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Issue
Cover Vol. 91. Issue  S1. Vol. 91. Issue S1.
Special Issue dedicated to Archives of Head and Neck Surgery
(July 2025)
Original articles
Comparison between rigid telescopic and flexible fiberoptic laryngostroboscopy
Rogério Aparecido Dedivitis, Mario Augusto Ferrari Castro, André Vicente Guimarães, Caio Paschoalin Trindade
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    The use of rigid and fiberoptic telescopic laryngostroboscopy is well established and each one presents advantages.

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    Seventy to 92% of patients with Parkinson's Disease present tongue, larynx, and pharynx disorders.

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    Patients unable to maintain regular voice production under the rigid approach can be evaluated using fiberoptic stroboscopy.

  • •

    When both methods are technically feasible, the rigid telescope approach is preferrable due to providing greater anatomical detail.

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Endoscopic and videofluoroscopic evaluations of swallowing for dysphagia: A systematic review
Mario Augusto Ferrari de Castro, Rogério Aparecido Dedivitis, Leandro Luongo de Matos, José Carlos Baraúna, Luiz Paulo Kowalski, Kauê de Carvalho Moura, Daniel Herman Partezani
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    FEES demonstrated a higher ability to diagnose pharyngeal residue, penetration, and aspiration compared with VFSS.

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    This exam was slightly better performance in detecting premature spillage.

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    There were no significant differences on the diagnostic performance of both tests.

  • •

    The choice of test should depend on availability, team experience, and patient’s preference.

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Arytenopexy with medialization thyroplasty and cricothyropexy in the treatment of unilateral vocal fold paralysis: A 15-year experience
Bernardo Scarioli Oliveira, Mauro Becker Martins Vieira, Flávia Amarante Cardoso, Lívia Bernardi Lopes, Marianna Novaes da Costa Avila, Kênia Rabelo Santana de Farias
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    Combined arytenopexy, thyroplasty, and cricothyropexy improved voice in unilateral vocal fold paralysis.

  • •

    All procedures were safely done under local anesthesia with sedation and no respiratory complications.

  • •

    Functional outcomes were satisfactory or optimal, even in cases with posterior glottic gap.

  • •

    Most patients resumed oral feeding post-op; aspiration and dysphonia were effectively corrected.

  • •

    Long-term complications were rare and did not significantly impact vocal outcomes.

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Analysis of PTH serum concentration from internal jugular veins of patients with primary hyperparathyroidism
Davi Knoll Ribeiro, Murilo Catafesta das Neves, Rodrigo de Oliveira Santos, Marcio Abrahao
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    Localization of parathyroid in primary disease sometimes is a challenge to surgeons.

  • •

    There are some methods available like scintigraphy with MIB and parathyroid ultrasound, but occasionally parathyroid would not be located.

  • •

    The blood collection of internal jugular veins and dosage of PTH can be useful as a method for the localization of parathyroid in patients with primary disease.

  • •

    The selective PTH collection from the jugular vein identified adenoma laterally in 75.86% of patients with primary hyperparathyroidism.

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Analysis of central and peripheral PTH decay values in patients with primary hyperparathyroidism
Giovanna Luiza Caxeiro, Davi Knoll Ribeiro, Rafael Dias Romero, Marcello Rosano, Rodrigo Oliveira Santos, Murilo Catafesta Neves, Marcio Abrahao
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

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    The minimally invasive parathyroidectomy is a procedure in which only the diseased parathyroid gland is removed.

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    PTH measurement collected from central jugular vein may allows the surgeon to quantitatively determine the excision of all hyperfunctioning parathyroid tissue more precisely.

  • •

    Collections from peripheral and central sites were found to be effective in this study.

  • •

    There is a tendency to use values collected from central sites, as they confirmed the ideal reduction in values following removal.

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Factors associated with post‑operative complications in oral carcinoma: Prospective study
Paulo Victor Sola Gimenes, Daniel Abreu Rocha, Marco Aurélio Vamondes Kulcsar, Claudio Roberto Cernea, Leandro Luongo Matos
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    The most common complications were suture dehiscence and surgical site infections.

