International journal of pediatric otorhinolaryngology最新文献

英文中文

Changes in the epidemiology and severity of intracranial complications of pediatric upper respiratory tract infections after the COVID-19 pandemic 新冠肺炎大流行后儿童上呼吸道感染颅内并发症的流行病学变化

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-02-08 DOI: 10.1016/j.ijporl.2026.112754

Mohammad Sabobeh , Mark Betonio , Thomas Spentzas , Sandra Arnold , Stephen Pishko , Saad Ghafoor , Nicolas Chiriboga

引用次数: 0

Can we use peak expiratory flow rate monitoring in recurrent respiratory papillomatosis? 我们能否在复发性呼吸道乳头状瘤病中使用呼气峰值流速监测？

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-02-03 DOI: 10.1016/j.ijporl.2026.112750

S. Maistry , L.A. Sibiya , S. Thula

Background

Recurrent respiratory papillomatosis (RRP) is a chronic, HPV-induced disease characterized by the growth of benign, wart-like lesions within the upper aerodigestive tract, most commonly affecting the larynx. These lesions can lead to progressive voice changes and, in more severe cases, upper airway obstruction. Clinical evaluation, including flexible nasoendoscopic examination and symptom assessment, remains central to diagnosing and monitoring disease progression. However, due to the recurrent nature of RRP and the need for repeated surgical intervention, there is growing interest in identifying objective, non-invasive adjuncts to complement clinical evaluation and aid in disease monitoring.

Aim

To determine whether peak expiratory flow rate (PEFR) monitoring can serve as an effective adjunct for disease monitoring in RRP. To prove this, we aimed to demonstrate that post-operative PEFR values reflect expected clinical improvement when compared to pre-operative measurements, and that pre-operative PEFR correlates with disease severity when matched with intraoperative Derkay score.

Methods

38 patients were enrolled between July 2021 and September 2022. Each patient had PEFR readings recorded at each visit. Patients requiring surgical intervention, pre-operative and post-operative PEFR were recorded and Derkay scored intraoperatively (n = 30).

Results

Whilst the study size is small, the findings of this study do suggest that PEFR significantly improved post operatively, p value < 0.001, 95% CI; and PEFR correlated with disease severity showing an inversely proportional relationship between pre operative PEFR and intraoperative Derkay score, a medium correlation was observed between PEFR and disease severity (r = −.0.309, P > 0.05)

Conclusion

PEFR significantly improved in post-operative readings, indicating physiologic confirmation of the clinical observation that surgical debulking of respiratory papilloma causing upper airway obstruction results in functional improvements in airflow. PEFR correlates with disease severity, low PEFR correlated with higher Derkay scores.

背景：复发性呼吸道乳头状瘤病（RRP）是一种由hpv引起的慢性疾病，其特征是在上呼吸道消化道内生长良性疣样病变，最常见于喉部。这些病变可导致进行性声音改变，在更严重的情况下，可导致上呼吸道阻塞。临床评估，包括灵活的鼻内窥镜检查和症状评估，仍然是诊断和监测疾病进展的核心。然而，由于RRP的复发性和反复手术干预的需要，人们越来越关注寻找客观的、非侵入性的辅助手段来补充临床评估和帮助疾病监测。目的探讨呼气峰流速（PEFR）监测是否可作为RRP患者疾病监测的有效辅助手段。为了证明这一点，我们的目的是证明与术前相比，术后PEFR值反映了预期的临床改善，并且术前PEFR与术中Derkay评分相匹配时与疾病严重程度相关。方法在2021年7月至2022年9月期间纳入38例患者。每位患者在每次就诊时记录PEFR读数。记录需要手术干预的患者，术前和术后PEFR，术中Derkay评分（n = 30）。结果虽然研究规模较小，但本研究的结果确实表明术后PEFR显著改善，p值<； 0.001, 95% CI；术前PEFR与术中Derkay评分呈反比关系，PEFR与疾病严重程度呈中等相关性（r = - 0.309, P > 0.05）。生理上证实了手术清除呼吸道乳头状瘤引起的上气道阻塞，可改善气流功能的临床观察。PEFR与疾病严重程度相关，低PEFR与较高的Derkay评分相关。

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引用次数: 0

Determination of the normative values of the subjective visual vertical and horizontal test in the pediatric population. 确定儿童人群主观视觉垂直和水平测试的规范性值。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-02-03 DOI: 10.1016/j.ijporl.2026.112749

Sanem Can Sarıoğlu, Deniz Uğur Cengi̇z, Esra Buğra, Buşra Mazooğlu, Almıla Avşar

Background: Subjective Visual Vertical (SVV) and Subjective Visual Horizontal (SVH) tests are useful tests to identify central vestibular tone imbalances.

