{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:43:04Z","timestamp":1740166984862,"version":"3.37.3"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:00:00Z","timestamp":1701216000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Jet aircraft pilots are exposed to huge pressure variation during flight, which affect physiological functions as systems, such as the respiratory system.<\/jats:p><jats:p>\n          Objectives\u2003The objective of the present investigation was to evaluate inflammatory changes of paranasal sinuses of jet aircraft pilots before and after a jet aircraft training program, using multislice computed tomography (CT), in comparison with a group of nonairborne individuals with the same age, sex, and physical health conditions. A second objective of the present study was to assess the association between the ostiomeatal complex obstruction and its anatomical variations.<\/jats:p><jats:p>\n          Methods\u2003The study group consisted of 15 jet aircraft pilots participating in the training program. The control group consisted of 41 nonairborne young adults. The 15 fighter pilots were evaluated before initiating the training program and after their final approval for the presence of inflammatory paranasal sinus disease. The ostiomeatal complex anatomical variations and obstructions were analyzed in pilots after the training program.<\/jats:p><jats:p>\n          Results\u2003Jet aircraft pilots presented higher incidence of mucosal thickening in maxillary sinus and anterior ethmoid cells than controls. Prominent ethmoidal bulla showed significant association with obstruction of the osteomeatal complex.<\/jats:p><jats:p>\n          Conclusions\u2003Jet aircraft pilots present increased inflammatory disease when compared with nonairborne individuals. The presence of a prominent ethmoidal bulla is associated with ostiomeatal complex obstruction.<\/jats:p>","DOI":"10.1055\/s-0043-1773761","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T00:05:26Z","timestamp":1701302726000},"page":"e203-e210","source":"Crossref","is-referenced-by-count":0,"title":["Inflammatory Modifications in Paranasal Sinuses and Ostiomeatal Complex Anatomical Variations in Jet Aircraft Pilots: A Computed Tomography Study"],"prefix":"10.1055","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5281-7333","authenticated-orcid":false,"given":"Yeda","family":"da Silva","sequence":"additional","affiliation":[{"name":"School of Medicine, Institute of Radiology, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"},{"name":"School of Medicine, University of Buenos Aires, Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2375-5935","authenticated-orcid":false,"given":"Luciana","family":"Munhoz","sequence":"additional","affiliation":[{"name":"Department of Stomatology, School of Dentistry, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"},{"name":"Pinhais Medicine School, Pinhais, Paran\u00e1, PR, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7215-9369","authenticated-orcid":false,"given":"Jos\u00e9 Rodrigues","family":"Parga Filho","sequence":"additional","affiliation":[{"name":"School of Medicine, Institute of Radiology, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5247-3905","authenticated-orcid":false,"given":"Andreza Gomes","family":"Damasceno","sequence":"additional","affiliation":[{"name":"Pinhais Medicine School, Pinhais, Paran\u00e1, PR, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9982-068X","authenticated-orcid":false,"given":"Cesar Felipe Fran\u00e7a da","family":"Rosa","sequence":"additional","affiliation":[{"name":"Natal Air Base, Estrada para Aeroporto SN, Parnamirim, RN, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9233-0052","authenticated-orcid":false,"given":"Eduardo Bilaqui","family":"Zukovski","sequence":"additional","affiliation":[{"name":"Natal Air Base, Estrada para Aeroporto SN, Parnamirim, RN, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3576-1590","authenticated-orcid":false,"given":"Erik Zhu","family":"Teng","sequence":"additional","affiliation":[{"name":"Natal Air Base, Estrada para Aeroporto SN, Parnamirim, RN, 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