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    Tumor thickness >10 mm increased risk of complications.

  • •

    Myocutaneous flap linked to higher complication rates.

  • •

    High mGPS scores predicted worse postoperative outcomes.

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Oncologic outcomes of microscopic tumor cut through in locally advanced oral squamous cell carcinoma
Guilherme Reimann Agne, Hugo Fontan Kohler, Thiago Celestino Chulam, Clóvis Antônio Lopes Pinto, José Guilherme Vartanian, Luiz Paulo Kowalski
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    MTCT had an impact on local recurrence on univariate (HR = 2.205;) and multivariate (HR = 1.851) analyses.

  • •

    Disease-specific survival was also affected on univariate (HZ = 1.669).

  • •

    The best predictor for compromised frozen sections was tumor depth of invasion.

  • •

    MTCT is an important factor associated with poorer outcome, and treatment intensification should be considered.

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Metastatic basal cell carcinoma: Case series and literature review
Mariana Gonçalves Rodrigues, Aline Vieira de Lucena, Gabriela Alves Domingues, Caroline Marques de Aquino, Deborah Yukiko Otto, André Bandiera de Oliveira Santos, Luiz Paulo Kowalski
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    The basal cell carcinoma metastases are a disease's late manifestation.

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    The main site of metastasis was the lymph nodes.

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    The main modalities of metastases treatment were surgery and radiotherapy.

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    The basal cell carcinoma metastasis is a rare manifestation of a frequent disease.

  • •

    Clinical follow-up should include neck physical examination for all patients and imaging only if suspicion of distant metastasis.

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Factors associated with post-bronchoaspiration survival: A cross-sectional study
Cristina Zerbinati Carro, Francisco Winter dos Santos Figueiredo, Luiz Vinicius de Alcantara Sousa, Fernando Adami, Flávio Carneiro Hojaij
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

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    Those who suffered bronchoaspiration had their survival rate reduced by 30%30 % in the first month, and only 29.6% of them survived the second month post-event.

  • •

    Women were more vulnerable to clinical complications originating from the general health status decline as well as to acute pulmonary complications arising from sepsis, consequently presenting a greater reduction in survival.

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Cancer in the head and neck region and its face under the perspective of users of a public reference hospital in Recife, state of Pernambuco, Brazil
Angélica Lopes Frade, Beatriz Santos Borges, Fátima Cristina Mendes Matos, Aurora Karla de Lacerda Vidal
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    It was observed difficulties in the diagnosis phase.

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    They experienced difficults on family support.

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    Who to seek and how to deal with post-treatment difficulties/sequelae.

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Thyroid cancer surgical indication during pregnancy: Systematic literature review and series of illustrative cases
Lucas Albuquerque Chinelatto, Flávio Carneiro Hojaij, Dorival de Carlucci, Claudio Roberto Cernea
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

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    There is no literature consensus about the better time to perform thyroidectomy in pregnant patients with thyroid cancer.

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    Surgery in the second trimester should be considered for the most severe cases, such as those that present lymph node metastasis or effective nodule growth within the first weeks of pregnancy.

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    In less severe cases, it is safer to perform thyroidectomy after delivery, decreasing the risks related to surgery to the patient and the fetus.

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Recurrence of laryngeal squamous cell carcinoma in patients undergoing organ preservation therapy: Are there symptoms associated with recurrence?
Sonyara Rauedys Lisboa, Daniel Abreu Rocha, Richard Godoy Mejia, Adolfo Cotarelli Sasaki, Matheus Gerhard Rosenfeld, Leandro Luongo Matos, Daniel Marin Ramos, Marco Aurélio Vamondes Kulcsar
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    The absence of symptoms was associated with the absence of relapse (p < 0.001), especially pain.

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    A wholly oral diet at the last visit was a significant factor in the absence of relapse (p = 0.005).

  • •

    Weight loss of 2.0% is an essential predictor of recurrence with statistical significance.

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Laryngostroboscopy and voice evaluation in adult patients with Parkinson’s disease
Andréa de Carvalho Anacleto Ferrari Castro, Rogério Aparecido Dedivitis, Débora dos Santos Queija, Mario Augusto Ferrari de Castro, Juliana Godoy Portas, Alessandra Sampaio Ferreira
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    Dysphonia and vocal fatigue were referred by 72.22% and 33.3% of the patients.

