Systematic Evaluation of the Upper Airway in the Adult Population of São Paulo, Brazil

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dc.contributor.author Stefanini, Renato [UNIFESP]
dc.contributor.author Tufik, Sergio [UNIFESP]
dc.contributor.author Mattos Soares, Maria Claudia [UNIFESP]
dc.contributor.author Martinho Haddad, Fernanda Louise [UNIFESP]
dc.contributor.author Azeredo Bittencourt, Lia Rita [UNIFESP]
dc.contributor.author Santos-Silva, Rogerio [UNIFESP]
dc.contributor.author Gregório, Luiz Carlos [UNIFESP]
dc.date.accessioned 2016-01-24T14:27:13Z
dc.date.available 2016-01-24T14:27:13Z
dc.date.issued 2012-05-01
dc.identifier http://dx.doi.org/10.1177/0194599811434256
dc.identifier.citation Otolaryngology-head and Neck Surgery. London: Sage Publications Ltd, v. 146, n. 5, p. 757-763, 2012.
dc.identifier.issn 0194-5998
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/34881
dc.description.abstract Objectives. To study the prevalence of otorhinolaryngologic symptoms and findings of physical examination of the upper airway (UA) of a representative sample of the adult population of São Paulo, Brazil, and the association between these findings.Study Design. Cross-sectional survey.Setting. Population sample.Methods. A total of 1101 randomly selected volunteers representing the adult population of São Paulo according to sex, age, and socioeconomic class were included in this study. Otorhinolaryngological evaluation included investigation of nasal complaints, physical examination of the UA, and a facial inspection.Results. A total of 993 volunteers (53.9% women), with a mean age of 41.8 +/- 0.89 years, underwent otorhinolaryngologic examination. the most prevalent symptoms were the following: symptoms suggestive of rhinitis (44.9%), snoring (42.8%), mouth breathing (39.3%), and nasal obstruction (33.3%). in physical examination, the most common findings were a web palate (redundant posterior pillar; 62.9%), septum deviation (56.9%), and inferior turbinate hypertrophy (37.7%). Significant associations were found between nasal obstruction and septum deviations, inferior turbinate hypertrophy, high-arched palate, and class II dental occlusion; between symptoms of rhinitis and inferior turbinate hypertrophy; and between snoring and obstructive deviated septum, modified Mallampatti grades III and IV, increased neck circumference, and age greater than or equal to 50 years.Conclusions. the prevalence of otorhinolaryngologic symptoms and alterations in physical examination of the UA were high in the adult population of São Paulo, Brazil. the snoring and nasal symptoms were significantly associated with findings from UA physical examination and inspection of the facial skeleton. en
dc.description.sponsorship AFIP
dc.description.sponsorship Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorship Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.format.extent 757-763
dc.language.iso eng
dc.publisher Sage Publications Ltd
dc.relation.ispartof Otolaryngology-head and Neck Surgery
dc.rights Acesso restrito
dc.subject physical examination en
dc.subject nasal cavity en
dc.subject pharynx en
dc.subject airway obstruction en
dc.subject nasal obstruction en
dc.subject adult en
dc.title Systematic Evaluation of the Upper Airway in the Adult Population of São Paulo, Brazil en
dc.type Artigo
dc.rights.license http://www.uk.sagepub.com/aboutus/openaccess.htm
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo UNIFESP, Dept Otorrinolaringol & Cirurgia Cabeca & Pescoco, BR-04025002 São Paulo, Brazil
dc.description.affiliation Universidade Federal de São Paulo UNIFESP, Disciplina Med Biol Sono, Dept Psicobiol, BR-04025002 São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo UNIFESP, Dept Otorrinolaringol & Cirurgia Cabeca & Pescoco, BR-04025002 São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo UNIFESP, Disciplina Med Biol Sono, Dept Psicobiol, BR-04025002 São Paulo, Brazil
dc.identifier.doi 10.1177/0194599811434256
dc.description.source Web of Science
dc.identifier.wos WOS:000303559300015



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