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Determinants influencing variability in outcomes of prelingual cochlear implantation 影响语前人工耳蜗植入结果变异性的决定因素。
IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2026-04-01 Epub Date: 2026-02-09 DOI: 10.1016/j.ijporl.2026.112756
Mona Elrabie Ahmed , Esraa Aly , Eman Mostafa

Objective

To identify factors affecting cochlear implantation (CI) outcomes in pre-lingual deaf children, focusing on language development.

Method

A cross-sectional study of 106 pre-lingual deaf children who received unilateral CI was conducted to analyse factors influencing their language and speech outcomes.

Results

The average age of participating children was 83 ± 31.6 months; 53.8% were male, and 36.8% attended regular school programs. Most parents had higher education (64.2% of fathers, 55.7% of mothers), and 58.5% belonged to a low socioeconomic level. Hearing loss diagnosis was delayed: 37.7% were diagnosed at 6–12 months, 24.5% at 12–24 months, with an average auditory deprivation of 18.6 ± 13.3 months. Average CI age was 41.9 ± 14.2 months; 40.1% had consanguineous parents. Language outcomes were positively associated with speech after hearing aid use and negatively with longer auditory deprivation. Parent education, socioeconomic status, age of deafness, and family history were not significantly linked to language improvement. Children undergoing ≥3 years of post-implant rehabilitation showed greater language development than those with ≤3 years.

Conclusion

CI leads to a statistically significant improvement in language quotient over time, and key factors affecting outcomes include prior speech after hearing aid use, length of auditory deprivation, and ongoing CI usage. The study highlights the need for culturally adapted parental counselling protocols and increased awareness through comprehensive information.
目的:探讨影响语前聋儿人工耳蜗植入(CI)效果的因素,重点关注语言发育。方法:对106例接受单侧CI治疗的语前聋儿进行横断面研究,分析影响其语言和言语预后的因素。结果:患儿平均年龄83±31.6个月;53.8%的人是男性,36.8%的人接受正规学校教育。大多数父母受过高等教育(64.2%的父亲,55.7%的母亲),58.5%的父母属于低社会经济水平。听力损失诊断延迟:6-12月龄37.7%,12-24月龄24.5%,平均听力剥夺18.6±13.3个月。CI平均年龄为41.9±14.2个月;40.1%有近亲父母。使用助听器后的语言结果与言语呈正相关,与听觉剥夺时间较长呈负相关。父母的教育程度、社会经济地位、耳聋年龄和家族史与语言能力的提高没有显著的联系。种植体术后接受≥3年康复治疗的儿童比接受≤3年康复治疗的儿童表现出更好的语言发育。结论:随着时间的推移,CI导致语言商的统计学显著改善,影响结果的关键因素包括助听器使用后的先前言语,听觉剥夺的时间长短和持续使用CI。该研究强调需要制定适应文化的父母咨询协议,并通过全面的信息提高认识。
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引用次数: 0
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 Pub Date : 2026-04-01 Epub 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
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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 Pub Date : 2026-04-01 Epub 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
Spatial release from masking and localization among pediatric cochlear implant users 儿童人工耳蜗使用者的空间释放与定位。
IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2026-04-01 Epub Date: 2026-02-10 DOI: 10.1016/j.ijporl.2026.112753
Puttaraju Sahana , Puttabasappa Manjula

Aim & objectives

This study aimed to assess spatial hearing abilities in children using bimodal hearing devices. (1) comparing spatial release from masking (SRM) in monaural and bimodal conditions; (2) comparing horizontal localization error across conditions; and (3) examining the correlation between SRM and localization error.

Method

A cross-sectional, repeated-measures design was used with 43 Kannada-speaking children (aged 4–10 years) with bilateral severe-to-profound hearing loss, fitted with a cochlear implant (CI) in one ear and a hearing aid (HA) in the other. Spatial hearing was assessed using phonemically balanced word lists in noise (SRM task) and white noise bursts from eight loudspeakers (localization task). SRM was calculated as the difference in speech identification scores (SIS) between collocated and spatially separated speech-noise conditions. Localization was measured using root mean square (RMS) error.

Results

SRM was significantly higher in the bimodal condition (M = 3.09) than monaural (M = 1.23), t (42) = 3.15, p < 0.001, d = 0.49. Localization accuracy also improved with bimodal hearing (M = 82.27° vs. 105.88°), F (1,42) = 100.79, p < 0.001, ηp2 = 0.706. A significant negative correlation (r = −0.518, p < 0.001) was found between SRM and localization error.

