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4501
Brazilian Academy of Paediatric Otorhinolaryngology Task Force – lingual frenulum disorders in childhood – evidence-based recommendations
Juliana Alves de Sousa Caixeta, Debora Bressan Pazinatto, Rita Carolina Pozzer Krumenauer Padoin, José Faibes Lubianca Neto, Melissa Ameloti Gomes Avelino, Vitor Guo Chen, Trissia Maria Farah Vazzoler, Leticia Teixeira Castellano, ... Rodrigo Guimarães Pereira
Braz J Otorhinolaryngol. 2026;92:
4501
Highlights

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    Most of methods to evaluate lingual frenulum lack internal or external validation.

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    The diagnosis of submucosal lingual frenulum is controversial.

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    Ankyloglossia does not cause speech delay, dysphagia, sleep apnoea or reflux.

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    Lingual frenotomy may reduce maternal pain during breastfeeding.

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    No surgical technique or instrument in frenectomy is superior to another.

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3465
Efficacy of Chinese herbal medicine in allergic rhinitis: a meta‐analysis
Huazhen Zhu, Yongyu Wang, Haoen Zhang, Qi Kang, Lei Xu, Ji Chen, Chen Chen, Jianqing Tao
Braz J Otorhinolaryngol. 2026;92:
3465
Highlights

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    CHM can enhance the efficacy of AR treatment.

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    CHM can improve patients’ quality of life.

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    CHM can result in a lower rate of adverse reactions.

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3399
A case-control study on preauricular congenital fistula surgery outcomes by Propensity Score Matching (PSM) analysis
Jibing Sun, Tingting Wang, Dong Chen, Yanyan Mao, Zhaomin Fan, Yuechen Han
Braz J Otorhinolaryngol. 2026;92:
3399
Highlights

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    PSM method used to match infection-localized and inflammation-quiescent groups.

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    No significant differences in healing or complications after stage I surgery.

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    PSM successfully balanced patient demographics for accurate clinical comparison.

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2715
Analysis on the plane and mechanism of tongue-originated obstruction in Obstructive Sleep Apnea Syndrome (OSAS) patients with macroglossia
Min Huang, Guohao Chen
Braz J Otorhinolaryngol. 2026;92:
2715
Highlights

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    The velopharyngeal plane was the most common site to develop obstruction.

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    Compared with the normal, retrolingual space was increased in the OSAS patients.

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    The dorsal tongue in contact with the soft palate during supine sleep for everyone.

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    Analysis of the mechanisms of tongue- originated obstruction in OSAS patients.

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    The choice of the surgical site is in the middle part of the tongue for OSAS.

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2712
Causal analysis of the impact of serum 25-hydroxyvitamin D levels on laryngeal cancer: A two-sample mendelian randomization study
Bo Li, Cuiping She
Braz J Otorhinolaryngol. 2026;92:
2712
Highlights

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    MR shows high serum 25(OH)D levels reduce laryngeal cancer risk.

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    GWAS suggests vitamin D may have a protective role against laryngeal cancer.

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    Vit D deficiency linked to higher laryngeal cancer risk, suggesting preventive.

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2627
Effects of inner ear abnormalities on middle ear mechanics: Findings from adults with MD and LVAS
Wen Jiang, Yi Mu, Huan Lin, Chanfeng Shen, Huiying Zhang, Fei Zhao, Yuehua Qiao, Xuanyi Li, Wen Liu
Braz J Otorhinolaryngol. 2026;92:
2627
Highlights

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    Unique WAI patterns reveal middle ear mechanics differences in MD and LVAS.

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    WAI differentiates MD and LVAS via WBA changes across frequencies.

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    VA imaging may improve WAI's use in diagnosing inner ear issues.

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2549
Management of cerebrospinal fluid leak after anterior clinoidectomy through an endoscopic endonasal approach: report of two cases
Rosario María Pérez Contreras, Melisa Rocío Gerloff, Enrique Herrera, Oscar Alejandro Paoletti
Braz J Otorhinolaryngol. 2026;92:
2549
Highlights

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    Endoscopic endonasal repair successfully managed CSF leaks after clinoidectomy.