Aim: To determine the normal values of the Subjective Visual Vertical/Subjective Visual Horizontal (SVV/SVH) test in the pediatric group. The normative data were intended to be used as reference values in the vestibular evaluation of patients presenting with balance disorders and complaints of dizziness.

Materials and methods: The study included 60 individuals between the ages of 8 and 18. All participants underwent static and dynamic SVV and SVH testing using the Virtualis Virtual Reality device, based on a test-retest protocol with six different initial tilt angles (10°, -10°, 20°, -20°, 30°, -30°). Deviation angles were analyzed.

Results: Across all tilt angles, the mean deviation angle ranged from 1.93° to 2.44° for the static SVV test and from 1.73° to 2.31° for the static SVH test. For the dynamic SVV test, the mean deviation angle ranged from 10.47° to 11.42°, while in the dynamic SVH test, it ranged from 7.3° to 8.85° across all tilt angles.

Conclusion: As a result of this study, normative values for static and dynamic SVV and SVH tests using the Virtualis Virtual Reality Device were established for use in vestibular assessment in the pediatric population. The study contributes to the current literature by providing updated data, addressing the limited number of studies on static and dynamic SVV and SVH tests in pediatric populations.

背景：主观视觉垂直（SVV）和主观视觉水平（SVH）测试是识别中央前庭张力失衡的有用测试。目的：探讨儿童主观视垂直/主观视水平（SVV/SVH）指标的正常值。规范数据旨在作为前庭评估的参考值，以平衡障碍和头晕主诉的患者。材料和方法：该研究包括60名年龄在8至18岁之间的人。所有参与者使用Virtualis虚拟现实设备进行静态和动态SVV和SVH测试，基于六种不同初始倾斜角度（10°，-10°，20°，-20°，30°，-30°）的测试-重测试协议。分析了偏差角度。结果：在所有倾斜角度中，静态SVV测试的平均偏差角范围为1.93°至2.44°，静态SVH测试的平均偏差角范围为1.73°至2.31°。动态SVV试验的平均偏差角范围为10.47°~ 11.42°，动态SVH试验的平均偏差角范围为7.3°~ 8.85°。结论：本研究的结果是建立了使用Virtualis虚拟现实设备进行静态和动态SVV和SVH测试的规范值，用于儿科人群的前庭评估。该研究通过提供更新的数据，解决了儿科人群中静态和动态SVV和SVH检测的有限研究，从而对当前文献做出了贡献。

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引用次数: 0

Special issue ESPO 2025. ESPO 2025特刊。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-02-02 DOI: 10.1016/j.ijporl.2026.112741

Orlando Guntinas-Lichius

引用次数: 0

Evaluation of central auditory processing in children with developmental dyslexia. 发展性阅读障碍儿童中枢听觉加工的评价。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-30 DOI: 10.1016/j.ijporl.2026.112742

Senanur Kahraman Beğen, Müge Müzeyyen Çiyiltepe, Berkay Arslan

Objective: Developmental dyslexia is a neurodevelopmental disorder primarily characterized by phonological and reading difficulties. This study aimed to investigate temporal auditory processing and dichotic listening performance in children with developmental dyslexia and to explore their potential contribution to reading-related difficulties.

Methods: Sixty children aged 8-13 years participated in the study, including 30 children diagnosed with developmental dyslexia and 30 age-matched typically developing peers. Central auditory processing was assessed using the Staggered Spondaic Word (SSW) test for dichotic listening and the Frequency Pattern Test (FPT), Duration Pattern Test (DPT), and Random Gap Detection Test (RGDT) for temporal auditory processing.

Results: Children with developmental dyslexia demonstrated significantly poorer performance than controls across all temporal and dichotic auditory processing measures (p < 0.05). In the SSW test, the greatest performance difference was observed in the left competing condition. Temporal processing deficits were evident in frequency discrimination, duration pattern recognition, and gap detection tasks.

Conclusion: Children with developmental dyslexia exhibit weaknesses in temporal and dichotic auditory processing tasks. Given the linguistic demands inherent in some dichotic measures, these findings likely reflect an interaction between auditory and language-related processing rather than isolated auditory pathway dysfunction. Incorporating central auditory processing assessment into multidisciplinary dyslexia evaluations may contribute to more targeted diagnostic and intervention approaches.

