International journal of pediatric otorhinolaryngology最新文献

英文中文

Factors influencing likelihood of inpatient frenotomy in newborns with ankyloglossia 影响新生儿强直性咬合住院截骨可能性的因素。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-12-01 Epub Date: 2025-11-11 DOI: 10.1016/j.ijporl.2025.112644

Jonathan M. Carnino , Sanjeev Rampam , Lindsay R. Salvati , Yash V. Shroff , Dean G. Kennedy , Jessica R. Levi

Objective

This study investigates national trends in inpatient frenotomy for newborns with ankyloglossia, focusing on the association between demographic, socioeconomic, and regional factors and the likelihood of undergoing the procedure.

Methods

Data from the 2016 Kid Inpatient Database (KID) were analyzed to identify hospitalized newborns diagnosed with ankyloglossia. Frenotomy procedures were identified using ICD-10 procedure codes. Chi-square tests were used to evaluate unadjusted associations between categorical variables and frenotomy utilization. Variables significant in univariate analysis were included in a multivariable logistic regression model to calculate adjusted odds ratios (OR) with 95 % confidence intervals (CI).

Results

Among 47,663 newborns with ankyloglossia, 34.8% underwent inpatient frenotomy. Factors independently associated with frenotomy included sex, race, hospital region, and household income. Female newborns had higher odds of frenotomy (OR 1.54, 95 % CI 1.47–1.61), whereas non-White racial groups had lower odds than White newborns. The Midwest had the highest likelihood of frenotomy (OR 3.08, 95 % CI 2.93–3.23), and newborns from the highest income quartile had reduced odds (OR 0.86, 95 % CI 0.80–0.92).

Conclusions

Significant disparities in inpatient frenotomy utilization exist based on demographic, socioeconomic, and regional factors. These findings underscore the need for standardized diagnostic criteria and equitable access to both surgical and non-surgical treatments. Future research should address the impact of these disparities on patient outcomes and explore targeted interventions to reduce variability in care.

Level of evidence

目的：本研究调查全国新生儿强直性咬合住院截骨的趋势，重点研究人口、社会经济和地区因素与接受手术可能性之间的关系。方法：分析2016年儿童住院数据库（Kid）的数据，以识别诊断为强直性咬合的住院新生儿。使用ICD-10程序代码确定截骨手术。卡方检验用于评估分类变量与截骨术使用之间未经调整的相关性。将单因素分析中显著的变量纳入多因素logistic回归模型，以95%置信区间（CI）计算校正优势比（OR）。结果：47,663例新生儿强直性咬合中，34.8%的患者接受了住院截骨术。与截骨术相关的独立因素包括性别、种族、医院区域和家庭收入。女性新生儿接受截骨手术的几率较高（OR 1.54, 95% CI 1.47-1.61），而非白人新生儿的几率低于白人新生儿。中西部地区进行截骨手术的可能性最高（OR 3.08, 95% CI 2.93-3.23），收入最高的四分位数新生儿的可能性较低（OR 0.86, 95% CI 0.80-0.92）。结论：不同人口、社会经济和地区因素对住院患者截骨术使用率的影响存在显著差异。这些发现强调了标准化诊断标准和公平获得手术和非手术治疗的必要性。未来的研究应解决这些差异对患者结果的影响，并探索有针对性的干预措施，以减少护理的可变性。证据等级：3；

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引用次数: 0

In-office frenotomy complications in infants with Ankyloglossia: A systematic review and meta-analysis 新生儿强直性咬合的手术并发症：系统回顾和荟萃分析

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1016/j.ijporl.2025.112616

Christina Zhu , Emily Clementi , John Anderson , Shreya Chalasani , Anuja Shah , Lovedeep Singh , Nidhi Mereddy , Oluebubechukwu Eze , Earl H. Harley

引用次数: 0

Diagnosing tracheostomy allergy: Improving airway outcomes in pediatric patients with an active larynx 诊断气管造口术过敏：改善儿童喉活动患者的气道预后

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-12-01 Epub Date: 2025-11-19 DOI: 10.1016/j.ijporl.2025.112643

Nicole Kloosterman , Alessandro de Alarcon , Eric Schauberger , Lyndy J. Wilcox

Introduction

Children with an active larynx have a decreased success rate of airway reconstruction and, therefore, require evaluation and management of laryngeal inflammation and associated factors prior to undertaking reconstructive surgery and decannulation. Allergy to the tracheostomy tube is an additional potential cause of active larynx.

