Sistematização semiotécnica endolaríngea com estudo comparativo dos endoscópios rígidos de 0°, 30°, 70° e 120° em adultos

• Ano de defesa: 2007
• Autor(a) principal: Setton, Antonio Roberto Ferreira
• Orientador(a): D'Ávila, Jeferson Sampaio
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Sergipe
• Programa de Pós-Graduação: Pós-Graduação em Ciências da Saúde
• País: BR
• Palavras-chave em Português: Semiotécnica; Endoscopia rígida; Endolaringe
• Palavras-chave em Inglês: Semiotic method; Rigid endoscopy; Endolarynx
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::MEDICINA
• Link de acesso: https://ri.ufs.br/handle/riufs/3710

The great motivation to the development of this research was justified for the necessity to define which the rigid endoscope used in surgeries of endolarynx that it possessed the best capacity of show this anatomical region, thus being searchs to create a methodology in which could demonstrate this idea. The rigid endoscopy of endolarynx, idealized in 1994 by Mário Andréa and Oscar Dias, is defined with semiotic method of enormous value in analyzes of the structures of this anatomical region and is used of four endoscopies with angle varied of 0°, 30°, 70° and 120°. We take as base the "Anatomical Areas of D'Avila" (D'Avila, 2003), endorsed in statistics of Fischer Exact Test and study of the descriptive retrospective type, we compare the images of 30 surgeries carried through in carrying patients of carried through illnesses varied of endolarynx in the period of July of 2005 the April of 2006. The elements of the set had been examined and operated in the Otocenter clinic and Hospital São Lucas (Aracaju-Sergipe) respectively. The age varied of 13 the 78 years, with 44,6 average of and medium of 45,5 years. We sequentially analyze endolarynx the 02 cm and the 01 upglottis cm, to the glottis level and the 01 subglottis cm, being the endoscopies located in position straight line and oblique line 45° for the right and the left and always above juxtaposed to the traqueal pipe. In all the distances and angle proposals were established the number of visualized areas (Anatomical Areas of D'Avila) being soon after carried through rigorous addition of related areas definite as numbers one, two and three. Thus, we define in percentile terms which the sequence of endoscopies with better visual performance, which in the distance with bigger number of show areas and which the position (straight line or oblique line) more including for the studied areas. We conclude to be the endoscope of 30° that one with the best global expositive capacity (35%), followed of the endoscope of 0° (29%), 70° (27%) and 120° with only 9% of show capacity. In the moving one at a distance, it was the 01 upglottis cm that if established the biggest number of areas observed (88 times) in relation to the too much searched distances. The oblique position (54%) if detached in expositive capacity in relation to the position straight line (46%). The compare with world-wide literature was not possible since it is about unknown study.