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Journal Information
Issue
Cover Vol. 92. Issue 4. Vol. 92. Issue 4.
(July - August 2026)
Editorials
Hearing loss and cognitive decline: why Brazil needs a national campaign
Rogério Hamerschmidt, Vagner Antonio Rodrigues Silva, Arthur Menino Castilho
Braz J Otorhinolaryngol. 2026;92:
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The risks of hormones to the inner ear
Lucas Resende Lucinda Mangia, Raquel Mezzalira, Roseli Saraiva Moreira Bittar
Braz J Otorhinolaryngol. 2026;92:
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Original articles
Prognostic factors analysis of patients with oral cavity squamous cell carcinoma
Gustavo Mercuri, Isabella Grieger, Daniel Naves de Araújo, Fabio Lau, Carlos Takahiro Chone
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Surgical treatment improves survival and recurrence-free outcomes in OSCC.

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    Early-stage tumors have lower recurrence rates and better prognosis.

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    Advanced-stage diagnosis significantly worsens outcomes.

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    Large cohort study with over 10,000 patients from São Paulo, Brazil.

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Causal relationship between genetically predicted Enzyme and Tinnitus risk: a two-sample bi-directional mendelian randomization study
Peng Liu, Xinmiao Xue, Zhixin Zhang, Lijun Zhang, Yu Peng, Qi Song, Fangyuan Wang
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    The causal relationship between enzymes and tinnitus remain unclear.

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    5 proteases have protective effect on tinnitus and 4 proteases promote tinnitus.

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    Tinnitus reduce the content of 2 proteases and increase the content of 4 proteases.

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    A foundation for finding effective treatment targets for tinnitus was laid.

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CXCR4+ cells in NPC tumor sphere have metastatic potential
Zhenwei Zhu, Jingyu Li, Jingxian Liu, Yuan He, Pei Guo, Kaitai Yao, Lin Chen
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    CXCR4+ NPC cells show enhanced stemness, EMT, and metastasis.

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    CXCR4 correlates with NPC T/N stage and promotes tumor sphere formation.

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    SDF-1/CXCR4 axis drives metastasis with 500% increased lung nodules.

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    CXCR4+ subset upregulates Snail, Twist, Oct4, and downregulates E-cadherin.

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    CXCR4 may serve as a biomarker and therapeutic target for NPC.

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Morphometric investigation of the infraorbital canal and determination of its “suspended” variant: a multidetector computed tomography study
Mehmet Selcuk, Hamza Kasar, Murat Inci, Nadire Unver Dogan, Selim Cınaroglu, Mehmet Ozturk
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    MDCT was used to evaluate 600 infraorbital canals in 300 patients.

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    Suspended (Type 3) canal prevalence 13%, linked to Haller cells in 21.2%.

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    Type 3 canals were larger (D1, D2) and more common in younger patients.

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    Type 3 IOC raises nerve injury risk in sinus and endoscopic surgeries.

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    Preoperative MDCT is key to detect variants and improve surgical safety.

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Audiometric evaluation of bone conduction thresholds reveals subclinical sensorineural hearing loss in patients with ankylosing spondylitis and psoriatic arthritis
Dilara Bulut Gökten, Tolga Ersözlü, Murat Gökten, Ömer Atakan Soğur, Rıdvan Mercan
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Bone conduction thresholds were higher in AS and PsA vs. healthy controls.

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    Hearing loss may indicate subclinical cochlear involvement in SpA.

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    No significant difference was found between AS and PsA thresholds.

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    No consistent link between hearing thresholds and disease activity was seen.

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    Routine hearing tests may be needed in SpA, even without symptoms.

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Validation of the Olfato-UP olfactory test for the Brazilian population
Denis Massatsugu Ueda, João Vitor Bazzo Chiesa, Leonardo Honório de Souza, Natália Medeiros Dias Lopes, Ellen Cristine Duarte Garcia, Marco Aurélio Fornazieri
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Olfato-Up is a new Brazilian olfactory test designed for cost reduction and reusability.

