The IAORL (International Archives of Otorhinolaryngology) is a peer-reviewed journal dedicated to otolaryngology, head and neck surgery, audiology, and speech therapy. The IAORL Scientific Merit Journal Prize is awarded every year and, [1] in 2018, it has awarded the three best systematic and/or literature reviews published in the journal in the year of 2017,[2] [3] [4] seeking to highlight articles that form the foundations and concepts of universal knowledge. We believe this serves to identify, evaluate, and interpret all available and relevant studies on a specific thematic issue. The objective is to review the state of the art, confront the existing evidence on a given subject, and thus lead to new lines of research. The 2018 manuscript awards nominees were selected among those who had their articles published in issues 1–4 of volume 21, based on novelty, impact, data quality, and number of online downloads by the journal readers.