Papers by Renato Roithmann
Brazilian journal of otorhinolaryngology, Jan 25, 2018
Bacterial resistance burden has increased in the past years, mainly due to inappropriate antibiot... more Bacterial resistance burden has increased in the past years, mainly due to inappropriate antibiotic use. Recently it has become an urgent public health concern due to its impact on the prolongation of hospitalization, an increase of total cost of treatment and mortality associated with infectious disease. Almost half of the antimicrobial prescriptions in outpatient care visits are prescribed for acute upper respiratory infections, especially rhinosinusitis, otitis media, and pharyngotonsillitis. In this context, otorhinolaryngologists play an important role in orienting patients and non-specialists in the utilization of antibiotics rationally and properly in these infections. To review the most recent recommendations and guidelines for the use of antibiotics in acute otitis media, acute rhinosinusitis, and pharyngotonsillitis, adapted to our national reality. A literature review on PubMed database including the medical management in acute otitis media, acute rhinosinusitis, and phar...
Brazilian journal of otorhinolaryngology, Jan 2, 2017
The guidelines on allergic rhinitis aim to update knowledge about the disease and care for affect... more The guidelines on allergic rhinitis aim to update knowledge about the disease and care for affected patients. The initiative called "Allergic Rhinitis and its Impact on Asthma", initially published in 2001 and updated in 2008 and 2010, has been very successful in disseminating information and evidence, as well as providing a classification of severity and proposing a systemized treatment protocol. In order to include the participation of other medical professionals in the treatment of allergic rhinitis, it is important to develop algorithms that accurately indicate what should and can be done regionally. To update the III Brazilian Consensus on Rhinitis - 2012, with the creation of an algorithm for allergic rhinitis management. We invited 24 experts nominated by the Brazilian Association of Allergy and Immunology, Brazilian Association of Otorhinolaryngology and Head and Neck Surgery and Brazilian Society of Pediatrics to update the 2012 document. The update of the last Br...
Brazilian journal of otorhinolaryngology, Jan 21, 2017
Inflammatory conditions of the nose and paranasal sinuses are very prevalent in the general popul... more Inflammatory conditions of the nose and paranasal sinuses are very prevalent in the general population, resulting in marked loss of quality of life in affected patients, as well as significant work, leisure, and social activity losses. These patients require specific and specialized treatment. A wide range of oral medications are available. The present document is aimed to clarify, for professionals treating patients with inflammatory sinonasal diseases, both specialists and general practitioners, specific oral therapies in noninfectious nasal inflammatory conditions. The methodology used to create this article included the search for the key words: oral corticosteroids, antihistamines, antileukotrienes, rhinitis, rhinosinusitis in the MEDLINE and EMBASE databases in the last 5 years. Since no relevant article was found for the text on the subject of interest in the last 5 years, the search was extended for another 5 years, and so on, according to the authors' needs. Relevant li...
Rev Odonto Cienc, Mar 1, 2002
... Autor: Hahn, Luciane; Marchioro, Ernani Menezes; Rados, Pantelis Varvakis ; Roithmann, Renato... more ... Autor: Hahn, Luciane; Marchioro, Ernani Menezes; Rados, Pantelis Varvakis ; Roithmann, Renato. Título: Hipertrofia de cornetos inferiores como causa de obstruçäo nasal: Relato de caso clínico / Inferior turbinate hypertrophy as a cause of nasal obstruction: case report. ...
Revista Brasileira De Otorrinolaringologia, 2008
O espelho de Glatzel (EG) é utilizado para a avaliação da permeabilidade nasal. Estudos de valida... more O espelho de Glatzel (EG) é utilizado para a avaliação da permeabilidade nasal. Estudos de validação inexistem na literatura. Este estudo teve por objetivos verificar a reprodutibilidade do EG e a correlação intra-sujeito entre área de condensação e percepção subjetiva de permeabilidade nasal. MÉTODOS: Estudo prospectivo onde 25 sujeitos foram avaliados com o EG por cinco minutos consecutivos; cada meia hora por quatro horas; cada dia no início da tarde, por cinco dias e toda a quinta-feira por cinco semanas consecutivas. Utilizou-se uma escala analógica visual para avaliar a percepção de respiração nos períodos. RESULTADOS: O coeficiente de correlação total (área direita mais esquerda) encontrado entre área de condensação e percepção subjetiva foi de r=0,04 (p=0,37). No lado esquerdo foi de r=0,08 (p=0,09) e no lado direito de r=0,05 (p=0,28). Os coeficientes de variação unilaterais medianos foram menores que 15% e os totais menores que 12%, independente do intervalo de tempo entre teste e re-teste. CONCLUSÃO: Não se evidenciou correlação significativa entre a percepção subjetiva e a área de condensação. A variabilidade unilateral foi maior do que quando considerados os valores totais (direito mais esquerdo) e não houve diferença na variabilidade das medidas de área de condensação nasal nos diferentes momentos do tempo.
Revista Brasileira De Otorrinolaringologia, 2007
Xii Forum De Pesquisa Da Ulbra, Oct 19, 2012
Revista Brasileira De Otorrinolaringologia, 2005
Ortodon Gauch, Apr 1, 1997
Brazilian Journal of Otorhinolaryngology, 2009
Ortodon Gauch, Dec 1, 1999
Rev Bras Otorrinolaringol, Jun 1, 1989
Rhinology
Fungal sinusitis should always be considered in the differential diagnosis of chronic or recurrin... more Fungal sinusitis should always be considered in the differential diagnosis of chronic or recurring sinusitis resistant to adequate medical treatment. A high index of suspicion is necessary for the diagnosis, and the clinical examination is rarely conclusive. The definitive diagnosis depends on the pathologist in most cases. We reviewed retrospectively the imaging findings, specifically computed tomography (CT) and magnetic resonance (MR), in a series of fungal sinusitis patients. Non-enhanced CT scan is more sensitive than conventional X-ray in detecting the classical focal areas of hyper-attenuation and calcification seen in soft-tissue masses of fungal sinusitis. MR findings of hypo-intense signals on T1-weighted sequences which progress to signal-void area on T2-weighted sequences, are characteristic features of fungal sinusitis; however, it is reserved for cases where intracranial invasion is suspected or CT findings are inconclusive.
The Journal of otolaryngology
ABSTRACT
International Archives of Otorhinolaryngology, 2014
Jornal da Sociedade Brasileira de Fonoaudiologia, 2011
To estimate the prevalence of vocal symptoms, occupational risk factors, associated symptoms and ... more To estimate the prevalence of vocal symptoms, occupational risk factors, associated symptoms and their impact on the professional activity of the telemarketers. Cross-section analytical study with 124 telemarketers and 109 administrative workers (control group) selected from a random sample stratified by gender. The subjects answered an anonymous self-administered questionnaire involving issues related to the presence of vocal symptoms, potential risk factors for dysphonia, and vocal impact of symptoms in professional activity. The presence of one or more voice symptoms that occurred daily or weekly was considered positive for the presence of vocal symptoms. The prevalence of vocal symptoms was found in 33% of telemarketers and in 21% of the control group, indicating an association between vocal symptoms and the activity of the telemarketer. When adjusted for confounders, this association remained in the sense of risk. In telemarketers, the sensation of dry air, ambient noise, and l...
Micro-endoscopic Surgery of the Paranasal Sinuses and the Skull Base, 2000
Brazilian Journal of Otorhinolaryngology, 2012
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Papers by Renato Roithmann