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    The test demonstrated high reproducibility, sensitivity, specificity, and accuracy.

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    Validation was conducted in the Brazilian adult and elderly population.

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Systematic elucidation of the cross-omics regulatory network in chronic rhinosinusitis: the LAT-IL23R metabolic axis
Zongxiong Ou, Chen Gao
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Systematic elucidation of LAT-IL23R amino acid metabolic network in CRS.

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    Construction of “gene-protein-metabolite” regulatory network via MR and mediation.

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    LAT-IL23R axis modulates CRS via γ-glutamyltyrosine and trans-4-hydroxyproline.

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    Theoretical basis for targeted therapies against chronic rhinosinusitis.

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Olopatadine plus mometasone for seasonal allergic rhinitis treatment: A pooled analysis of clinical trials
Marcio Nakanishi, Luis Felipe Barreiras Carbone, Vineet Aggarwal, Roger Hereward Gordonsmith, Wen Wu, Hanmant Barkate, Wilma Terezinha Anselmo-Lima
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    First pooled analysis of Olopatadine/Mometasone FDC.

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    Reinforces significant improvements compared to mometasone and olopatadine.

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    Compiled safety data demonstrate low AEs and high adherence to treatment.

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Enhanced CT‑based radiomics model to predict CD40LG expression and clinical prognosis in head and neck squamous cell carcinoma
Liyuan Fan, Liang Shi, Haokun Yuan, Zhongchao Wang, Jinghan Wang, Feng Xian, Yandong Mu
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    CD40LG expression demonstrates independent prognostic significance in HNSCCs.

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    A 7-feature CT radiomics model non-invasively predicts CD40LG expression.

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    RS mapping CD40LG expression serves as an independent prognostic marker for HNSCCs.

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Causal associations between plasma metabolites and head and neck cancer: a bidirectional Mendelian randomization study
Zhaoyu Pan, Xueying Wang, Ziyuan Xu, Mingshui Lu, Xin Zhang, Lei Xiao
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    This study establishes a link between plasma metabolites and the risk of head and neck cancer.

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    1,2-dipalmitoyl-gpc (16:0/16:0), P-cresol glucuronide, and Nisinate (24:6n3) can improve the risk of head and neck cancer.

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    Targeting plasma metabolites can offer strategies for head and neck cancer’s treatment.

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Deep learning for discriminating cochlear malformations on temporal bone CT
Zhenhua Li, Langtao Zhou, Xiang Bin, Bin Liu, Anzhou Tang, Songhua Tan
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Deep learning shows great promise for diagnosing cochlear malformation.

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    ResNet50 and DenseNet121 demonstrate well compared to the chief physician.

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    Deep learning may be a valuable aid for experienced radiologists.

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Global research trends and hotspot evolution analysis of immunotherapy for allergic rhinitis: a multi-dimensional exploration based on bibliometrics
Jun Wu, Youwei Bao, Qi Chen, Xinhua Zhu
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    First bibliometric analysis of global allergic rhinitis immunotherapy research.

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    Triple shift: therapy→biologics, diagnostics→molecular, care→integrated.

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    Anti-IgE (omalizumab) and anti-IL-4Rα (dupilumab) are key biologics.

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Impact of hyperbaric oxygen as initial treatment on idiopathic sudden sensorineural hearing loss prognosis: a propensity scores matching analysis
Sanlin Xie, Weihong Hong, Lipeng Huang, Yongjun Hong
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    To assess the impact of HBOT as an initial treatment on ISSNHL prognosis.

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    HBOT combined with steroids did not significantly improve hearing recovery compared to steroids alone after PSM.

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    Propensity Score Matching (PSM) was used to balance covariates between groups and reduce confounding factors.

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Negligence, malpractice and recklessness committed by otorhinolaryngologists in the state of São Paulo-Brazil
Regina Maria Marquezini Chammes, Reginaldo Raimundo Fujita
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Negligence is the more frequent error committed by ENT in São Paulo State.

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    Most of the ethical penalties applied to ENT for medical error, were confidential.