Conclusions

Bimodal hearing significantly enhances spatial hearing in children, improving both speech-in-noise perception and localization. The correlation between SRM and localization suggests shared spatial processing mechanisms. These findings support the clinical importance of bimodal device use, especially in settings where bilateral implantation is not feasible, and highlight the need for individualized auditory management.
目的:本研究旨在评估使用双峰助听器儿童的空间听力能力。(1)比较单峰和双峰条件下掩蔽空间释放(SRM);(2)比较不同条件下水平定位误差;(3)研究SRM与定位误差的相关性。方法:采用横断面重复测量设计,对43名双侧重度至重度听力损失的卡纳达语儿童(4-10岁)进行研究,这些儿童在一只耳朵上安装人工耳蜗(CI),另一只耳朵上安装助听器(HA)。空间听力测试采用噪声(SRM任务)和八个扩音器的白噪声(定位任务)下的音位平衡词表。SRM计算为语音噪声共存和空间分离条件下的语音识别分数之差。定位采用均方根误差(RMS)进行测量。结果:单峰条件下SRM (M = 3.09)显著高于单峰条件(M = 1.23), t (42) = 3.15, p (p2) = 0.706。结论:双峰听力可显著提高儿童空间听力,提高噪声中言语感知和定位能力。SRM与定位之间的相关性提示了共享的空间加工机制。这些发现支持了使用双峰装置的临床重要性,特别是在双侧植入不可行的情况下,并强调了个性化听觉管理的必要性。
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引用次数: 0
Hematologic indices in pediatric sleep-disordered breathing: a retrospective case-control study 儿童睡眠呼吸障碍的血液学指标:一项回顾性病例对照研究
IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2026-04-01 Epub Date: 2026-02-10 DOI: 10.1016/j.ijporl.2026.112755
Rita Teixeira Carvalho , Francisco Alves de Sousa , João Carvalho Almeida , Manuel Ferreira de Magalhães , Marta Rios , Miguel Bebiano Coutinho , Mariline Santos

Introduction

Pediatric obstructive sleep-disordered breathing (OSDB), commonly caused by adenotonsillar hypertrophy, ranges from primary snoring to obstructive sleep apnea syndrome (OSAS) and is a frequent reason for pediatric otolaryngology referral. OSDB leads to intermittent hypoxia, oxidative stress, systemic inflammation, and may activate the coagulation cascade, contributing to metabolic, cardiovascular, and neurocognitive complications. While these effects are more well-documented in adults, pediatric studies also report associations with obesity, insulin resistance, behavioral issues, and cognitive impairments. Diagnosis remains challenging due to the resource demands of polysomnography, prompting interest in alternative tools, including hematological biomarkers. In adults, markers like neutrophil-to-lymphocyte (N/L) and platelet-to-lymphocyte (P/L) ratios, as well as mean platelet volume (MPV), have shown promise; however, data in pediatric population are scarce.

Objectives

To compare hematological parameters in children with OSDB to those without OSDB.

Methods

We retrospectively analyzed data from children who were indicated for primary otorhinolaryngology surgery between January and May 2024. Pre-operative hematological data from children with OSDB (cases) were compared to those without OSDB (controls).

Results

166 patients (75 females, 91 males; mean age 5.4 ± 2.4 years; mean weight 22.3 ± 10.2 kg) were included. 85 children (51.2%) had OSDB. No significant differences were found between groups regarding age, sex, or weight (p > 0.05). Children with OSDB had significantly higher neutrophil-to-lymphocyte ratios (N/L ratio) (OSDB: 1.71 ± 1.02 vs. controls: 1.40 ± 0.67, p = 0.026) and platelet counts (OSDB: 328,152.94 ± 69,961.30 vs. controls: 302,876.54 ± 74,327.38, p = 0.025). No significant differences were encountered regarding neutrophil count (OSDB: 4260.59 ± 1755.87 vs controls: 3736.05 ± 1717.90, p = 0.054), total leukocyte count (OSDB: 8275.88 ± 1957.93, controls: 7624.57 ± 2351.98, p = 0.054) platelet-to-lymphocyte ratio (OSDB: 127.62 ± 49.50 vs controls: 114.17 ± 38.01, p = 0.052) and other hematological data, including coagulability state (p > 0.05 for prothrombin time, INR and APTT).

