International Archives of Otorhinolaryngology最新文献

{"title":"Comparative Analysis of Endoscopic and Microscopic Myringoplasty.","authors":"Gabriel Souza Mares, Raquel Pinto Coelho Souza Dias, Felipe Costa Neiva, Cidia Vasconcellos","doi":"10.1055/s-0045-1809929","DOIUrl":"10.1055/s-0045-1809929","url":null,"abstract":"<p><strong>Introduction: </strong>Myringoplasty is a surgical procedure aimed at reconstructing the tympanic membrane, restoring acoustic protection to the round window, and improving sound conduction to enhance hearing, and prevent recurrent infections or otorrhea. This procedure can be performed either through microscopy or endoscopy.</p><p><strong>Objective: </strong>To compare the outcomes of endoscopic myringoplasty and microscopic myringoplasty.</p><p><strong>Methods: </strong>Data were retrospectively collected from the electronic medical records of patients who underwent myringoplasty either through microscopy or videoendoscopy at Hospital do Servidor Público Estadual de São Paulo (HSPE) between December 2015 and December 2020. We evaluated the therapeutic success rate, defined as tympanic membrane closure, the variation in the pre- and postoperative speech recognition threshold (SRT), and the incidence of immediate and late complications in each group.</p><p><strong>Results: </strong>We included 118 patients: 64 underwent microscopic myringoplasty (group 1) and 54, videoendoscopic myringoplasty (group 2). The groups were comparable in terms of mean age, sex, and body mass index (BMI). The surgical success rates were similar between the 2 groups: group 1: 70.3%; and group 2: 75.9% ( <i>p</i>  = 0.494). Group 1 presented a significant improvement in the mean postoperative hearing thresholds (30.0 ± 14.9) compared to the mean preoperative levels (41.0 ± 16.3) ( <i>p</i>  < 0.001), while group 2 did not present a statistically significant improvement (from 37.8 ± 14.7 preoperatively to 32.0 ± 20.7 postoperatively; <i>p</i>  = 0.284).</p><p><strong>Conclusion: </strong>Microscopic and endoscopic myringoplasty yielded similar tympanic membrane closure rates. However, the videoendoscopic procedures resulted in lower SRT reduction, while the microscopic procedures resulted in a higher rate of immediate postoperative complications.</p><p><strong>Level of evidence: </strong>3.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 3","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is it Possible to Reuse the University of Pennsylvania Smell Identification Test (UPSIT ^® )? The \"2 Zs\" Protocol.","authors":"Lissa Okamura Asada, Jaqueline Dos Santos Andrade, Lisandra Cardoso Bueno, Richard Louis Voegels, Fábio de Rezende Pinna, Marco Aurélio Fornazieri","doi":"10.1055/s-0045-1810003","DOIUrl":"10.1055/s-0045-1810003","url":null,"abstract":"<p><strong>Introduction: </strong>The University of Pennsylvania Smell Identification Test (UPSIT ^® ) is a reliable olfactory test that is easy and quick to apply. It is a one-time use test and its reuse is not recommended by the manufacturer.</p><p><strong>Objectives: </strong>Because in high-demand healthcare facilities testing all patients with UPSIT ^® can be costly, in this present study we sought to assess the feasibility of reusing the UPSIT.</p><p><strong>Methods: </strong>Two hundred and ninety healthy volunteers aged 18 and 40 without olfactory complaints participated in the study. Two hundred and forty volunteers underwent the UPSIT ^® scratching the small strip of the test doing only 2 Z-shaped scratches (\"2 Zs\" protocol); each UPSIT ^® was used 20 times by same-sex participants. The remaining fifty patients performed the UPSIT ^® in the standard single-use fashion. Adjusted multiple regressions relating to the olfactory test score, number of times the test was applied, and demographic variables were performed.</p><p><strong>Results: </strong>The mean scores using the UPSIT ^® repeatedly were lower than those done in the single-use standard fashion. Despite this, the scores remained stable until the tenth time the test was applied. When patients perform the UPSIT ^® in the \"2 Zs\" protocol, a correction factor of more 3 points was required in the final score.</p><p><strong>Conclusion: </strong>UPSIT ^® reuse up to 10 times is feasible when a 3-point correction factor is added to the final score. The \"2 Zs\" protocol described is an alternative to reduce costs in epidemiological studies. This study, however, is limited as it was carried out only with healthy individuals.