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    Rhinology and Pharyngology were the areas with the highest number of convictions.

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    Otology was the subspecialty with the highest number of complaints.

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Effects of obstructive sleep apnea on circulating immune cells profiles: Evidence from NHANES dataset and Mendelian randomization
Yajie Jia, Xiang Gao, Shenglong Xu, Jingli Shi, Haifeng Hou, Yanru Li, Demin Han
Braz J Otorhinolaryngol. 2026;92:
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Serum metabolic biomarkers associated with self-reported chronic rhinosinusitis: a population-based cross-sectional study from the KNHANES
Han Chen, Lin Wang, Jisheng Zhang, Xudong Yan, Longgang Yu, Yan Jiang
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Identified high serum uric acid as a risk factor for chronic sinusitis.

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    Association observed in individuals with higher education and urban residents.

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    No significant link found between lipid or glucose metabolism and sinusitis risk.

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    Study underscores potential role of metabolic dysregulation in CRS pathogenesis.

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Effects and mechanisms of mascRNA regulate the proliferation, migration and invasion of Laryngeal Squamous Cell Carcinoma in vitro
Remark Jie Peng, Zengzhi Zhang, Sicheng Zhu, Yanqing Wu, Aoxuan Xu, Hui Li, Shiyin Ma, Xiaomin Wang
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Elevated mascRNA expression in Laryngeal squamous cell carcinoma clinical samples.

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    mascRNA enhances the proliferative capacity of LSCC cells and promotes tumor occurrence.

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    mascRNApromotes migration and invasion in LSCC cells.

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The impact of the COVID-19 pandemic on diagnostic procedures in hearing healthcare in Brazil: time series analysis and regional inequalities COVID-19 and hearing diagnostics in Brazil
Guilherme Corrêa Guimarães, Arthur Menino Castilho, Vagner Antônio Rodrigues da Silva
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    COVID-19 sharply reduced hearing diagnostic procedures in March 2020.

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    Recovery was uneven: North/Northeast rebounded; São Paulo lagged.

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    Post-pandemic screening decline risks delayed pediatric diagnoses.

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    OAE and ABR exceeded pre-pandemic levels, audiometry recovery modest.

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    Regional inequities persisted, reflecting wealth and infrastructure gaps.

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Oropharyngeal cancer management in the era of artificial intelligence for optimal decision-making
Mario Augusto Ferrari de Castro, Rogério Aparecido Dedivitis, Leandro Luongo de Matos, Caio Paschoalin Trindade, Bruno Pelinson Fogaça Duarte, Luiz Paulo Kowalski
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    NCCN guidelines used as reference for AI-driven cancer care evaluation.

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    LLMs tested for accuracy in oropharyngeal malignancy management.

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    Majority of AI outputs aligned with guideline-based recommendations.

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    Discrepancies highlighted areas where AI support remains limited.

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    Study reinforces AI as an adjunct, not a replacement, in oncology care.

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Characteristics of auditory and vestibular symptoms in patients with Meniere's disease
Marisa Klančnik, Marina Radoš, Petar Ivanišević, Draško Cikojević, Zaviša Čolović
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Meniere's disease is a rare chronic inner ear disorder with a diverse symptomatology.

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    Characteristics of audiovestibular symptoms is crucial for determining a diagnosis.

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    Disease progression increases hearing loss and vestibular hypofunction.

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    The ascending type of curve is more common in earlier stages and in younger subjects.

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    Flat type of curve is more common in later stages and in older subjects.

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Binaural interaction component in adults with normal hearing
Mariana de Carvalho Leal, Adilane de Sousa Costa Reis, Lilian Ferreira Muniz
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Binaural Interaction Component is an objective method for analyzing binaurality.

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    The BIC reflects the ability to recognize and integrate different auditory stimuli.

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    Auditory Evoked Potentials are neuroelectric activities of the auditory pathway.