Conclusions

OSDB in children is associated with significantly increased N/L ratio and platelet count, suggesting a potential systemic inflammatory response. Further research is needed to determine the clinical significance of these findings.
儿童阻塞性睡眠呼吸障碍(OSDB),通常由腺扁桃体肥大引起,范围从原发性打鼾到阻塞性睡眠呼吸暂停综合征(OSAS),是儿童耳鼻喉科转诊的常见原因。OSDB导致间歇性缺氧、氧化应激、全身性炎症,并可能激活凝血级联,导致代谢、心血管和神经认知并发症。虽然这些影响在成人中得到了更充分的证明,但儿科研究也报告了与肥胖、胰岛素抵抗、行为问题和认知障碍的关系。由于多导睡眠图的资源需求,诊断仍然具有挑战性,促使人们对包括血液学生物标志物在内的替代工具产生兴趣。在成人中,中性粒细胞对淋巴细胞(N/L)和血小板对淋巴细胞(P/L)比率以及平均血小板体积(MPV)等标志物已显示出希望;然而,儿科人群的数据很少。目的比较OSDB患儿与非OSDB患儿的血液学参数。方法回顾性分析2024年1月至5月间接受初级耳鼻喉外科手术的患儿资料。将有OSDB患儿(病例)的术前血液学数据与无OSDB患儿(对照组)进行比较。结果共纳入166例患者,其中女性75例,男性91例,平均年龄5.4±2.4岁,平均体重22.3±10.2 kg。85例(51.2%)患儿有OSDB。各组之间在年龄、性别或体重方面无显著差异(p > 0.05)。OSDB患儿中性粒细胞与淋巴细胞比值(N/L比值)(OSDB: 1.71±1.02,对照组:1.40±0.67,p = 0.026)和血小板计数(OSDB: 328,152.94±69,961.30,对照组:302,876.54±74,327.38,p = 0.025)显著升高。中性粒细胞计数(OSDB: 4260.59±1755.87 vs对照组:3736.05±1717.90,p = 0.054)、白细胞总数(OSDB: 8275.88±1957.93,对照组:7624.57±2351.98,p = 0.054)、血小板与淋巴细胞比值(OSDB: 127.62±49.50 vs对照组:114.17±38.01,p = 0.052)及其他血液学数据,包括凝血状态(凝血酶原时间、INR和APTT p >; 0.05)均无显著差异。结论儿童sosdb与N/L比值和血小板计数显著升高相关,提示可能存在全身性炎症反应。需要进一步的研究来确定这些发现的临床意义。
{"title":"Hematologic indices in pediatric sleep-disordered breathing: a retrospective case-control study","authors":"Rita Teixeira Carvalho ,&nbsp;Francisco Alves de Sousa ,&nbsp;João Carvalho Almeida ,&nbsp;Manuel Ferreira de Magalhães ,&nbsp;Marta Rios ,&nbsp;Miguel Bebiano Coutinho ,&nbsp;Mariline Santos","doi":"10.1016/j.ijporl.2026.112755","DOIUrl":"10.1016/j.ijporl.2026.112755","url":null,"abstract":"<div><h3>Introduction</h3><div>Pediatric obstructive sleep-disordered breathing (OSDB), commonly caused by adenotonsillar hypertrophy, ranges from primary snoring to obstructive sleep apnea syndrome (OSAS) and is a frequent reason for pediatric otolaryngology referral. OSDB leads to intermittent hypoxia, oxidative stress, systemic inflammation, and may activate the coagulation cascade, contributing to metabolic, cardiovascular, and neurocognitive complications. While these effects are more well-documented in adults, pediatric studies also report associations with obesity, insulin resistance, behavioral issues, and cognitive impairments. Diagnosis remains challenging due to the resource demands of polysomnography, prompting interest in alternative tools, including hematological biomarkers. In adults, markers like neutrophil-to-lymphocyte (N/L) and platelet-to-lymphocyte (P/L) ratios, as well as mean platelet volume (MPV), have shown promise; however, data in pediatric population are scarce.</div></div><div><h3>Objectives</h3><div>To compare hematological parameters in children with OSDB to those without OSDB.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed data from children who were indicated for primary otorhinolaryngology surgery between January and May 2024. Pre-operative hematological data from children with OSDB (cases) were compared to those without OSDB (controls).</div></div><div><h3>Results</h3><div>166 patients (75 females, 91 males; mean age 5.4 ± 2.4 years; mean weight 22.3 ± 10.2 kg) were included. 