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22755
V Brazilian Consensus on Rhinitis – 2024
Dirceu Solé, Fábio Chigres Kuschnir, Antônio Carlos Pastorino, Clóvis F. Constantino, Clóvis Galvão, Débora Carla Chong e Silva, Eduardo Baptistella, Ekaterini Simões Goudouris, ... João Ferreira de Mello Júnior
Braz J Otorhinolaryngol. 2025;91:
22755
Highlights

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    This consensus brings together the most up-to-date information on rhinitis.

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    Anamnesis is the key point in the suspected diagnosis and phenotype identification.

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    It is especially important to recognize comorbidities.

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    One aspect that impacts adequate treatment is low patient compliance.

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7031
Brazilian Society of Otology task force – cochlear implant ‒ recommendations based on strength of evidence
Robinson Koji Tsuji, Rogério Hamerschmidt, Joel Lavinsky, Felippe Felix, Vagner Antonio Rodrigues Silva
Braz J Otorhinolaryngol. 2025;91:
7031
Highlights

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    Hearing preservation in Cochlear Implant (CI) surgery should be encouraged.

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    Even for patients with auditory nerve mutations, CI can still be recommended.

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    Despite gene therapy in preliminary studies with OTOF gene, CI is still indicated.

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    Patients with surgical wound infection should be evaluated and treated as quickly.

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6578
External auditory canal cholesteatoma: 20 years of experience
Federico Herranz, Julián Agustín Simkin, Federico Di Lella, Gabriela Perez Raffo
Braz J Otorhinolaryngol. 2025;91:
6578
Highlights

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    Clinical and surgical approaches used for managing external auditory canal cholesteatoma.

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    Non-surgical treatment effectively controlled 53.84% of external canal cholesteatomas.

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    Advanced cases required canaloplasty, reconstruction, or mastoidectomy.

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    95.83% of surgically treated patients showed no recurrence after follow-up.

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    Stage II was most common, accounting for 63.5% of cases.

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4316
Brazilian Society of Otology task force – single sided deafness – recommendations based on strength of evidence
Robinson Koji Tsuji, Rogério Hamerschmidt, Joel Lavinsky, Felippe Felix, Vagner Antonio Rodrigues Silva
Braz J Otorhinolaryngol. 2025;91:
4316
Highlights

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    CND and cCMV should be prioritized in the investigation of congenital SSD.

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    CI is not recommended in children with SSD due to CND.

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    CI is the most effective treatment for restoring hearing in SSD.

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    Insufficient evidence to determine auditory deprivation duration for CI in SSD.

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4219
Otomycosis risk after non-suppurative middle ear surgery
Fatih Gul, Ozgenur Kocak, Ali Ozturk, Mehmet Ali Babademez
Braz J Otorhinolaryngol. 2025;91:
4219
Highlights

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    Tympanomeatal flap advancement increases otomycosis risk by creating epithelial gaps.

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    Adhered cerumen removal damages the epithelial barrier, raising otomycosis risk.

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    Otomycosis does not impact tympanoplasty graft success.

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4208
Enlarged vestibular aqueduct with bilateral sensorineural hearing loss following cranial trauma: a case report
Alexandre Camilotti Gasperin, Bruna Timm Monteiro, Ellen Paula Schetz Zawierucha, Enrico Guido Oliveira Minniti, Matheus Roberto Schetz Alves, Pedro Henrique Vicari Passos
Braz J Otorhinolaryngol. 2025;91:
4208
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4175
Efficacy of the adjunctive use of photobiomodulation therapy in olfactory disorders in post-COVID-19 patients: A randomized controlled trial
Patricia Costa Oliveira, Luisa Oliveira Correia, Natalia Medeiros Dias Lopes, Gabriel Rodrigues Suassuna, Richard L. Doty, Fabio de Rezende Pinna, Richard Louis Voegels, Marco Aurelio Fornazieri
Braz J Otorhinolaryngol. 2025;91:
4175
Highlights

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    PBMT with steroids and training improved post-COVID olfaction, especially infrared.

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    Infrared had a 68% response rate, surpassing red light (43.5%) and control (26.1%).

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    PBMT with steroids and olfactory training was safe for treating smell disorders.

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3992
Sensorineural hearing loss and CT abnormalities in otosclerosis: Insights from otopathological specimens
Rafael da Costa Monsanto, Cassiano Mangini Dias Malpaga, Hélio Kiitiro Yamashita, Flávia Barros Suzuki, Norma de Oliveira Penido
Braz J Otorhinolaryngol. 2025;91:
3992
Highlights

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    Otosclerosis is linked to a high rate of Sensorineural Hearing Loss (SNHL).