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HPV genotyping in head and neck cancer: Insights from a Colombian cohort
Sergio D. Cruz-Romero, Andrea Estefanía Ramos, José A. Hakim, Alberto Escallón Cubillos, Ana M. Baldión, Sandra Perdomo, Paula Alejandra Baldión, Paula A. Rodríguez-Urrego
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Colombian study characterizing HPV genotypes in head and neck cancer.

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    Predominance of HPV-associated oropharyngeal squamous carcinomas.

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    HPV-16 identified as main genotype with other high-risk variants.

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    Strong concordance between HPV DNA and p16 expression confirmed.

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    Supports genotype-based HPV surveillance and prevention in Colombia.

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The effect of spreader graft use on voice in rhinoplasty cases: a prospective randomized controlled study
Burak Ulkumen, Sabri Mutlu, Onur Celik
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Spreader grafts protect essential voice formants in aesthetic rhinoplasty cases.

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    Significant acoustic deterioration observed in patients without spreader grafts.

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    Rhinoplasty may alter F3–F4 formants, affecting singer’s and speaker’s clusters.

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    Spreader grafts prevented postoperative rise in VHI-10 voice handicap scores.

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    First prospective double-blind trial evaluating voice outcomes in rhinoplasty.

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Analysis of neonatal hearing screening coverage by State in Brazil
Gabriel Caetano de Jesus, Victor Ary Câmara, Arthur Menino Castilho
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Neonatal Hearing Screening coverage in Brazil fell to 26.39% in 2023.

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    South led with 62.52% and the Federal District reached 83.19% coverage in 2023.

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    Auditory Brainstem Response tests have risen in number and proportion since 2018.

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Review articles
Sensitivity and specificity of the video head impulse test in the diagnosis of vestibular migraine – A systematic review and meta-analysis
Francisco Campelo da Fonseca Neto, Raquel Mezzalira, Vinicius Domene, Carlos Takahiro Chone
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    vHIT showed 42% sensitivity and 89% specificity for vestibular migraine.

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    Abnormal vHIT findings in 43% of patients with vestibular migraine.

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    Covert or overt saccades were reported in 36% of the included cases.

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    High specificity suggests vHIT may help rule in vestibular migraine.

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Sialendoscopy as treatment of face aesthetic surgery complications: technical note
Giulianno Molina Melo, Rafael Dias Romero, Marcello Rosano, Julia Geraldo Vieira, Murilo Catafesta Neves
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Sialendoscopy treats successfully facial cosmetic surgery salivary duct injury.

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    There is 100% salivary gland function preservation using sialendoscopy.

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    Facial cosmetic Surgery complications are rare, likely underreported globally.

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    Our study adds 5 new cases of sialendoscopy; 27 cases in total reported to date.

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    We strongly recommend early sialendoscopy for these cosmetic complications.

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Siltation and tidal effects: a comprehensive, clinical, and didactic approach to reasoning about vertebrobasilar hypoflow conditions
Arlindo Cardoso Lima Neto, Raquel Mezzalira, Roseli Saraiva Moreira Bittar
Braz J Otorhinolaryngol. 2026;92:
Highlights

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    Classification based on the analogy of sedimentation and tides.

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    Siltation effect refers to conditions that block blood in the vertebrobasilar system.

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    Tidal effect includes disorders that globally impair perfusion.

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    Recognizing these mechanisms guide therapeutic decision-making.

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Case reports
A tracheal ‘tumor’ revealed as granulation-encapsulated sunflower seed shell in a 23-month-old child
Xiaowei Chen, Feizhou Zhang, Jia Liu, Qunying Li, Yue Jin, Lei Wu
Braz J Otorhinolaryngol. 2026;92:
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Vocal paresis as an early or underrecognized manifestation of Post-Polio Syndrome
Gustavo Polacow Korn, Juliana Paulino do Amaral, Monique Medeiros de Moura Barreto Alves, Rosiane Yamazaki, Karlo Nunes, Hendrick Henrique Fernandes Gramasco, Noemi Grigoletto de Biase
Braz J Otorhinolaryngol. 2026;92:
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Letters to the editor
Brazilian Journal of Otorhinolaryngology (English Edition)