressive samples. This study highlights the necessity to continue investigating this topic by obtaining a larger sample and a better understanding concerning and emotional aspects. voice involving of the processes the relation Gonçalves Gurgel, Mauriceia Cassol Gurgel, Gonçalves believe students postgraduate and graduate what verify to aimed study This about the importance of communicative competence in health education. individual through collection data with study exploratory descriptive a is This questionnaires that were developed at Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) was (Porto composed Alegre, of Brazil). 54 The graduate sample students from the biomedicine departments and physical 26 postgraduate students therapy who were at and the Masters or PhD in level this Institution. Of the graduate students, 46 (85%) students were women with mean age of 22.7 years old (and a standard deviation of ± 3.07 years). Of these, 62.9% of students reported excessive concern with the act of public speech and 74% of students reported not having training in public speaking or in interaction oral and and (18.5%), rhythm gestural and expressiveness. rate speech (18.5%), production Speech with the public (16.6%) are the aspects that students reported having the students (88,4%) 23 students, postgraduate the Among with. difficulty most were women with mean age of 27.2 years old (the DP was ±3.62 years). Of these, 61.5% students reported not having training in public speaking or in oral and gestural expressiveness, and 84.6% of students follow intend the to field of teaching in higher education.The interaction with the public (19.2%), speech rate and without rhythm slangs (15.3%) were (15.3%), the aspects that and caused the most oral difficulty. expression Most students reported difficulties and lack of training.These difficulties can be remediated at the university level with the inclusion of that promote communicative activities competence. The lack of studies in this area on this topic. focusing research highlight the importance of developing August 15, 2013 15, August

Posters Audiology August 15,2013 correct analysisoftheinterconnection. the for analyzed be will study this during collected data Other aspect. this to their children’s hearing, confirming the specialized literature in relation to partial data from this study show the relevance of the parents’ report related to identify any differences with respect to age, sex, and ear. and sex, age, to respect with differences any identify to 14 kHz, and 16 kHz in normal hearing adults with and without tinnitus, and and this correlation was statistically significant (p < 0.001). ears, both in hearing normal presented children the of 74.8% complaints, report not did who parents the Of 0.001). < (p significant statistically was hearing, child’s 61.8% of their children had hearing loss in at least one ear, their and this finding to related complaints had parents whose children 102 the Of doubts. reported parents (18.7%) 49 and complaints, have not did parents (42.4%) parents 111 hearing; (38.9%) child’s their 102 about hearing: complaints reported child’s their of thought they what about Márcia SalgadoMachado e eetd al t rdc te eaie eut o te ak f hearing of lack the of stimulation. results negative the reduce to early detected be ideally should it loss, hearing a is there When language. oral develop and significance level of 5%. of level a significance with coefficient correlation Mann-Whitney Spearman’s as using well as performed tests Wilcoxon wereand analyses Statistical tinnitus. of complained whom of 65 years, 35 to 18 aged subjects 145 evaluated We O Co-Authors: Main Author: 121 - ANALYSIS OFHIGH-FREQUENCY HEARINGTHRESHOLDS criteria. inclusion people. The study sample was composed of 262 patients who matched the werethere1200 2012, December to From2010 hospital. January pediatric a of unit audiology retrospectivethe a Thisin surveycross-sectionalis held I Co-Authors: Main Author: 120 - RELATION BETWEENANAMNESISANDHEARING ern trsod wr cmae bten as n wt lcto of location with tinnitus, asignificantdifference and was only detected at16kHz. ears between compared were thresholds hearing frequencies tested. When all thresholds at hearing higher significantly had ifrne wr ol osre a 1 kz n oh as wt higher with ears, both in occurred. kHz tinnitus when 16 thresholds at observed only were differences When tinnitus. significant with location, tinnitus and individuals ears between forcompared were thresholds 0.029) = threshold (p ear hearing left the and in age 16kHz at between and tinnitus, among 0.005) without = p and individuals 0.047 = (p ears both in detected was kHz 10 at positivesignificant a correlationsexes, threshold between hearing and age women had and frequencies. both all For almost lower men for significantly thresholds than all frequencies, at thresholds higher significantly have the anamnesis with the audiological findings of children. of findings audiological the with anamnesis the ntroduction bjective AND WITHOUTTINNITS FROM 10TO 16kHzINNORMAL HEARINGSUBJECTS WITH EVAL : To analyze high-frequency hearing thresholds at 10 kHz, 12 kHz, 12 kHz, 10 at thresholds hearing high-frequencyTo analyze Cristina Loureiro Chaves Soldera, Isabela Hoffmeister Menegotto, Mariele Peruzzi Felix, PricilaSleifer U : Camilla Vaz Severo Amanda ZanattaBerticelli h haig s sne ht nbe te ua t acquire to human the enables that sense a is hearing The O ATION OFCHIL DREN: PARTIAL D bjective R esults : The objective of this paper was to list the data of data the list to was paper this of objective The : In the anamnesis, the parents were questioned were parents the anamnesis, the In R esults : Individuals with tinnitus were found to found were tinnitus with Individuals C onclusion Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. : niiul wt tinnitus with Individuals ATA C onclusion M M ethodology ethodology : The : : 101 R F0). for for 8.83 1.30 = = SD SD 240.11Hz, ms, = 18.50 X = and X CPh Modal: F0. for 2.96 = SD Hz, 113.32 = X and CPh for 2.10 = SD ms, 75.20 = X Kymography,Fry:Vocal F0; for 0.00 = SD Hz, 200.00 = X and CPh for 0.11 = SD ms, 1.30 = X Modal: F0. for 24.84 = SD Hz, 81.05 = X and CPh for =3.16 SD ms, 11.60 = X VocalFry: fry were compared, discrepancies were noted in CPh and F0 (Segmentation, the mean (X) and standard deviation (SD). When modal phonation and vocal calculating and cycles, glottal 10 using frames juxtaposing and capturing by performed was videokymography,which high-speed was used method second The (F0). frequency fundamental the calculated also We phases. (oPh) opening and (cPh), closing (OPh), opened (CPh), closed the for time frame-to- phase was Wethe pulses. calculated glottal 5 of segmentation laryngeal frame first The methods. computational 2 using processed and frames/second 4000 at sampled were images The complaints. laryngeal or vocal of no with volunteer 34-year-oldfemale a emission by fry vocal and sustained /e/ vogal conventional during recorded were images HSV AAU dtbss wih r pbi ad rvt hat databases, health private region. each in professionals of number and the respectively,counting by public are which databases, DATASUS and Facilities) Health of Register National (Brazil’s CNES the in registered P Co-Authors: Main Author: - 122 - HIGH O Co-Authors: Main Author: 123 - THE STATUS OFSPEECHANDHEARINGTHERAPYINBRAZIL the least. the north the and SHTs most the of has thus region southeast The south. the in 2582 and professionals), registered 4902 having alone Paulo São (with southeast the in 8954 mid-west, the in 1254 northeast, the in 3065 north, the in professionals 3065 are There states. 26 across distributed Brazil in more SHTs in areas where there are few professionals is a fundamental requirement for decentralization, anditisanationalchallenge. a is professionals few are there where areas in SHTs more of provision The locations. different between services hearing and speech to access in disparity a of evidence clear is there Brazil, in region each in exercise canpromote glottalcoaptation. fry increases the closed phase time of the glottal cycle during emission. This frequency influences the vocal fold vibration pattern. Lower frequency vocal with modal phonation using high-speed videolaryngoscopy (HSV). Cordeiro, MaríaEugeniaDájer, Monike Tsutsumi urpose eport bjective VOCAL FOL D DURINGVOCAL FRY ACCORDING TO D : : According to the July 2013 data from CNES, thereSHTs fromareCNES, 16.617 data 2013 July the Accordingto To compare the vibration pattern of the vocal fold during vocal fry vocal during fold vocal the of pattern vibrationTo the compare : To measure the number of Speech and Hearing Therapists (SHTs) C Andrea Wander Bonamigo,JadeZaccariasBello,LetíciaKurtz Arlindo Neto Montagnoli, Domingos Hiroshi Tsuji, Gislaine FerroGislaine Tsuji, Hiroshi Domingos Montagnoli, Neto Arlindo Regina Aparecida Pimenta Isadora DeOliveira Lemos onclusion SPEED VIEOLARYNGOSCOPY : Despite differences in the number of people living people of number the in differences Despite ATASUS . C : ANALYSIS OFTHE onclusion : The fundamental The M ethods C ase :

Posters Audiology According : ions onclus C

and

Through the attendance was : esults R itory itory Do Aud ation u ion onclus C This was a quantitative and descriptive study with : ethods M Carolina Nunes Laux Carolina Lisiane De Rosa Barbosa Lisiane De Rosa Amanda Steyer Bacellar, Gabriela Rodrigues da Silva, Letícia Camila Lucia Etges, Carla Thamires Rodriguez Castelli Rodriguez Etges, Carla Thamires Camila Lucia To analyze data from an auditory processing evaluation of 74 To describe the To role of the speech therapist in enabling pediatric and : :

honological dren With Phonological Processing in Chil Disorders BY PATIENTS DIAC IN CAR DEVELOPMENT ORAL PEDIATRIC DING BREASTFEE ENCOURAGING ial ater bjective bjective analysis of secondary data collected from the VALDEF database (FAPERGS - Case number 0904179 and CNPq - Because the verbal auditory information contains process complex articulatory and number 483886/2010-6). acoustic aspects that need to be the by understood in children the process of linguistics acquisition, data from phonological evaluations of children with phonological disorders were analyzed along with auditory processing data in order to determine whether there is a relationship between these. To ensure data homogeneity among the samples, pairing phonological to disorder was severity performed. of 127 - Findings From the Eval thor: Main Au thors: Co-Au O M 126 - THE ENABLING IN THERAPIST OF THE SPEECH ROLE thor: Main Au thors: Co-Au O Pacheco Ribas Pacheco children with children and phonological to disorders, these relate data to language. oral oral development in cardiac patients by encouraging breastfeeding. This study was performed in a pediatric intensive care unit with a 27-day-old male neonate who had undergone corrective cardiac The surgery. surgery involved prolonged mechanical ventilation with 3 failed exudations the and use of a nasoenteric tube for influence feeding the from process birth, oralof all feeding. of In which the clinical can assessment,and search oral sucking reflexeswere not observed, and the biting and anterior structures orofacial the of abnormalities No exacerbated. were reflexes gag were detected, and during non-nutritive sucking, increased mandibular the opening without labial and neonate tongue protrusion. After showed stimulation speech and therapy adequacy sensory-motor-oral non-nutritive sucking for 4 meetings. Being held during the course of the consultation, assessment orally in the womb with improvement in the standard suction and cervical auscultation unchanged, but presented episodes of coughing during feeding. Thus, there was a speech conduct training therapist in oral for womb. 3 With progress, meetings the patient to was to released be breastfed on demand, and nasoenteric was tube discharged for feeding. without requiring a possible to relation between the speech and breastfeeding promotion that breastfeeding for readiness in conditions for enabled an improvement to the preliminary results, the groups with mild and mild-moderate degrees degrees with mild and mild-moderate the groups results, to the preliminary deficits main The deficits. association and decoding had mostly deviation of in the moderate-severe group were decoding and Finally, the output group organization. of individuals with severe deficitsand association onlydeficits.These results indicate had that there is decoding a relationship between auditory processing deficits and phonological disorders, mainly because all groups had deficits in decoding, which isrelated to difficulty discriminating sounds and analyzing speech sounds. 102 The speech : This cross-sectional : ion onclus C ethod M AND YSPHAGIA Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. UX Over a period of 1 month, 157 hearing : Thus, there was a high level of agreement : esults R ion onclus M.B., a 7-month-old 1-year male, had a medical history C : eport Isadora de Oliveira Lemos de Oliveira Isadora Giovanna Cesar Silva Giovanna R

Adriana Aparecida Tahara Kemp, Ana Claudia Vieira Cardoso, Andrea Wander Bonamigo, Jade Zaccarias Bello, Letícia Kurtz Wander Andrea To describe the participation of speech and hearing therapists : ase C REFL GASTROESOPHAGEAL D OF INFANT IN THE DIAGNOSIS A GROUP OF NEONATES EMISSION IN To describe and compare transient evoked otoacoustic emissions : bjective im screening screening tests were performed. In the sample studied, TEOAE responses were observed in the right ears of 98.1%, in the left ears of 97.4%, and in both ears of 96.2% of neonates. DPOAE responses were observed in the right ears of 96.1%, in the left ears of 97.4%, and in both ears of of neonates. When 94.2% the 2 procedures were compared, 144 neonates were found to have passed both, 7 had bilateral TEOAE passes but a unilateral DPOAE fail, 4 had a in unilateral failure both 1 procedures, had a unilateral TEOAE failure but bilateral DPOAE passes, and 1 had bilateral failures in both procedures. (TEOAEs) (TEOAEs) and distortion product neonates in otoacoustic a low-risk emissions maternity hospital. (DPOAEs) of Camila Ribas Delecrode, Fabiana Martins Fabiana Delecrode, Camila Ribas and hearing therapist is responsible for and accompanying variables, evaluating and so clinical can offer significant swallowing insight into the and dysphagia. esophageal reflux diagnosis of gastro differential of pneumonia requiring hospitalization and the use of a feeding tube. He attended the speech and hearing pediatric ambulatory by department treated of being a was hospital he in as time same the at Alegre Porto of city the hearing and speech undergone had patient The teams. pediatric gastro and therapy during hospitalization when he was 1 year old, the focus of which was to ensure safe but fed, and orally exclusively was efficientpatient The treatment. oral ambulatory for feeding.referred After discharge, he was performed evaluation clinical the In adaptation. consistency food some with at the ambulatory clinic, alteration of swallowing with nasal noise during swallowing and proper sucking and labial sealing were observed. Normal swallowing was also found by video fluoroscopy. between the procedures in terms of responses. The higher failure rate of the of rate failure higher The responses. of terms in procedures the between DPOAE assessments compared to the TEOAE assessments can be justified susceptible to noise. more are because DPOAEs thors: Co-Au O thor: Main Au 125 - THE OF THE SPEECH AND HEARING THERAPIST ROLE thors: Co-Au A USTIC OTOACO DUCT PRO 124 - TRANSIENTD DISTORTION AN thor: Main Au in the differential diagnosis of dysphagia and (GER). gastro esophageal reflux and descriptive study was performed hospital, at which is the linked to Gota the Municipal Health de Department of Leite Marilia. All Maternity neonates were screened using Accu analyses. data Screen the for equipment used were criteria to Pass/fail determine DPOAEs. and TEOAEs their Neonates passed the TEOAE assessment when they responded to 8 peaks (equipment criteria) to and 3 assessment responded the when DPOAE they of the frequencies tested. August 15, 2013 15, August

