VOICe THeRApy FOR LARyNgeAL HeMIpLegIA: THe ROLe OF TIMINg OF INITIATION OF THeRApy

Objective: Laryngeal hemiplegia, also known as vocal fold paralysis, causes severe communicative disability. Although voice therapy is commonly considered to be beneficial for improving the voice quality in several voice disorders, there are only a few papers that present scientific evidence of the effectiveness of voice therapy in treating the disabilities of laryngeal hemiplegia. The aim of this study was to evaluate the outcomes of voice therapy in patients with laryngeal hemiplegia and to evaluate the role of the time gap between onset of laryngeal hemiplegia and initiation of therapy. Design: A prospective study comparing subjects treated either within or more than 3 months after the onset of laryngeal hemiplegia. Subjects: The study involved 30 laryngeal patients with hemiplegia (16 males, 14 females, age range 15–80 years). Methods: All patients underwent videolaryngostroboscopy, maximum phonation time measurement, GIRBAS perceptual evaluation, Voice Handicap Index self-assessment and Multi-Dimensional Voice Program voice analysis before and after therapy. Results: In all tests, there were significant improvements in voice quality, both in the group treated within 3 months after the onset of laryngeal hemiplegia and in the group treated after this time. Conclusion: Voice therapy is effective in treating laryn geal hemiplegia even if treatment is delayed by more than 3 months from onset of laryngeal hemiplegia

Autologous fat injection to face and neck: from soft tissue augmentation to regenerative medicine

Minimally-invasive autologous fat injection of the head and neck region can be considered a valid alternative to major invasive surgical procedures both for aesthetic and functional purposes. The favourable outcomes of autologous fat injection in otolaryngological practice are due to the filling of soft tissue and, mainly, to the potential regenerative effect of adipose-derived mesenchymal stem cells. Herewith, some important biological preliminary remarks are described underlying the potential of autologous fat injection in regenerative medicine, and personal experience in using it for both consolidated clinical applications, such as fat grafting to the face and vocal fold augmentation in the treatment of glottic incompetence, and more recent applications including the treatment of post-parotidectomy Frey syndrome and velopharyngeal insufficiency

Recomendação de adubação para aveia, em dois sistemas de plantio, em Latossolo Vermelho distrófico típico.

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Soil Nitrate Level Variation under Intensive Nitrogen Fertilized Coastcross Pasture

Nitrate levels in soil profile after the first N application on coastcross pasture, grown on a dark red latosol (Hapludox), in São Carlos, SP, Brazil, under tropical altitude climate, were measured at 7-day intervals, to monitor possible losses in depth. Soil nitrate rates varied with high rates of N-ammonium nitrate (200 kg ha-1 per cutting) in surface layers. Danger of environmental impact was low in the studied conditions

Apparent Recovery of Surface Applied Nitrogen Fertilizer by a Coastcross Pasture

Nitrogen recoveries from five levels of urea and ammonium nitrate surface-applied on coastcross pasture, grown on a dark red latosol (Hapludox), in São Carlos, SP, Brazil, under tropical altitude climate, were estimated. Significant differences occurred within periods (P \u3c 0.05), depending on climatic conditions. Under adequate plant growth conditions, mean N recovery from urea was about 67%, sometimes reaching 80%, of that from ammonium nitrate. Recovery of ammonium nitrate varied from 45 to 68% of applied N