International journal of pediatric otorhinolaryngology最新文献_第2页

A systematic review of state-of-the-art Laryngeal Electromyography in pediatric populations and meta-analysis of recovery prediction in vocal cord paralysis. 最新的喉肌电图在儿科人群中的系统回顾和声带麻痹恢复预测的荟萃分析。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-03-09 DOI: 10.1016/j.ijporl.2026.112781

Bigyan Raj Gyawali, Sonam Dhenga, Simran Rauniyar, Sony Kc, Milan Pokhrel

Objectives: To provide a comprehensive evaluation of state-of-art Laryngeal Electromyography (LEMG) in pediatric population and quantitatively assess its prognostic utility in vocal cord paralysis (VCP).

Methods: The systematic review and meta-analysis were carried out and reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive literature search was performed across PubMed, Scopus, and Google Scholar. Eligible studies included case reports, case series, and observational studies. Data were extracted qualitatively and pooled using a random-effects model to evaluate the prognostic utility of LEMG in predicting VCP recovery.

Results: A total of 33 studies were included in the qualitative analysis, and five studies for meta-analysis. The mean age of patients in studies included for qualitative analysis was 6.77 ± 5.73 years, with an age range from day 1 of life to 18 years. In contrast, the studies included in the meta-analysis enrolled children ranging from day 1 of life to 14 years, with a mean age of 2.01 ± 1.03 years. A random-effects meta-analysis of sensitivity of three studies yielded a pooled sensitivity of 82% (95% CI: 51-96%). A meta-analysis of Positive Predictive Value (PPV) of two studies, showed a pooled PPV of 75.0% (95% CI: 27.0% to 96.0%). Cox Proportional Hazards regression analysis showed that patients with Motor Unit Action Potential (MUAP) present had 5.56 times higher likelihood of recovery than those without MUAP (Hazard Ratio = 5.56, 95% CI: 1.65-18.71, p = 0.00558). The Kaplan Meier (KM) curve analysis demonstrated patients with MUAP exhibited higher chances of recovery over time compared to those without MUAP (p = 0.00094).

Conclusion: LEMG in pediatric laryngology serves a valuable diagnostic, therapeutic, and prognostic adjunct with diverse applications. It shows moderate accuracy in predicting favorable recovery in cases of VCP when normal MUAPs are present.

目的：对儿童喉肌电图（LEMG）进行综合评价，并定量评估其在声带麻痹（VCP）中的预后价值。方法：按照系统评价和荟萃分析首选报告项目（PRISMA）指南进行系统评价和荟萃分析并报告。在PubMed、Scopus和谷歌Scholar上进行了全面的文献检索。符合条件的研究包括病例报告、病例系列和观察性研究。采用随机效应模型对数据进行定性提取和汇总，以评估LEMG在预测VCP恢复中的预后效用。结果：定性分析共纳入33项研究，meta分析共纳入5项研究。纳入定性分析研究的患者平均年龄为6.77±5.73岁，年龄范围从出生第一天到18岁。相比之下，纳入meta分析的研究纳入了从出生第一天到14岁的儿童，平均年龄为2.01±1.03岁。三项研究的随机效应荟萃分析的敏感性为82% （95% CI: 51-96%）。两项研究的阳性预测值（PPV）荟萃分析显示，合并PPV为75.0% （95% CI: 27.0%至96.0%）。Cox比例风险回归分析显示，存在运动单位动作电位（MUAP）的患者恢复的可能性是不存在MUAP的患者的5.56倍（风险比= 5.56,95% CI: 1.65 ~ 18.71, p = 0.00558）。Kaplan Meier （KM）曲线分析显示，与没有MUAP的患者相比，MUAP患者随着时间的推移表现出更高的恢复机会（p = 0.00094）。结论：LEMG在小儿喉科的诊断、治疗和预后方面具有多种应用价值。当存在正常的muap时，它在预测VCP的有利恢复方面显示出中等的准确性。