Posters Audiology August 15,2013 of choice for developing the instrument is required. is instrument the developing for choice of tool the of knowledge prior Notably,computer. any from accessed be can that spreadsheet Excel an of form the in available are and network the in remain received data The time. response of optimization and organization the in assists checked, which option the accordance with in issues specific to respondent the direct and is sections It into reader.data the the split to to attractivepossible also more it make to instrument online on the worked Visually, be anytime. can survey the complete can and access internet requires only participant professional the as submission online by completed been has it once facilitated is questionnaire the of return The eliminated. is fees mailing envelopes,and questionnaires,the printed for need because materials and costs in reduction the is important, most the perhaps and identified, we that benefit first The data. research obtaining for instruments of collection and construction the of process the assessing by data gathering of process the the limit examine or facilitate to these which sought to extent We questionnaires. delivering for tools, example, research as for these of use the and facilitated computers has this accessing and internet, population the the of proportions greater to led nlzd cutcly uig r Sec 30 ad vlae auditory- evaluated and 3.0) GRBASI). (using perceptively Speech Dr. (using acoustically analyzed were voices participants’ The drama. in professionally voice their use who this exploratory study comparedperformed, the vocal be profile of twocan categories of individuals interventions any before necessary is category a about knowledge Since improvement. vocal as well as problems voice of professional class is important with respect to the treatment and prevention this to therapist speech the of contribution The care. special requires tool, h suy s rsnl udra ad s ceue t b cmltd in completed be to scheduled December 2013,andsowe present onlyapartialconclusion. is and underway presently is study The improvementsvoicerequirementstheater.the the in of to use suited the of identify to how and problems, vocalprevent to best how determine to on) so and directors, teacher, techniques (physical staff acting technical with ways. This study followed a professional speech therapist who collaborated various in performances their improve to seek to actors led has arts the in actors. student and theater professional of quality voice of evaluation methodology andassessment. gathering and analyzing data, in everyday clinical practice, and for teaching for resource a as research, in use for interesting be could explored, well if C O Co-Author: Main Author: 129 - COMPARATIVE STUD A Co-Author: Main Author: 128 - o fclttn investigations. facilitating for ase im bjective : To report on the experience of using digital technologies as a strategy a as technologies digital using of Toexperience the on report

R PROFESSIONAL THEATER ANDSTUDENT ACTORS RESEARCH INFORMATION INHEALTH: ANEXPERIENCEREPORT IN DIGITAL TECHNOLOGIES ASFORMATION STRATEGY AND eport : o netk a aosi aayi ad auditory-perceptive and analysis acoustic an undertake To Mauriceia Cassol Roberta Alvarenga Reis Priscila Esteves Spagnol Luciana Portella Schiavo : n co, o wo te oc i a esnil occupational essential an is voice the whom for actor, An C Y OFTHEVOCAL PROFILES OF onclusion C ase

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103 does not achieve the government’s and set goal of screening 95% of newborns. accessibility limits cities small in services such of paucity big The in cities. concentrated mainly are which services, health of availability the in disparities any identify to possible it makes state the in performed are TANevaluationsthe where locations the Identifying treatment. specialized for referred patients and possible as early as identified be to need issues hearing Therefore,environment. her or his within subject a of integration the facilitates also and language, of development and acquisition the for nhooerc esrmns n hlrn gd ewe 3 n 5 years. 5 and 3 between aged children in measurements anthropometric Zaccarias Bello larger amongthemalecompared withthefemale children. with this contention since the measurements obtained in this analysis were agrees study our and children, human in dimorphism sexual is there that among the male compared with the female children. The literature suggests C O Co-Authors: Main Author: SCREENINGPROCEDURESINTHESTATE130 - HEARING OFRIO C C O Co-Authors: Main Author: 131 - INFL p 003 wr osre wt al en getr n h ml children. male the in greater being all with observed were 0.003) = (p face the of height the and 0.001), < (p face the of thirdlower 0.001), = (p lip upper 0.001), < (p lip lower the of measures in differences Statistical 0.05. < p was significance of level The instrument. measuring in the experienced using was who therapist speech same the by performed were measurements anthropometric The gnathion). the to lip lower the of point nasal to the lowest point of the upper lip), and the lower lip (the uppermost the outer corner of the left eye to the left lip commissure, the upper lip (sub- commissure, lip right the to eye right the and of corner outer the middle thirds), lower the of sum the gnathion; to (glabella height face gnathion), middle the thirdfacethe of lowerthe sub-nasal), (glabellar third facethe of (sub-nasal analyzed: were following The 2009). al., et (Genaro protocol the MBGR the on based face their evaluationof anthropometric an underwent molars; 4 deciduous first the children were selected using a consecutive of convenience sample. Each child eruption complete and dentition in the Rio Grande do Sul (RS) state in 2012. of people. number re- greater a to available and comprehensivebe is it ensure to evaluatedto has RS in network care hearing the and challenges a of faces number sector the present, At TAN. of achievements the highlights that therapy hearing and speech in health hearing of promotion the on focus a is there that and characteristics, and needs regional with accordance in organized be services such that essential is It care. hearing for priorities professionals’ access to such services in order to determine the criteria and limits the scope of the hearing services and the availability of user and other onclusions onclusion ase bjectives bjective

R GRANDE OSU MEASURES INCHILDREN AGED THREETO FIVEYEARS eport : To verify the influence of sex (male, female) onfacial female) (male, sex of influence the verify To : To screening(TAN)hearing the quantify cities procedures the of : Bárbara deLavra-Pinto, Erissandra Gomes,RaquelBossle Measures related to the lower third of the face were greater were face the of third lower the to related Measures nra adr oaio Iaoa e lvia eo, Jade Lemos, Oliveira de Isadora Bonamigo, Wander Andrea UENCE OFSEXONFACIAL ANTHROPOMETRIC : : Letícia Kurtz Monica Carminatti There are insufficient clinical services to meet demand, which demand, meet to services clinical Thereinsufficient are Thiscross-sectional involvedstudy children93 deciduous with L C ase

R eport : Hearing is important

Posters Audiology : eport R

ase C Toxoplasmosis was the : ion onclus C Among the 1849 neonates screened screened neonates 1849 the Among : TO UMENT INSTR AILY esults R A daily diary that is easy to understand, provides provides understand, to easy is that diary daily A : ion onclus The medical records of neonates who underwent NHS in a in NHS underwent who neonates of records medical The : C WITH PATIENTS DERS IN DISOR SWALLOWING ATE Otilia Valéria Melchiors Angst Melchiors Otilia Valéria Jade Zaccarias Bello Jade Zaccarias U Angela Leusin Mattiazzi, Bruna Correa, Eliara Pinto Vieira Isadora Isadora de Oliveira Lemos, Letícia Kurtz, Maria Cristina de To verify the occurrence of congenital infections in newborns To construct an instrument for patients to make notes on ethods : : YSPHAGIA M INFECTIONS CONGENITAL EVAL D bjective bjective during the study period, 27% (n = 500) showed some risk hearing indicators for impairment (HI). Among these, 3% infection had such a as toxoplasmosis congenital (53.33% [n maternal = 8]), syphilis (33.33% [n 5]), = and rubella (13.33% [n = 2]). Among the neonates in this group (n = 15), only 13.33% (n = 2) failed the NHS, and both of these neonates had congenital syphilis. Of these 2 neonates, 1 passed the NHS re-evaluation and is currently undergoing audiological monitoring and the referred for an other audiological diagnosis. was WITH 135 - NEWBORN HEARING SCREENING OF NEONATES thor: Main Au thors: Co-Au O 134 - THE OF A D UCTION CONSTR thor: Main Au thors: Co-Au O The diagnosis of dysphagia is made as a result of clinical, and instrumental, functional exams that include endoscopy swallowing function. and However, the videofluoroscopy way of that patients eat during clinical evaluation and videofluoroscopy is not always the same as theway they usually eat, especially since they know that they are being examined. This the and, consequently, evaluations results of the can influence the variable therapeutic approach. (2007) A chart Word was built that included various factors that patients had to take note of including the type other factors that caused feeding difficultiesof juices, (saliva,water, yogurts, food and creams, soups, fruits, vegetables, grains, breads, meats, bran), and resulting the disorder (choking, note to space included also coughing, It meals). after drowsiness or drowning tiredness changes, sensation, respiratory the meal during which the difficulties occurred (breakfast, lunch, snack, dinner). and/or public hospital between 2012 September and 2013 April were investigated. investigated. were April 2013 and September 2012 between hospital public The presence of congenital infections and the NHS results were analyzed transient of results the evaluating by and records medical the to referring by testing. emissions otoacoustic Biaggio, Kátia Pase Liberalesso Biaggio, Kátia Pase and its possible association with the results of newborn hearing screening (NHS). Almeida Freitas Cardoso Almeida Freitas swallowing disorders that occur during their daily feeding that cannot be therapist. hearing and speech a by examination upon identified most prevalent congenital infection during the study period. However, NHS However, period. study the during infection congenital prevalent most failure was observed in neonates with syphilis. These findings confirm the importance of conducting studies to examine congenital the infections and HI, especially association since it is suggested between that many of of HI. and/or lead to a progression effect a delayed have these infections relevant data, and is easily accessible should be implemented as part of the of part as implemented be should accessible easily is and data, relevant routine care and research of swallowing disorders. It can contribute to the improve may it and diagnosis, differential the identify and of understanding techniques used. and the therapeutic of treatment the effectiveness 104

: This This : ion onclus eport C R

ase C For the studied population, : Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. ion onclus C : FUNCTION D MASTICATORY AN LAR MOVEMENTS A total of 21 children aged 3 to 13 years (11 boys, 10 girls) Pricila Sleifer Monica Carminatti . FIVE D THREE TO AGE DREN IN CHIL UTION OF PATTERNS : Aline Stanislawski Silva, Bárbara de Lavra-Pinto, Erissandra Fleming Salvador Pedroso, Josiane Ranzan, Monica Carminatti Pedroso, Fleming Salvador To verify the audiologic characteristics of children affected by a To describe the pattern of mandibular movements associated with associated movements mandibular of pattern the describe To : : D BY DREN AFFECTE OF CHIL CHARACTERISTICS UDIOLOGIC eport STROKE EVOL R

bjective bjective ase increased chronological age in chronological the increased absence of occlusal changes influenced the presence/acquisition of rotational mastication. mandibular movements during O C thor: Main Au thors: Co-Au 133 - A thors: Co-Au O 132 - MANDIBU thor: Main Au who were affected by stroke (neurological diagnosis) and who attended a Porto de Clínicas de Hospital the at condition this for unit outpatient special consent. signed parents’ their with study the in enrolled were (HCPA) Alegre The study was by approved the Ethics in Research Committee of the HCPA under protocol 04-242. Hearing assessments were performed using pure tone audiometry, vocalisation, acoustic potential, and immittance evoked auditory brainstem response (ABR). The 14 majority, measures, evoked children, had a lesion in the left hemisphere, 5 children had lesions in the was lesion the of location The lesions. bilateral had 2 and hemisphere, right the parietal cortex for most children (n = 8), followed by the (n subcortical = 6). Hearing assessment findings were as recognition ratio follows:speech normalless than hearing, 96%, type A tympanometry, ipsilateral distortion emissions otoacoustic present reflexes acoustic contralateral and product in both ears. In ABR, absolute latencies and interpeak latencies with normal thresholds between 15 and 20dB HL in both ears. stroke in order to collaborate with the scientific and educational community educational and scientific the with collaborate to order in stroke and clarify the importance of interdisciplinary studies in this population. the masticatory function in children aged 3 to 5 in order to correlate the associated orthodontic variables with chronological age. cross-sectional cross-sectional study involved 82 children. Data collection was performed by evaluating mandibular movements during mastication of bread (25 g French bread) using a video registry with further analyses performed evaluators by of speech pathology who were blinded to the purpose of predominant The masticatory classifiedwere movements the asstudy. follows: and Assessment vertical, maceration. of rotational, dental was appearance comparisons When dentistry. pediatric in specializing dentist a by performed months, 11 and years 3 and years 3 age between group, age by made were the most frequent movement was maceration; between age 4 years and 4 years 11 months, maceration had evolved into a rotational pattern, but still with a strong presence of the between 5 vertical movement; however, is which rotational, definitely was pattern the months, 11 years 5 and years the expected physiological pattern. was thus There a relationship between chronological age and predominant mandibular movement (p = The 0.014). presence of occlusal alterations influenced the mastication between the analyzed pattern age groups (p = 0,024), but the same was not the case for carious injuries (p > 0.05). Peripheral Peripheral audiological evaluations do not to believed is it thus, stroke; after brainstem auditory the of synchronization provide information on the be of utmost importance to auditory processing evaluation the research of potentials in this population. auditory evoked long latency Gomes, Fernando de Borba Araújo, Renata Franzon Renata Araújo, de Borba Gomes, Fernando August 15, 2013 15, August

Posters Audiology August 15,2013 Krimberg, LucianeFerreira Pauletti, MonicaCarminatti a tb feig ih n rl complement. oral an with feeding tube had 26.6% and alimentation, gastrostomy or nasoenteral exclusive had 26.8% feeding, oral exclusive had patients of 46.6% referral, Upon departments. the neonatal ICU, and 10.6% were from pulmonology and gastroenterology from came 10.5% units, pediatric in hospitalized been had subjects the of were female; dysphagia was initially suspected in all patients. About 78.9% 10 and male were patients the of 8 and months, 3 and year 1 was period study the during treated patients 19 the of age medium The old. years 5 the that were criteria patient had attended the dysphagia inclusion ambulatory of HCSA and was less than The origin. and hypothesis, diagnostic medical gender,treatment, of initiation the at age variables: following the obtained from therecords. The datawere analyzedinExcel(2007)by using data the of analysis descriptive a performing by and 2013 June to March from clinic ambulatory therapy and speech the attended who patients of retrospective clinical study was conducted by collecting the medical records loss increased. loss of degree the as stronger became procedures 2 the between correlation specifically,procedure; the correlation the and loss of degree the between 0.038) and 2000 the thresholds Hz (p < 0.000). A significant positive correlation was found between found = (p Hz 500 at field open the in audiometry child and ABR the for obtained was correlation significant a whereas 0.513), = (p gender or 0.694) = (p evaluated ears the between observed difference significant correlation. No was the to verify used coefficient was ThecorrelationHz. Spearman 2000 and Hz 500 researchat wasconducted ABR evaluations, these Following field. open the in audiometry child and audiometry, impedance acoustic emissions, otoacoustic (ENT), throat and nose, ear,performed: wereevaluations following The evaluated. were loss hearing neural sensor severebilateral to mild with children 2–6-month-old ypai cii i a eiti uiest hospital. university pediatric a in clinic dysphagia loss. hearing neural 2to6 sensor with age of months between in children (ABR) responses brainstem in frequency- auditory specific obtained thresholds the and field open the in audiometry O Co-Authors: Main Author: OFPATIENTS137 - PROFILE TREATED INACHILDREN’S O Co-Authors: Main Author: 136 - COMPARISON STUD o aet, n ecmass mliicpiay em ad s therefore is important for hospitalcare. and team, multidisciplinary a encompasses and parents, to guidance provides dysphagia, of management and treatment, evaluation, dysphagia with children diagnostic proceduresthe supports as it such because hospitalization after for highlighted be should attendance therapy 6 monthsofage. complementary and facilitate an audiological diagnosis in children less than field. procedures believeopen these areWe the that in audiometry child in thresholds obtained in the study of ABR and audiometric hearing thresholds bjective bjective AMBU HEARING LOSS A A UDIOMETRY INTHEOPENFIEL D ININFANTS WITH UDITORY BRAINSTEM RESPONSES ANDCHILD : : To describe a series of cases treated at a children’s ambulatory children’s a at treated cases of series a describe To behavioral of thresholds the between correlation the verify To Isadora de Oliveira Lemos, Letícia Kurtz, Lisiane de Rosa Barbosa rn Foezn Hro Cnao Citn Frads Diehl Fernandes Cristina Conrado, Herzog Fiorenzano Bruna Jade ZaccariasBello Pricila Sleifer LATORY OFAU NIVERSITY HOSPITAL C onclusion : We found a significant correlation between the between correlation significant a Wefound Y BETWEENFREQUENCY Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. C C ase onclusion