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    Changes during laryngoscopy were verified in 94.44%.

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    The medians of the acoustic voice analysis and the VHI self-assessment questionnaire were unchanged.

  • •

    The median of the VHI emotional domain was higher among patients who presented open phase closure, with statistically significant difference (p = 0.029).

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Evaluation of intraoperative subcutaneous anesthetic infiltration for pain management in patients undergoing total thyroidectomy
Phamella Carlesse, Nathalia Cardoso, Tamara Harati, Bruna Lapichini, Daniel Herman Partezani, Leandro Luongo de Matos, Rogério Aparecido Dedivitis
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    Patients who received anesthetic infiltration had lower pain levels;

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    The pain dropped along the first postoperative day;

  • •

    Local anesthetics can reduce the necessity of opioids postoperatively.

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Cervical lymphatic tissue as an alternative donor site for the microsurgical treatment of secondary lymphedema in limbs
Gustavo Amaral de Abreu, Diego Alvarez Naranjo, Felipe de Borba Chiaramonte Silva, Edgar Edinson Fernandez Altamiranda, Sofia Ratchitzki Teixeira, Gabriel Manfro, Gilberto Vaz Teixeira
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

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    Vascularized lymphatic tissue from cervical levels appears to be a viable donor site for the microsurgical transplant treatment of lymphedema.

  • •

    In this study, complete improvement in the measures of certain parts of the affected limb was observed in two of the five patients.

  • •

    This method may yield promising future outcomes, constituting a new area of practice for head and neck surgeons.

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Thyroidectomy in children⋆,⋆⋆
Flávio Carneiro Hojaij, Onivaldo Cervantes, Cindel Nogueira Zulino, Leonardo Dantas Pereira, Felipe Augusto Brasileiro Vanderlei, Marcio Abrahao
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    36% of pediatric patients presented with permanent hypoparathyroidism.

  • •

    Rate of vocal fold paralysis is 5% in this population.

  • •

    Rate of complications are higher than the expected adult patients.

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Experimental model for percutaneous tracheostomy training
Caroline Schmiele Namur, Kassem Samir Saleh, Marianne Yumi Nakai, Alexandre Baba Suehara, Antonio Jose Gonçalves
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    The proposed training model for practice of surgeons in percutaneous tracheostomy is feasible.

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    All responders concluded the training successfully.

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    It is a possible alternative to percutaneous tracheostomy training.

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Accuracy of ultrasound performed by medical residents in operating rooms in identifying parathyroid glands in patients with hyperparathyroidism
Regison Rafael Dias Silva, Giovanni Simões de Medeiros, Murilo Catafesta das Neves
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    Ultrasonography is a useful tool for diagnosing head and neck diseases, and recently HN surgeons have incorporated it into their practice.

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    US examinations before surgery and during the procedure, just before the parathyroidectomy, were done by the HNS residents.

  • •

    These exams accurately identified parathyroids in 81.25% of the patients with hyperparathyroidism with CKD.

  • •

    Although this is a small casuistic (11 patients), the method is promising.

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Does the diameter of the thoracic inlet influence the formation of retrosternal goiter?
Leonardo Daniel Manzano Pasquel, Daniel Abreu Rocha, Yasmin Laryssa Moura Guimaraes, Gustavo Fernandes de Alvarenga, Mauricio Kase, Júlia Scomparin Magalhãnes, Regina Lúcia Elia Gomes, Ledo Mazzei Massoni Neto, ... Claudio Roberto Cernea
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    A total of 173 patients submitted to total thyroidectomy for substernal goiter mean diameter of the TI was 5679 mm2.

  • •

    The distance below the TI ranged from 0.2 to 5 cm.

  • •

    No significant association was found between diameter of the thoracic inlet and retrosternal goiter, demonstrating that RSG can be present regardless of the TI diameter.

  • •

    Statistically significant association was observed between patients with larger thyroid volume and the likelihood of this tissue to extend to the thoracic cavity.