85 children (51.2%) had OSDB. No significant differences were found between groups regarding age, sex, or weight (p &gt; 0.05). Children with OSDB had significantly higher neutrophil-to-lymphocyte ratios (N/L ratio) (OSDB: 1.71 ± 1.02 vs. controls: 1.40 ± 0.67, p = 0.026) and platelet counts (OSDB: 328,152.94 ± 69,961.30 vs. controls: 302,876.54 ± 74,327.38, p = 0.025). No significant differences were encountered regarding neutrophil count (OSDB: 4260.59 ± 1755.87 vs controls: 3736.05 ± 1717.90, p = 0.054), total leukocyte count (OSDB: 8275.88 ± 1957.93, controls: 7624.57 ± 2351.98, p = 0.054) platelet-to-lymphocyte ratio (OSDB: 127.62 ± 49.50 vs controls: 114.17 ± 38.01, p = 0.052) and other hematological data, including coagulability state (p &gt; 0.05 for prothrombin time, INR and APTT).</div></div><div><h3>Conclusions</h3><div>OSDB in children is associated with significantly increased N/L ratio and platelet count, suggesting a potential systemic inflammatory response. Further research is needed to determine the clinical significance of these findings.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"203 ","pages":"Article 112755"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192516","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
Hearing assessment of Egyptian children with permanent congenital hypothyroidism: A single-center experience. 听力评估埃及儿童永久性先天性甲状腺功能减退:单中心经验。
IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2026-03-17 DOI: 10.1016/j.ijporl.2026.112782
Samah A Hassanein, Hend M Soliman, Dina Abdullah Mohamed, Hussein Sherif Hamdy, Noha Arafa
{"title":"Hearing assessment of Egyptian children with permanent congenital hypothyroidism: A single-center experience.","authors":"Samah A Hassanein, Hend M Soliman, Dina Abdullah Mohamed, Hussein Sherif Hamdy, Noha Arafa","doi":"10.1016/j.ijporl.2026.112782","DOIUrl":"https://doi.org/10.1016/j.ijporl.2026.112782","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"204 ","pages":"112782"},"PeriodicalIF":1.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147493934","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
Characterizing the microbiome of the middle ear using 16S RNA sequencing in pediatric patients with and without middle ear effusions requiring ventilation tubes. 使用16S RNA测序在有或没有需要通气管的中耳积液的儿科患者中表征中耳微生物组。
IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2026-03-17 DOI: 10.1016/j.ijporl.2026.112798
Alfonso Caetta, Davis Aasen, Patrick Adamcyzk, Hanshu Yuan, Yanjiao Zhou, Daniel Roberts, Christopher Grindle, Scott Schoem, Amy Hughes
{"title":"Characterizing the microbiome of the middle ear using 16S RNA sequencing in pediatric patients with and without middle ear effusions requiring ventilation tubes.","authors":"Alfonso Caetta, Davis Aasen, Patrick Adamcyzk, Hanshu Yuan, Yanjiao Zhou, Daniel Roberts, Christopher Grindle, Scott Schoem, Amy Hughes","doi":"10.1016/j.ijporl.2026.112798","DOIUrl":"https://doi.org/10.1016/j.ijporl.2026.112798","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"204 ","pages":"112798"},"PeriodicalIF":1.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147485918","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
Effective musical training protocols for the rehabilitation of children with cochlear implants: A systematic review. 对植入人工耳蜗儿童康复的有效音乐训练方案:系统回顾。
IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2026-03-17 DOI: 10.1016/j.ijporl.2026.112793
P Martins-Said, A Lehmann, A A L Amorim, F M Baumgartner, L C Razabone, E S Araújo, L C B Jacob, B C S Silva, K F Alvarenga

