Abstract：
:The authors present the experience of 63 clinical cases of microsurgical reconstruction of the head and neck. These reconstructions were accomplished by different microvascular free flaps which were selected according to the type, size and location of the defects. Fasciocutaneous, osteofasciocutaneous, adipofascial, myo, myocutaneous, myosseous, jejunum and great omentum flaps were applied. The etiology was traumatic in 10 cases, tumoral in 41 cases, congenital in 7 cases, iatrogenic in 3 cases and infectious in 2 cases. The reconstructed anatomical regions were the scalp in 6 cases, the skull base in 1 case, the orbit in 3 cases, the nose in 1 case, the hemiface in 7 cases, the lips in 1 case, the intraoral cavity in 21 cases, the mandible in 8 cases, the intraoral cavity plus mandible in 11 cases and the cervical esophagus in 1 cases. An analysis was made of surgical times, selection and survival rate of the free flaps and the morphofunctional quality of the reconstructions. Considering the good quality of reconstructions, the amelioration of quality of life and the low morbidity in these patients, microvascular free flaps are considered a first choice technique for head and neck reconstruction when the size and location of the defect prevents the use of local flaps.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Costa H,Guimarães I,Cunha C,Conde A,Luz M,Pinto A,Pinho C,Freitas A,Rodrígues J,Guimarães A,Trigo J,Rangel C,Cruzeiro C,Almeida JE,Ferreira AC,Soutar Dsubject
Has Abstractpub_date
1998-10-01 00:00:00pages
855-70issue
10eissn
0870-399Xissn
1646-0758journal_volume
11pub_type
杂志文章abstract：INTRODUCTION:Female Urinary Incontinence (UI) is a major public health issue given its high prevalence and its physical, psychological and social impact on women's lives. The aim of this study was to determine the prevalence and impact of Stress Urinary Incontinence (SUI) before and during pregnancy in parturients from...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2006-09-01 00:00:00
abstract：:Brain radiotherapy aims at controlling the pathological lesion(s) as well as avoiding damaging critical structures. However, side effects may occur. Neurocognitive function is often involved impairing quality of life. This dysfunction is among the most frequent complications of brain irradiation. Sparing as much as fe...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2010-01-01 00:00:00
abstract：:In the Portuguese National Health Service, little attention has been paid to oral health care. The almost nonexistence of a dentistry network raises concern about accessibility to services, and justifies the need to call on a predominantly private provision of services. The coexistence between the public and private s...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.11964
更新日期：2019-06-28 00:00:00
abstract：:The authors discuss the indications for radiotherapy in late breast cancer, retrospectively analysing the experience of the Radiotherapy Department of the Portuguese Institute of Oncology in Lisbon. Treatment results of locally advanced cancer (T4a-b-c) with megavoltage machines (telecobalt therapy) using two differen...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1993-05-01 00:00:00
abstract：INTRODUCTION:The growing concern surrounding health safety issues makes it essential that everyone, in particular the elderly due to their commonly prescribed multiple drugs, has a complete and up to date list of prescriptions. We planned to assess the quality of the electronic records of prolonged medication. MATERIA...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,多中心研究
doi：
更新日期：2014-09-01 00:00:00
abstract：:We report 3 years of experience with operative ultrasonography on 200 patients who underwent cholecystectomy for biliary lithiasis. Intraoperative ultrasonography and intraoperative cholangiography were performed on all of these patients and compared with the operative findings. The diagnostic accuracy of sonography w...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1993-03-01 00:00:00
abstract：:Some workers in the textile industry have respiratory symptoms related to their occupation. This study is aimed at evaluating the frequency of respiratory symptoms in textile industries in the North of Portugal. We evaluated 3529 workers from 20 factories (19 deal with synthetic fibres and cotton and the other deals w...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：:In the medical press there are several data confirming the value of E.R.C.P. and E.E.S., in the therapeutical approach of acute lithiasic pancreatitis (A.L.P.). Nowadays it is a first line endoscopic technic on the therapeutical approach in A.L.P. permitting to clean out the biliary tree of stones, eliminating the eti...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1995-06-01 00:00:00
abstract：:The circumstances preceding the future revision of the medical curriculum are analysed, main internal and external stimuli are described, and sources of resistance to changes in medical training require new educational philosophy, privileging oriented training during undergraduation, as a preliminary phase of medical ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：:After the discovery of insulin and during almost an half of a century, physicians and researchers apply their efforts in a better knowledge to reduce the perinatal mortality of the offspring of the diabetic mother. The optimisation of glucose control--the main key of the management of diabetic pregnancy--and the new m...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2002-05-01 00:00:00
abstract：:Rhabdomyolysis is a common entity that often has a multifactorial etiology. It usually affects healthy individuals, following trauma, excessive physical activity, convulsive crisis, alcohol and other drugs consumption or infections. Accumulation of intracellular calcium, activation of proteases and lipases, production...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2005-07-01 00:00:00
abstract：:New generation oral anticoagulants - rivaroxaban, apixaban and edoxaban - represent an important medical achievement. Their therapeutic effectiveness and ease of use make them essential in the management of thromboembolic conditions. However, as warfarin, they have known haemorrhagic risks. This paper reports the case...