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 3","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12473524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Key Performance Indicators Applied in Medicine.","authors":"Ricardo Ferreira Bento, Mara Edwirges Rocha Gândara, Silvio Pires Penteado","doi":"10.1055/s-0045-1809426","DOIUrl":"10.1055/s-0045-1809426","url":null,"abstract":"<p><strong>Introduction: </strong>Key performance indicators (KPIs) measure the critical functions and activities that must be performed in an organization to provide management with an assessment of quantity and quality, from which it can aid strategic decisions to achieve objectives.</p><p><strong>Objective: </strong>To map the literature review on KPIs in the context of medicine.</p><p><strong>Methods: </strong>In the literature review, we adopted a proposed model and made appropriate adaptations to it. The PubMed database was chosen, with filters applied to define a path. The findings of the articles were briefly discussed in comparison with others to highlight specific findings.</p><p><strong>Results: </strong>Almost 100 research articles were eligible for investigation in a wide range of third- and second-degree medical specialties. In these articles, the KPIs are numbered from 1 up to 797 qualitative and quantitative measures.</p><p><strong>Conclusions: </strong>The KPIs are not limited to a financial regime; instead, in the field of medicine, they play an important role in a wide range of medical specialties, from clinics, therapeutics, surgery, pharmacy, research, regulatory affairs, hospitalization, management, and product development. These indicators can be implemented and evaluated by different means, from simple resources such as home visit, telephone survey, cross-comparison with a benchmark, questionnaires, spreadsheets, to the most sophisticated technology, such as IT resources, artificial intelligence, the linear hinges model, the Research and Development/University of California, Los Angeles (RAND/UCLA) appropriateness method, and the Monte Carlo simulation.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 3","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12473520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Efficacy in the Treatment of Otomycosis using 10% Povidone-Iodine and Clotrimazole Solution: Randomized, Double-Blind Control Trial.","authors":"Pilasluck Numchaichanakij, Pattraporn Kreesaeng","doi":"10.1055/s-0045-1810001","DOIUrl":"10.1055/s-0045-1810001","url":null,"abstract":"<p><strong>Introduction: </strong>The main treatment of otomycosis has required the use of topical antifungal drops and/or acidifying agents. However, because of the availability issues of antifungal drops in developing countries, treatment with acidifying agents alone is necessary.</p><p><strong>Objective: </strong>The objective of this study was to compare the efficacy in the treatment of otomycosis using a 10% povidone-iodine and clotrimazole solution.</p><p><strong>Methods: </strong>Patients with otomycosis were assigned to 10% povidone-iodine group and Clotrimazole group. The patients were evaluated on the response of each group at 1, 2,4 and 8 weeks.</p><p><strong>Results: </strong>93 patients were assigned to the 10% povidone-iodine group and 95 patients to the Clotrimazole group. the response to treatment between groups. In the second week after treatment, 37.64% of the 10% povidone-iodine group and 40% of the Clotrimazole group had a good response to treatment (p = 0.551). In the fourth week after treatment, 52.69% of the 10% povidone-iodine group and 55.79% of the Clotrimazole group had a good response to treatment (p = 0.644). In the eighth week after treatment, 58.06% of the 10% povidone-iodine group and 64.21% of the Clotrimazole group had a good response to treatment (p = 0.642) In the 12th week after treatment, 76.34% of the 10% povidone-iodine group and 85.26% of the Clotrimazole group had a good response to treatment (p = 0.248).</p><p><strong>Conclusions: </strong>There were no significant differences in the response to between 10% povidone-iodine and Clotrimazole groups in the second, fourth, eighth and twelfths after treatment.