R eport - C SPECIFIC ase : :

peh and Speech Twenty-three R YSPHAGIA eport : This 105 which he was instructed on the correct use of his medicine. his of use correct the on instructed was he which in intervention medical a required patient the thus, medication; his of use incorrect the of because sessions the of 4 during exercises the performing in difficulties showed patient quality.Further,voicethe improvement in an and alterations breathing less showed patient the DP, the with re-evaluation that revealed patient, the patient’s swallowing re-evaluating continued to be normal according to the to AFDN. During dedicated was which session, final The sessions. therapy 9 during exercises voice and breathing performed patient Theswallowing. normal showedProtocol AFDN The PD. in common very are and (HD) Dysarthria that Hypokinetic with characteristics compatible are alterations, breathing and voice revealed DP of The (DP). use Protocol Dysarthria’s with patient the evaluating to dedicated exclusivelywas which of 1 sessions, 11 attended PortoThepatient Alegre. of ambulatory hearing and speech a who by assistance and receiving ago, currently years is 8 PD with diagnosed was who man, 60-year-old a with PDandassiststhework ofthespeechandhearingtherapist. associated symptoms the improves medication of usage correct the and medication, of administration the to according vary may PD with patients decreasing for in important therapy speech of resultsHowever, alterations.the voice was and breathing diseases, degenerative with patients of Speech and hearing exercise therapy, which has a key role in the treatment ih akno’ dsae (PD). disease Parkinson’s with A Co-Authors: Main Author: 138 - O Co-Authors: Main Author: ANDHEARINGTHERAPYINAPATIENT139 - SPEECH WITH de AlmeidaFreitas Cardoso Hotta, Marcos SeizoKishi the symptomsofchronic vertigo. monitoring vestibular rehabilitation in patients, showing an improvement in effectiveforeffectiveimproving foran Thetest vestibularis symptoms. DHI is rehabilitationvestibular customized revealedpost-rehabilitationthat DHI had a negative impact on the quality of life of the patients in this study. The vertigo chronic of symptoms that showed DHI rehabilitation pre-vestibular The aspects. emotional and functional in improvements despite aspects physical of worsening showed patient 1 only and point, pre-rehabilitation evaluated in the DHI were better at the post-rehabilitation compared to the aspects the of all forresults the decreased,life of quality about complaints because effective was rehabilitation vestibular customized The aspects. functional and emotional by followed patients, the in scores highest the had aspect physical the that verified to rehabilitation vestibular prior customized performed DHI The DHI. a the using and by rehabilitation re-evaluation subsequent vestibular customized by followed was evaluation initial for the DHI; the evaluated using by qualities initially functional and emotional, were physical, participants These dysfunction. chronic vestibular of diagnosis a and symptoms system vestibular with the of patients disorders by 10 caused evaluated patients study This in vertigo. rehabilitation chronic vestibular with customized after and before (DHI) im bjective : To apply and compare the results of the dizziness handicap inventory handicap dizziness the of results the compare and Toapply customized vestib u personalized chronicvertigo an d whounerwent Dizziness handicap inventory inpatients with PARKINSON’S DISEASE:ACASE REPORT : To report speech and hearing therapy intervention in a patient a in intervention therapy hearing and speech report To Isadora de Oliveira Lemos, Jade Zaccarias Bello, Maria Cristina Maria Bello, Zaccarias Jade Lemos, Oliveira de Isadora n Cra iuieo rzo Aa al Lie oeo Isabela Romero, Leite Carla Ana Frizzo, Figueiredo Carla Ana Matheus Yoshihiro Siqueira Hayashi Letícia Kurtz lar rehabilitation C ase

R eport : hs eot ecie MS, describes report This C onclusion :

Posters Audiology The global : AGE ions onclus C : RELATIONSHIP In this cross-sectional study, we : REDUCTION USTER escription D The The sample was composed of the speech

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ase IN THE FACTORS UISTIC UENCE OF EXTRALING C The REC process is most likely to occur during the fifth year and year fifth the during occur to likely most is process REC The Joviane Bagolin Bonini Joviane Renata Adams Fernandes Renata Adams : Ana Guardiola, Carla Ciceri Cesa, Deisi Cristina Gollo Marques Márcia Keske-Soares, Marileda Barichello Gubiani, Marizete Ilha Marizete Barichello Gubiani, Marileda Keske-Soares, Márcia To investigate the association between global development : To verify To the influence of extra linguisticfactors in the process of : PROCESS OF CONSONANT CL U AND LANG DEVELOPMENT BETWEEN GLOBAL DEVELOPMENT bjectives ions onclus urpose Vidor, Laura Kolowski Laura Vidor, consonant cluster reduction (REC) in children with atypical phonological development. the severity of the disorder is associated with this process, with more severe severe more with process, this with associated is disorder the of severity the of REC. likelihood a higher showing disorders evaluated evaluated data that were collected from a convenience sample of 10 male and female patients aged between 15 and 25 months with a diagnosis of EHIN, who were up followed in a neurology outpatient clinic. The subjects Primeira da Psicomotor Desenvolvimento de Escala the with assessed were (PROC). Comportamental Observação de Protocolo the and (EDPPI) Infância We used the Pearson correlation analysis and data analysis. SPSS The correlation between 10.0 prematurity and the software APGAR score for was direct: r = 0.250 to 1 and r = 0.456 to 5. gestational The age and relationship the between average total points obtained in PROC and EDPPI were r = 0.038 and r = -0.072, cognitive development and respectively. the The scores relationship observed obtained was in relationship between positive the A PROC. protocols for was 0.724 = r r and = EDPPI for 0.528 between the scores and the results in EDPPI and PROC (r = 0.434). As the score for the aspects involving the language area in EDPPI increased, the score obtained in PROC also increased (r = 0.681). and specific language development encephalopathy neonatal (EHIN) and in childrento relate these factors to the APGAR hypoxic-ischemic with score and prematurity. C 143 - THE INFL thor: Main Au thors: Co-Au P 142 - HYPOXIC ENCEPHALOPATHY -ISCHEMIC thor: Main Au thors: Co-Au O corpus (2200 words in total) atypical of phonological development. 161 The children, words aged were the first speechevaluation, whichwas carried out 4–8 by collected using a phonological through years, with assessment of children (Avaliação independent variables fonológica analyzed were da age, level criança, of grammatical acquisition, class, AFC). and severity, gender. We used The the statistical program Varbwin following The significant. considered 0.05 < values p with analysis, data for than greater favoring neutral, .59 to .50 used: were parameters probabilistic and acquisition, of level age, selected program The greater. not .50 down .59, severity as significantvariables. REC increased throughout the agerange of 5.0 to 5.11 years, indicating that this process is most likely to phonological occur the with at agree levels acquisition the of results The ages. these of occurrence the to not and absent acquired the that showing acquisition, severe between deviations However, speech. in change a showing REC, the and moderately severe classes were favoring the analysis, probably indicating phonological greater impairment of process phonological children. Ceron, Simone Nicolini de Simoni Ceron, development development and language development of children with EHIN is directly related and parallel to cognition. Conducting trials by using protocols is an in subsequent important and the factor for detection of language disorders and rehabilitation. follow-up for referral 106

: ethods M HOSPITAL The results : A IN ion onclus C PATIENTS Adequate hearing is essential in : Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. CANCER eport R

OF Patients who underwent chemotherapy : ase C PROFILE L REGION ion onclus C Priscila Feliciano de Oliveira Priscila Feliciano Bruna Mauer Lopes Bruna Mauer Aline Cabral de Oliveira-Barreto, Izabella Moura de Azevedo Cristina Loureiro Chaves Soldera Chaves Cristina Loureiro To evaluate To the audiological profile of cancer patients. To evaluate the and satisfaction evaluate benefits obtainedby hearing aid To : : UDIOLOGICAL IN SERGIPE RIO USERS IN THE URVEY OF S - SATISFACTION SYSTEM SU GRANDE DO bjective bjective Souza, Larissa Azevedo Ramalho, Manoela Eleonor Furlan Barreto, Tâmara do Carmo Fontes Figueiredo O thor: Main Au thors: Co-Au 141 - A thor: Main Au thor: Co-Au O UNIFIED HEALTH HEARING OF THE SERVICES 140 - HEALTH day-to-day day-to-day life and plays an important role in the development of human communication; however, the percentage of people with hearing Policy National the demand, loss this Given of year. each increases degrees varying on Health Care Hearing was created in order to promote comprehensive coverage in the care of patients with hearing impairment such in patients Brazil, and benefitfrom hearinghearing of users aids.by obtained benefits the determine to aiming questionnaire research The will consist of a closed 9 with guardians, their and/or System Health National the from aids questions regarding personal satisfaction with the hearing aids and services the of the Hearing UnifiedHealth System.The questionnaire will be administered in the reference hospitals of the metropolitan region in RS. This research is scheduled to begin in early June. users users of the Hearing Unified Health System services in the region metropolitan of Rio Grande do Sul. Thirty-three patients in who and/or underwent chemotherapy radiotherapy Thirty-three included. were Sergipe de Urgências de Hospital the of sector oncology the An anamnesis was taken and meatoscopy and tonal and vocal audiometry were performed. Outcomes: The majority of neck and (87.9%), the head and by patients the followed average (72.7%), were age cancer of women breast the was patients cancer of was type 48.4 common years. The most cancer (15.2%), and 87.9% of the patients underwent surgical treatment. After surgery, 69.7% and 63.6% of the patients underwent radiotherapy and chemotherapy, respectively, whereas At the time of the audiological evaluation, only and chemotherapy. radiotherapy 9.1% underwent both 48.5% were undergoing chemotherapy and/or radiotherapy courses and (57.6%) patients the of half Approximately treatment. completed had 48.5% was Tinnitus audiometry. underwent 27.3% only but hearing, good reported after worse became complaints hearing and patients the of 69.7% in found in sensorineural 36.4% of chemotherapy the patients. revealed Audiometry hearing loss in 28.8%, mixed hearing loss in 3.0%, and a normal hearing threshold in 68.2%. of this study are expected to explain the degree of satisfaction of users of the Hearing Unified Health System services inthe metropolitanregion of Rio Grande do Sul on criteria such as waiting time, the hearing aids, the structure of the site, and the care provided by the staff. This research will be conducted in order to enable the improvement and qualification of the service and to ensure optimization of the service and benefit to a greater number of individuals. expressed expressed hearing complaints and audiological changes. It is possible to provide to order in evaluation audiological an with features hearing monitor improvement. quality of life August 15, 2013 15, August

Posters Audiology August 15,2013 R Key words: dizziness,mooddisorders, depression, vestibular functiontests. to prevent aggravation of symptomsandtoprovide abetterqualityoflife. order in question in population the in correlations these into investigation further of importance low. the was reflect VENG Thesefindings underwent who individuals in altered was that examinations vestibular of number the recurrenthavepneumonia. mayin resulted patient cerebral palsy a in Oliveira Dantas,Weslania Viviane doNascimento 44°C and 30°C in 57.14%. in 30°C and 44°C chair testing (PRPD 30°) in 100%, and normoreflexia during the caloric test at pendular I type rotationalnystagmustrackingsymmetric optokinetic 85.72%, 66.67%, in in 100%, in nystagmus semi-spontaneous of absence the 76.19%, in nystagmus spontaneous of absence the (90.48%), samples the or antidepressant. The VENG analysis revealed regular calibration in most of tranquilizer a with weretreatmentundergoing (76.2%) subjects of majority The (9.5%). anxiety and depression both and (33.3%) anxiety by followed (57.2%), disorder mood of type common most the was Depression years. 53.6 was patients the requiredof age mean the and (71.4%), womenwere them of after most VENG that revealed patients the computerized of Characterization preparation. previous and assessments, canal auditory external anamnesis, underwent patients All disorders. mood and dizziness yearswith 77 to 20 from age in rangingwomenWe and men evaluated21 P Co-Authors: Main Author: U 145 - VESTIB O Co-Authors: Main Author: speech-LANGU 144- Fernandes, Valdete Alves Valentins dosSantosFilha mood disorders through vector-electronystagmography (VENG). vdne f siain f iud, h prns otne o fe te child the oral liquids. offer to continue parents the liquids, of aspiration of objective evidence this Despite liquid. with aspiration silent and penetration with phases, pharyngeal and oral the between coordination of lack a showed consistency. The patient underwent a new video fluoroscopy in 2013, which alimentary regarding provided was that instruction SLP the to non-adherence maintained to patient due years 2 in pneumonia of the episodes 6 had he week, Although a twice therapy unsystematic. was liquid aspiration and with penetration laryngotracheal and phases swallowing the between coordination the that showed which 2009, in fluoroscopy to video resistant underwent patient The was team. SLP the family of recommendations the the following however, contraindicated; was liquids of mouth ingestion by the and birth, from team (SLP) pathology speech- language a by monitored been had child The palsy. cerebral paretic tetra was diagnosis The birth. after soon ward maternity the in performed was feeding tube and delivery cesarean during observed was 5 Hypoxia g, 1570 years. of weight birth a and 4/9 of score Apgar an with gestation of of pneumonia. episodes repeatedbyevidenced as life, of quality worsenedhis and health these guidelines became a limiting factor. This created of a risk to use the patient’s the regarding family his among agreement of lack the monitoring, urpose eport bjective COMPLAINTS OFDIZZINESSANMOOISORERS FAMILY A : : This report describes a male preterm neonate born at 29 weeks 29 at born neonate preterm male a describes report This To evaluate the vestibular system in individuals with dizziness and dizziness Towith individuals in system vestibularevaluate the : To report that non-adherence to speech therapy due to dysphagia Anaelena Bragança de Moraes, Bruna Schio, Natália Martínez Natália Schio, Bruna Moraes, de Bragança Anaelena Carla Andrea C. Tanuri Caldas, Liciane Pinelli Valareli, Roberto Valareli, Pinelli Liciane Caldas, Tanuri C. Andrea Carla Bianca NunesPimentel Luciana deOliveira C onclusion LAR EVAL DHERENCE : Although the patient received proper guidance and AGE THERAPYINTERVENTIONVERSUS U C ATION INDIVIDU onclusion : Despite the presencecomplaints, the of Despite Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. ALS WITH C ase

R eport C ase :

