Journal Information
Vol. 88. Issue S5.
Pages S1-S206 (November - December 2022)
Orphan rare diseases - The unified airways and its importance for the otorhinolaryngologist
Eulalia Sakano, Jose Dirceu Ribeiro
Braz J Otorhinolaryngol. 2022;88 Supl 5:S1-S3
Open access
Original articles
COVID-19 in otolaryngologists: a cross-sectional multicenter study
Fabrício Scapini, José Faibes Lubianca Neto, Roberto Dihl Angeli, Rita Carolina Pozzer Krumenauer, Ingrid Wendland Santanna, Luciana Pimentel Oppermann, Nedio Atolini Junior, Camila Degen Meotti, ... Gerson Schulz Maahs
Braz J Otorhinolaryngol. 2022;88 Supl 5:S4-S11

  • Otolaryngologists have a high risk of contamination by SARS-CoV-2.

  • The pandemic had a negative impact on ENT care.

  • Infections by SARS-CoV-2 were similar between ENTs and other health-care workers.

  • Personal protective equipment is essential for healthcare professionals.

Open access
Olfactory neuroepithelium in the middle turbinate: is there any impact on olfaction function after lateral marsupialization for concha bullosa surgery?
Onur İsmi, Feyzi Meşe, Harun Gür, İclal Gürses, Yusuf Vayısoğlu, Kemal Görür, Cengiz Özcan
Braz J Otorhinolaryngol. 2022;88 Supl 5:S12-S18

  • Lateral marsupialization is an effective method for restoration of both smell function and nasal breathing in concha bullosa patients.

  • The presence and quantity of olfactory mucosa in the middle turbinate may not significantly affect the postoperative smell function.

  • The underlying cause of olfactory deficit in middle turbinate concha bullosa patients seems to be middle meatus obstruction.

Open access
Outcomes of endoscopic and open resection of sinonasal malignancies: a systematic review and meta-analysis
Sijie Jiang, Ruohao Fan, Hua Zhang, Weihong Jiang, Zhihai Xie
Braz J Otorhinolaryngol. 2022;88 Supl 5:S19-S31

  • The overall survival rate of the endoscopic resection group was comparable with the open resection group.

  • The disease-free survival rate of the endoscopic resection group was higher than the open resection group.

  • The surgery approaches, the adjuvant therapy, the histopathology, and the T-stage have independent effects on the survival outcomes.

Open access
Nasal irrigation with corticosteroids in Brazil: the clinical response of 1% compounded budesonide drops and betamethasone cream
Gabriela Ricci Luz-Matsumoto, Erika Cabernite-Marchetti, Layla Sayuri Kaczorowski Sasaki, Germana Jardim Marquez, Laura Schmitt de Lacerda, Thiago Ribeiro de Almeida, Eduardo Macoto Kosugi
Braz J Otorhinolaryngol. 2022;88 Supl 5:S32-S41

  • Nasal irrigation with corticosteroids is effective in chronic rhinosinusitis.

  • Irrigation with corticosteroids is more effective in patients with nasal polyps and previous sinus surgery.

  • 1% compounded budesonide drops are better than betamethasone cream.

  • Higher doses of compounded 1% budesonide drops are more effective than lower ones.

Open access
Evaluation of nasal mucociliary clearance by saccharine test in rheumatoid arthritis
Hilal Yücel, Serpil Ergülü Eşmen
Braz J Otorhinolaryngol. 2022;88 Supl 5:S42-S46

  • Nasal involvement has not been fully addressed in Rheumatoid Arthritis (RA).

  • Nasal Mucociliary Clearance (NMC) time of RA patients was within normal limits and was similar to the control group.

  • Anti-cyclic citrated peptide (Anti-CCP) positivity may affect NMC time in RA patients.

Open access
Adaptation of the Pediatric Smell WheelTM to evaluate olfactory function in Brazilian children
Marco A. Fornazieri, Lucas K. Ebara, Rafael Goulart de Araújo, João Vitor Fernandes Lima, Felipe B. Favareto, Fábio R. Pinna, Richard L. Voegels, Richard L. Doty
Braz J Otorhinolaryngol. 2022;88 Supl 5:S47-S51

  • This study developed and validated the Pediatric Smell Wheel™ (PSW) for testing Brazilian children.

  • The Brazilian PSW differentiated the olfactory function of children with adenoid hypertrophy from that of healthy children.

  • A score below 7 out of 11 is a useful cutoff for defining microsmia in young children.