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 3","pages":"1-4"},"PeriodicalIF":1.1,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12473514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Olfactory Training and Oral Corticosteroid Therapy for Persistent Postinfectious Hyposmia.","authors":"Maria Victoria Bastos Tavares, Gabriel de Souza Mares, Maria Fernanda Danieluk, Maria Dantas Costa Lima Godoy, Renata Chade Aidar Balasso, Davi Ferreira Soares, Fábio Akira Suzuki","doi":"10.1055/s-0045-1802575","DOIUrl":"10.1055/s-0045-1802575","url":null,"abstract":"<p><strong>Introduction: </strong>Postinfectious hyposmia gained special attention in the postpandemic era, and persistent cases are particularly difficult to treat. Many unproven therapies are used in clinical practice, including corticosteroids, with insufficient evidence.</p><p><strong>Objective: </strong>To establish the effectiveness of systemic corticosteroid therapy, associated with olfactory training, for persistent postinfectious hyposmia.</p><p><strong>Methods: </strong>Patients with persistent postinfectious hyposmia were divided, based on comorbidities, into control group (submitted to olfactory training alone) and test group (associated 7-day course of prednisone 40 mg). Olfactory evaluations were performed (visual analogue scale, Alcohol Sniff Test, and Connecticut Olfactory Test), at baseline, and at the 3- and 6-month follow-ups.</p><p><strong>Results: </strong>There was no statistically significant difference between the test (n = 10) and control (n = 7) groups ( <i>p</i>  > 0.05) for primary outcomes (visual analogue scale, Alcohol Sniff Test, and Connecticut Olfactory Test), although there was statistically significant improvement of Alcohol Sniff Test scores in both groups at 6 months ( <i>p</i>  > 0.05). The study's statistical power was reduced due to the small sample size. Even without randomization, the groups were not comparable only in terms of age ( <i>p</i>  > 0.05). Although no statistically significant association was found, there was a clear tendency for improvement in the overall olfactory function, which may be spontaneous or due to olfactory training. No side effects were reported.</p><p><strong>Conclusion: </strong>There was no statistically significant benefit of systemic corticosteroid therapy for patients with persistent postinfectious hyposmia ( <i>p</i>  > 0.05). Treatment with systemic corticosteroids should be individualized, and there is no consensus in the literature.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 3","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Head and Neck Cancer Patients' Quality of Life: A Bibliometric Analysis Using Network Visualization Mapping.","authors":"Sujal Parkar, Abhishek Sharma","doi":"10.1055/s-0045-1809665","DOIUrl":"10.1055/s-0045-1809665","url":null,"abstract":"<p><strong>Introduction: </strong>The quality of life of head and neck cancer patients is significantly impacted. Bibliometric analysis is crucial to get the scholarly landscape, figuring out the research area related to quality of life among head and neck cancer patients.</p><p><strong>Objective: </strong>To use network visualization mapping to perform a bibliometric analysis of the quality of life among head and neck cancer patients.</p><p><strong>Methods: </strong>A literature search was done using the Scopus database. The searched keywords among papers included the amalgamation of <i>quality of life</i> , and <i>head and neck cancer</i> . The data were extracted, and bibliometric analysis was performed based on the bibliometric indicators: the trend of article publishing, citations, leading countries, and institutions contributing to a publication, potential authors, journals, and frequently occurring keywords. Network visualization mapping was performed using the VOSviewer software (Leiden University).</p><p><strong>Results: </strong>A total of 366 articles met the predefined eligibility criteria and were selected for analysis. The selected papers were published in 57 journals between 1983 and 2024. The results provide insightful information on there being a maximum of 25 articles in 2022 and the highest citation count of 1,683 in 2001. Among 52 countries, the United States was the leading contributor, having published 75 articles. The top contributing institution was Liverpool University Hospital, Aintree, United Kingdom, with four articles. Roger Simon was the author with the most potential, and <i>Head and Neck</i> was an impactful journal. The most frequently occurring keywords were <i>quality of life</i> , <i>head and neck</i> , and <i>oral cancer</i> .