目的：发展性阅读障碍是一种以语音和阅读困难为主要特征的神经发育障碍。本研究旨在探讨发展性阅读障碍儿童的时间听觉加工和二元听力表现，并探讨它们对阅读相关困难的潜在影响。方法：60名8-13岁的儿童参与研究，其中30名诊断为发展性阅读障碍的儿童和30名年龄匹配的典型发展同伴。中央听觉加工采用双听交错词（SSW）测试和时间听觉加工的频率模式测试（FPT）、持续时间模式测试（DPT）和随机间隙检测测试（RGDT）进行评估。结果：发展性阅读障碍儿童在所有时间和二元听觉加工测试中的表现明显低于对照组(p结论：发展性阅读障碍儿童在时间和二元听觉加工任务中表现出弱点。考虑到某些二分法固有的语言需求，这些发现可能反映了听觉和语言相关处理之间的相互作用，而不是孤立的听觉通路功能障碍。将中枢听觉处理评估纳入多学科阅读障碍评估可能有助于更有针对性的诊断和干预方法。

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引用次数: 0

Examining Tympanostomy Tube Outcomes in Indigenous vs. Non-Indigenous Children of Northern Quebec 北魁北克省土著儿童与非土著儿童鼓膜造瘘管结果的比较

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-28 DOI: 10.1016/j.ijporl.2026.112743

Saruchi Bandargal , Catherine F. Roy , Lily HP. Nguyen , Lamiae Himdi , Tamara Mijovic , Jeffrey C. Yeung

Objectives

Chronic otitis media with effusion (COME) and recurrent acute otitis media (rAOM) pose significant burdens on pediatric patients and their families. These conditions disproportionately affect marginalized populations, such as Indigenous communities in Canada, where higher incidence rates and reduced access to care are well documented. This study aims to better understand the sequelae of rAOM/COME following tympanostomy tube (TT) insertion in Indigenous pediatric patients living in northern Quebec.

Methods

A retrospective matched cohort study was conducted on children who underwent TT insertion. Indigenous patients were matched 1:2 by age and gender with non-Indigenous controls. Data collected included comorbidities, TT indications, surgical history, cancellation rates, otolaryngology and audiology assessments (pre- and post-operative), operative notes, and follow-up documentation.

Results

A total of 240 patients (80 Indigenous and 160 non-Indigenous) were analyzed. Baseline characteristics, surgical wait times (p = 0.18), and time to first follow-up (p = 0.33) were similar. At first follow-up (mean 5.4–5.9 months), Indigenous children were more likely to have tympanic membrane perforation (6.2 % vs. 1.3 %, p = 0.04). Tube extrusion was observed in 23.8 % of Indigenous children versus 15 % of non-Indigenous children (p = 0.054). Among Indigenous patients, Inuit children had a significantly higher extrusion rate (50 %) compared to First Nations children (23.3 %) (p = 0.04).

Conclusion

While access to care appears equitable post-referral, Indigenous children—particularly Inuit—exhibit higher rates of tympanic membrane perforation and possible early tube extrusion. These differences underscore the need for tailored approaches and further investigation into population-specific pathophysiology.

目的慢性中耳炎伴渗出性中耳炎（COME）和复发性急性中耳炎（rAOM）给儿童患者及其家庭带来了沉重的负担。这些疾病对边缘化人群的影响尤为严重，例如加拿大的土著社区，那里的发病率较高，获得医疗服务的机会减少，这是有据可查的。本研究旨在更好地了解居住在魁北克北部的土著儿童患者中鼓膜造瘘管（TT）置入后rAOM/COME的后遗症。方法采用回顾性匹配队列研究方法对接受TT插入的儿童进行研究。土著患者按年龄和性别与非土著对照组1:2匹配。收集的数据包括合并症、TT适应症、手术史、取消率、耳鼻喉和听力学评估（术前和术后）、手术记录和随访文件。结果共分析240例患者，其中原住民80例，非原住民160例。基线特征、手术等待时间（p = 0.18）和首次随访时间（p = 0.33）相似。在第一次随访时（平均5.4-5.9个月），土著儿童更容易出现鼓膜穿孔（6.2%比1.3%,p = 0.04）。23.8%的土著儿童出现管挤压，而非土著儿童为15% （p = 0.054）。在土著患者中，因纽特儿童的挤压率（50%）明显高于第一民族儿童（23.3%）（p = 0.04）。结论：虽然转诊后获得护理的机会公平，但土著儿童，特别是因纽特人，鼓膜穿孔和早期管挤压的发生率较高。这些差异强调需要量身定制的方法和进一步研究人群特异性病理生理学。

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引用次数: 0

Does a TEOAE refer / AABR pass profile at the neonatal hearing screening indicate risk? 新生儿听力筛查时的TEOAE参考/ AABR通过情况是否表明存在风险？

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-28 DOI: 10.1016/j.ijporl.2026.112748

Francesca Forli, Silvia Capobianco, Letizia Palazzo, Luca Bruschini, Stefano Berrettini, Francesco Lazzerini

Objectives: To evaluate the long-term outcomes of infants with a "refer" result on transient evoked otoacoustic emissions (TEOAE) but a subsequent bilateral "pass" on the automated auditory brainstem response (AABR) at neonatal screening, with the goal of determining the risk of permanent hearing loss and potential functional consequences during childhood of this profile.

