{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T18:17:49Z","timestamp":1760984269513,"version":"build-2065373602"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,1,31]],"date-time":"2012-01-31T00:00:00Z","timestamp":1327968000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>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 S\u00e3o Paulo, Brazil, and the association between these findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Population sample.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 1101 randomly selected volunteers representing the adult population of S\u00e3o 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 993 volunteers (53.9% women), with a mean age of 41.8 \u00b1 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\u2010arched 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prevalence of otorhinolaryngologic symptoms and alterations in physical examination of the UA were high in the adult population of S\u00e3o Paulo, Brazil. The snoring and nasal symptoms were significantly associated with findings from UA physical examination and inspection of the facial skeleton.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599811434256","type":"journal-article","created":{"date-parts":[[2012,2,1]],"date-time":"2012-02-01T01:27:35Z","timestamp":1328059655000},"page":"757-763","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Systematic Evaluation of the Upper Airway in the Adult Population of S\u00e3o Paulo, Brazil"],"prefix":"10.1002","volume":"146","author":[{"given":"Renato","family":"Stefanini","sequence":"first","affiliation":[{"name":"Departamento de Otorrinolaringologia e Cirurgia de Cabe\u00e7a e Pesco\u00e7o Universidade Federal de S\u00e3o Paulo\u2013UNIFESP S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Tufik","sequence":"additional","affiliation":[{"name":"Disciplina de Medicina e Biologia do Sono Departamento de Psicobiologia Universidade Federal de S\u00e3o Paulo\u2013UNIFESP S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Claudia Mattos","family":"Soares","sequence":"additional","affiliation":[{"name":"Departamento de Otorrinolaringologia e Cirurgia de Cabe\u00e7a e Pesco\u00e7o Universidade Federal de S\u00e3o Paulo\u2013UNIFESP S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernanda Louise Martinho","family":"Haddad","sequence":"additional","affiliation":[{"name":"Departamento de Otorrinolaringologia e Cirurgia de Cabe\u00e7a e Pesco\u00e7o Universidade Federal de S\u00e3o Paulo\u2013UNIFESP S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lia Rita Azeredo","family":"Bittencourt","sequence":"additional","affiliation":[{"name":"Disciplina de Medicina e Biologia do Sono Departamento de Psicobiologia Universidade Federal de S\u00e3o Paulo\u2013UNIFESP S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rogerio","family":"Santos\u2010Silva","sequence":"additional","affiliation":[{"name":"Disciplina de Medicina e Biologia do Sono Departamento de Psicobiologia Universidade Federal de S\u00e3o Paulo\u2013UNIFESP S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Carlos","family":"Gregorio","sequence":"additional","affiliation":[{"name":"Departamento de Otorrinolaringologia e Cirurgia de Cabe\u00e7a e Pesco\u00e7o Universidade Federal de S\u00e3o Paulo\u2013UNIFESP S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,1,31]]},"reference":[{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318042aef7"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02718227"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000239111.24094.a3"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.134.4.429"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.01.17405960"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2003.12.004"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2007.08.009"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2008.11.001"},{"key":"e_1_2_9_10_2","unstructured":"Funda\u00e7\u00e3o Sistema Estadual de An\u00e1lise de Dados. 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