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引用次数: 0

Current tonsillectomy trends on social media: A cross-sectional multi-platform content analysis. 当前扁桃体切除术在社交媒体上的趋势：一项横断面多平台内容分析。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-03-07 DOI: 10.1016/j.ijporl.2026.112779

Grace Wester, Madeline Polson, Mark Landry, Roger Bui, Madilynne Michell, Torrey L Fourrier, Karuna Dewan

Background: With patients using social media for information, online perceptions are playing a larger role in patients deciding to pursue treatment. Information consumed on Instagram and TikTok may influence the likelihood of patients to undergo a tonsillectomy. This investigation aims to grade the accuracy and favorability of available information on Instagram reels and TikToks regarding tonsillectomies.

Methods: In this cross-sectional study, "tonsillectomy" was searched on TikTok, and "#tonsillectomy" was searched on Instagram. The first 200 videos were independently viewed by two researchers who assessed these videos during a single period, while a third viewer managed data in dispute. Data was analyzed using descriptive statistics in Excel.

Results: Of 200 TikTok videos, 81.5% were patient experiences and 15.5% educational. Among patient experiences, 36.8% were unfavorable compared with 9.6% of educational videos. There was no significant difference in likes between educational and patient experience content (p = 0.64). Among 200 Instagram reels, 48.5% were consistent with the AAO-HNS Guidelines. Over 50% of reels were posted by patients or parents. Accuracy was 30.1% for patient/parent posts and 92.1% for physician-created posts. Reels were predominantly patient experiences (50.5%) or educational (45.5%), with a neutral tone in 60.5% of reels.

Conclusions: Data presented indicates that users researching tonsillectomies on social media receive largely patient or parent-created content. There was high accuracy with videos posted by physicians, and accuracy declined among patients, parents, and other providers. Mean likes and comments were substantial, with the median much lower, suggesting most information viewed comes from select viral videos.

背景：随着患者使用社交媒体获取信息，在线感知在患者决定接受治疗方面发挥着更大的作用。在Instagram和TikTok上消费的信息可能会影响患者接受扁桃体切除术的可能性。这项调查旨在对Instagram视频和tiktok上有关扁桃体切除术的现有信息的准确性和好感度进行评分。方法：在本横断面研究中，在TikTok上搜索“扁桃体切除术”，在Instagram上搜索“#扁桃体切除术”。前200个视频由两名研究人员独立观看，他们在一段时间内评估这些视频，而第三名观看者管理有争议的数据。使用Excel进行描述性统计分析。结果：在200个TikTok视频中，81.5%是患者体验，15.5%是教育。在患者体验中，36.8%的人不满意，而教育视频的比例为9.6%。教育内容与患者体验内容的喜欢度差异无统计学意义（p = 0.64）。在200个Instagram视频中，48.5%的视频符合AAO-HNS指南。超过50%的视频是由患者或家长上传的。患者/家长职位的准确率为30.1%，医生创建职位的准确率为92.1%。卷幅主要是病人体验（50.5%）或教育（45.5%），60.5%的卷幅是中性的。结论：提出的数据表明，在社交媒体上研究扁桃体切除术的用户主要收到患者或父母创建的内容。医生发布的视频准确性很高，而患者、家长和其他提供者发布的视频准确性则有所下降。点赞和评论的平均值相当可观，中间值要低得多，这表明大多数浏览的信息来自精选的病毒视频。

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引用次数: 0

Ankyloglossia and its association with sleep-disordered breathing in children: A systematic review 儿童强直性失听症及其与睡眠呼吸障碍的关系：一项系统综述

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-03-01 Epub Date: 2026-01-09 DOI: 10.1016/j.ijporl.2026.112717

Trimartani Koento , Shefilyn Widjaja

引用次数: 0

Understanding racial and ethnic disparities in perioperative pain management following routine ambulatory surgery center pediatric tonsillectomy 了解常规门诊手术中心儿童扁桃体切除术后围手术期疼痛管理的种族差异