107 Soares, MariledaBarichello Gubiani,MarizeteIlhaCeron disorder have more difficulties in orofacial praxis than children with children than praxis orofacial phonological disorder in andtypicalphonologicaldevelopment. difficulties more have disorder o h ohr groups. 2 other the to compared texts praxis orofacial the on performance worst the had group disorder phonetic-phonological the in children the showedthat Theresults analysis. statistical the for used Chi-SquareThewas used. weretest 1991) Lamprecht, and (Yavas,Hernandorena, Evaluation Phonological Child and Assessment System Stomatognathic the Further, 2000). (Hage, test Praxis Articulatory Bucofacial the and 2007) Fabbro, Tavano,and (Bearzotti, Test phonetic-phonological phonological with typical diagnosed disorder.Orofacialwerethe PraxisThetests applied: followingpraxisskill 2 with children 24 children and 29 development, disorders, phonological with P Co-Authors: Main Author: OFSPONTANEO146 - PROGRESSION US NAMINGOFVERBSAND P Co-Authors: Main Author: D 147 - HABILI reached 94.14% at 8 years. 8 yearsand at at94.14% 3 reached was73.44% value naming average the specifically, to age; according nouns naming of accuracy the in increase an observed we progressionfrom accuracy62.50% years3 at years.8 at 95.83% to Further, a showed study the from obtained values averagerespectively.The years, 8 at 100% to years 3 at % 87.50 from and years, 8 at 100% to years 75% 3 at from years, 8 at 87.50% to years 3 at 25% from progressed “blow” in and “writing,” nouns “scream,” verbs the and of naming verbscorrect The age. of to relation acquisition the in progression the used. were analyzed this?” We is color “What spontaneously, and this?” word is “What desired like the questions key name to expected were children the Because computer. a on children the to figures presenting by verbs, and groups.We words,116 of naming spontaneous the nouns tested including age 6 into divided were who years 8 to years 3 between aged children 48 of consisted set sample convenience non-random, The presentation: Case impairment. phonological development but with phonetic-phonological and phonological development ofthechild. language the to due is this and age, to relation in occurs nouns and verbs urpose urpose NOUNS INRELATION TO AGE DISTÚRBIOS DEFALA : : To analyze the acquisition of verbs and nouns in relation to age. to relation in nouns and verbs of acquisition the analyze To o opr ooail rxs blte i cide wt typical with children in abilities praxis orofacial compare To Ana Cristina Mello Prates, Joviane Bagolin Bonini, Márcia Keske- Ana Paula Bertagnolli, Márcia Keske-Soares, Marizete Ilha Ceron Marileda BarichelloGubiani Caroline RodriguesPortalete C ase A DES PRÁXICAS OROFACIAIS EMCRIANÇASCOM

R eport : C onclusion h ptet cmrsd 9 hlrn diagnosed children 29 comprised patients The C onclusion : hlrn ih phonetic-phonological with Children : Progression in the production of production the in Progression

Posters Audiology This is a quantitative, quantitative, a is This : The data show that 100% : ethods IN A GROUP OF LTS M ions onclus C

This is a quantitative and descriptive study, study, descriptive and quantitative a is This : and RESU ATION

U ethods esults the results suggest that there is a close relationship relationship close a is there that suggest results the R : M and

ions onclus ial ater Gabriela Rodrigues da Silva Diana Weber Bartz Diana Weber C Cecília Vieira Peruch, Kariny Zencke da Silva, Letícia Pacheco

Amanda Steyer Bacellar, Carolina Nunes Laux, Letícia Pacheco To identify the relationship between the severity of a phonological a of severity the between relationship the identify To M : To investigate the prevalence of changes the in prevalence tone, investigate at posture rest, To : EVAL UDIOLOGICAL and

DISORDERS: ANALYSIS DREN WITH PHONOLOGICAL CHIL REFLEX AND THE DEGREE OF SPEECH USTIC OF THE ACO INTELLIGIBILITY ISORDERS D WITH PHONOLOGICAL bjectives bjective esults Ribas, Rafaela Soares Rech Soares Ribas, Rafaela based on secondary data collected from the VALDEF Database (FAPERGS - process number 0904179 and CNPq - process number 483886/2010-6). The study population comprised children, aged 5–10 years, who had been both in hearing normal had who but disorders phonological with diagnosed ears. The acoustic reflexwas classified as normal when all reflexeswere present on both sides and altered when absent at least one frequency. disorder disorder and acoustic reflex abnormalities disorders. in 68 children with speech 151 - A thor: Main Au thors: Co-Au O R DREN IN CHIL ASPECTS UNCTIONAL OF MYOF 150 - INVESTIGATION thor: Main Au thors: Co-Au O and in the general aspect of the tongue in the formation of assessments language during obtained speech. records on based was investigation The disorders. phonological with children among of the study population is considered normal. With regard to the ability to perceive tone, 97.92% were considered as normal and 2.08% presented with hypotonic tongues. The data revealed significant changes in tongue posture at rest: 40.86% were classified as normal, with tongue papillae; 27.95% had tongues that on were lowered the floor of the mouth; 26.88% had the tongue interposed between the teeth; and 4.30% had the tongue against the anterior changes results showed incisors. The in the posture of and phonological between relationship the that showing rest, at tongue the structural aspects must be verified in clinical assessment.These data will also allow us to quantify how such structural abnormalities can negatively speech intelligibility. affect between changes in the acoustic reflex and phonological disorders. Among disorders. phonological and reflex acoustic the in changes between patients with mild deviations, 47% exhibited alterations of reflex; the mild-moderate deviations, acoustic 51%; moderate-severe group, 37%; and severe group, 67%. Further research will be necessary to characterize the phonological and auditory impairments. between relationship descriptive descriptive analysis of database (FAPERGS secondary - Case number 0904179 and CNPq - data process number collected diagnosis a is disorder phonological a identifying Notably, 483886/2010-6). from the Brazilian for required sounds the form to unable VALDEF are who Those exclusion. of Portuguese may also present with structural abnormalities that affect the ability to form sounds. Ribas 108

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Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. ase LAR SYMPTOMS The videofluoroscopic assessment mood disorders, vestibular symptoms, vestibular disorders, mood C : : words To correlate the clinical and videofluoroscopic videofluoroscopic and clinical the correlate To

: ion onclus ey C K bjective O U WITH VESTIB ALS : FINDINGS IN DERMATOMYOSITIS UOROSCOPIC Dermatomyositis is an idiopathic inflammatory myopathy Bianca Nunes Pimentel Kalil Garcia do Nascimento Silva do Nascimento Kalil Garcia : Fabiana Akemi Yamamoto, Joyce Gonçalves dos Fabiana Akemi Santos, Yamamoto, Milena Ana Paula Bertagnolli, Márcia Keske-Soares, Marizete Ilha Ceron Ilha Marizete Keske-Soares, Márcia Bertagnolli, Paula Ana To determine the incidence of self-reported mood disorders among disorders mood self-reported of incidence the determine To : INDIVIDU REPORT CASE VIDEOFL urpose ntroduction Vaz Bonini Vaz antidepressants. results collected from 78 patients who presented with vestibular complaints vestibular with presented who patients 78 from collected results to the Balance Section at the Hospital University of Santa Maria (HUSM). In total, 29 sets of records were excluded due to 48 comprised population study the The years. lack <18 age or of disorders mood about information individuals, 19 men and 29 women, aged 20–84 years, with mean age of diagnosed been had individuals 48 these of (43.8%) Twenty-one years. 57.8 with mood disorders such as depression (12 individuals, 57.2%), anxiety 7 and 2 with (9.5%) with both. Sixteen individuals were under treatment with tranquilizers or antidepressants. The study men (28.6%) population and included 15 (71.4%) 6 women. Their mean age was 40 individuals, 85.7%). years The (18 reported vestibular symptoms included dizziness, imbalance, nausea, vomit, sweating, tinnitus, and headache. individuals with vestibular symptoms. vestibular with individuals thor: Main Au thors: Co-Au 149 - INCID MOOD DISORDERS AMONG -REPORTE DENCE OF SELF thor: Main Au thors: Co-Au D AN CLINICAL BETWEEN 148 - CORRELATION P I associated with characteristic manifestation of cutaneous this condition manifestations. is proximal and The both symmetric the weakness pelvic main of and shoulder girdle and its the extramuscular cervical musculature, manifestations and include disorders. respiratory dysphagia, cardiopathy, and confirmed the laryngealand tracheal penetration/aspiration risk that had been suspected during the prior clinic assessment. case of a 27-year-old woman with a diagnosis symptoms of such dermatomyositis and as dysphagia and swallowing assessment showed inappropriate speech hypernasality, oral ejection, disorders. The speech and multiple swallowing, low hyo-laryngeal elevation, “wet voice,” boisterous cervical auscultation during and after swallowing, constant phlegm, and a classification of 5 level in the ASHA Scale. Severity Swallowing Based on the clinical assessment, a pasty diet and viscous drinks were introduced, both of them associated videofluoroscopy with showed multiple the swallows, chin-down cough maneuver. or by followed Swallowing phlegm a swallowing event, segment opening, food stasis in the sinus, pyriform and frequent laryngeal low hyo-laryngeal and pervasion. It’s pharyngoesophageal been noticed a gain with of and as the cleaning a airways, phlegm maneuver protection occurrence, chin-down maneuver and the respectively. The O’Neil Scale (1999) rated the results as mild/moderate dysphagia (level 4), and these findingsthe were clinical consistent with assessment. those of There There was a significant correlation between self-reported mood disorders and the existence of vestibular symptoms. symptoms The was greater among incidence women with depression of and women aged vestibular >40 years. We suggest further investigation into such correlations among improve to and symptoms any aggravating avoid to order in population, this life. of quality patients’ the findings in a patient with dermatomyositis. August 15, 2013 15, August

Posters Audiology August 15,2013 associated with tinnitus (1.5%), and SNV alone (1.5%). dizziness (SNV), signals neurovegetative with associated dizziness (7.5%), rotatory dizziness without associated headache (12%), no rotatory dizziness patients were Thedivided as follows: vectoelectronystagmography. rotatory dizziness with associated headache (73%), and FLP to (51.5%) 34 (FLP); (48.5%) patients were subjected only to foam-laser dynamic posturography a traumatologist (mean age, 58.5 years). Regarding the tests performed, 32 10 (34.48%) men (mean age, 66.6 years). Two women (3%) were referred by and years) 55.4 age, (mean women (65.52%) 19 otorhinolaryngologist: an Twenty-nineyears).referredbywere 56.6 (44%) age, (mean men (45.71%) referred by a neurologist: 19 (54.29%) women (mean age, 55.3 years) wereand individuals 16 (53%) 35 that showed outcomes general The years. 57.5 of age mean a with years, 20–84 aged the women, 43 for and men selected 26 sample: were 66 individuals, these Of 2012–2103. from period Balance the at presented Section at the Hospital University of Santa Maria (HUSM) during a 6-month who complaints, vestibular with patients 78 hs hptee rgrig oa fl vbaoy atrs s determined using HSV. as patterns vibratory fold vocal regarding hypotheses these confirm to necessary be will researchHSV. Future using possible precision the demonstrated also analysis Theimaging structures.vocalphysiological and anatomical corresponding the in differencesby explained are genders between discrepancies functional These patterns. vibratory in frequency in the closed phase between groups. This reveals the influence of the lower Valentins dosSantosFilha ay ee efre b oohnlrnooit. ot ains were patients Most otorhinolaryngologists. women aged>50years complaining ofrotatory dizziness. by performed were many neurologists; by performed were evaluations vestibular most that showed Tsuji, MariaEugeniaDajer, ReginaAparecida Pimenta P Co-Authors: Main Author: 153 - TREATMENT DELIMITATION AMONGPATIENTS WITH P Co-Authors: Main Author: DER PATTERNS152 - GEN OFVOCAL FOLD VIBRATION AS h fnaetl rqec (0. tdn’ t et a ue t compare calculated to results. used also the was We test t phases. Student’s (F0). (oPh) frequency fundamental opening the and (cPh), closing (OPh), area opened (CPh), closed glottal of: time the the calculated We pulses. measureglottal 5 plot to and used is folds vocal the of border active the approach, this With method. segmentation laryngeal frame-to-frame the vowel /e/. The images were sampled at 4000 frames/s and processed using the of emission sustained during recordedwere images study.HSV this in participated problems laryngeal or vocal no with old) years (18–45 women (HSV). videolaryngoscopy high-speed using by voices female and male between patterns vibratory vestibular complaints at an Academic Hospital. Academic an at complaints vestibular subjects (p = 0.005 for CPh; p = 0.069 for OPh; p- = 0.197 for cPh; p = p cPh; for 0.051 for oPh; F0: p ≤ 0.001). 0.197 = p- OPh; for andfemale 0.069 = male p CPh; for 0.005 between = (p CPhsubjects values and F0 in difference significant urpose urpose VESTIBU DETERMINE USINGHIGH- : : h am f hs td ws o hrceie ifrne in differences characterize to was study this of aim The o eii te prah o ramn aog ains with patients among treatment to approach the delimit To din Hcia Alno eo otgoi Dmno Hiroshi Domingos Montagnoli, Neto Arlindo Hachiya, Adriana rn Sho Ntla atnz enne, adt Alves Valdete Fernandes, Martinez Natália Schio, Bruna Bianca NunesPimentel Monike Tsutsumi R esults LAR COMPLAINTSAT AN ACA : h rsls rm ayga sgetto soe a showed segmentation laryngeal from results The M ethods C onclusion : Ten healthy volunteers, 5 men and 5 and men 5 volunteers, healthy Ten SPEED VIEOLARYNGOSCOPY Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. : We found a significant difference C DEMIC HOSPITAL ase

R C eport onclusion : Weevaluated : The data 109 s fe ncsay o aiiae fvrbe prognosis. favorable a facilitate to necessary often is therapists speech and doctors phoniatric A between partnership treatment. successful and diagnosis of aspects psychosocial and physical the of understanding an requires language of development and acquisition The Caiuby Novaes, MarianaFavero Breuel, SulenePirana rfsinl fr diinl tests. additional for professionals were 13.5% other and to referred were therapy,patients remaining Thepsychotherapy. for referred speech for referred were 32.0% Ultimately, (5.0%). impairment hearing and (6.0%), delay acquisition language (3.7%), were: oral and motor (23.0%), (SLI) impairment language specific dyspraxia delays, exchanges, and dysfluencies (49.5%). The most common diagnoses problems:were speech complaints The main (30.7%). therapists speech by referred were treatments phoniatric for presenting patients Most women. aibe wr a flos rfra oii, edr ae danss and diagnosis, age, gender, approach.treatment origin, referral outcome follows: The as appointments. were phoniatric variables for presented who years, <12 aged cases pediatric 297 of analysis quantitative a performed We study. Co-Authors: Main Author: 154 - PHONIATRIC CLINICAL LANGU A Co-Authors: Main Author: FACTORS155 - RISK FORMIDD or previous otitismediacomplaints. between tympanometric findings and the presence of smokers in the family ypnmti findings. tympanometric and factors risk of absence or presence the between difference significant no showed test statistical chi-square The history. prior any without those of 51.3% among and complaints media of otitis previous 23.1% with preschoolers in observed were alterations Tympanometric home. to at exposed smoke not were who those of 54.16% in and family the in smokers with preschoolers of 34.6% in observed were alterations Tympanometric function, and 39% of those without this risk had altered middle ear function. ear middle abnormal had preschoolers exposed of 53% that observed was speech clinics. and favorablephoniatric involving approach a interdisciplinary an that requires prognosis suggesting therapy, speech was indication treatment of speech and language. The most common diagnosis was SLI. The leading development the to related issues of because referredwere patients Most tp B C Ar). or altered C, A) B, (type (type normal as classified was tympanometric Tympanometry screenings. and health hearing in participation preschool regarding each subject received a of questionnaire parents containing The open years. and closed 4–6 questions aged 50 girls, 25 of and boys consisted 25 children, sample preschool The status. socioeconomic low with of Marilia, of population region a peripheral a in located school kindergarten a at of preschoolers. of group a family, in findings tympanometric with complaints media otitis and Cesar Silva n ascae tetet niain, ouig n h ta approach team pathologists. the speech with on focusing indications, treatment associated problems and speech childhood of complaint main the considering manner, valid epidemiologically and clinically a in practice phoniatric characterize im : To relate the influence of pacifier use, the presence of smokers in the in smokers of presence the use, pacifier of influence Tothe relate PARTNERSHIP WITHSPEECHTHERAPY TYMPANOMETRY FINDINGS Ana Cláudia Vieira Cardoso, Camila Ribas Delecrode, Giovanna Delecrode, Ribas Camila Cardoso, Vieira Cláudia Ana n Céi d Oier Rca Barz aacni Albuquerque Cavalcanti Beatriz Rocha, Oliveira de Clélia Ana Marta Gonçalves GimenezBaptista Carolina daSilva Santos R M esults ethod R esults : : When analyzing the influence of pacifier use, it pacifier of influence the analyzing When Cross-sectional and descriptive study conducted study descriptive and Cross-sectional C M onclusion : In the sample, 64% were men and 36% were36% and weremen 64% sample, the In ethods LE EARALTERATIONS AND C : td dsg: rs-etoa cohort cross-sectional design: Study : onclusion h rsls hwd o correlation no showed results The AGE DISORERS- : ot ains ee men. were patients Most O bjective : To To

