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Informed Treatment Consent and Refusal in Advanced Endonasal Surgery: The Ethical Dilemma of Olfaction Sacrifice in Surgery for Chronic Rhinosinusitis with Polyposis

2015Journal article Open access
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dc.contributor.authorSubtil, J
dc.contributor.authorAraújo, JP
dc.contributor.authorSaraiva, J
dc.contributor.authorSantos, A
dc.contributor.authorVera-Cruz, P
dc.contributor.authorPaço, J
dc.contributor.authorPais, D
dc.date.accessioned2015-11-29T22:09:11Z
dc.date.available2015-11-29T22:09:11Z
dc.date.issued2015
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.pt_PT
dc.identifier.citationActa Med Port. 2015 Jul-Aug;28(4):513-6.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/10292
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.subjectAlterações do Olfactopt_PT
dc.subjectConsentimento Informadopt_PT
dc.subjectÉtica Médicapt_PT
dc.subjectPólipos/cirurgiapt_PT
dc.subjectProcedimentos Cirúrgicos Otorrinolaringológicospt_PT
dc.subjectRecusa ao Tratamentopt_PT
dc.subjectEthics, Medicalpt_PT
dc.subjectInformed Consentpt_PT
dc.subjectNasal Polyps/surgerypt_PT
dc.subjectOlfaction Disorderspt_PT
dc.subjectOtOtorhinolaryngologic Surgical Procedurespt_PT
dc.subjectTreatment Refusalpt_PT
dc.titleInformed Treatment Consent and Refusal in Advanced Endonasal Surgery: The Ethical Dilemma of Olfaction Sacrifice in Surgery for Chronic Rhinosinusitis with Polyposispt_PT
dc.title.alternativeO Consentimento e a Recusa Esclarecidos na Cirurgia Endonasal Avançada: O Dilema Ético do Sacrifício do Olfacto na Cirurgia da RinoSinusite Crónica com Pólipospt_PT
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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