journal_title：Acta medica portuguesa
pub_type：
doi：10.20344/amp.9397
更新日期：2019-06-28 00:00:00
abstract：INTRODUCTION:Current practice guidelines recommend using Current Opioid Misuse Measure to screen aberrant opioid-related behaviors in chronic pain patients. Our aims were to translate, adapt and validate it to be used in Portuguese chronic pain patients. MATERIAL AND METHODS:Translation and cultural adaptation process...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.12015
更新日期：2020-04-01 00:00:00
abstract：:Duodenocaval fistula is a type of digestive fistula rarely described in the literature. It usually manifests by sepsis associated with gastrointestinal bleeding. The treatment is surgical and the prognosis usually not favorable. We describe the case of a woman admitted to our hospital with sepsis, having been diagnose...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-09-01 00:00:00
abstract：:A new case of nephrotoxic effect of Maneb is related. The patient used this product as fungicide and developed a progressive illness with acute renal failure. The study by light and electron microscopy revealed severe tubular lesions that disappeared some months later with tubular cell regeneration. However, in spite ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1989-08-01 00:00:00
abstract：:On page 761, in the first sentence of the Introduction, where it reads: "Cardiovascular Botulinum toxin A (BoNT-A) has beenapproved for spasticity management."It should read: "Botulinum toxin A (BoNT-A) has been approved for spasticity management."Article published with errors: https://www.actamedicaportuguesa.com/rev...
journal_title：Acta medica portuguesa
pub_type： 已发布勘误
doi：10.20344/amp.15226
更新日期：2020-12-02 00:00:00
abstract：:The correct practice of specialized Clinical Pathology is dependent on the acquired aptitude and capacity gained by residents during their specialization. So, the adopted program for residents must be practical and detailed, obviously exceeding the simple and routine execution of laboratory methods and techniques. In ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：:Lithopedions are extremely rare conditions. Less than 300 cases were described worldwide. We report a case occurring in a woman of 77 years of age, admitted with dehydration, urinary tract infection and infected limb pressure ulcers. She had been recently admitted in a Surgery ward for incarcerated umbilical hernia. A...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-07-01 00:00:00
abstract：:After a brief introduction about the clinical, histological and therapeutic characteristics of myxopapillar spinal ependymoma of cone medullar and filum terminale, three cases with medullar and intracranial seeding of myxopapillar spinal ependymoma are retrospectively reviewed. Surgical resection was total in the chil...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2001-01-01 00:00:00
abstract：:This cross-sectional survey, conducted during March-July 1992, in a rural village in Guiné-Bissau, studied the determinants of vaccination coverage in 344 children aged 2 to 9 years of age, as well as the determinants of health care service attendance during the month preceding the survey. One hundred and three (29.9%...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2001-05-01 00:00:00
abstract：INTRODUCTION:The recent occurrence of a number of outbreaks of dengue in Portuguese speaking countries with no previous disease, aroused curiosity about the competing factors for the phenomenon and a need for better knowledge of the pathology. We review the dengue-related situation in Portuguese speaking countries, lin...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2014-07-01 00:00:00
abstract：:Nowadays, prostate cancer is very frequent in men. The evolution of the possibilities of early diagnosis and the results obtained with radical therapeutics have brought this pathology to our attention. The physicians involved, either general practitioners or specialists in internal medicine or urology, must pay maximu...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：:Congenital absence of the inferior vena cava is a rare vascular anomaly, and most cases are asymptomatic. Nevertheless, patients with inferior vena cava malformations may have increased risk of deep venous thrombosis. Particularly, cases of bilateral deep venous thrombosis may arise owing to an insufficient collateral...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.7744
更新日期：2017-04-28 00:00:00
abstract：:The use of the transoesophageal echocardiography (TEE) in the critically ill patient admitted to the general intensive care unit begins to turn out to be very important but it is still little spread. The full implementation of the echocardiography in the general intensive cares is compromised by the acoustic window. H...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2011-12-01 00:00:00
abstract：INTRODUCTION:Postpartum haemorrhage is still the main cause of maternal morbidity and mortality. Many treatments are available, but they may threaten fertility potential. As a uterine sparing procedure, we aimed to review uterine compression sutures in order to better understand when they should represent an appropriat...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.11987
更新日期：2019-10-07 00:00:00
abstract：:During pregnancy immunological, metabolic, hormonal and vascular changes occur, and can cause specific skin diseases. The specific dermatoses of pregnancy have undergone numerous changes in nomenclature and classification, partly due to advances in the knowledge of the pathogenesis of these skin diseases. Currently th...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2013-09-01 00:00:00
abstract：:In spite of being a rare form of neoplasia, melanoma is the ones which occur most frequently in pregnancy. Pregnancy does not seem to aggravate the prognosis. However, the authors present the case of a woman suffering from melanoma, in which the intercurrence of pregnancy led to the development of the disease. After 3...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：INTRODUCTION:Biological and biosimilar medicinal products have specific characteristics that call for a closer monitoring of their safety profile. Since the current legal framework stems from both European and national regulations, some gaps in the operational field may be expected. The goal of this paper is to identif...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.8079
更新日期：2017-03-31 00:00:00
abstract：:Maturity-onset diabetes of the young (MODY) is a rare form of juvenile diabetes mellitus, defined by early onset, absence of ketosis, non-insulin-dependent diabetes and autosomal dominant inheritance. Advances in molecular genetic analysis have identified mutations accounting for different MODY subtypes, all of them a...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2002-11-01 00:00:00
abstract：INTRODUCTION:Periarticular corticosteroid injection utilization by General Practitioners treating musculoskeletal disease in primary health care system is internationally acknowledged. This article aims at analyzing this evidence and contributing to the discussion of a potential development of the technique in Portugal...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2015-09-01 00:00:00