Posters Audiology Eleven Eleven : The vocal vocal The : There were were There There were : : YSTONIA esults ethodology ion onclus R M C ion onclus C D DDUCTOR We observed that there was a : esults R Vocal samples were collected from 16 individuals with : Gleidy Vannesa Espitia Rojas Gleidy Vannesa Yara Helena Rodrigues Helena Yara Gleidy Vannesa Espitia Rojas, Lilian Neto Aguiar Ricz Espitia Rojas, Lilian Neto Gleidy Vannesa Guilherme R. Rodrigues, Hilton Ricz, Lilian Aguiar Ricz, Vitor Tumas Vitor Ricz, Aguiar Lilian Ricz, Hilton Rodrigues, R. Guilherme To evaluate vocal acoustic measures in patients with laryngeal To describe acoustic measurements of vocal tone before and after and before tone vocal of measurements acoustic describe To ethods : : M A OF LARYNGEAL THE TREATMENT WOMEN ERLY D EL S SPEECH IN HEALTHY CONTINUOU bjective bjective slight post-test increase in F0, from 214.8 Hz to 212.3 Hz. In terms of the phonatory Fo-range of semi-tones after continuous speech, there was a reduction from 8 to 4.4 semintons. No change in Fo-tremor intensity was observed. The amplitude tremor intensity index there percent, shimmer and increased percent jitter For speech. from continuous after 2.4% 2.1% to from and 1.4% to 1.3% from moments, 2 the between decreases slight were 0.14 from increased ratio harmonic to noise The respectively. 4.8%, to 4.4% to 0.8. The voice turbulence Index remained at 0.03. 10.8. to The 9.3 from test soft the after slightly phonation increased index changes in the number of voice breaks, the main symptom adductor of dystonia. Despite laryngeal pre-vs. post-test decreases in various acoustic average. above remained values measurements, changes in the following phonatory parameters: F0 range semi-tones (p = 0.02), number voice break (p = 0.03), F0-tremor 0.04), intensity and smoothed index pitch (p perturbation = (p= 0.02). Among men, average fundamental frequency decreased from 141.93 Hz to 125.03 Hz; among women, this parameter decreased from 183.12 Hz to 164.22 Hz. F0-tremor intensity Overall index changed from 4.69% to 2.68%; amplitude tremor intensity index changed from 13.25% to 10.15%; jitter percent decreased 14.18% to from 11.85%; 5.00% to decreased from 3.81%; shimmer percent noise to harmonic ratio decreased from 70.18 to from segments 53.18. decreased unvoiced 0.50 to 0.36; and number of MEASUREMENTS DURING USTIC ACO OF VOCALS 159 - ANALYSIS thor: Main Au thors: Co-Au O 158 - ACO AND AFTER BEFORE UREMENTS MEAS USTIC thor: Main Au thors: Co-Au O adductor dystonia before and after 30 days of treatment with botulinum toxin. an endurance vocal test in healthy elderly women. elderly women with an average age of 71 years, without voice disorders, each observed patient during the We emission of participated in the study. test. reading 60-min continuous the after and before /a/, vowel sustained a A AKG-C420® microphone headset was used for recording. The headset positioned was at an angle of 90° the from subject’s mouth, maintaining a acoustically an in mouth, the and microphone the between cm 2 of distance treated environment, using the Multidimensional Voice Program-Advance program (Kay Pentax®). The start and end of transmission were eliminated with minimal emissions of 3 s. laryngeal adductor dystonia. The study population comprised 11 women and treatment 5 who men, unilateral had mean undergone age 62.5 years, with botulinum toxin type A. We analyzed 10 acoustic parameters using Advanced Multi-Dimensional Voice Programme software (Kay Pentax ®). Measurements were compared using Student’s t test. acoustic measures of healthy elderly women tended to increase after a test a after increase to tended women elderly healthy of measures acoustic of continuous speech. 110

ase C LB, a39-year-old female : eport R

Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. ase C Early participation in a program of speech therapy therapy speech of program a in participation Early : : CASE PALATE D WITH CLEFT LES ASSOCIATE ion onclus C Eduarda Oliveira Cunha Oliveira Eduarda Joviane Bagolin Bonini Joviane Ândrea Ândrea de Melo, Márcia Keske-Soares, Marileda Barichello These data suggest that the unique production of consonant Diego Bilheri, Mauriceia Cassol : To describe the case of a patient with cleft palate with complaints with palate cleft with patient a of case the describe To : To develop a repair strategy to simplify the complex onset of plosive plosive of onset complex the simplify to strategy repair a develop To The sample The comprised 2288 collected words from the Phonological : : REPORT AND FRICATIVES PLOSIVES bjective eport ion onclus urpose and fricative phonemes among children with phonological disorders. Gubiani, Marizete Ilha Ceron Ilha Ceron Gubiani, Marizete was was engaged in a program of speech therapy due An to otorhinolaryngologist had vocal found a complaints. nodule on her right vocal fold. The patient also reported late corrections of a cleft revealed a palate. misarticulation, incorrect The positioning assessment of the tongue during the production of speech sounds, hypernasality and hearing loss. Cleft palates are congenital deformities classifiedwhich among are characterized by errors of thefusion of embryonic facial processes. groupfunction. stomatognathic altered with present palates cleft with Individuals of dysplasias, A speech therapist can work to address these issues. L.B. reported people have difficultyunderstanding whenthat she speaks, and complained of vocal fatigue. After a thorough assessment of her phonological issues, a speech therapy program was tailored to her particular voice complaints, with attention to her orofacial myology and coordination. pneumo-phono-articulatory O thor: Main Au thors: Co-Au NODU 157 - VOCAL C thors: Co-Au P OF ONSET THE COMPLEX SIMPLIFY TO STRATEGY 156 - REPAIR thor: Main Au clusters clusters is caused by the interference of liquid consonants, which is the most complex class in the sound system. of dysphonia associated with vocal nodules, Casa Hospital who in Porto presented Alegre at city. Santa can address can issues of address to related the development incorrect stomatognathic system. In cases such as this, when participation in delayed, such sensory-motor-oral a issues program is may be slower sessions of to therapy, the improve. patient After exhibited improvement 4 in all aspects and articulation. production vocal of R Assessment of Children database, for children aged 4–8 years, who had been diagnosed with phonological performed disorders. using the Statistical Varbwin program, analysis with a was significance The level variables 5%. of analyzed were correct production the or repair strategy accomplishment studied, of position in The results showed the important correlations word among these and productions; variables. of 57% In for used phoneme the was strategy repair the onset, class. initial of position in the position of medial onset, the repair strategy was used for productions. 53% Moreover, compared of to class, 55% of the productions with plosives and 54% with fricatives were performed using the repair strategy for the simplification of complex onset.These results suggest that despite clusters, consonant of phonology and articulation complexity, structural the sound production was not influenced by the class consonant of sound of the syllable, or of by the first the position of this syllable in the word. August 15, 2013 15, August

Posters Audiology August 15,2013 significance. of level the as (5%) 0.05 with test, Qui-Quadrado the using verified were variables among associations any analysis, statistical the Forsequentially. applied was Scale Anxiety Beck’s applied. was baby and mother between Therelationshipmonths. 0–4 aged children of population a to applied was DevelopmentDelayedChild of Risk the of Index the of elaborationfor used protocol of The Hospital. roundUniversity at Program second Screening Auditory Neonatal a for presented they when interviewed were mothers initiative. alteration at scores of 1, 2, of and 4, which are directly related to the mother´s frequencies higher showed Development Child Delayed of Risk the of between a risk of delayed child development and maternal anxiety. The Index new senseofself-confidence. a gavehim skills language oral and newfoundThelistening patient’s skills. communication auditory patient’s the improving in effectivewere cochlear implants bilateral that demonstrates here described study the implants, cochlear bilateral and palsy cerebral with patients on research scientific of scarcity a is there qualify Although skills. and communication of development quantify the tests standardized These Inventory. Development Integration Scalefor Children (IT-MAIS) andtheMacArthurCommunicative Auditory Meaningful the out fill to askedwere parents the skills, language a program of auditory rehabilitation. In order to analyze his auditory and oral also had bilateral cochlear who implants. The subject type, had been incorporated quadriplegia into palsy, cerebral with child a and in disabilities auditory speech of development the describe to aims study This disorders. learning and behavioral and disorders, language as well as dysfunction, cognitive and visual disabilities, there hearing as causes, such complications palsy other cerebral are that impairments motor the to addition In Ramalho Aragão Larissa Thaiana Caldas, Ferreira Fernanda Junior, Bahmad Fayez Co-Authors: Main Author: IMPLANTSINCEREBRAL PALSY 161 - COCHLEAR P Co-Authors: Main Author: DEX OFTHERISKELAYE160 - IN D CHILD EVELOPMENT AND acquisition inparticular. language and general in development optimal for factor risk a represents therefore and interaction, mother/baby the for exercise, motherhood the nit drn rpa Noaa Adtr Sreig (NAS). Screening Auditory Neonatal repeat during anxiety maternal of presence/absence the and development child delayed of risk Valéria Melchiors Angst,Themis Kessler urpose SCREENING MATERNAL ANXIETYDURINGREPEAT NEONATAL A : o eiy h ascain ewe te rsneasne f a of presence/absence the between association the verify To C Daniela Bonfanti dos Santos, Eliara Pinto Vieira Biaggio, Otilia Biaggio, Vieira Pinto Eliara Santos, dos Bonfanti Daniela onclusion ncéa eo a iv Hlebr, aoia ot Cardoso, Costa Carolina Hilgenberg, Silva da Melo Anacléia Marina SantosTeixeira Fernanda DonatoMahl R esults : : The results showed positivetherea correlationthat is Maternal anxiety can cause negative implications for implications negative cause can anxiety Maternal Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. M UDITORY ethod : Sixty 111 = 0.83). = (p radiotherapy or 0.18) = (p chemotherapy of courses of number the and hearing reduced between correlation no showed test Mann–Whitney The 0.545). = (p deterioration audiometric and treatment of type the between correlation significant no was There examination. second the of time at the criteria, ASHA the using evaluated as deteriorated, had hearing their that reported 20% and commonly; most affected kHz with 6 of loss, frequency the hearing sensorineural reported 40% tinnitus; 80% associated and had difficulties, hearing subsequent reported 40% undergoing chemotherapy, were who those Among 60%. for radiotherapy cancer and patients breast had of 80% for who chemotherapy involved women treatment cancer Post-surgical were (60%). participants study the of Most well as the associated observations were analyzed. were observations associated the as well children in skills with hearing disabilities. The recordings speech obtained during speech therapy as and auditory of development the quantify and evaluate to tests standardized are which Inventory, MacArthur and MAIS IT-the using evaluatedwas subject Each program.rehabilitation variable hearing a in enrolled of been had palsy and implants cerebral cochlear bilateral with used who genders etiology, both of children population 5 study The comprised loss. hearing with children associated in palsy skills cerebral language with and cochlear auditory the of of development effectiveness the the in verify implant to is work this of purpose The challenge requiring the help of otolaryngology and audiology professionals. a remains rehabilitation hearing Nonetheless, implants. cochlear bilateral therapy for children who present severe rehabilitation sensorineural hearing hearing loss requiring of program a design to sought have efforts Recent Ramalho Aragão Larissa Thaiana Caldas, Ferreira Fernanda Júnior, Bahmad Fayez O Co-Authors: Main Author: 162 - A Co-Authors: Main Author: PALSY163 - CEREBRAL ANDCOCHLEARIMPLANTS:NEW quality oflife. their therefore and hearing patients’ the improve of to designed adoption measures the for allows Monitoring impairment. hearing subsequent Santos Andrade, Tarsila SantosAmaral skills. speech and auditory their improve to seeking palsy cerebral with children for option treatment viable most the as implant cochlear the recommends Thisskills. speech and listening achieveof to advancedstages study the in included palsy cerebral with children 5 the of 3 allowed implants cochlear proposed by ASHA were used for analysis of the sequence test. sequence the of analysis for used were ASHA by proposed the examinations; 2 underwent wasexamination second performed firstthe after month 1 one. criteria The patient Each audiometry. speech and Each subject was subjected to anamnesis, otoscopy, pure-tone audiometry, oncology center in Hospital de Urgências de Sergipe took part in this study. an at treatment radiotherapy and/or chemotherapy in patients 10 of total bjective CHALLENGES UDIOLOGICAL MONITORING INONCOLOGY C : Auditory monitoring in cancer patients. cancer in monitoring Auditory onclusion ncéa eo a iv Hlebr, aoia ot Cardoso, Costa Carolina Hilgenberg, Silva da Melo Anacléia ln Cba d Oier-art, aia iv Oier, Joice Oliveira, Silva Camila Oliveira-Barreto, de Cabral Aline Priscilla Feliciano deOliveira Marina SantosTeixeira : Patients treatmentexperience mayundergoingcancer M C aterial onclusion

and M : The use of use The ethods R esults : A :