Methods: We retrospectively analyzed infants born between 2011 and 2019 at Pisa University Hospital (Italy) who failed TEOAE but passed bilateral AABR. Long-term follow-up was conducted ≥5 years after screening using a structured telephone questionnaire on functional outcomes (speech therapy, language delay, school difficulties, formal diagnosis of hearing loss). Children with positive responses were recalled for in-person audiological testing.

Results: Among 16,574 screened newborns, 74 (0.45 %) showed a TEOAE "refer" but bilateral AABR "pass". Long-term data were obtained for 63 children (85.1 %), with a mean follow-up age of 9.2 years (median 10, range 5-12). Of the 25 children who reported at least one functional difficulty and underwent in-person audiological reassessment, three (4.7 % of the total cohort) showed conductive hearing loss, while all others had normal pure-tone thresholds (≤20 dB HL bilaterally). The conductive losses were associated with otitis media with effusion and underlying conditions such as Down syndrome or cleft palate. Despite these findings, 25 children (39.7 %) were reported to have functional difficulties, including need for speech therapy, language delay, or school problems.

Conclusions: This is the first study to report long-term (>5 years) outcomes in children with a TEOAE "refer"/bilateral AABR "pass" profile. In this cohort, no cases of permanent hearing loss were identified. However, the relatively high prevalence of functional difficulties highlights the importance of pediatric surveillance to ensure timely recognition of developmental issues.

目的：评估新生儿筛查中瞬时诱发耳声发射（TEOAE）结果为“参考”，但随后双侧自动听觉脑干反应（AABR）结果为“通过”的婴儿的长期预后，目的是确定这种情况下儿童时期永久性听力损失的风险和潜在的功能后果。方法：回顾性分析2011年至2019年在意大利比萨大学医院出生的TEOAE失败但通过双侧AABR的婴儿。筛选后使用结构化电话问卷对功能结果（语言治疗、语言延迟、学习困难、听力损失的正式诊断）进行长期随访≥5年。阳性反应的儿童被召回进行现场听力学测试。结果：16574例新生儿中，74例（0.45%）TEOAE“正常”，但双侧AABR“通过”。63名儿童（85.1%）获得了长期数据，平均随访年龄为9.2年（中位10年，范围5-12年）。在25名报告至少一项功能困难并接受现场听力学重新评估的儿童中，3名（占总队列的4.7%）表现为传导性听力损失，而所有其他儿童的纯音阈值正常（双侧≤20 dB HL）。传导性损失与中耳炎积液和潜在疾病如唐氏综合征或腭裂有关。尽管有这些发现，25名儿童（39.7%）报告有功能障碍，包括需要言语治疗、语言迟缓或学校问题。结论：这是第一个报告TEOAE“参考”/双侧AABR“通过”患儿长期（50 - 5年）结局的研究。在这个队列中，没有发现永久性听力损失的病例。然而，相对较高的功能障碍患病率突出了儿科监测的重要性，以确保及时识别发育问题。

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引用次数: 0

Progressive analysis of language and sensory profile skills in children with auditory brainstem implants and cochlear implants 植入听觉脑干和人工耳蜗儿童语言和感觉技能的进展分析

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-28 DOI: 10.1016/j.ijporl.2026.112747

Nuriye Yildirim Gökay , Banu Baş , Beyza Demi̇rtaş Yilmaz , Esra Yücel

Purpose

This study aimed to analyze and compare the sensory profiles and language skills of children with auditory brainstem implants (ABI) and cochlear implants (CI) over one year.

Method

This prospective comparative study included 24 children aged 6–8 years and 11 months, consisting of 12 bimodal CI-ABI users and 12 bilateral CI users. All children received scheduled auditory rehabilitation and audiological follow-ups. Sensory profiles were assessed using the Sensory Profile scale, while school-age language skills were evaluated using the Test of Language Development-Primary: Fourth Edition. The language and sensory profile scores of the children from one year prior and later to the study were compared. Additionally, the progress levels of the groups within one year were compared.