Study design

Retrospective case series.

Methods

Patients ages 0–18 years with a tracheostomy who were previously diagnosed with active larynx or peristomal inflammation and underwent patch testing to tracheostomy components at a single quaternary academic children's hospital from January 1, 2014 to May 1, 2018 were identified. Pre-testing, testing, and post-testing results and clinical courses were documented.

Results

Eight patients who met criteria and underwent patch testing for tracheostomy components were identified. Four (50 %) of the patients had positive allergy tests - three for metal components and one to silicone. These four patients subsequently underwent tracheostomy changes. All four patients had improvement in active larynx with proceeding with successful airway reconstruction and/or decannulation.

Conclusions

Tracheostomy allergy should be considered in children with idiopathic active larynx or peristomal inflammation that is not responding to typical measures. Allergy testing is low-risk and a relatively simple intervention which has the potential to demonstrate an intervenable cause of inflammation. Airway inflammation is often multifactorial and future studies require additional investigation regarding the pathophysiology and improvement of the management of the active larynx.

喉部活动的儿童气道重建成功率较低，因此，在进行重建手术和脱管之前，需要评估和处理喉部炎症和相关因素。对气管造口管过敏是另一个潜在的导致喉活动的原因。研究设计：回顾性病例系列。方法选取2014年1月1日至2018年5月1日在某第四专科儿童医院接受气管造口术的0-18岁患者，既往诊断为喉部活动或口周炎症，并对气管造口术成分进行了贴片试验。记录了测试前、测试和测试后的结果和临床过程。结果8例患者均符合标准，均行气管切开术成分贴片试验。4名（50%）患者过敏测试呈阳性，其中3名对金属成分过敏，1名对硅胶过敏。这4例患者随后接受了气管造口术改变。通过成功的气道重建和/或去管术，所有4例患者的活动喉部均有改善。结论对于特发性喉活动或经常规治疗无效的胃黏膜炎患儿，应考虑气管造口术过敏。过敏测试是一种低风险和相对简单的干预，有可能证明炎症的可干预原因。气道炎症通常是多因素的，未来的研究需要对活动喉部的病理生理学和改善管理进行进一步的调查。

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引用次数: 0

Newborn hearing screening in gestational diabetes mellitus: A comparative study of GDMA1 and GDMA2 妊娠期糖尿病新生儿听力筛查：GDMA1和GDMA2的比较研究。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-12-01 Epub Date: 2025-11-07 DOI: 10.1016/j.ijporl.2025.112641

Mehmet Mete Kirlangic , Merve Kirlangic , Ceren Ozcelik Gulcan , Batuhan Caglar , Ilknur Merve Turkyilmaz Bugan

Aim

Gestational diabetes mellitus (GDM) is a common metabolic disorder that affects both maternal and fetal health, with potential long-term complications. While its impact on neonatal outcomes is well-documented, its association with newborn hearing loss remains unclear. This study aims to evaluate the relationship between GDM subtypes—diet-controlled (GDMA1) and insulin-treated (GDMA2) —and newborn hearing screening results, emphasizing the need for targeted public health interventions.

Materials and methods

This retrospective study included pregnancy records from Kartal Dr. Lütfi Kırdar City Hospital. Pregnant women were categorized into three groups: healthy pregnancies (n = 282), GDMA1 (n = 140), and GDMA2 (n = 68). Hearing screening was performed using the auditory brainstem response (ABR) test. Newborns failing two consecutive tests were referred for further audiological evaluation and classified as having an adverse outcome. One-way ANOVA and post-hoc Bonferroni tests were used for statistical comparisons, with a significance level set at p < 0.05. To control for potential confounding variables, an analysis of covariance (ANCOVA) was conducted.

