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O Consentimento e a Recusa Esclarecidos na Cirurgia Endonasal Avançada

2015-07Artigo científico Acesso aberto
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dc.contributor.authorSubtil, João
dc.contributor.authorAraújo, João Pedro
dc.contributor.authorSaraiva, José
dc.contributor.authorSantos, Alberto
dc.contributor.authorVera-Cruz, Paulo
dc.contributor.authorPaço, João
dc.contributor.authorPais, Diogo
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblBiblioteca Nacional de Portugal, Centro de Estudos Históricos, CELOM
dc.date.accessioned2018-05-07T22:02:00Z
dc.date.available2018-05-07T22:02:00Z
dc.date.issued2015-07
dc.description.abstractIntroduction: Olfaction is frequently affected in chronic rhino-sinusitis with polyposis and has been recognised to have important impact on quality of life. Surgical resolution on cases of maximal medical therapy failure is an option to relieve symptoms, with debates as to how extensive surgery should be. A more radical approach will achieve better disease control with less relapse, but can also compromise olfaction. This decision about a more radical surgical approach should be shared with the patient. Thorough informed consent regarding disease control and hyposmia should be taken. Material and Methods: Literature review and consultation with a board of experts. Results and Discussion: We propose some elements to be included in the informed consent discussion, in order to broadly address the surgical limitations regarding anosmia as a frequent complaint, as well as the different options and their associated consequences. Conclusion: Radical surgery decision making should be shared with the patient and the informed consent should be as thorough as possible regarding disease control and hyposmia resolution.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent4
dc.format.extent415466
dc.identifier.issn1646-0758
dc.identifier.otherPURE: 492780
dc.identifier.otherPURE UUID: 437356ea-3c1f-4094-9a38-bc78dd736e96
dc.identifier.otherresearchoutputwizard: 51655
dc.identifier.otherWOS: 000360974300016
dc.identifier.otherScopus: 84940642388
dc.identifier.otherPubMed: 26574988
dc.identifier.urihttp://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5858
dc.identifier.urlhttp://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5858
dc.language.isopor
dc.peerreviewedyes
dc.subjectEthics, Medical
dc.subjectOlfaction Disorders
dc.subjectNasal Polyps/surgery
dc.subjectNASAL POLYPOSIS
dc.subjectOUTCOMES
dc.subjectOtorhinolaryngologic Surgical Procedures
dc.subjectInformed Consent
dc.subjectENDOSCOPIC SINUS SURGERY
dc.subjectLIFE
dc.subjectDISORDERS
dc.subjectTreatment Refusal
dc.subjectIMPACT
dc.subjectQUALITY
dc.subjectEthics
dc.subjectMedical
dc.subjectInformed Consent
dc.subjectNasal Polyps/surgery
dc.subjectOlfaction Disorders
dc.subjectOtorhinolaryngologic Surgical Procedures
dc.subjectTreatment Refusa
dc.titleO Consentimento e a Recusa Esclarecidos na Cirurgia Endonasal Avançadapt
dc.title.alternativeInformed Treatment Consent and Refusal in Advanced Endonasal SurgeryThe Ethical Dilemma of Olfaction Sacrifice in Surgery for Chronic Rhinosinusitis with Polyposisen
dc.title.subtitleO Dilema Ético do Sacrifício do Olfacto na Cirurgia da Rino-Sinusite Crónica com Pólipospt
dc.typejournal article
degois.publication.firstPage513
degois.publication.issue4
degois.publication.lastPage516
degois.publication.titleActa Médica Portuguesa
degois.publication.volume28
dspace.entity.typePublication
rcaap.rightsopenAccess

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