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    Multilayer reconstruction achieved durable, recurrence-free closure.

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    Gasket-seal and nasoseptal flap techniques provided watertight repair.

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    Technique selection should be individualized according to defect features.

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2479
Competencies in head and neck surgery teaching for specialty residents. Position statement of Brazilian Head and Neck Surgery Society
Rogério Aparecido Dedivitis, Mario Augusto Ferrari de Castro, Fátima Cristina Mendes de Matos, Marianne Yumi Nakai, Leandro Luongo de Matos, Marco Aurélio Vamondes Kulcsar, Carlos Takahiro Chone, Luiz Paulo Kowalski, ... Bruna Carteiro Silva
Braz J Otorhinolaryngol. 2026;92:
2479
Highlights

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    A modified Delphi method with 25 experts was used to reach consensus.

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    46 competencies were approved with at least 90% agreement.

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    Competency-based training is essential for preparing surgeons.

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2409
Cochlear size variation among the Argentinian population
Maria Fernanda Di Gregorio, Ana Celeste Ferrari, Anandhan Dhanasingh, Maximo Zernotti, Mario Zernotti
Braz J Otorhinolaryngol. 2026;92:
2409
Highlights

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    Cochlear size is a clinically useful parameter for cochlear implantation.

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    Images are crucial to know the exact size of cochlea.

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    OTOPLAN® is a software design to 3D reconstruction for inner ear.

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    Argentine population appears to have slightly smaller cochlear size.

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2394
Tomographic comparison of the cochlea, oval window, round window and facial nerve between adults and children and their influence on cochlear implant surgery
Rogerio Hamerschmidt, Mohamad Feras Al-lahham, Bettina Carvalho, Mayara Risnei Watanabe, Rogério de Azevedo Hamerschmidt, Isadora Mansur Castro
Braz J Otorhinolaryngol. 2026;92:
2394
Highlights

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    Cochlear implant surgery via round window ensures less trauma.

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    Understanding morphology and anatomical relationships of the round window is important.

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    Angle between Round Window Membrane (RWM) and the Facial Nerve (FN) with the Coronal Plane (CP).

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    Vertical distance between Round Window Membrane (RWM) and the Facial Nerve (RWM-FN).

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    RWM-FN-CP angle is more acute, and the vertical distance (RWM-FN) is smaller in children.

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2314
Nomogram for predicting overall and cancer-specific survival in patients with postoperative follicular thyroid cancer
Xin Liu, Suidan Chen, Cangui Wu
Braz J Otorhinolaryngol. 2026;92:
2314
Highlights

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    Determine the influencing factors that affect the prognosis of patients with FTC.

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    Prediction of postoperative survival of FTC patients by Nomogram.

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    Helps to assess disease prognosis and select treatment options.

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2263
Causal role of immune cells in allergic rhinitis: A bidirectional Mendelian randomization study
Yuhan Tan, Xiaoyan Hu, Jing Zhang, Shuoyu Wan, Liang Jiang
Braz J Otorhinolaryngol. 2026;92:
2263
Highlights

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    Immune cells causally affect allergic rhinitis, guiding therapy and clinical study.

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    The study used two independent samples to avoid overfitting caused by duplication.

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    Bidirectional Mendelian randomization analysis effectively excluded reverse causality.

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    Multiple immune cells were evaluated for AR association, preventing single-marker bias.

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2223
Alterations of gut microbiome in chronic rhinosinusitis: insights from a mendelian randomization study
Ke-Shuang Wang, Jun-Hao Tu, Qian-Xing Wang, Sui-Zi Zhou, Jia-Rong Wu, Qian-Hui Qiu
Braz J Otorhinolaryngol. 2026;92:
2223
Highlights

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    Chronic rhinosinusitis impacts shift in the gut microbiome composition.

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    It may lower reduce Haemophilus parainfluenzae while increasing Bilophila.