Results

Among the 490 newborns analyzed, the hearing screening failure rate was significantly higher in the GDMA2 group (26.5 %) compared to GDMA1 (10.0 %) and the control group (4.3 %) (p < 0.001). Additionally, GDMA2 pregnancies were associated with earlier delivery and higher birth weights compared to healthy pregnancies (p = 0.001). The study demonstrated a strong association between GDM severity and newborn hearing screening failure rates.

Conclusion

The findings indicate that newborns of GDM-affected pregnancies, particularly those requiring insulin treatment, have a higher risk of failing hearing screening tests. Given the potential long-term consequences of undetected hearing loss, early identification and intervention are crucial. Public health policies should incorporate enhanced prenatal monitoring and neonatal audiological screening programs for at-risk populations. Further research is needed to explore the underlying mechanisms linking GDM severity to auditory dysfunction.

目的：妊娠期糖尿病（GDM）是一种影响母体和胎儿健康的常见代谢紊乱，具有潜在的长期并发症。虽然它对新生儿结局的影响有充分的证据，但它与新生儿听力损失的关系尚不清楚。本研究旨在评估GDM亚型-饮食控制型（GDMA1）和胰岛素治疗型（GDMA2）与新生儿听力筛查结果的关系，强调有针对性的公共卫生干预的必要性。材料和方法：本回顾性研究包括Kartal Dr. ltfi Kırdar市医院的妊娠记录。孕妇被分为三组：健康孕妇（n = 282）、GDMA1孕妇（n = 140）和GDMA2孕妇（n = 68）。采用听觉脑干反应（ABR）试验进行听力筛查。连续两次测试失败的新生儿被转介进行进一步的听力学评估，并归类为有不良后果。结果：在分析的490名新生儿中，GDMA2组的听力筛查失败率（26.5%）明显高于GDMA1组（10.0%）和对照组（4.3 %）(p)。结论：研究结果表明，gdm影响妊娠的新生儿，特别是需要胰岛素治疗的新生儿，听力筛查失败的风险更高。考虑到未被发现的听力损失的潜在长期后果，早期识别和干预至关重要。公共卫生政策应包括对高危人群加强产前监测和新生儿听力学筛查计划。需要进一步研究GDM严重程度与听觉功能障碍之间的潜在机制。

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引用次数: 0

Pediatric laryngeal trauma: An epidemiological study using the National Trauma Data Bank 儿童喉部创伤：使用国家创伤数据库的流行病学研究

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.ijporl.2025.112618

William Moss , Apthi Muralidhar , Mia Girela , Karthik Rajasekaran , Alvaro Moreira

引用次数: 0

Selective outcome reporting in pediatric otolaryngology clinical Trials: A registry-to-publication comparison 儿科耳鼻喉科临床试验的选择性结果报告：注册到发表的比较

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-12-01 Epub Date: 2025-10-17 DOI: 10.1016/j.ijporl.2025.112600

Harrison Smith , Matt Vassar

引用次数: 0

Study of prognostic factors for complicated acute rhinosinusitis in children 儿童并发急性鼻窦炎预后因素的研究

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1016/j.ijporl.2025.112650

Abdulaziz Alghamdi , Karine Aubry , Lucie Cussinet , Florian Bonnafous

Introduction

Acute bacterial rhinosinusitis is frequently seen in children. While complications are uncommon, they can be serious. Risk factors associated with complicated cases remain poorly defined. This study aimed primarily to identify predictors of complications in pediatric rhinosinusitis. Secondary objectives included evaluating factors associated with treatment failure and the occurrence of severe complications.

Methods

We conducted a retrospective study of all children hospitalized for acute sinusitis at Limoges University Hospital between 2010 and 2020. Data on demographics, medical history, clinical presentation, laboratory tests, and imaging were collected. Statistical analyses included multivariate logistic regression.

