O Consentimento e a Recusa Esclarecidos na Cirurgia Endonasal Avançada
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5858 |
Resumo: | Introduction: 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. |
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O Consentimento e a Recusa Esclarecidos na Cirurgia Endonasal AvançadaInformed Treatment Consent and Refusal in Advanced Endonasal SurgeryThe Ethical Dilemma of Olfaction Sacrifice in Surgery for Chronic Rhinosinusitis with PolyposisO Dilema Ético do Sacrifício do Olfacto na Cirurgia da Rino-Sinusite Crónica com PóliposEthics, MedicalOlfaction DisordersNasal Polyps/surgeryNASAL POLYPOSISOUTCOMESOtorhinolaryngologic Surgical ProceduresInformed ConsentENDOSCOPIC SINUS SURGERYLIFEDISORDERSTreatment RefusalIMPACTQUALITYEthicsMedicalInformed ConsentNasal Polyps/surgeryOlfaction DisordersOtorhinolaryngologic Surgical ProceduresTreatment RefusaIntroduction: 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.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNSubtil, JoãoAraújo, João PedroSaraiva, JoséSantos, AlbertoVera-Cruz, PauloPaço, JoãoPais, Diogo2018-05-07T22:02:00Z2015-072015-07-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article4application/pdfhttp://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5858por1646-0758PURE: 492780http://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5858info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:19:36Zoai:run.unl.pt:10362/36151Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:30:24.265940Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
O Consentimento e a Recusa Esclarecidos na Cirurgia Endonasal Avançada Informed Treatment Consent and Refusal in Advanced Endonasal SurgeryThe Ethical Dilemma of Olfaction Sacrifice in Surgery for Chronic Rhinosinusitis with Polyposis O Dilema Ético do Sacrifício do Olfacto na Cirurgia da Rino-Sinusite Crónica com Pólipos |
title |
O Consentimento e a Recusa Esclarecidos na Cirurgia Endonasal Avançada |
spellingShingle |
O Consentimento e a Recusa Esclarecidos na Cirurgia Endonasal Avançada Subtil, João Ethics, Medical Olfaction Disorders Nasal Polyps/surgery NASAL POLYPOSIS OUTCOMES Otorhinolaryngologic Surgical Procedures Informed Consent ENDOSCOPIC SINUS SURGERY LIFE DISORDERS Treatment Refusal IMPACT QUALITY Ethics Medical Informed Consent Nasal Polyps/surgery Olfaction Disorders Otorhinolaryngologic Surgical Procedures Treatment Refusa |
title_short |
O Consentimento e a Recusa Esclarecidos na Cirurgia Endonasal Avançada |
title_full |
O Consentimento e a Recusa Esclarecidos na Cirurgia Endonasal Avançada |
title_fullStr |
O Consentimento e a Recusa Esclarecidos na Cirurgia Endonasal Avançada |
title_full_unstemmed |
O Consentimento e a Recusa Esclarecidos na Cirurgia Endonasal Avançada |
title_sort |
O Consentimento e a Recusa Esclarecidos na Cirurgia Endonasal Avançada |
author |
Subtil, João |
author_facet |
Subtil, João Araújo, João Pedro Saraiva, José Santos, Alberto Vera-Cruz, Paulo Paço, João Pais, Diogo |
author_role |
author |
author2 |
Araújo, João Pedro Saraiva, José Santos, Alberto Vera-Cruz, Paulo Paço, João Pais, Diogo |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
dc.contributor.author.fl_str_mv |
Subtil, João Araújo, João Pedro Saraiva, José Santos, Alberto Vera-Cruz, Paulo Paço, João Pais, Diogo |
dc.subject.por.fl_str_mv |
Ethics, Medical Olfaction Disorders Nasal Polyps/surgery NASAL POLYPOSIS OUTCOMES Otorhinolaryngologic Surgical Procedures Informed Consent ENDOSCOPIC SINUS SURGERY LIFE DISORDERS Treatment Refusal IMPACT QUALITY Ethics Medical Informed Consent Nasal Polyps/surgery Olfaction Disorders Otorhinolaryngologic Surgical Procedures Treatment Refusa |
topic |
Ethics, Medical Olfaction Disorders Nasal Polyps/surgery NASAL POLYPOSIS OUTCOMES Otorhinolaryngologic Surgical Procedures Informed Consent ENDOSCOPIC SINUS SURGERY LIFE DISORDERS Treatment Refusal IMPACT QUALITY Ethics Medical Informed Consent Nasal Polyps/surgery Olfaction Disorders Otorhinolaryngologic Surgical Procedures Treatment Refusa |
description |
Introduction: 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. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-07 2015-07-01T00:00:00Z 2018-05-07T22:02:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5858 |
url |
http://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5858 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
1646-0758 PURE: 492780 http://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5858 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
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4 application/pdf |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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