Open access
Age-dependent differences of the depth of olfactory fossa in children
Mehmet Güven, Halil Elden, Atılay Yaylacı, Ebru Mihriban Güven, Ahmet Kara, Ayla Tekin Orha
Braz J Otorhinolaryngol. 2022;88 Supl 5:S52-S56

  • The shape of the anterior skull base changes with age and is directly linked to the development of the paranasal sinuses.

  • Considering children under the age of 6, questions arise about the validity of Keros classification.

  • The high Keros I ratio and the low Keros III ratio in children aged 1–6 and the high rate of Keros III in the 12–18 age group were remarkable findings.

Open access
Prevalence of respiratory epithelial adenomatoid hamartomas (REAH) associated with nasal polyposis: an epidemiological study – how to diagnose
Maria Julia Abrão Issa, Vitor Ramos Ribeiro de Oliveira, Flavio Barbosa Nunes, Luís Otávio Giovanardi Vasconcelos, Luiz Felipe Bartolomeu Souza, Giancarlo Bonotto Cherobin, Roberto Eustáquio Santos Guimarães
Braz J Otorhinolaryngol. 2022;88 Supl 5:S57-S62

  • Olfactory cleft enlargement and opacification suggests hamartoma.

  • Individualized anatomopathological exam of material from the olfactory cleft.

  • Material examined by experienced pathologist.

  • Almost half of the patients with Nasal Polyps have hamartomas.

Open access
Comparing CPAP masks during initial titration for Obstructive Sleep Apnea Syndrome: one-year experience
Adriane Iurck Zonato, Cíntia Felicio Adriano Rosa, Luciana Oliveira, Lia Bittencourt
Braz J Otorhinolaryngol. 2022;88 Supl 5:S63-S68

  • Little attention has been paid to the effect of different mask styles on the effectiveness of PAP titration.

  • Recent advancements in mask designs provide better mask fit and more choices for patients, which may provide more positive CPAP experiences.

  • There is a concept that the oronasal mask increases upper airway resistance compared to the nasal masks.

  • The use of nasal or nasal pillow masks should be encouraged by sleep laboratories as the first choice on the CPAP titration night.

Open access
Three-dimensional cell culture for the study of nasal polyps
Carolina Nunes França, André Luis Lacerda Bachi, Eduardo Macoto Kosugi, Rogério Pezato, Gláucia Maria Machado Santelli, Jônatas Bussador do Amaral
Braz J Otorhinolaryngol. 2022;88 Supl 5:S69-S74

  • Cells in a 3D dimensional environment are more similar to in vivo than a monolayer.

  • In 3D environment the cells remained differentiated for a longer time.

  • Nasal polyp spheroids can be used to understand CRSwNP.

Open access
Changes in olfaction and taste in patients hospitalized for COVID-19 and their relationship to patient evolution during hospitalization
Pedro Antônio O.A. Gusmão, José Reinaldo C. Roveda, Ana Sophia M. Leite, Arnaldo S. Leite, Carolina C. Marinho
Braz J Otorhinolaryngol. 2022;88 Supl 5:S75-S82

  • A significant number of the patients had olfaction and taste disorders.

  • Olfaction and taste disorders were markers of better clinical evolution.

  • Predictors of better evolution can help to decongest the health system.

Open access
Potential effects of lowering the threshold of statistical significance in the field of chronic rhinosinusitis – A meta-research on published randomized controlled trials over last decade
Pooja Thakur, Vivek Jha
Braz J Otorhinolaryngol. 2022;88 Supl 5:S83-S89

  • p-value statistic has multiple demerits and limitations.

  • Lowering the p-value threshold from 0.05 to 0.005 would heavily alter the interpretation of RCTs in the last ten years.

  • Trial characteristics such as funding, single or multicentered status, or registration status, were not found contributing to reporting of a significant p-value.

  • Scientific literature needs to do away with over-reliance on p-value and there is a requirement for alternate methods of interpretation of results.

Open access
Fiberoptic endoscopic evaluation of swallowing and the Brazilian version of the Eating Assessment Tool-10 in resistant hypertensive patients with obstructive sleep apnea
Mariana Pinheiro Brendim, Carla Rocha Muniz, Thalýta Georgia Vieira Borges, Flávia Rodrigues Ferreira, Elizabeth Silaid Muxfeldt
Braz J Otorhinolaryngol. 2022;88 Supl 5:S90-S99

  • Resistant hypertensive with OSA have a high prevalence of deglutition disorders.

  • Changes in the oral phase of swallowing are inferred by FEES in these subjects.