Results

A total of 109 patients were included. Asthma and prior use of NSAIDs were associated with higher risk of complications. Elevated CRP and lymphopenia were significant biological indicators of severity. Anaerobic Streptococci were more often associated with severe cases.

Conclusion

Asthma, NSAID use, and high CRP levels appear to be reliable indicators of complications in pediatric acute bacterial rhinosinusitis. These findings support the need for clinical vigilance and early imaging in such cases.

急性细菌性鼻窦炎常见于儿童。虽然并发症不常见，但它们可能很严重。与复杂病例相关的危险因素仍不明确。本研究的主要目的是确定儿童鼻窦炎并发症的预测因素。次要目的包括评估与治疗失败和严重并发症发生相关的因素。方法对2010年至2020年在利摩日大学医院因急性鼻窦炎住院的所有儿童进行回顾性研究。收集了人口统计学、病史、临床表现、实验室检查和影像学数据。统计分析包括多元逻辑回归。结果共纳入109例患者。哮喘和既往使用非甾体抗炎药与并发症的高风险相关。CRP升高和淋巴细胞减少是严重程度的重要生物学指标。厌氧性链球菌更常与重症病例相关。结论哮喘、使用非甾体抗炎药和高CRP水平是儿童急性细菌性鼻窦炎并发症的可靠指标。这些发现支持对此类病例进行临床警惕和早期影像学检查的必要性。

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引用次数: 0

Determinants of quality of life in post lingually defeaned cochlear implant users 影响人工耳蜗术后使用者生活质量的因素。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-12-01 Epub Date: 2025-11-24 DOI: 10.1016/j.ijporl.2025.112659

Boon Chin Te , Noor Dina Hashim , Asma Abdullah , Bee See Goh , Wan Fazlina Wan Hashim

引用次数: 0

The impact of a tracheostomy-safe bronchoscopy protocol on pediatric tracheostomy outcomes 气管切开术安全支气管镜检查方案对儿童气管切开术结果的影响

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-12-01 Epub Date: 2025-11-19 DOI: 10.1016/j.ijporl.2025.112648

Michelle Florentine , Alyssa M. Civantos , Kimberly Luu, Lia Jacobson

Objective

A Tracheostomy-Safe Bronchoscopy Protocol was developed at our institution in 2019, which aimed to identify and treat upper airway pathologies early and establish emergency airway plans. The objective of this study was to assess the impact of this protocol on tracheostomy-related complications and outcomes.

Methods

A retrospective chart review of pediatric patients who underwent tracheostomy between 2015 and 2022 at our institution's two tertiary children's hospitals was conducted. Demographic, operative, and clinical data were collected. Univariate and multivariable analyses were used to assess impact on outcomes, including need for event-initiated intervention, tracheostomy-related complications in the year after surgery, and time to decannulation.

Results

A total of 106 patients were included, of which 62 % underwent tracheostomy after implementation of the protocol. The average age at tracheostomy was 42 months. Of the 42 patients who underwent their first rigid bronchoscopy within 8 weeks, 64 % had at least one intervention, most commonly granulation tissue removal (40 %). Average time to first rigid bronchoscopy was significantly decreased after the protocol compared to before (mean 2.76 vs. 6.61 months, p = 0.01). The post-implementation cohort had significant decreases in the number of first bronchoscopies being adverse-event-induced (36.36 % vs 14.29 %, p = 0.02), in respiratory-related admissions in the year after surgery (mean 0.35 vs 1.61, p = 0.002), and in the average time to decannulation (46.0 months vs 10.45 months, p = 0.012) compared to the pre-implementation cohort.

Conclusion

Pediatric patients with tracheostomies are at risk of developing upper airway pathologies. Implementation of a Tracheostomy-Safe Bronchoscopy Protocol may allow for early identification of potential complications.