Posters Audiology In : eport R

D DMITTE ase C The BAHA system : The 2 boys were fitted 2 with were boys The : ion onclus C eport R

ase C Prolonged OTI and tracheostomy are common : ion onclus C Fayez Bahmad Júnior Fayez Mariana Saconato Anacléia Melo da Silva Hilgenberg, Carolina Costa Cardoso, Ana Carolina Fiorese, Brasilia Maria Chiari, Helena Menegon To describe the surgical outcomes, audiology evaluations, and To evaluate the swallowing function of tracheostomized : : DREN BETWEEN 2–3 YEARS OF AGE CHIL UMOLOGY UNIT OF PNE THE INTENSIVE CARE TO bjective bjective Corder, Maria Inês Rebelo Gonçalves, Nathaly Anne de Souza Gomes Nathaly Anne de Rebelo Gonçalves, Maria Inês Corder, in the treatment of many pulmonary diseases. In patients who had difficulty had who patients In diseases. pulmonary many of treatment the in with ventilation weaning and cuff deflation,evaluation of their swallowing function is necessary to verify the ideal and safe requirements for feeding these patients whilst in or outside the, always with an inflated cuff, while recovery. and facilitate their quality of life will improve can be safely used and will beneficial to children <4 years. Speech therapy Speech therapy years. used <4and will can beneficialbe tosafely children using the Aurioral method and the BAHA system along with the effective participation of the family has led to the gradual development of auditory and language skills in these patients. 167 - O IN UTCOME OF BONE ANCHORED HEARING AID SURGERY thor: Main Au thors: Co-Au O A D PATIENTS IN TRACHEOSTOMIZE 166 - SWALLOWING thor: Main Au thors: Co-Au O speech after bone anchored hearing aid (BAHA) implantation surgery in 2 aged children 2–3 between years. patients in the intensive care unit (ICU) of Pneumology. Cristiane Scardovelli Pigosso Farhat, Fernanda Ferreira Santos Teixeira Caldas, Marina this study, the medical records of 10 individuals (6 mean men age, approximately 55 years) and were analyzed. These individuals were 4 women; 50% individuals, 10 these of Out Pneumology. of ICU the in tracheostomized tuberculosis, (1) 10% (COPD), disorder pulmonary obstructive chronic had (5) syndrome distress respiratory acute (10%) 1 (MG), gravis myasthenia (1) 10% (ARDS), 1 (10%) acute immunodeficiency syndrome (AIDS), and motor the oral evaluation, On structural 10% (1) a pneumonectomy. had undergone 5 ARDS; and MG with patients in abnormal be to found was system sensory was liquid non-thickened and liquid thickened pasty, of ml 20 and ml, 10 ml, cuff The required. had to remain inflated in the COPD and AIDS patients to a with feeding oral and dysphagic, not were patients These saturation. limit In treatment. of day second the on allowed was liquid pasty non-thickened, therapy indirect and direct AIDS), and MG with (those patients dysphagia 2 was necessary, with an average of 15 sessions for oral feeding with the cuff inflated. In the patients who undergone had feeding pneumonectomy, was oral allowed with the use of a Passy-Muir speaking valve after 3 days of therapy. a conventional bone amplification device without any effective results after effective without any bone amplification device a conventional were questionnaires MUSS and MAIS IT the evaluation, For use. systematic administered pre- and post-operatively and system testing was performed with the BAHA softband. In addition, audiological and otorhinolaryngology evaluations were also conducted. After otorhinolaryngology the evaluation, tomography of the mastoid was measurements as determined a using reference temporal for bone the titanium data, cochlear BAHA surgery was indicated. first pin. childThe who underwent After analyzing the unilateral a received and syndrome Collins Treacher with presented surgery 3 age at implant bilateral a received child second The years. 2 age at device be activated would indicated that the speech processor surgeon The years. after 5 months of surgery. Due to the postoperative results, the children found were to shown have adequate osseo integration of the titanium pin. conducted after 3 months of use Tests of the documented processor BAHA an overall improvement in the evaluation. 112

: bjective O The findings showed that findings showed The : . Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. The results The indicated that teachers ion onclus : C esults R INDEX IN DICAP HAN VOICE Y OF THE This study was conducted using the Voice Handicap Voice the using conducted was study This : Long work hours and a lack of knowledge regarding proper Chenia Caldeira Martinez Chenia Caldeira Amanda Aparecida Loures Dalabona Loures Amanda Aparecida : ethodology Caroline Tozzi Reppold, Léia Gonçalves Gurgel, Mauriceia Cassol, Mauriceia Gurgel, Gonçalves Léia Reppold, Tozzi Caroline Celso Luiz Gonçalves dos Santos Junior, Claudia Giglio de Oliveira Oliveira de Giglio Claudia Junior, Santos dos Gonçalves Luiz Celso VOICE D TO OF LIFE AND ANXIETY RELATE ALITY M REVIEW DISORDERS: SYSTEMATIC TEACHERS PUBLIC SCHOOL ntroduction are 2 times (Odds Ratio = 1.93) more likely to develop vocal problems related related problems vocal develop to likely more 1.93) = Ratio (Odds times 2 are than non-teachers. to factors organic Rodrigo Della Méa Plentz This study aimed to systematically review the published on literature voice disorders that related to has anxiety and been quality of life professional a among by assessed been had who those Only dysphonia. with those or participated in a program of voice treatment participated in the study. The following databases were used for the (PubMed), literature Cochrane review: CENTRAL, MEDLINE EMBASE, PsycINFO, LILACS and SciELO databases.The following terms were used: Training.” and “Voice Quality,” “Voice Disorders,” “Voice “Voice,” “Anxiety,” “Randomized clinical trial,” Randomized clinical trials of voice interventions that examined anxiety and quality of life outcomes were included, without language discrimination. studies selected were Initially, through title and abstract analysis, with the text of selected articles read in full. Each stage of all studies was analyzed by 2 independent investigators. Voice data and measured outcomes were analyzed qualitatively. Of 137 studies identified, 3were ultimately in line to used was approach GRADE The criteria. exclusion and inclusion the with determine the evidence quality for each outcome. By using this approach, the quality of the evidence in these studies This assessment was low. was based on methodological limitations, result inconsistency, methodological and imprecision, the absence of study odds The limitations ratios. included bias associated with the use of small the to Owing self-reported sample. same the with performed were studies data; selected furthermore, 2 of 3 number of published studies, further research will be necessary to verify either anxiety or quality of life. and disorders voice between a correlation most of the vocal symptoms reported by teachers are directly related organic to problems, which concern the anatomo-physiological aspects phonation. of These issues had a significant impact on Voice; Professional theIndex; Handicap voiceVoice Keywords: qualitysurveyed. teachers the of Teachers. Goncalves thor: Main Au thors: Co-Au 165 - QU thors: Co-Au I UD ST 164 - EPIDEMIOLOGIC thor: Main Au vocal techniques can lead to dystonia among teachers. Such voice disorders disorders voice Such teachers. among dystonia to lead can techniques vocal limit the teachers’ ability their to message convey to the students and may even compromise the quality of their teaching. 2002) (BATTISTI, Index protocol (VHI) formulated by Jacobson et al. (1997), validated for the into translated then and (IDV), Vocal Desvantagem de Índice as Portuguese gold the is protocol This (2007). Behlau and Gasparini Santos, by Portuguese standard for assessing voice quality. It was first developed in the United States and has since been validated in nearly 20 countries. The subject is asked to grade three aspects of his vocal status: functional, for index organic an generate to used and are scores numeric associated The emotional. the self-assessment of vocal The ability. participants in this study were 74 (mean age, 44 years) and 50 non-teachers (mean age, 39.5 years) teachers at employed the same schools. To analyze the Voice Handicap Index of public school teachers in Handicap the Index city of of public school teachers analyze the Voice To Pr. Lapa, August 15, 2013 15, August

Posters Audiology August 15,2013 n ehncl etlto (V atr er surgery. heart after (MV) ventilation mechanical on life improved. of quality their and variedmore be can Therefore,diet dysphagic. their not are and alteration OMSS any show swallowing.not do MV on However,patients during some uncoordinated be may closure glottal as precaution C O Co-Authors: Main Author: 169 - SWALLOWING INTRACHEOSTOMIZED PATIENTS ON B Co-Author: Main Author: -MACROSTOMIA168 - ABLEPHARON SYNDROMEANHEARING ue a mitie wie iet n idrc teay a initiated. was therapy indirect and direct while maintained was tube nasoenteric the patients, dysphagic In elevation. laryngeal prejudiced had 66.6% and ejection and strength tongue in variations had 33.4% patients, those Among consistencies. all for dysphagia moderate showed (3) 30% swallow normally the pasty diet and the non-thickened liquid under MV and could patients the of (7) 70% total, In performed. was suctioning tracheal Finally, elevation. laryngeal and stasis, reflex, swallowing the of triggering time, transitoral control, motor oraluptake, oral wereassessed: responses pasty,non-thickenedthickenedwasand liquid liquid offered. The following of ml 20 and ml, 10 parameters;ml, minimal 5 within evaluationMV under functional a as well as performed was (OMSS) system sensory motor oral OTI prolonged showed were patients tracheostomized and dependent on MV. A structural evaluation All of the correction. aneurysm aortic an had (2) 20% remaining the while replacement valve mitral undergone had (8) 80% patients, 10 years)these approximatelymedian 53 of age, were Out analyzed. women; 5 and men (5 patients 10 of records medical the study, be considered partoftheAMSphenotype. may loss Hearing condition. this in finding described previously a is which in the research papers reviewed by us. 70% of this population. Studies hair.on hearing in AMS patients were not found absent in loss hearing and of occurrence estimated an reported (2004) skin, al. et Brancati redundant genitalia, anomalous macrostomia, ears, abnormal eyelids, short or absent by characterized condition rare a Corder, MariaInêsRebeloGonçalves, NathalyAnnedeSouzaGomes audiometry. audiological history, otologicalinspection,immittancemeasures, pure tone,andspeech clinical of determination procedures: Audiologic 4 loss. included hearing evaluation conductive bilateral mild, with speech normal has and delay neuropsychomotor developing is She skin. redundant and phalanges, the of attenuation distal nails, hypoplastic major, labia the of absent nipples, a 6-cm omphalocele, an anteriorly-located anus, hypoplasia hypoplastic with ears,abnormally-modeled and small macrostomia,anteverted nostrils, and bridge nasal low a eyelids, short very had She couple. same the of child third the was patient 6 second The at ascertained. was loss kHz hearing and 15 age at assessed was hearing Her normal. was speech her and delay, neuropsychomotor any shown not has She labia. wings, alar the of macrostomia, webbed fingers, redundant skin, grooving and hypoplastic nipples and nares, anteverted cup-shaped root, hair, nasal broad scalp a sparse ears, with presented She father. 25-year-old non-consanguineous a and mother 23-year-old a of child eldest the was onclusion ackground bjective MECHANICAL VENTILATION AFTERHEART SURGERY STATUS INTWOFAMILIAL CASES : To evaluate the swallowing function of tracheostomized patients tracheostomized of Tofunction swallowing the evaluate Melissa ZattoniAntoneli : n Crln Foee Baii Mra hai Hln Menegon Helena Chiari, Maria Brasilia Fiorese, Carolina Ana h poes f vlaig ains ae o M demands MV on based patients evaluating of process The

Mariana Saconato Gabriela Aparecida Prearo and C onclusions

P urpose : oh M ptet soe ml haig loss, hearing mild showed patients AMS Both : behrn arsoi snrm (M) is (AMS) syndrome macrostomia Ablepharon C ases Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013.

R eport : The first patient studied C ase

R eport : n this In 113 (ICU). unit careintensive pediatric the in frenulum lingual short a with neonate a oher mln (I ad lnug dsre, h hd hsoy of history a had who disorder, language cytomegalovirus infection in pregnancy. a and (CI) implant cochlear all thebenefitsofbreastfeeding tothemotherandherchild. providingthus, effectivesucking; and grip good a with presented child the ICU, as in the present case. After the intervention with specific instruments, importance of speech pathology evaluations and orientation in the pediatric the highlight to important is It deviceprovedessential. this be hospitals, to some in restricted is use its though Even nozzle. intermediate silicon the C O Co-Authors: Main Author: OFSPEECHPATHOLOGY170 - EFFICIENCY ORIENTATION INA O Co-Authors: Main Author: EFFECT OFCYTOMEGALOVIR171 - THE US ONHEARINGAND without the use of a silicon intermediate nozzle and using this instrument. this using and nozzle intermediate silicon a of primarily use the without interventions, pathology speech 13 during observed was child the of feeding The breast. mother’s the on sucking difficulty and mobility anterior fixation of the lingual frenulum.showed The neonate hadorgans decreased tongue speech the of evaluation structural The swallowing. and coordinationand sucking adequate with acceptance breathing,sucking, of good showed child the the presented, gripping was bottle the difficulty When breast. showedmother’s but opening oral proper with presented child and the evaluation, sucking present nutritive the In were adequate. be reflexes to found were gag and bite, search, suction, assessment, sensory-motor oral the In complaints. breastfeeding to due staff medical the by for requested was evaluation This old. days hospitalization, 13 was child the of when day second the on performed was evaluation clinical pathology Tetralogyspeech as Fallot.A termed of disease heart congenital Barbosa, Thuila Corezola Ramos tmlto cniin wr favorable. were the conditions since unexpected stimulation was This observed. was development language and expressive in delay expressive a and assessed, was patient Thethe of language receptive approach. aurioral the through skills language and undergone speech therapy since 2 years of age in order to develop auditory has patient 4. benefit. The and 2 ages surgeries at performed, were CI Two 9 At observed any delays. without but werefitted aids hearing bilateral age, of months development language and auditory, neuropsychomotor, experienced infant her and pregnancy, during infection cytomegalovirus with presented mother the case, this In alterations. language and hearing to lead can and humans in infections congenital of cause common most patient. each of needs the on based rehabilitation in approaches therapeutic on focus to able be will professionals knowledge, this With only. stimulation do not affirm the concept that language development is a result of auditory this case, should prioritize direct language stimulation. The present findings in which approach, therapeutic optimal the on professional the direct will other,each therefore,resultof and differentiala a diagnosis as ratherthan infection causes changes in hearing and language that can arise in isolation onclusion bjective bjective C PEDIATRIC INTENSIVECARE UNIT NEONATE WITHASHORT LINGU LANGU ase : : To interventionpathology speech a in of importance the describe o eot h cs o a -erod ain wt a bilateral a with patient 6-year-old a of case the report To :

Adriane deLimaMortariMoret, JanineSantosRamos Alessandra Sartor Parisotto,AlessandraVazSartor Camilla Severo,Rosa de Lisiane n o te ol aalbe o sec ptooy hrp is therapy pathology speech for available tools the of One R Bruna Tengaten Fontanelle Marília CancianBertozzo eport AGE: ACASE REPORT : The child was hospitalized in the pediatric ICU due to a to due ICU pediatric the in hospitalized was child The C ase AL FRENU : ACASE REPORT