Objective: This study aimed to determine which musical training protocols are effective for the rehabilitation of children with cochlear implants. The analysis focused on identifying the specific components and characteristics of successful interventions. A meta-analysis was not feasible due to substantial heterogeneity in study methods, outcome measures, and intervention designs.

Materials and methods: This systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered in PROSPERO (CRD42023434046). Searches were performed without restrictions on date or language. Studies involving children up to 12 years old with sensorineural hearing loss, unilateral or bilateral cochlear implant users, and exposed to some form of musical training as an intervention were included. Exclusion criteria encompassed studies involving participants older than 12 years or those not evaluating the effects of musical training.

Results: A total of 1876 studies were identified across the searched databases. After removing duplicates and screening titles and abstracts, 27 studies were selected for full-text assessment. Following qualitative analysis, 21 studies were excluded for not meeting the established criteria, resulting in six studies included in this review.

Conclusion: This systematic review highlights the potential of active musical training programs, grounded in the musical learning process, as effective interventions for auditory rehabilitation in children with cochlear implants.

目的:本研究旨在确定哪些音乐训练方案对人工耳蜗儿童的康复是有效的。分析的重点是确定成功干预措施的具体组成部分和特征。由于研究方法、结果测量和干预设计存在大量异质性,meta分析不可行。材料和方法:本系统评价遵循系统评价和荟萃分析的首选报告项目(PRISMA)指南进行,并在PROSPERO注册(CRD42023434046)。搜索不受日期或语言的限制。研究对象包括12岁以下的感觉神经性听力损失儿童、单侧或双侧人工耳蜗使用者,以及接受某种形式的音乐训练作为干预的儿童。排除标准包括参与者年龄大于12岁或未评估音乐训练效果的研究。结果:在检索的数据库中共确定了1876项研究。在删除重复和筛选标题和摘要后,选择了27项研究进行全文评估。在定性分析后,21项研究因不符合既定标准而被排除,最终有6项研究被纳入本综述。结论:本系统综述强调了基于音乐学习过程的积极音乐训练计划的潜力,作为耳蜗植入儿童听觉康复的有效干预措施。
{"title":"Effective musical training protocols for the rehabilitation of children with cochlear implants: A systematic review.","authors":"P Martins-Said, A Lehmann, A A L Amorim, F M Baumgartner, L C Razabone, E S Araújo, L C B Jacob, B C S Silva, K F Alvarenga","doi":"10.1016/j.ijporl.2026.112793","DOIUrl":"https://doi.org/10.1016/j.ijporl.2026.112793","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine which musical training protocols are effective for the rehabilitation of children with cochlear implants. The analysis focused on identifying the specific components and characteristics of successful interventions. A meta-analysis was not feasible due to substantial heterogeneity in study methods, outcome measures, and intervention designs.</p><p><strong>Materials and methods: </strong>This systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered in PROSPERO (CRD42023434046). Searches were performed without restrictions on date or language. Studies involving children up to 12 years old with sensorineural hearing loss, unilateral or bilateral cochlear implant users, and exposed to some form of musical training as an intervention were included. Exclusion criteria encompassed studies involving participants older than 12 years or those not evaluating the effects of musical training.</p><p><strong>Results: </strong>A total of 1876 studies were identified across the searched databases. After removing duplicates and screening titles and abstracts, 27 studies were selected for full-text assessment. Following qualitative analysis, 21 studies were excluded for not meeting the established criteria, resulting in six studies included in this review.</p><p><strong>Conclusion: </strong>This systematic review highlights the potential of active musical training programs, grounded in the musical learning process, as effective interventions for auditory rehabilitation in children with cochlear implants.</p>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"204 ","pages":"112793"},"PeriodicalIF":1.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491156","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
Adenotonsillectomy remote patient monitoring implementation and post-op readmission outcomes. 腺扁桃体切除术患者远程监测实施和术后再入院结果。
IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2026-03-16 DOI: 10.1016/j.ijporl.2026.112799
Conor Devine, Terri Giordano, Rohali Keesari, Kavita Dedhia
{"title":"Adenotonsillectomy remote patient monitoring implementation and post-op readmission outcomes.","authors":"Conor Devine, Terri Giordano, Rohali Keesari, Kavita Dedhia","doi":"10.1016/j.ijporl.2026.112799","DOIUrl":"https://doi.org/10.1016/j.ijporl.2026.112799","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"204 ","pages":"112799"},"PeriodicalIF":1.3,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491123","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
Usage patterns in children receiving an active osseointegrated bone conduction implant. 儿童接受主动骨整合骨传导植入物的使用模式。
IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2026-03-13 DOI: 10.1016/j.ijporl.2026.112780
Brigitte Routhier-Chevrier, Karen A Gordon, Susan Druker, Lora Carinci, Blake C Papsin, Sharon L Cushing
{"title":"Usage patterns in children receiving an active osseointegrated bone conduction implant.","authors":"Brigitte Routhier-Chevrier, Karen A Gordon, Susan Druker, Lora Carinci, Blake C Papsin, Sharon L Cushing","doi":"10.1016/j.ijporl.2026.112780","DOIUrl":"https://doi.org/10.1016/j.ijporl.2026.112780","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"204 ","pages":"112780"},"PeriodicalIF":1.3,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147485975","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
期刊
International journal of pediatric otorhinolaryngology
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