RESUMO
The objective of this work was to estimate from the clinical, economic, and social standpoints the efficacy of medical aid provided to the patients with chronic suppurative otitis media (CSOM) and concomitant pathology of the nasal cavity by means of the one-step surgical intervention. The study included a total of 208 patients presenting with CSOM of whom 108 ones were treated by the traditional multistage method and the remaining 108 by simultaneous rhinootosurgery. The latter approach was shown to be much more efficacious in terms of clinical, economic, and social considerations.
Assuntos
Procedimentos Cirúrgicos Nasais , Doenças Nasais , Otite Média Supurativa , Procedimentos Cirúrgicos Otológicos , Adulto , Doença Crônica , Redução de Custos , Feminino , Humanos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Nasais/economia , Procedimentos Cirúrgicos Nasais/métodos , Doenças Nasais/complicações , Doenças Nasais/cirurgia , Otite Média Supurativa/complicações , Otite Média Supurativa/fisiopatologia , Otite Média Supurativa/cirurgia , Procedimentos Cirúrgicos Otológicos/economia , Procedimentos Cirúrgicos Otológicos/métodos , Avaliação de Processos e Resultados em Cuidados de Saúde , Assistência Perioperatória/economia , Assistência Perioperatória/métodosRESUMO
Bad breath typically originates in the mouth, often from the back of the tongue. Nasal problems also can cause bad breath; odor generated in this manner can be easily distinguished from mouth odor by comparing the odor exiting the mouth and nose. In most cases, good professional oral care combined with a daily regimen of oral hygiene--including interdental cleaning, deep tongue cleaning and optional use of an efficacious mouthrinse---will lead to improvement. This article discusses common causes of oral malodor as well as methods to assess the extent of the problem.