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    The prevalence of SNHL we found is higher than earlier reported.

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    Many otosclerosis cases with sensorineural loss may go undiagnosed, hindering care.

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    Our study offers insights to support further research in diagnosis and treatment.

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3943
Pre-clinical training, technical adjustment and human case experience of transoral robotic surgery using Versius System
Guilherme Reimann Agne, Gustavo Nunes Bento, Marcelo Belli, Gustavo Becker Pereira, Renan Bezerra Lira, Leandro Luongo Matos, Luiz Paulo Kowalski
Braz J Otorhinolaryngol. 2025;91:
3943
Highlights

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    Transoral Robotic Surgery is well-established using the DaVinci system.

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    Transoral robotic surgery with the Versius System is currently in its initial stage.

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    A mannequin model was effective for training and setup configuration.

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    The first human case demonstrated feasibility and excellent results.

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    In our preliminary experience, Versius proved to be a promising robotic system.

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3849
Adenoid hypertrophy is directly associated with the severity of OSA in obese children: A pilot study
Victor Hugo da Costa Ferreira, Carolina Sponchiado Miura, Bruna de Alencar Custodio Lupoli, Denny Marcos Garcia, Bruno Carvalho Portes Lopes, Fernando Gustavo Stelzer, Fábio Lourenço Romano, Tabata Luna Garavazzo Tavares, ... Fabiana Cardoso Pereira Valera
Braz J Otorhinolaryngol. 2025;91:
3849
Highlights

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    Adenoid hypertrophy is intrinsically related to OSA severity in obese children.

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    DISE should be ideally recommended for children without adenotonsillar hypertrophy.

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    The parameters in awake and DISE evaluations were equally related to OSA severity.

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3660
Staging of oral cavity cancer in the 8th edition of the TNM classification: The role of computed tomography in the assessment of depth of invasion and extranodal extension
Leticia de Franceschi, João Manoel Miranda Magalhães Santo, Anniely Mourão de Abreu, Marco Aurélio Vamondes Kulcsar, Claudio Roberto Cernea, Marcio Ricardo Taveira Garcia, Rogerio Aparecido Dedivitis, Leandro Luongo Matos
Braz J Otorhinolaryngol. 2025;91 Supl 1:
3660
Highlights

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    Strong positive correlation between tumor thickness and tomographic depth of invasion.

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    Positive correlation between tomographic tumor thickness and pathological tumor thickness.

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    Positive correlation between tomographic depth of invasion and pathological depth of invasion.

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    Tomographic evaluation of deep of invasion upstaged most of lesions.

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3573
Factors associated with post‑operative complications in oral carcinoma: Prospective study
Paulo Victor Sola Gimenes, Daniel Abreu Rocha, Marco Aurélio Vamondes Kulcsar, Claudio Roberto Cernea, Leandro Luongo Matos
Braz J Otorhinolaryngol. 2025;91 Supl 1:
3573
Highlights

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    The most common complications were suture dehiscence and surgical site infections.

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    Tumor thickness >10 mm increased risk of complications.

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    Myocutaneous flap linked to higher complication rates.

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    High mGPS scores predicted worse postoperative outcomes.

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3491
Concentrated growth factors promote epithelization in the mastoid obliteration after canal wall down mastoidectomy
Mengyi Liu, Lue Zhang, Quanming Zhang, Nan Zeng, Shuo Li, Shuyue Guo, Yaqin Zhao, Mingxing Tang, Qiong Yang
Braz J Otorhinolaryngol. 2025;91:
3491
Highlights

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    Large mastoid cavity after CWD mastoidectomy should be obliterated properly.

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    HA particles used for cavity obliteration should be properly covered.

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    CGF promotes complete epithelialization of the mastoid cavity.

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3447
Risk factors for cervical lymph node metastasis in oropharyngeal cancer and its impact on prognosis
Li Zhang, Zhilin Li, Jing Wang, Chen Wang, Shuxin Wen
Braz J Otorhinolaryngol. 2025;91:
3447
Highlights

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    The proportion of HPV-positive OPSCC in the Shanxi region has reached 58.8%.

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    The status of lymph node metastasis has no significant impact on prognosis.

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    P16 status does not affect the incidence of cervical lymph node metastasis.

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    P16 positive reduces the risk of multiple lymph node metastases.