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    It may alter gut environment, causing a rise of the hazardous microbes Bilophila.

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    It is linked to changes in gut microbiota's metabolic pathways.

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2075
Expectations Questionnaire for Adults with Cochlear Implants (EQA-CI): Translation, adaptation and cross-cultural validation to Brazilian Portuguese
Ingrid Barros Da Silva Santana, Fernanda Ferreira Caldas, Carolina Costa Cardoso, Francisco Wallison Lucena da Silva, Rayssa Pacheco Brito Dourado, Fayez Bahmad
Braz J Otorhinolaryngol. 2026;92:
2075
Highlights

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    The QEA-IC can be utilized with accuracy and reliability.

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    It identifies difficulties that can be adjusted to enhance outcomes.

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    Understanding expectations enhances the performance of the cochlear implant.

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2044
Efficacy and safety of corticosteroids in the management of chronic rhinosinusitis: A systematic review and meta-analysis of randomized and non-randomized studies
BinBin Wang, Feng Liu, Bo Wei
Braz J Otorhinolaryngol. 2026;92:
2044
Highlights

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    Corticosteroids reduce SNOT-22 scores by 16 points in CRS.

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    Endoscopic outcomes improve significantly with corticosteroid use.

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    Local therapy cuts systemic steroid dependence by 70%.

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    No increased risk of serious adverse events observed.

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2014
Combined endoscopic and open frontolateral laryngectomy for glottic tumors involving the anterior commissure
Leonardo Haddad, Fabio Pupo Ceccon, Leticia Angélica da Silva Souza, Beatrice Haase Ceccon, João Vitor Pincelli, Mateus Morais Aires
Braz J Otorhinolaryngol. 2026;92:
2014
Highlights

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    Combined approach enables precise resection of AC-involving glottic tumors.

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    Technique ensures oncologic safety with minimal healthy tissue removal.

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    Vocal fold reconstruction may enhance phonatory outcomes.

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    No cases of permanent tracheostomy or postoperative dysphagia.

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    Careful patient selection is key to optimizing outcomes.

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1943
Association between hepatitis B and C viruses and head and neck lymphoma: A case-control study
Wan-Hsun Tsai, Ching-Chih Lee, Ting-Shou Chang
Braz J Otorhinolaryngol. 2026;92:
1943
Highlights

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    A potential role for HBV in the development of H&N NHL and DLBC.

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    No significant link between HCV infection and H&N lymphoma.

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    Extranodal lymphomas are more commonly found in Waldeyer’s ring.

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1895
Otoprotective effect of the use of antioxidants on noise exposure in experimental studies with rodents – A systematic review with meta-analysis
Gabriela Guenther Ribeiro Novanta, Ana Carolina Odorizzi Zica, Maria Luiza Queiroz Sampaio, Camila de Castro Corrêa, Lucieny Silva Martins Serra, Andre Luiz Lopes Sampaio
Braz J Otorhinolaryngol. 2026;92:
1895
Highlights

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    Antioxidants provide protection against the effects of noise.

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    Studies that standardize the methodology in noise should be encouraged.

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    SYRCLE analysis revealed a high risk of bias in all eligible studies.

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    Divergences in methods impair the reliability and replicability.

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1881
Mendelian randomization and FinnGen analysis of the causal relationship between 473 gut microbiota species and chronic sinusitis
Chenguang Zhang, Yicong Wang, Chenghao Hu, Bin Guo, Huwei Jiang, Chunlong Zhao, Yuwen Wang
Braz J Otorhinolaryngol. 2026;92:
1881
Highlights

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    20 gut microbes linked to sinusitis: 7 risk (Francisellales), 13 protective (Firmicutes I).

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    Multi-method MR (IVW, Bayesian-weighted) and sensitivity tests confirm robustness.

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    Gut-sinus axis highlighted as a novel therapeutic target for precision medicine.

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    FinnGen cohort (393,619 individuals) supports large-scale causal inference.

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Brazilian Journal of Otorhinolaryngology (English Edition)