</p><p><strong>Conclusion: </strong>The current bibliometric analysis identified the scholarly impact and characteristics of articles, which provide researchers and policymakers with baseline data to frame research strategies for improving quality of life among head and neck cancer patients.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 3","pages":"1-13"},"PeriodicalIF":1.1,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancements in the Treatment of Necrotizing Otitis Externa with Hyperbaric Oxygen: A Systematic Review.","authors":"Hassan Al Bazzal, Firas Hassan, Mohamad Tlais, Yehya Tlaiss","doi":"10.1055/s-0045-1809432","DOIUrl":"10.1055/s-0045-1809432","url":null,"abstract":"<p><strong>Introduction: </strong>Necrotizing otitis externa (NOE), also known as <i>malignant otitis externa</i> (MOE), is a severe infection that begins in the external auditory canal and can extend to adjacent tissues and bone. It primarily affects elderly, diabetic, and immuno-compromised patients. Despite the advancements in antibiotics and surgical interventions, NOE remains a condition with significant morbidity and mortality.</p><p><strong>Objective: </strong>To evaluate the efficacy of hyperbaric oxygen therapy (HBOT) as an adjunctive treatment for NOE, focusing on clinical outcomes and the potential benefits in refractory or advanced cases.</p><p><strong>Methods: </strong>We conducted a comprehensive literature search on the PubMed/MEDLINE and Cochrane Library databases for articles published from January 1980 to December 2023. The search terms included <i>hyperbaric oxygen therapy</i> , <i>necrotizing otitis externa</i> , and <i>refractory otitis</i> . A total of 8 studies met the inclusion criteria, comprising case reports, observational studies, and case series. Study quality was assessed through the Cochrane Risk of Bias tool and the Newcastle-Ottawa Scale.</p><p><strong>Results: </strong>The results indicate that HBOT shows promise in the treatment of NOE, with several studies reporting complete resolution of infection and prevention of recurrence, especially in refractory cases.</p><p><strong>Conclusion: </strong>The current evidence is insufficient to establish HBOT as a standard treatment for NOE; however, its potential benefits in improving clinical outcomes and reducing morbidity are significant. High-quality research, including randomized controlled trials, is necessary to validate the role of HBOT in NOE treatment. Where hyperbaric facilities are accessible, HBOT should be considered for refractory NOE cases.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 3","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Chitosan-Based Biodegradable Nasal Packs on Eustachian Dysfunction after Septoplasty.","authors":"Halil Elden, Mahmut S Yilmaz, Ahmet Cihan, Ebru M Guven, Ahmet Kara","doi":"10.1055/s-0045-1809433","DOIUrl":"10.1055/s-0045-1809433","url":null,"abstract":"<p><strong>Introduction: </strong>Bioabsorbable packs, which are frequently used after nasal surgery, have been recently deemed more comfortable than removable packs. If these packs cause lower levels of eustachian dysfunction than silicone nasal splint with integral airway, they would be a good alternative for nasal packing after septoplasty.</p><p><strong>Objective: </strong>To compare the effects of chitosan-based biodegradable nasal packs and silicone nasal septal splints with integral airway on the ventilation and pressure of the middle ear after septoplasty in patients with normal otoscopic examination.</p><p><strong>Methods: </strong>Patients who underwent septoplasty for nasal septal deviation with otoscopically-normal tympanic membranes and bilateral, normal type-A preoperative tympanograms were included. Following surgery, the patients were randomized into two groups (group P: chitosan-based biodegradable nasal packs; group S: silicone nasal septal splint).</p><p><strong>Results: </strong>The tympanometric pressures of all patients in both groups decreased, but more so in group S in the first 24 hours following surgery. These pressure differences between the 2 groups in the first 48 hours following surgery were statistically significant.</p><p><strong>Conclusion: </strong>The present study demonstrated that chitosan-based biodegradable nasal packs would be a good alternative for nasal packing after septoplasty.