R C eport onclusion : Cytomegalovirus is the L UM INTHE : Cytomegalovirus

Posters Audiology

: ion onclus C D DMITTE 10 medical records has : eport R

ase C Prolonged OTI and tracheostomy are common : ion onclus C The study sample included 4 subjects (S1, S2, S3, and S4) aged S4) and S3, S2, (S1, subjects 4 included sample study The Marileda Barichello Gubiani Mariana Saconato : Ana Carolina Fiorese, Brasilia Maria Chiari, Helena Menegon Giséli Pereira de Freitas, Márcia Keske-Soares, Marizete Ilha Ceron Keske-Soares, Márcia de Freitas, Giséli Pereira Evaluation of the swallowing function on tracheostomized : The aim of this study was to evaluate metaphonological changes : eport D WITH DISORDERS TREATE WITH PHONOLOGICAL PHONOTHERAPY UMOLOGY UNIT OF PNE THE INTENSIVE CARE TO R

bjective ase urpose Corder, Maria Inês Rebelo Gonçalves, Nathaly Anne de Souza Gomes Nathaly Anne de Rebelo Gonçalves, Maria Inês Corder, in children with phonological disorder (PD) to compare the outcomes of 2 therapy-, Pairs Minimal and Metaphon - methodologies, treatment different and to highlight changes in phonological awareness (PA) post treatment. in the treatment of many pulmonary diseases. In patients with difficulties evaluation the swallowing and deflation of the cuff, weaning on ventilation is necessary for verifying the ideal and safe life improving cuff, requirements inflated with always outside, or fan the to in while patients feed these quality and aiding their recovery. DREN CHANGES IN CHIL 175 - METAPHONOLOGICAL thor: Main Au thors: Co-Au P C A D PATIENTS IN TRACHEOSTOMIZE 174 - SWALLOWING thor: Main Au thors: Co-Au O between 4:6 and 7:0.S1 and S2, both women, were treated according to the to according treated were women, both S2, and 7:0.S1 and 4:6 between Metaphon Theory whereas S3 and S4, both men, were treated using the other and phonological period, pretreatment the In Approach. Pairs Minimal evaluations were performed to diagnose PD. Phonological awareness was improvements showed PA of Analysis treatment. after and before evaluated in all 4 subjects. However, S3 (treated with was the not able to Minimal accomplish tasks Pairs at therapy) the phonemic awareness level, even though this was expected at his age. All the subjects syllabic showed improved awareness; however, S3 was could not complete the tasks (the only awareness 1 phonemic who apt was to accomplish them). patients in the ICU of Pulmonology. This This suggests that the Minimal Pairs approach may not benefit phonemic as efficiently as Metaphon therapy. awareness been analysed, 50% being 6 male and with 55 4 age years. female, around (5) with COPD, 10% (1) with tuberculosis, 10% (1) com pneumonectomy, 10% (1) with myasthenia gravis (MG), distress 1 syndrome (10%) (ARDS) with and acute 1 respiratory tracheostomized. (10%) The with estructural AIDS. evaluation thickened of All pasty, of ml 20 and 10 5, ARDS. and MG in abnormal was the system patients oral were motor COPD with patients sensory the On offered. been has liquid non-thickened and liquid necessary to of maintain the and cuff AIDS, inflatedit duewas to decrease saturation. These patients were not dysphagic and oral feeding with non- thickened liquid and pasty was allowed on the second day of treatment. In two of the patients with dysphagia (MG and AIDS) direct and indirect therapy was necessary, with an average of 15 sessions for allowing oral feeding with the the cuff inflated. In the pneumonectomy patient, the oral feeding was with allowed the use speaking of after valve Passy-Muir three days of therapy. 114 The : Noise in : esults R The workers were ion onclus : C esults R Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. Sixteen elementary school teachers : ethods M A was performed to survey measure the noise produced : The team of professionals who work with ambulances are : Rafaella Cristina Oliveira Rafaella Alessandra Terra Vasconcelos Rabelo Vasconcelos Terra Alessandra ethods Bárbara Bárbara Antunes Rezende, Estevam Barbosa de Las Casas, HEALTH UENCE ON OCCUPATIONAL UE FATIG ON VOCAL OF NOISE UENCE Alessandra Terra Vasconcelos Rabelo, Bárbara Antunes Rezende, Antunes Bárbara Rabelo, Vasconcelos Terra Alessandra To determine the level of the determine noise by engine the produced and level siren To To assess the level of noise present in classrooms in public schools public in classrooms in present noise of level the assess To M : : INFL ion onclus C bjective bjective noise in the classroom ranged from 54.51 dB (A) to 70.37 dB (A). Therefore, Therefore, (A). dB 70.37 to (A) dB 54.51 from ranged classroom the in noise all the rooms had assessed values above the acceptable limits stipulated in the regulatory standards (35dB (A)) (NBR 10152, ANSI S12.60). the question it was ascertained that 75% of the teachers From reported that the noise generated within the classroom causes a lot of interference and is a nuisance; 81.2% said they were forced to raise their voices during classes because of the existing noise, and 75% reported vocal fatigue due to the influence of theThe noise. highresults noise in level avocal effort and can have negative consequences on the teacher’s voice. (15 women 1 man) participated to in administered was school the this at noise by caused study. nuisance and A complaints questionnaire on vocal to check in 18 classrooms performed were the participants. Measurements the equivalent sound pressure level (Leq). Data analyses were performed using a Sound Level Meter, Microsoft Excel, and SPSS 16.0. simultaneously exposed to the noise produced by the operations engine and siren. of When the ambulance stopped and the was idle (SPL = 61.5 dB [A]) with the siren running (SPL = 74.9 dB [A]), the worker is exposed to a sound pressure level of 75.1 dB (A); if the engine is which noise, running at Traffic (a). dB 76.3 3000 be would value this [a]) dB 70.8 = (SPL rpm in the main access roads to Belo Horizonte has an average of 73 dB should (A), also be considered, and this will cause more harm to the workers’ health triggering a typical hearing loss and interfering with the quality of life. by by the engine and siren of a Mercedes-Benz, a while noise Sprinter measured: was following The unit. support 2008 313 Diesel, 3-door, CDI, and a while noise and rpm 3000 and 2000rpm, rpm, 1000 running was engine the the siren was on and the ambulance stopped. O thor: Main Au thors: Co-Au UNITS AND THEIR 173 - NOISE SUPPORT IN MOBILE LEVELS O 172 - INFL thor: Main Au thors: Co-Au Estevam Estevam Barbosa de Las Casas, Juliana Nunes Magalhães Santos, Max de Castro of a mobile support unit, and to check its influence on the health workers. of the in Belo Horizonte, and to verify the perception of teachers about the noise and its influence on health. classrooms disrupts school activities and has a major effect on the teacher’s the on effect major a has and activities school disrupts classrooms voice. Most teachers interviewed reported being very uncomfortable and damage. vocal serious cause can which lessons, during effort vocal exerting standards. regulatory by set level the above is classrooms in found noise The exposed to high noise levels. According to the NR15, the maximum tolerated tolerated maximum the NR15, the to According levels. noise high to exposed exposure is 85 dB (A) for 8 hours daily with the or noise intermittent. being However, most continuous workers have a journey time of 12 hours, problems. extra-auditory and auditory of development of risk the increasing Juliana Nunes Santos, Max de Castro Magalhães, Rafaella Cristina Oliveira Cristina Rafaella Magalhães, Castro de Max Santos, Nunes Juliana August 15, 2013 15, August

Posters Audiology August 15,2013 facilitate more rapid intervention for possiblehearingalterations. will which of diagnosis all OAVS, to relating audiologic findings audiologic the the improve to and confirm to necessary was evaluation hearing Gazzola Zen,PricilaSleifer, Thayse BienertGoetze P Co-Authors: Main Author: 177 - A P Co-Authors: Main Author: 176 - COMPARISON OFWORKINGMEMORY INCHIL DREN WITH oml hnlgcl development. phonological normal the but averagechildrenwith of validation remainedsample the lower of that than age, with improved performance Test 7. and 4 ages at stimulus syllable 2 the for except groups age all across syllables 5 and 4, 3, 2, with stimuli test the in performancedisordersshowedpoorer phonological with Thechildrenage. to according population validation a from obtained those with compared were disorders phonological with children of test memory their with working accordance phonological the from in obtained results The was system. phonological that made were replacements when or pseudowordcorrectly responsethe repeated child the when correct considered was A phonetically. transcribed and recorded were children the of response The 2003). Bueno, and and (Santos test speech Repetition Pseudoword the any and aspects orofacial language impairments. Phonological working memory was evaluated using their of evaluation with level underwent audiological and speech screening to identify their phonological years, 7 and years 4 between aged disorders, phonological with children 18 of total A presentation: Case disorders. phonological with children in they underwent hearing evaluations. hearing underwent they where UFRGS, at Clinic Hearing referredwerethe then be study to the of part to agreed who patients All included. were OAVS suspected clinically with patients UFCSPA,only at and Clinic Genetic the at presented patients The(UFRGS). Sul do GrandeUniversidade(UFCSPA) FederalRio the do and universities, the Universidade Federal de Ciências da Saúde de Porto2 Alegre by performed study multicenter a was This (OAVS). spectrum vertebral n mr iaeut, otiuig o h dly n h aqiiin of acquisition the in delay the phonemes. to contributing inadequate, more and briefer information phonological of process the making be may disorders phonological with children the by test memory working phonological the the absolute latencies and missing OAE. with normal scores. The ears with conductive hearing loss showed a delay in wereREs their malformed. evaluatedthe All latencyinterpeak had patients of both because OAE evaluate to possible not was it children, 2 In dB. 15 LE, dB; 20 RE, dB; 20 LE, dB; 35 RE, dB; 20 LE, dB; 65 RE, dB; 60 LE, dB, 30 RE, dB; 60 Ear(LE), Left dB; 20 evaluationwas (RE) ear Right follows: as were findings BAEP The (OAE). emissions otoacoustic and (BAEP) Evoked Potential Auditory Brainstem subjects their The evaluate boys). to 3 examinations and 2 girls underwent (2 included were years 12 and years 2 urpose urpose A TYPICAL ANDATYPICAL PHONOLOGICAL DEVELOPMENT : : URIC UDIOLOGIC FINDINGSINCHILDREN WITHOCU o opr te efrac o poooia wrig memory working phonological of performance the compare To To analyze audiologic findings in children with oculo-auriculo- with children in findings audiologic analyze To Ana RitaBrancalioni, Joviane BagolinBonin,Márcia Keske-Soares Amanda Zanatta Berticelli, Mariele Peruzzi Felix, Paulo Ricardo Paulo Felix, Peruzzi Mariele Berticelli, Zanatta Amanda Natalya deSouzaGorsky Simone NicolinideSimoni LO-VERTEBRAL SPECTRUM C R onclusion esults C Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. onclusion : Five children, aged between aged children, Five : orr efrac on performance Poorer : An electrophysiological LO- 115 the examinations. the a to sent were children philanthropic entity that is other not regulated by the municipal health system Thefor hospitals. these of 1 at examination for scheduled was evaluated children the of One age. of months 6 to up to make referrals for Neonatal Hearing Screening, which is offered to babies Portoin wereAlegrehospitals found maternity investigated,wasprocess 4 referral the When screening. hearing neonatal undergone previously not had and Unit Health Basic the at evaluatedwere months) 24 and months, Ferreira, RaquelHochmullerVieira ern sreig n Bsc elh nt n h ct o Pro Alegre. Porto of city the in Unit Health Basic a in screening hearing - UFRGS, Porto Alegre - RS. Porto- AlegreUFRGS, - healthy as an activity related to World Voice Day in the Colégio de Aplicação the schoolfacilitated continuityofwork related tovocal care. at therapist speech a of presence the and participate, could people many since concepts health on information providing for propitious be to proved provided information on the subject. the on also information was provided public general the classes, of end the after and beginning the before intervals, the In lecture. 30-min a attended also teachers) 12 and students (145 classes stage early Six class. in on worked be to available made also was material Pedagogical care. vocal on guidelines printed as well as DayVoice to referring labels with teachers and to water of to students bottles 107 delivered were Leaflets participants. of number large a reach to aimed school, the of website the on posted was which campaign, hygiene as well as explanations on the concerns related to the subject. The vocal on instructions singers; lyric 4 in endoscopy naso during fold vocal the of productionfunctioning the showing video a model; larynx a of support voice the with on lectures including developed, were activities many for this campaign; this was a strategic place in the school (the lobby) where yourvoice”created VOICEwaswasand A ROOM assembled implemented. C O Co-Authors: Main Author: ST UDIES OFREFERRALS178 - CASE FORNEONATAL HEARING O Co-Authors: Main Author: 179 - VOCAL HEALTH ASASUBJECT INSCHOOL the Neonatal Hearing Screening programof in their respective places of birth. part not were children these why determine to undertaken be should investigation an and situations, different in children for available are care of forms Alternative newborns. these of readmission for system effective an creates site each that and same the forscreenedare babies that so out carried and offered be to Screening Hearing Neonatal for necessary is it Flores, Marcio Pezzini França, SabrinaVilanova Cardoso ase bjective bjective

R ALEGRE SCREENING AT ABASIC HEALTH UNITINPORTO eport : : To report the cases of children who did not undergo neonatal undergo not did who children of cases the report To To promote the value of the voice and offer tips on keeping it keeping on tips offer and voice the of value the promote To Bruna Macanganin Seimetz, Clarice Lehnen Wolff, Leticia Sousa nra adr oaio Gbil Wle, en Grapiglia Geane Welter, Gabriela Bonamigo, Wander Andréa : Caroline daSilva Soares Annelise Ayres Within 2 months, 4 children (aged 4 months, 9 months, 11 months, 9 months, 4 (aged children 4 months, 2 Within C onclusion D : evelopment Based on the reported data, we believe that believewe data, reported the on Based C : onclusion A campaign called “Be a friend of friend a “Be called campaign A : The school environment school The

Posters Audiology

: and

ethods esults M R and

ial ater M The The study included 54 elderly individuals : eport DREN WITH PROCESSING IN CHIL UDITORY R

ase We conclude that activities in the home induce less C : OF A ATION According to the preliminary results, groups with mild as well Carolina Nunes Laux Carolina Bruna Macangnin Seimetz Bruna Macangnin U : ion onclus Amanda Steyer Bacellar, Gabriela Rodirgues da Silva, Letícia Adriane Ribeiro Teixeira, Leticia Sousa Flores, Raquel Barraza, C To analyze the data obtained from the evaluation of auditory To analysis the fear of falling during activities of daily living in : : PATIENTS DERLY LIVING IN THE EL AILY D DISORDERS PHONOLOGICAL bjective bjective ions onclus (5 men and 59 women; average age, 71.3 years). All completed the FES- I-BRAZIL questionnaire, which is used to assess evaluating 16 activities of daily living. the The minimum score is 16 points and fear of falling, by the maximum 64. A majority of the patients (96.29%) responded that they were “not concerned” of falling while preparing simple meals while 50% replied that they were “somewhat concerned” of on falling uneven surfaces. when When questioned walking of their fear of falling on slippery surfaces, 20.3% responded that they were “very concerned while 12.9% responded that they were “extremely concerned about falling” on slippery surfaces. Renata Soares, Sílvia Dornelles Renata Soares, Pacheco Ribas Pacheco as mild-moderate deviation presented mainly with decoding and association and decoding with mainly presented deviation mild-moderate as deficits. In the population with moderate to deviation, severe main deficits observed were decoding and output organization. individuals Finally, with severe deficits presented only with the decoding and association deficit. The results indicate an association between auditory processing deficits and phonological disorders, mainly due to the fact deficits that decoding, all which groups had is amongothers, and the analysis of speech sounds. related is discriminating the sounds heard to the difficulty in worry about falls, but activities outside the home generate greater worry. greater home generate but activities outside the about falls, worry 183 - EVAL thor: Main Au thors: Co-Au O OF RING ACTIVITIES DU FALLING FEAR OF OF THE 182 - ANALYSIS thor: Main Au thors: Co-Au O processing processing in 74 children with phonological disorders and associating this data with that obtained from language evaluation. the elderly patients. This This is a quantitative and descriptive study and secondary data collected from the Database VALDEF (FAPERGS - Case number 0904179 and CNPq - process number 483886/2010-6) was analyzed. Since the verbal auditory information obtained contained complex articulatory and acoustic aspects, which is required to be understood by the children during the linguistics acquisition process, in order to better understand these data analyzed was 2 that obtained from aspects, phonological evaluation of the children with phonological disorders and from auditory processing tests. In order to create criteria to assess the homogeneity of the samples, the samples based paired on of were the the severity phonological disorder. C 116

