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

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dc.contributor.authorStefanini, Renato [UNIFESP]
dc.contributor.authorTufik, Sergio [UNIFESP]
dc.contributor.authorMattos Soares, Maria Claudia [UNIFESP]
dc.contributor.authorMartinho Haddad, Fernanda Louise [UNIFESP]
dc.contributor.authorAzeredo Bittencourt, Lia Rita [UNIFESP]
dc.contributor.authorSantos-Silva, Rogerio [UNIFESP]
dc.contributor.authorGregório, Luiz Carlos [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:27:13Z
dc.date.available2016-01-24T14:27:13Z
dc.date.issued2012-05-01
dc.description.abstractObjectives. 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.affiliationUniversidade Federal de São Paulo UNIFESP, Dept Otorrinolaringol & Cirurgia Cabeca & Pescoco, BR-04025002 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo UNIFESP, Disciplina Med Biol Sono, Dept Psicobiol, BR-04025002 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo UNIFESP, Dept Otorrinolaringol & Cirurgia Cabeca & Pescoco, BR-04025002 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo UNIFESP, Disciplina Med Biol Sono, Dept Psicobiol, BR-04025002 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipAFIP
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.format.extent757-763
dc.identifierhttp://dx.doi.org/10.1177/0194599811434256
dc.identifier.citationOtolaryngology-head and Neck Surgery. London: Sage Publications Ltd, v. 146, n. 5, p. 757-763, 2012.
dc.identifier.doi10.1177/0194599811434256
dc.identifier.issn0194-5998
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/34881
dc.identifier.wosWOS:000303559300015
dc.language.isoeng
dc.publisherSage Publications Ltd
dc.relation.ispartofOtolaryngology-head and Neck Surgery
dc.rightsAcesso restrito
dc.rights.licensehttp://www.uk.sagepub.com/aboutus/openaccess.htm
dc.subjectphysical examinationen
dc.subjectnasal cavityen
dc.subjectpharynxen
dc.subjectairway obstructionen
dc.subjectnasal obstructionen
dc.subjectadulten
dc.titleSystematic Evaluation of the Upper Airway in the Adult Population of São Paulo, Brazilen
dc.typeArtigo
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