Results

Both children with CI and ABI demonstrated significant improvements in verbal language skills (e.g., sentence repetition, p < 0.001), registration, sensory seeking, sensory input processing, low endurance, and fine motor skills over the year. However, children with CI showed significantly greater progress in verbal language composite scores (p = 0.015) and subskills such as registration and fine motor skills (p < 0.05) compared to the ABI group. Multivariate analysis further revealed that hearing loss etiology and implantation mode were significant factors influencing developmental outcomes.

Conclusion

Hearing implants not only enhance language skills but also facilitate progress in children's sensory profile sub-skills. A holistic approach that evaluates hearing, language, and overall development is recommended for hearing-impaired children.

目的分析和比较听性脑干植入（ABI）和人工耳蜗植入（CI）儿童1年内的感觉特征和语言技能。方法本前瞻性比较研究纳入24例6-8岁11个月的儿童，其中12例双侧CI- abi使用者和12例双侧CI使用者。所有儿童均接受预定的听力康复和听力学随访。感官档案使用感官档案量表进行评估，而学龄语言技能使用语言发展测试-小学：第四版进行评估。研究人员比较了研究前后一年儿童的语言和感官评分。此外，比较两组在一年内的进展水平。结果CI和ABI患儿在言语语言技能（如句子重复，p < 0.001）、注册、感觉寻找、感觉输入处理、低耐力和精细运动技能方面均有显著改善。然而，与ABI组相比，CI组儿童在口头语言综合得分（p = 0.015）和子技能（如注册和精细运动技能）方面的进步明显更大（p < 0.05）。多因素分析进一步显示，听力损失的病因和植入方式是影响发育结局的重要因素。结论植入助听器不仅能提高儿童的语言能力，还能促进儿童感觉轮廓亚技能的进步。一个全面的方法，评估听力，语言，和整体发展建议听障儿童。

{"title":"Progressive analysis of language and sensory profile skills in children with auditory brainstem implants and cochlear implants","authors":"Nuriye Yildirim Gökay , Banu Baş , Beyza Demi̇rtaş Yilmaz , Esra Yücel","doi":"10.1016/j.ijporl.2026.112747","DOIUrl":"10.1016/j.ijporl.2026.112747","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to analyze and compare the sensory profiles and language skills of children with auditory brainstem implants (ABI) and cochlear implants (CI) over one year.</div></div><div><h3>Method</h3><div>This prospective comparative study included 24 children aged 6–8 years and 11 months, consisting of 12 bimodal CI-ABI users and 12 bilateral CI users. All children received scheduled auditory rehabilitation and audiological follow-ups. Sensory profiles were assessed using the Sensory Profile scale, while school-age language skills were evaluated using the Test of Language Development-Primary: Fourth Edition. The language and sensory profile scores of the children from one year prior and later to the study were compared. Additionally, the progress levels of the groups within one year were compared.</div></div><div><h3>Results</h3><div>Both children with CI and ABI demonstrated significant improvements in verbal language skills (e.g., sentence repetition, p < 0.001), registration, sensory seeking, sensory input processing, low endurance, and fine motor skills over the year. However, children with CI showed significantly greater progress in verbal language composite scores (p = 0.015) and subskills such as registration and fine motor skills (p < 0.05) compared to the ABI group. Multivariate analysis further revealed that hearing loss etiology and implantation mode were significant factors influencing developmental outcomes.</div></div><div><h3>Conclusion</h3><div>Hearing implants not only enhance language skills but also facilitate progress in children's sensory profile sub-skills. A holistic approach that evaluates hearing, language, and overall development is recommended for hearing-impaired children.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112747"},"PeriodicalIF":1.3,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146075221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analyses of GJB2 status in hereditary and non-syndromic hearing loss cases in Turkey reveal pathogenicity of rare c.247_249delTTC variant 对土耳其遗传性和非综合征性听力损失病例GJB2状态的分析揭示了罕见的c.247_249delTTC变异的致病性

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-26 DOI: 10.1016/j.ijporl.2026.112739

Sait Tümer , Mustafa Bülent Şerbetçioğlu , Günay Kırkım , Seda Nur Homurlu , Oğuz Altungöz

引用次数: 0

Composite chondroperichondrial clip (“Triple-C”) tympanoplasty in pediatric patients 复合软骨软骨膜夹（“3c”）鼓室成形术在儿科患者中的应用。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-25 DOI: 10.1016/j.ijporl.2026.112746

Shadi Shinnawi , Roni Barzilai , Majd Khoury , Muhammad Zahlaka , Ali Hammad , Mauricio Cohen-Vaizer

引用次数: 0

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