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Staging of oral cavity cancer in the 8th edition of the TNM classification: The role of computed tomography in the assessment of depth of invasion and extranodal extension
Leticia de Franceschi, João Manoel Miranda Magalhães Santo, Anniely Mourão de Abreu, Marco Aurélio Vamondes Kulcsar, Claudio Roberto Cernea, Marcio Ricardo Taveira Garcia, Rogerio Aparecido Dedivitis, Leandro Luongo Matos
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    Strong positive correlation between tumor thickness and tomographic depth of invasion.

  • •

    Positive correlation between tomographic tumor thickness and pathological tumor thickness.

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    Positive correlation between tomographic depth of invasion and pathological depth of invasion.

  • •

    Tomographic evaluation of deep of invasion upstaged most of lesions.

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Outcome of subtotal parathyroidectomy for surgical treatment of hyperparathyroidism after renal transplantation
Murilo Catafesta das Neves, Ana Beatriz Ribeiro Fonseca, Camila Akemi Yamashiro Koike, Davi Knoll Ribeiro, Mayra Messias Lera, Rodrigo Oliveira Santos
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

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    No statistically significant differences were observed between success and failure groups for the percentage intraoperative decay levels, as well as for the PTH absolute values on the first postoperative day.

  • •

    Subtotal parathyroidectomy is an effective and safe procedure for treating renal transplant parathyroidectomy.

  • •

    PTH levels remain subjective and cannot be considered as a predictor of surgical success.

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Epithelial-myoepithelial carcinoma: Retrospective analysis of the case series from a reference center in São Paulo, Brazil
Gabriela Miglioranza Gonçalves Luccas, Kim Soares Marinho, Lara Caroline Cardoso, Maria Paula Spegiorin de Oliveira, Renato Nobutaka Gotoda, Dorival de Carlucci Junior, Luiz Paulo Kowalski
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    The tumor was more frequent in female, with an average age of 71.33 years.

  • •

    The parotid gland was the predominant primary site (92.8%).

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    There was a significant prevalence in stages III and IVa.

  • •

    Most received adjuvant treatment after surgery as the mainstay treatment option.

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The practice of oral feeding after total laryngectomy by Brazilian head and neck surgeons
Johanna Benali, Tareck Ayad, Fabio Pupo Ceccon, Carlos Chiesa-Estomba, Jerome R. Lechien, Mateus Morais Aires, Leonardo Haddad, Gerrit Viljoen, Nicolas Fakhry
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

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    Oral feeding is usually offered after 7 days of surgery for uncomplicated cases without previous radiation therapy or extension of surgery to the hypopharynx.

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    The enteral feeding is kept up to 15 days for complicated cases, salvage surgery of pharyngolaryngectomy cases.

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    Patients offered oral feeding before the 10th day of surgery are discharged from the hospital within 14 days of surgery.

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Time heals. A study of thyroidectomy scars
Vergilius José Furtado de Araujo Filho, Vergilius José Furtado de Araujo-Neto, Leandro Luongo de Matos
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    95% of the scars were classified as excellent or very good, Grade 0 or 1 in longer follow-up.

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    Age, sex, hypertension, diabetes, smoking and history of hypertrophic scars did not show any significant differences.

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    The cosmetic quality of scar improves with postoperative length of time.

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Evaluation of oncological outcomes in patients with oral cavity cancer treated in a low-volume hospital
Sara de Souza Bettioli, Agnaldo José Graciano, Ana Lavratti Borga, Carlos Augusto Fischer
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

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    The overall and disease-free survival was similar to those in high volume centers.

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    The complications rate were not different as described in high volume centers.

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    Oncological low volume centers presents with a equal local and regional recurrences rates.

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Sentinel lymph node biopsy in early oral cavity tumors: Evaluation of the oncologic efficacy compared to elective neck dissection
Marco Roberto Seferin, Fábio Roberto Pinto, Chin Shien Lin, Ana Kober Nogueira Leite, Paulo Vitor Sola Gimenes, Rogerio Aparecido Dedivitis, Marco Aurélio Vamondes Kulcsar, Claudio Roberto Cernea, Leandro Luongo Matos
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    Locorregional recurrence did not differed between both groups.