  • Changes in the pharyngeal phase of swallowing are found by FEES in these subjects.

  • The greater severity of dysphagia is associated with higher EAT-10 scores.

  • The cutoff score for EAT-10 for screening of dysphagia is ≥1 in these subjects.

Open access
Three-dimensional image study of accelerated maxillary expansion in oral breathing kids
Fauze Ramez Badreddine, Lucia Hatsue Yamamoto, Andre Besen, Daniela Pimentel Machado Renófio Hoppe, Reginaldo Raimundo Fujita, Mario Cappellette Junior
Braz J Otorhinolaryngol. 2022;88 Supl 5:S100-S107

  • Rapid maxillary expansion can change the shape and physiology of the nose.

  • The soft tissues of the nose are fundamental for maintenance and stability of the nasal breathing pattern.

  • Soft tissues are directly related to the nasal valves.

Open access
Relationship of the anterior ethmoid sinus to the lacrimal sac: a computed tomography study
Beatriz de Costa Remor, Leonardo Balsalobre, Simone Haber Duellberg Von Faber Bison, Maria Helena Salgado Delamain Pupo Nogueira, Ana Taíse de Oliveira Meurer, David Caetano Bastos, Aldo Cassol Stamm
Braz J Otorhinolaryngol. 2022;88 Supl 5:S108-S111

  • The agger nasi is medial to the lacrimal sac in most patients.

  • The agger nasi can be considered an anatomical key point in endoscopic DCR.

  • The right and left sides of each patient have similar anatomy.

Open access
Surgical outcomes between two endoscopic approaches for maxillary cysts
Zhengcai Lou
Braz J Otorhinolaryngol. 2022;88 Supl 5:S112-S118

  • The headaches were the most common symptom of Maxillary Sinus (MS) Retention Cysts (RCs).

  • 70.1% of RCs within MS were in the inferior wall.

  • IMA combined with basal mucosa electrocoagulation and MMA alone provided similar symptomatic relief.

  • IMA had shorter operation times and lower postoperative recurrence rates of RCs.

  • There were no significant pairwise correlations between closure of the opening and symptomatic failure or cyst recurrence.

Open access
Acquisition of endoscopic nasal surgery skills with a lamb’s head model
Henrique F. de Oliveira, Valdes Roberto Bollela, Wilma Terezinha Anselmo-Lima, Donald Matthew Pianto, Carlos Augusto C.P. de Oliveira, Márcio Nakanishi
Braz J Otorhinolaryngol. 2022;88 Supl 5:S119-S125

  • After eight repetitions, there is a statistically significant increase in total score.

  • The mean duration of dissections decreased from 33 to 15min during training.

  • The lamb is a useful tool in the dissection learning process.

Open access
Surgical rehabilitation of cleft lip and/or palate: evaluation of the Brazilian public health system
Denise Maria M. L. da Silveira, Daniella Reis B. Martelli, Verônica Oliveira Dias, Mário Sérgio Costa da Silveira, Ianná Luana Freitas Almeida, Hercílio Martelli Júnior
Braz J Otorhinolaryngol. 2022;88 Supl 5:S126-S132
Open access
Comparison of scar outcomes of alar flare region using absorbable and non-absorbable sutures: a single-blind study
Mehmet Emrah Ceylan, Hasan Hüseyin Balıkçı
Braz J Otorhinolaryngol. 2022;88 Supl 5:S133-S139

  • During septorhinoplasty, alar base interventions are performed frequently.

  • One of the major factors affecting the scar outcome is the suture material used.

  • Absorbable sutures were reported to provide favorable cosmetic outcomes on skin wounds.

  • There is no study investigating scar outcomes of alar base using different sutures.

  • Vicryl rapid has worse scar outcomes on alar base compared to Polyproplyene.

Open access
Cone beam computed tomographic evaluation of infraorbital canal protrusion into the maxillary sinus and its importance for endoscopic surgery
Gozde Serindere, Mehmet Serindere
Braz J Otorhinolaryngol. 2022;88 Supl 5:S140-S147

  • Accurate diagnosis of ICP is very important in preventing infraorbital nerve damage in endoscopic sinus surgery.

  • Ignoring the ICP may cause undesirable results during endoscopic sinus surgery.

  • Therefore, in all conditions, maximum attention should be paid to anatomical variations in surgical procedures.