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 3","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electrical Stapedial Reflex Thresholds in Cochlear Implant Recipients with Cochlear Nerve Deficiency: A Retrospective Study.","authors":"Megha Sasidharan, Anil Kumar, Pratik Agarwalla","doi":"10.1055/s-0045-1808276","DOIUrl":"10.1055/s-0045-1808276","url":null,"abstract":"<p><strong>Introduction: </strong>Cochlear nerve deficiency (CND) is characterized by a thin or absent cochlear branch of the vestibulocochlear nerve, leading to sensorineural hearing loss (SNHL). The effectiveness of cochlear implants (CIs) in patients with CND is debated, with some studies indicating poor outcomes and others showing limited speech detection and discrimination abilities. Accurate objective measures are essential for a successful CI mapping.</p><p><strong>Objective: </strong>To investigate the use of global stimulation with live speech to measure electrically evoked stapedial reflex thresholds (eSRTs) in CI recipients with CND and compare the results with behavioral comfort levels.</p><p><strong>Methods: </strong>This retrospective study reviewed the CI database from January 2015 to December 2023 to identify patients with CND. The eSRT measurements following CI were conducted using a standard procedure. These levels were compared with the behavioral comfort levels from their mapping data.</p><p><strong>Results: </strong>From the CI database of 273 recipients, six children with CND were identified whose eSRT levels were documented. Among these six, two children exhibited presence of electrical stapedial reflexes that correlated well with behavioral comfort levels in response to global stimulation of electrodes. None of them presented reflexes to individual electrode stimulation.</p><p><strong>Conclusion: </strong>Global stimulation of electrodes has the potential to elicit eSRT in patients with CND more than individual electrode stimulation. Further research is crucial to validate the effectiveness of global stimulation in eliciting eSRT in a larger cohort of patients with CND. This would be a feasible test as an outcome measure, and it would help provide better prognostic counselling.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 3","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Concha Bullosa Associated with Nasal Septum Deviation and Mucosal Thickening of the Maxillary Sinuses? A Cone Beam Computed Tomography Study.","authors":"Débora Costa Ruiz, Letícia de Andrade Souza, Amanda Farias-Gomes, Deborah Queiroz Freitas","doi":"10.1055/s-0045-1809647","DOIUrl":"10.1055/s-0045-1809647","url":null,"abstract":"<p><strong>Introduction: </strong>Concha bullosa (CB) is an anatomical variation that can affect respiratory function. Therefore, identifying it is important.</p><p><strong>Objective: </strong>To evaluate the prevalence of CB and its association with the side of pneumatization (right/left), nasal septum deviation (NSD), and mucosal thickening of the maxillary sinuses using cone-beam computed tomography (CBCT) exams from a Brazilian subpopulation. Also, to investigate the association between CB, sex and age.</p><p><strong>Methods: </strong>There were 297 CBCT exams assessed by two examiners who evaluated the presence of CB (> 50% pneumatization of the turbinate's height), NSD (deviation point of the nasal septum and crista galli angle >9 ^o ), and mucosal thickening of maxillary sinuses (mucosa around the sinus walls > 3 mm in height). The association between CB and side, NSD, mucosal thickening of the maxillary sinuses, sex, and age were evaluated by the chi-squared and Fisher's exact tests (α = 5%).</p><p><strong>Results: </strong>A total of 208 CB was found, corresponding to 11.7% of the evaluated turbinates, being more prevalent in the middle one ( <i>p</i>  < 0.0001). Considering all exams, 132 (44.4%) had at least one CB. There was an association between the presence of middle left CB with NSD ( <i>p</i>  = 0.028). No other significant associations were found ( <i>p</i>  > 0.05).</p><p><strong>Conclusion: </strong>Almost half of the CBCT exams had at least one CB. Its prevalence was higher in the middle turbinate. There seems to be an association between middle CB and NSD. As for the other variables, no strong association was found.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 3","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}