目的2019年，我院制定了气管造口安全支气管镜检查方案，旨在早期发现和治疗上气道病变，制定气道应急预案。本研究的目的是评估该方案对气管切开术相关并发症和结果的影响。方法对我院两所三级儿童医院2015 - 2022年气管切开术患儿进行回顾性统计分析。收集了人口学、手术和临床资料。使用单变量和多变量分析来评估对结果的影响，包括事件启动干预的需要、手术后一年气管造口术相关并发症和脱管时间。结果共纳入106例患者，其中62%的患者在实施该方案后行气管切开术。气管切开术的平均年龄为42个月。在8周内接受第一次刚性支气管镜检查的42例患者中，64%至少进行了一次干预，最常见的是肉芽组织切除（40%）。与治疗前相比，治疗方案后进行首次刚性支气管镜检查的平均时间显著缩短（平均2.76个月vs. 6.61个月，p = 0.01）。与实施前队列相比，实施后队列在不良事件诱发的首次支气管镜检查次数（36.36% vs 14.29%, p = 0.02）、术后一年呼吸相关入院次数（平均0.35 vs 1.61, p = 0.002）和平均去管时间（46.0个月vs 10.45个月，p = 0.012）均显著减少。结论小儿气管切开术患者存在发生上气道病变的风险。气管切开术安全支气管镜检查方案的实施可能允许早期识别潜在的并发症。

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引用次数: 0

Long-term safety and audiological results with the Bone Conduction Implant 601 in children younger than 12 years old 骨传导植入601用于12岁以下儿童的长期安全性和听力学结果

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1016/j.ijporl.2025.112652

Yuan Wang , Jikai Zhu , Danni Wang , Shouqin Zhao

Objective

To evaluate the long-term safety, efficacy, and satisfaction of Bonebridge implantation in children under 12 years.

Methods

This retrospective study followed 34 patients (aged 5.4–11.8 years) who underwent Bonebridge implantation between 2016 and 2020, with a median follow-up of 55 months. Audiological outcomes, including pure-tone audiometry (PTA), speech reception thresholds (SRTs), speech discrimination scores (SDSs), and sound field hearing thresholds (SFHTs) were assessed. Adverse events and patient-reported satisfaction (HDSS) were recorded.

Results

Bonebridge significantly improved speech perception (SRT: −6.20 dB in unilateral; −0.18 dB in bilateral) and SFHT (mean improvement: 20.80 dB unilateral; 29.07 dB bilateral). SDS for monosyllables, disyllables, and sentences showed substantial gains in aided conditions. Adverse events were mild to moderate, except for one serious device failure resolved with revision surgery. Sound localization accuracy decreased in patients with bilateral hearing loss who used a unilateral Bonebridge due to unilateral auditory stimulation. Patient satisfaction was high, with bilateral hearing loss reporting longer daily usage.

Conclusion

Bonebridge is a safe and effective intervention for young children under 12 years with conductive hearing loss, enhancing auditory access and quality of life.

目的评价12岁以下儿童骨桥植入术的长期安全性、有效性和满意度。方法回顾性研究2016 - 2020年间34例骨桥植入术患者（年龄5.4-11.8岁），中位随访55个月。听力学指标包括纯音测听（PTA）、语音接收阈值（srt）、语音辨别评分（SDSs）和声场听力阈值（SFHTs）。记录不良事件和患者报告满意度（HDSS）。结果骨桥显著改善了语音感知（单侧SRT:−6.20 dB；双侧- 0.18 dB）和SFHT（平均改善：单侧20.80 dB；双侧29.07 dB）。单音节、双音节和句子的SDS在辅助条件下显示出实质性的进步。不良事件为轻度至中度，除了一例严重的器械故障通过翻修手术解决。由于单侧听觉刺激，使用单侧骨桥的双侧听力损失患者声音定位准确性下降。患者满意度高，双侧听力损失患者报告每日使用时间较长。结论骨桥治疗12岁以下传导性听力损失是一种安全有效的干预方法，可改善儿童的听觉通路和生活质量。

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