: : eport R

ion onclus C ase C We We evaluated 19 : , AND LARYNX ALITY ethodology M Of the 19 children evaluated, 9 : Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. esults R DIOTHERAPY We found that 47.4% of the children evaluated showed : Sabrina Cavalheiro Bordignon Sabrina Cavalheiro Mariele Peruzzi Felix Mariele Peruzzi Amanda Zanatta Berticelli, Bárbara de Lavra Pinto Aleixo, Camila Mulazzani Maria, Renata Mancopes, Stéfani Fernanda To characterize the swallowing function, vocal quality, and To analyze the audiologic findings in children with Down’s : : ’S DOWN WITH PATIENTS DINGS IN FIN UDIOLOGIC ion onclus CANCER WITH ESOPHAGEAL IN PATIENTS ELEVATION UNDERGOING RA THERAPY UNDERGOING SPEECH SYNDROME C bjective bjective Erissandra Gomes, Pricila Sleifer Gomes, Pricila Erissandra This This is an observational, analytical, and retrospective study of transversal features. For this study, we researched data in a the research vocal assessment and database risk of dysphagia on in these patients. The records of 7 subjects (5 [71.42%] men and 2 [28.57%] women) and with [57.14%]) years (>65 esophageal elderly were subjects Four assessed. were cancer 3 were adults (18–64 years [42.86%]). Regarding swallowing, 4 (57.14%) subjects had functional swallowing and 3 (42.86%) normal Five (71.43%) had adequate swallowing. laryngeal elevation and 2 (28.57%) decreased larynx elevation. All 7 subjects had adequate voice quality. thors: Co-Au O thor: Main Au QU , VOICE FUNCTION 181 - SWALLOWING thors: Co-Au O 180 - A thor: Main Au had some kind of alteration in the reinforce importance in evaluations of the children preventive with Down’s audiologic evaluation. The findings and hearing interventions. and consequential speech syndrome children children (10 boys and 9 girls; age, 10–11 years) meatoscopy, underwent children All with therapy. speech undergoing were who Down’s syndrome Audiology the at figures with audiometry speech and audiometry, tone pure Clinic of the Federal University of Rio Grande do Sul (Universidade Federal do Rio Grande do Sul [UFRGS]). larynx elevation in patients with esophageal cancer who are undergoing radiotherapy either in hospitalization units or as ambulatory the patients of hematology-oncology service of a university hospital. syndrome syndrome who undergo speech therapy. The The group was predominantly male, with elderly, suitable larynx elevation, and adequate voice Majority quality. with appropriate vocal larynx quality, elevation, and functional swallowing emphasizes the relationship of vocal issues and dysphagia assessment. The subjects appropriate movement of the of larynx and had less this risk of penetration and/ study showed aspiration. or tracheal Schumacher showed showed some kind of alteration in the these patients had conductive audiologic hearing loss, 4 moderate and evaluation. 3 mild, 1 had Seven of moderate sensorineural hearing loss, and 1 had moderate mixed hearing loss. August 15, 2013 15, August

Posters Audiology August 15,2013 Sara Augustin writing acquisition. sector,educational the in and difficulties attention of assessment their and ripening. This relationship highlights the importance of health professionals intellectual and educational impairing or negating either development, of aspects consequently,other interfereand in can code, it this of acquisition for capacity of selection and storing lack of the Attention. relevant the information can cause difficulties code, in the with writing the associated of complexity intrinsically the Considering is writing of development The students. O Co-Authors: Main Author: 185 - RELATIONSHIP BETWEENWRITINGANDATTENTION IN voice case. the the to and appropriate were and dysphagia disorders ameliorating at aimed were used techniques The family. their and patient, the therapist, the between relationship the of process the unveil to sought We week. a twice was frequency the and minutes 50 for lasted session treatment Each patient months. 3 this than moving, more GTT, their prevented condition the because patient the of residence the at held were swallowingsessions The disorders. difficulty solids) and (choking, liquids swallowing and loss) severe and weak, The palsy. supranuclear progressive patient was referred RASM, for speech therapy with complaints of voice with (wet voice, patient a of program therapy speech the from data clinical using organized been has The material nature. in descriptive is that study case qualitative clinical, a is This P Co-Authors: Main Author: SPEECHINPATIENTS184 - PRACTICE WITHPROGRESSIVE he hadadiseaseasdebilitatingprogressive supranuclear palsy. though evenimproved, has life of quality His dysphagia. induced still food liquid but food, solid with presented when gagged longer no patient the same time seeking to provide the best possible quality of life. of quality possible best the provide to seeking time same the at and complications pulmonary of risk the reducing thus, way;secure bevd n soito wt a ices i te col age. school the in increase an with association in was observed tests the in performance in improvement gradual A grade. fifth the in correct were AC the on answers more and correctly spelled werewords more compared, wereyears school 3 the When years. school 3 the across performance test AC and IDT the on misspellings of number the between written under dictation. Analysis of the results revealed a direct relationship AC – Concentrada Atenção de Teste and (IDT)Test Dyslexia International the of subtest a using evaluatedwere year school per Tenstudents years. who were in the grades third to the fifth and who were aged between 8–12 from a convenience sample of 30 students from the city of Porto Alegre - RS urpose bjective STUDENTS SUPRANCLEAR PALSY : o nbe ains o ed hmevs rly n patcl and practical a in orally themselves feed to patients enable To : To investigate the relationship between writing and attention in attention and writing between relationship the Toinvestigate C Alcyr Alves de Oliveira, Marcella Ranheri de Souza, Marcia Prass, Aline CristinaSousaRocha,Paula isabelBarbosaVieira ase Renata AdamsFernandes Alexsandra Barros deSouza

D escripton : suy f h cosscinl aa collected data cross-sectional the of study A Int. Arch. Otorhinolaryngol., SãoPaulo-Brazil, v.17,suppl.1 July-2013. C onclusion : After 8 sessions, 8 After C C ase onclusion

R eport : :

117 hearing screening. newborn universal of implementation the for need the reinforce findings These observed. was outcomes screening on factors risk of influence No the run time of the evaluation was brief, and there was a low rate of failure. range, age recommended the within screened were whom of all studied, Larissa Nogueira Freire, Maira Rozenfeld Olchik,MoniaPresotto made some kind of change in feeding habits that facilitated swallowing. facilitated that habits feeding in change of kind some made SWAL-QOL.the in lifedomains already had patients of Furthermore,42.9% of quality the of any with association significant no was there gagging, of complained subjects the of 90.5% Although loss. weight recent with food) of (fear 7 domain and phase; oral the with symptoms) of (frequency 4 and (communication) 6 domains complaint; the in mentioned consistency the the by ingested with and leakage saliva consistencyanterior with duration) (feeding 3 domain patient; current and consistency, food in change loss, weight recent with (fatigue) 11 domain for found were associations related to speech screening with 11 domains on the SWAL-QOL. Significant disease duration was average11.6 years.the Quality and of years,life was 66.8 assessed wasusing the age items average The study. were the and in included dysphagia had women) 7 were and men patients (14 74 patients total, 33 screened; In test. scale Yahr and Hoehn and SWAL-QOL, patients included in this study completed The3 assessments: speech PD. screening, with diagnosed were who those including participate, were to invited disorders movement ambulatory with patients All study. sectional cross- a was This Development: (PD). disease Parkinson’s with individuals 16 neonates at a risk of hearing loss. included (GII) II Group and loss hearing of risks any without neonates 136 included (GI) I Group groups: 2 into divided were 2013, May in screened (TEOAE) with AccuScreen (Madsen) equipment. The participants, who were underwent hearing screening using transient evoked otoacoustic emissions which is linked to the Municipal Health Department of Marilia. All neonates Hospital, Maternity Leite de Gota the at developed was study descriptive of life ofPDpatientsintheearlystages. C O Co-Authors: Main Author: U 186 - Q A Co-Authors: Main Author: EVOKED OTOAC187 - TRANSIENT USTIC EMISSIONINALOW RISK Martins weight, and intensive care unit stay.unit careintensive and weight, low prematurity, phototherapy, loss, hearing of history risk family following indicators: the presented neonates GII The groups. both for seconds 20 was TEOAE the of time averageThe passed. (100%) 16 GII, in and test screening the passed neonates (97.05%) 132 GI, In days). 13 age, (mean were performed over 1 month. The sample included 78 women and 74 men program inaLow RiskMaternityHospital. onclusion im bjective : o ecie h rsls f Uiesl ebr Haig Screening Hearing Newborn Universal a of results the describe To PARKINSON’S DISEASE MATERNITY HOSPITAL : o esr te mat f ypai o te ult o lf in life of quality the on dysphagia of impact the measure To ALITY OFLIFEAND : n Cada iia ads, aia ia Dlcoe Fabiana Delecrode, Ribas Camila Cardoso, Vieira Claudia Ana rhr rnic Shmce Shh Doo el Rodrigues, Mello Diogo Schuh, Schumacher francisco Arthur These results show that dysphagia has an impact on the quality Annelise Ayres Adriana Aparecida Tahara Kemp YSPHAGIA INDIVIDU R C esults onclusion M : A total of 152 hearing screens ethod : In the neonate population neonate the In : This cross sectionaland ALS WITH

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ase AL 10 medical 10 : C We found few : WITH ALS eport R

ase C -PERCEPTU ion onclus C The process of evaluating : UDITORY ion onclus C DU IN INDIVI YSFUNCTION Mariana Saconato Alana Verza Signorini Alana Verza To To investigate the main methods used to evaluate the Ana Carolina Fiorese, Brasilia Maria Chiari, Helena Menegon Lauren Medeiros Paniagua, Marcus Vinicius Martins Collares, Evaluation of the swallowing function on tracheostomized patients tracheostomized on function swallowing the of Evaluation : : to submitted to ventilation on mechanical patients surgery heart OF THE REVIEW : A SYSTEMATIC LIP AND PALATE CLEFT AND A UMENTAL MAJOR INSTR ASSESSMENTS bjective bjective records has been analysed, being 5 male and 5 female, with age around 53 53 around age with female, 5 and male 5 being analysed, been has records the and replacement, valve mitral to submitted were (8) them of 80% years. other 20% (2) were submitted to aortic aneurysm correction. All patients has shown prolonged OTI, being tracheostomized and MV The estructural dependants. evaluation of the oral motor sensory system (OMSS) has been performed as well as the functional evaluation on MV with mínimal parameters. 5, 10 and 20 ml of pasty, thickened liquid and non-thickened liquid has been offered. There has been reported: oral uptake, oral motor control, oral transit time, triggering of the swallowing reflex,laryngeal elevation. stasisFinally, there and was performed the tracheal suctioning. 70% of the sample (7) presented normal swallow with pasty diet and non- thickened liquid on MV. 30% (3) presented moderated dysphagia for consistencies. all Among those patients, 33,4% shown variations on tongue strenght and ejection, and 66,6% had prejudiced laryngeal elevation. In dysphagic pacients the nasoenteric tube was maintained while starting the direct and indirect therapy. d on tracheostomize 191 - Findings of swallowing thor: Main Au thors: Co-Au O D 189 - VELOPHARYNGEAL thor: Main Au thors: Co-Au O Velopharyngeal dysfunction may cause impaired disorder this with patients thus, palate; verbal and lip cleft with individuals in skills communication need to undergo both instrumental and auditory-perceptual assessments. We conducted a systematic review of the literature and about auditory-perceptual assessments, including instrumental an analysis of the results of both evaluation methods. We found 1,300 studies on focused studies 56 about these, Of 2012. and the 1990 between published interest topic of velopharyngeal physiology; 29 studies presented data on velopharyngeal physiology using at least one instrumental assessment and one auditory- perceptual assessment; and 12 studies associated types of the assessments. results Only 3 of studies both described in detail both the analysis evaluation of methods of the velopharyngeal function; association of their however, findingswas the not analyzed. on mechanical ventilation (MV), after heart surgery. surgery. heart after (MV), ventilation mechanical on Corder, Maria Inês Rebelo Gonçalves, Nathaly Anne de Souza Gomes Maria Inês Rebelo Gonçalves, Corder, Sady Selaimen da Costa, Sílvia Dornelles Sady Selaimen patients on MV demands precaution, for there might occur glottal closure incoordination during the some swallow. However, of the patients on MV diet dysphagics, wich and allows aren’t OMSS alteration any doesn’t show hospitalized patient the for improvement quality life grants and prescription in the ICU. velopharyngeal velopharyngeal function in individuals to with determine cleft whether lip there is and videonasoendoscopy an palate and association and between auditory-perceptual the assessment. results of studies clearly addressing the criteria chosen to investigate velopharyngeal velopharyngeal investigate to chosen criteria the addressing clearly studies videonasoendoscopy of results the between association the and dysfunction assessment. and auditory-perceptual 118 ate ate u ysphagia The diagnosis of : eport R

ase C Int. Arch. Otorhinolaryngol., São Paulo - Brazil, v.17, suppl. 1 July - 2013. firefighter, hearing health, noise, : ment to eval ument to instr aily eywords K This research study was approved by the Comitê de Sixty-three Sixty-three percent of the evaluated firefighters showed : : Lorena Rodrigues Teixeira Lorena ccount Jade Zaccarias Bello Isadora de Oliveira Lemos, Letícia Kurtz, Maria Cristina de A Maria Esther de Araújo Maria Esther –RJ UNA FROM ITAPER OF LIFE OF FIREFIGHTERS ALITY To construct an instrument for patients to make notes on their This paper evaluated the effects of noise and its influence ion onclus : : C d with disorders in patients swallowing QU bjective bjective dysphagia occurs from the results of clinical, instrumental and functional exams, such as endoscopy and videofluoroscopy of swallowing. However, the way that patients eat in the clinical evaluation and videofluoroscopy is the not same always as eat they into their usual meals, especially knowing that being are they can variable examined. influenceThis results the of the (2007) Word A approach. therapeutic the in consequently, and, evaluations chart was build, composed by various aspects for patients to take including the type note, of food that caused feeding difficulties; among it saliva, water, juices, yogurts, creams, soups, fruits, vegetables, drowning, coughing, choking, disorder: the grains, was which and bran; breads, and meats respiratory changes, tiredness or drowsiness after meals. It also included space for notes on the meal in which the difficulties occurred; breakfast, lunch, snack and/or dinner. Conclusion: A daily easy diary, to understand, with relevant data and accessible viewing, routine should care and be research implemented of in swallowing disorders. It understand can and identify contribute the to differential diagnosis, as it may improve the effectiveness of treatment and therapeutic techniques, by the enrichment of speech and hearing researches. O thor: Main Au thors: Co-Au 190 - T of a d uction he constr thor: Co-Au O AND ON THE 188 - THE HEALTH ON HEARING OF NOISE EFFECT thor: Main Au Pesquisa Pesquisa of FacRedentor (nº006/2012) direct data collection and in association with was the observation conducted of and their work habits routine. through The collection consisted of the measurement of noise (e.g., ambient noise and vehicularnoise) and hearing evaluations. A sound level meter (INSTRUTHERM) was used. The hearing evaluation comprised 2steps: byusing(1) ana audiometer specific anamnesis and (2) audiometry (MAICO). Eighty-one firefighters took partwho reported inhearing loss the (47 firefighters) first were selected step. Individuals for the second phase. Almeida Freitas Cardoso Almeida Freitas alterations in their hearing examination results, and 100% of the firefighters firefighters the of 100% and results, examination hearing their in alterations headache, mainly was discomfort The noise. to regard in discomfort related irritability, and insomnia. The alarm siren (decibels), and during the attendance (i.e., of inside the the occurrence fire can be as high as engine) it 112.7dB can be as high as 100.4 dB. The firefightersare unaware of the hearing risks to which they are exposed. There are no measures promotion of for or the prevention of the hearing loss, which juts the necessity of controlling of measures and program, health politics,hearing health hearing and reducing local noise. swallowing disorders that occur in daily feeding, which cannot be identified be cannot which feeding, daily in occur that disorders swallowing in speech and hearing therapist’s exams. on the quality of life of firefighters in the militaryfirefighters’ 21 group, the GBM. quality of life. August 15, 2013 15, August

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