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The authors reviewed the current literature regarding sex\u2010based differences in rhinology to summarize the data and identify critical knowledge gaps.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A scoping review was conducted. Publications reporting sex\u2010based differences in anatomy, physiology, and pathology focusing on disease prevalence, disease burden, and outcomes in rhinology were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010five relevant manuscripts were identified. While paranasal sinuses are of similar size at birth, they become larger in males leading to differences in ostium location. Females outperform males in olfactory identification but only in the 18\u2010 to 50\u2010year age group. Estrogen and progesterone administration can impact muscarinic and \u03b1<jats:sub>1<\/jats:sub>\u2010adrenergic nasal mucosa receptor density. Chronic rhinosinusitis (CRS) and CRS without nasal polyps are more prevalent in females while CRS with nasal polyps is more prevalent in males. CRS symptom burden is higher in females before and after endoscopic sinus surgery; however, no difference in endoscopic sinus surgery utilization was found based on sex. Allergic rhinitis is more common in males before puberty and in females after puberty. Epistaxis is more prevalent in males and postmenopausal females compared with premenopausal females, perhaps from differences in sex\u2010hormonal and hypertension status. In nasopharyngeal carcinoma, the incidence of sinus abnormalities was higher in males than females.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although many sex\u2010based differences exist in rhinology, further research is necessary to offer evidence\u2010based treatment guidelines. Gonadal hormones should be studied as a therapeutic in rhinologic pathology as baseline physiologic differences exist such as those found in nasal mucosa receptor density.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.23135","type":"journal-article","created":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T13:53:16Z","timestamp":1674481996000},"page":"1783-1800","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Biological sex as a modulator in rhinologic anatomy, physiology, and pathology: A scoping review"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8735-8472","authenticated-orcid":false,"given":"Shreya P.","family":"Ramkumar","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Mayo Clinic  Phoenix Arizona USA"},{"name":"Saint Louis University School of Medicine  Saint Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tripti","family":"Brar","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Mayo Clinic  Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Marks","sequence":"additional","affiliation":[{"name":"Division of Education, Department of Library Services Mayo Clinic  Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Marino","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Mayo Clinic  Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7593-2385","authenticated-orcid":false,"given":"Devyani","family":"Lal","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Mayo Clinic  Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22179"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhino13.138"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12663\u2010019\u201001314\u2010w"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.31486\/toj.19.0053"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276\u2010017\u20101949\u20101"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ar.24039"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817696302"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin18.193"},{"issue":"3","key":"e_1_2_9_10_1","first-page":"195","article-title":"Sphenoid sinus symmetry and differences between sexes [published correction appears in Rhinology. 2010 Mar;48(1):103. 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