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    Overall survival between sentinel node biopsy and selective neck dissection group where not different.

  • •

    Disease free survival between sentinel node biopsy and selective neck dissection group where not different.

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Overview of care for head and neck Cancer cases in Brazilian Cancer Centers during the COVID-19 pandemic
Sergio Gonçalves, Marco Aurélio Vamondes Kulcsar, Leandro Luongo de Matos, José Guilherme Vartanian, Genival Barbosa de Carvalho, Fernando Luiz Dias, Terence Pires de Farias, Emilio Tosto Neto, ... Luiz Paulo Kowalski
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

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    The rate of Covid infection among staff members where the same among all centers.

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    The number of appointments decreased.

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    The number of surgeries decreased.

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Bedside conventional tracheostomy
Giancarlo Artese Araujo, Antonio Augusto Tupinambá Bertelli, Helvécio de Resende Urbano Neto, Marianne Yumi Nakai, Caroline Schmiele Namur, Marcelo Benedito Menezes, Antonio José Gonçalves
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

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    Tracheostomy is a frequent procedure in Intensive Care Units.

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    The ideal time to perform a tracheostomy is controversial but some laryngologists recommend it after 3 days of intubation, although most consider a limit of 2–3 weeks.

  • •

    Tracheostomy at the bedside, with local anesthesia and sedation, is a safe procedure with results similar to those performed in an operating room, with lower costs, avoiding transporting critical patients to the operating room.

  • •

    In this study with 598 patients, only 1.50% of the patients had complications and the most part was bleeding (six patients).

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Evaluation of clinical outcomes after partial horizontal laryngectomy
Daniel Abreu Rocha, Gustavo Fernandes de Alvarenga, Daniel Marin Ramos, Leandro Luongo de Matos, Rogerio Aparecido Dedivitis, Marco Aurélio Vamondes Kulcsar, Claudio Roberto Cernea
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    Supracricoid horizontal laryngectomy provides a high rate of deccanulation and swallowing.

  • •

    It was commonest surgical procedure up to T3 supraglottic cancer.

  • •

    14% of patients required total laryngectomy for poor functional status.

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Knowledge about head and neck cancer among adolescents
Vinicius M. Vasconcellos, Leandro Luongo Matos, Flavio Carneiro Hojaij, Edevaldo Miguel Alves, Beatriz Costa N. Martins, Arthur C. Nava
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    Knowledge about head and neck cancer is lacking.

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    It is necessary to introduce in the curriculum basic cancer education in biology classes.

  • •

    The expansion of acquirements about cancer can provide better care and the ability to identify risk factors, initial signs, and symptoms of the disease, as well as the incorporation of healthy habits in families because these students can propagate valid information in their environment.

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Ansa cervicalis or ansa hypoglossi? A systematic review
Gustavo Henrique Pereira Boog, Flávio Carneiro Hojaij, Matheus Mychael Mazzaro Conchy, Renan da Silva Bentes, Flávia Emi Akamatsu, Alfredo Luiz Jácomo
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    There is a disparity of terminology in the literature between ansa cervicallis and ansa hypoglossi.

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    This systematic review of 3731 articles proved that the term that best suits anatomical reality is “ansa cervicalis”.

  • •

    This conclusion is based on the fact that the nerve fibers arise only from the cervical cord.

  • •

    The authors also demonstrated that the term “ansa hypoglossi” should be avoided, in scientific research and clinical/surgical practice.

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Incidence of contralateral cervical metastasis in laryngeal tumors
Arthur Paredes Gatti, Juliana Cristina Pacheco, Nicolas Galat Ahumada, Carlos Neutzling Lehn, Fernando Walder
Braz J Otorhinolaryngol. 2025;91 Supl 1:
Highlights

  • •

    The rate of contralateral metastases in supraglottic cancer is low.

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    Routine bilateral neck dissection is not recommended when the other site is cN0.

  • •

    We still consider bilateral neck dissection only for T4 lesions.

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Brazilian Journal of Otorhinolaryngology (English Edition)