Open access
Effects of nigella sativa oil on allergic rhinitis: an experimental animal study
Recep Gul, Hasan Deniz Tansuker, Abdurrahman Bugra Cengiz, Melda Gul, Alper Tabaru, Funda Emre, Mehmet Faruk Oktay
Braz J Otorhinolaryngol. 2022;88 Supl 5:S148-S155

  • Nigella sativa oil has an anti-inflammatory efficacy on allergic rhinitis in animal model

  • Nigella sativa oil has similar effects with Mometasone furoate on allergic rhinitis in animal model

  • The frequency of sneezing and nose scratching movements decreased significantly in animals treated with Nigella sativa oil

Open access
Is there a relationship between tonsil volume and the success of pharyngeal surgery among adult patients with obstructive sleep apnea?
Silvia Matarredona-Quiles, Marina Carrasco-Llatas, Paula Martínez-Ruíz de Apodaca, Noelia Ortega-Beltrá, José Dalmau-Galofre
Braz J Otorhinolaryngol. 2022;88 Supl 5:S156-S161

  • A positive correlation exists between tonsil grade and volume.

  • Tonsil volume and surgical success were correlated.

  • The volume of the tonsils of those patients whose surgery was deemed a success was greater (9.2 cm3 vs. 5.5 cm3).

  • A tonsil volume greater than 6.5 cm3 was linked to success during pharyngeal surgery.

Open access
A clinical trial on 3D CT scan and polysomnographyc changes after rapid maxillary expansion in children with snoring
Rita Catia Brás Bariani, Renato Bigliazzi, Fauze Ramez Badreddine, Lucia Hatsue Yamamoto, Sergio Tufik, Gustavo Moreira, Reginaldo Raimundo Fujita
Braz J Otorhinolaryngol. 2022;88 Supl 5:S162-S170

  • RME should be a treatment option in children with SBT and maxillary hypoplasia.

  • The oropharynx volume increased after rapid maxillary expansion.

  • Differences in oropharyngeal volume between pre- and post RME in individuals with SDB.

Open access
Review articles
Sinonasal/basicranial myxofibrosarcoma: a report of 6 surgical cases combined with a literature review
Hongbing Li, Huan Wang, Dehui Wang
Braz J Otorhinolaryngol. 2022;88 Supl 5:S171-S178

  • So far surgery is the mainstay of treatment for sinonasal/basicranial MFS.

  • Negative surgical margin and re-excision for relapsed cases may be recommended to rhinologists.

  • Early diagnosis and better patient compliance may improve the prognosis.

Open access
Sphenochoanal polyps in children — a systematic review (1995‒2021)
Krystian Tywoniuk, Karolina Haber, Józef Mierzwiński
Braz J Otorhinolaryngol. 2022;88 Supl 5:S179-S187

  • Nasal polyps that originate from the sphenoid sinus and reach the nasopharynx are called sphenochoanal polyps.

  • Only 11 cases of sphenochoanal polyps in children have been described in the world English-language literature.

  • The symptoms of sphenochoanal polyps are nonspecific. The misdiagnosis can result in recurrences in patients with sphenochoanal polyp.

  • Sphenochoanal polyps should be kept in mind in the differential diagnosis of unilateral nasal cavity or paranasal sinuses masses.

Open access
A systematic review of smartphone applications and devices for obstructive sleep apnea
Peter M. Baptista, Fabricio Martin, Harry Ross, Carlos O’Connor Reina, Guillermo Plaza, Manuele Casale
Braz J Otorhinolaryngol. 2022;88 Supl 5:S188-S197

  • This paper provides a scientific literature review of consumer-direct apps and devices for the diagnosis, monitoring, and treatment of SDB.

  • Sleep apnea apps that had published literature or apps that could be used in a clinical setting were included in this systematic review.

  • Ten smartphone apps met the inclusion criteria.

  • The use of new technologies for diagnosis, monitoring and treatment of SDB hold great promise but remains in the early stages of development.

Open access
Case reports
A new combined approach to lost medial rectus muscle retrieval using the endoscopic transnasal approach, transcutaneous medial orbitotomy, and the sub-Tenon approach
Kosuke Takabayashi, Yohei Maeda, Hiroyuki Kagokawa, Masayoshi Nagamine, Nobuya Kataoka, Isao Ota, Taketoshi Fujita
Braz J Otorhinolaryngol. 2022;88 Supl 5:S198-S202
Open access
A case study of phantosmia cured by antibiotic treatment of an intranasal Pseudomonas stutzeri infection
Adam G. Evans, Laurie A. Temiz, Suleman J. Bangash
Braz J Otorhinolaryngol. 2022;88 Supl 5:S203-S206
Open access
Brazilian Journal of Otorhinolaryngology (English Edition)
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