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3431
Long-term efficacy and safety of different biologics in treatment of chronic rhinosinusitis with nasal polyps: A network meta-analysis
Han Chen, Lin Wang, Jisheng Zhang, Xudong Yan, Longgang Yu, Yan Jiang
Braz J Otorhinolaryngol. 2025;91:
3431
Highlights

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    Dupilumab tops for CRSwNP in network meta-analysis, reducing NPS and symptoms.

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    Biologics exhibit comparable long-term safety to placebo.

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    Personalized biologic choice crucial in CRSwNP; prolonged studies needed.

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3343
A novel and effective surgical procedure for posterior nasal neurectomy in patients with allergic rhinitis
Weini Hu, Qiang Zuo, Dawei Wu, Yu Song
Braz J Otorhinolaryngol. 2025;91:
3343
Highlights

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    Minimally invasive procedure of posterior nasal neurectomy.

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    Accurate and cost-effective way to locate the sphenopalatine foramen.

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    Quicker postoperative wound recovery and fewer surgical complications.

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3288
Evaluation of mastoid volume and dimensions in unilateral microtia patients: retrospective study using High Resolution Computed Tomography (HRCT)
Trimartani Koento, Anita Amalia Sari, Mirta Hediyati Reksodiputro, Harim Priyono, Semiramis Zizlavsky, Reyhan Eddy Yunus, Joedo Prihartono, Mikhael Yosia
Braz J Otorhinolaryngol. 2025;91:
3288
Highlights

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    Reduced mastoid volumes in microtia ears offer novel anatomical insights.

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    Microtia ears show smaller mastoid height and area at specific levels.

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    Data aids in preoperative counselling and technique selection.

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    HRCT valuable for precise mastoid anatomy evaluation in microtia.

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    Mastoid variations crucial for optimal microtia surgical outcomes.

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3274
Isotretinoin use in rhinoplasty patients
Jholbert Cardoso Santana, Hugo Valter Ramos Lisboa, Leandro Azevedo de Camargo, Ricardo Araújo Meira Almeida, Lourival Mendes Bueno
Braz J Otorhinolaryngol. 2025;91:
3274
Highlights

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    It is possible concluding that isotretinoin has potential aesthetic benefits.

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    Studies have pointed towards improved skin appearance and nasal tip definition.

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    However, these benefits may be more visible in the initial postoperative period.

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    There are no protocols in the literature regarding dosage and duration of treatment.

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3272
Docetaxel and cisplatin induction chemotherapy with or without fluorouracil in locoregionally advanced head and neck squamous cell carcinoma: A real-world data study
Matheus Yung Perin, Vivian Naomi Horita, Daniel Naves Araújo Teixeira, Joyce Gruenwaldt, Eduardo Baldon Pereira, Carlos Takahiro Chone, Gustavo Jacob Lourenço, Ligia Traldi Macedo, Carmen Silvia Passos Lima
Braz J Otorhinolaryngol. 2025;91:
3272
Highlights

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    Induction therapy with TPF or TP has been indicated for advanced HNSCC patients.

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    TPF is more toxic and requires infusion device or in-hospital administration of 5-FU.

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    We analyzed the outcomes of advanced HNSCC patients treated with TPF or TP.

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    ICT regimens did not alter patients’ toxicity, response rate and survival.

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    TP is a good treatment option for advanced HNSCC in socioeconomically limited settings.

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3229
Rhinosinusitis: Evidence and experience – 2024
Fabrizio Ricci Romano, Wilma Terezinha Anselmo-Lima, Eduardo Macoto Kosugi, Eulalia Sakano, Fabiana Cardoso Pereira Valera, Marcus Lessa, Renato Roithmann, Shirley Pignatari, ... Otávio Bejzman Piltcher
Braz J Otorhinolaryngol. 2025;91:
3229
Highlights

  • •

    Prolonged Acute Viral Rhinosinusitis is a cold lasting more than 7–10 days, with slow and progressive improvement, reinforcing its typically viral origin.

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    Antibiotics should be used only in severe, unequivocally diagnosed ABRS. For moderated cases, the “watchful waiting/delayed prescription”, is recommended.

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    Suspicion of orbital complication should be investigated with contrast CT and hospitalization under intravenous antibiotic therapy. Consider surgery.

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    Surgery plays a very important role in the management of CRS. Either curative or providing control of the disease combined with medical treatment.

  • •

    Biologics are a good treatment option for some patients with severe CRSwNP refractory to standard treatment.

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Brazilian Journal of Otorhinolaryngology (English Edition)