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-03-01 Epub Date: 2026-01-17 DOI: 10.1016/j.ijporl.2026.112738

Francesca T. deFaria , Pilar Preciado , Alisha R. Pershad , Rashel Moscoso-Morales , Giuliana Di Bono , Alexa Shahine , Aryana Kavuri , Timothy Wills , Hengameh K. Behzadpour , Sophie Pestieau , Diego A. Preciado , Caroll Vazquez-Colon

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 : 2026-03-01 Epub 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

Demography and outcomes of frozen tongue: a scoping review of Scandinavian tundra tongue cases 人口统计学和冰冻舌的结果：斯堪的纳维亚苔原舌病例的范围审查。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-03-01 Epub Date: 2026-01-20 DOI: 10.1016/j.ijporl.2026.112740

Anders Hagen Jarmund , Sofie Eline Tollefsen , Baard Cristoffer Sakshaug , Yashar Honarmandi , Sverre Helge Torp

Background

Children occasionally adhere their tongues to cold metal surfaces during winter (“tundra tongue”), but little is known about the epidemiology and outcomes of these cases.

Objectives

To explore the following questions: who experiences tundra tongue, under which circumstances does it occur, and what are the outcomes?

Methods

We conducted a scoping review to identify case reports published in historical newspapers from Norway, Sweden and Denmark using national library databases. Epidemiological data were charted manually from newspaper items describing literal frozen tongues.

Results

Among 17,009 unique search hits, 856 reports of 113 different cases were identified. Almost all cases (96 %) involved children, median age 5.25 years, and the majority were boys (63 %). Tongues were most often frozen to railings (40 %). Ambient temperature was reported in 18 cases with a median of −16.5 °C. Outcomes ranged from discomfort to potential amputation of tongue tissue, with 20 (18 %) cases involving a doctor or a hospital. Severe injuries were reported in several cases through three distinct mechanisms: (1) the direct effect of cold on tissue, (2) detachment injuries, and (3) the consequences of immobility.

Conclusion

Children, and especially boys, in wintertime, are vulnerable to tundra tongue. Most cases had no or mild consequences but severe injuries were also described in multiple cases. Hence, parents, health care professionals and policymakers should not underestimate the potential harm of tundra tongue.

背景：儿童在冬季偶尔会将舌头粘在寒冷的金属表面（“苔原舌头”），但对这些病例的流行病学和结果知之甚少。目的：探讨以下问题：谁会经历冻土带舌头，在什么情况下会发生，结果是什么？方法：我们使用国家图书馆数据库对挪威、瑞典和丹麦的历史报纸上发表的病例报告进行了范围综述。流行病学数据是根据报纸上描述冰冻舌头的文字手工绘制的。结果：在17,009个独立搜索命中，确定了113个不同病例的856个报告。几乎所有病例（96%）涉及儿童，中位年龄5.25岁，大多数为男孩（63%）。舌头最常冻僵在栏杆上（40%）。18例报告环境温度中位数为-16.5°C。结果从不适到可能的舌组织截肢不等，其中20例（18%）涉及医生或医院。据报道，在一些病例中，严重的损伤有三种不同的机制：(1)冷对组织的直接影响，(2)脱离损伤，(3)不活动的后果。结论：冬季儿童，尤其是男孩易患冻土带舌病。大多数情况下没有或轻微的后果，但严重的伤害也在多个情况下描述。因此，家长、卫生保健专业人员和决策者不应低估冻土带舌头的潜在危害。

{"title":"Demography and outcomes of frozen tongue: a scoping review of Scandinavian tundra tongue cases","authors":"Anders Hagen Jarmund , Sofie Eline Tollefsen , Baard Cristoffer Sakshaug , Yashar Honarmandi , Sverre Helge Torp","doi":"10.1016/j.ijporl.2026.112740","DOIUrl":"10.1016/j.ijporl.2026.112740","url":null,"abstract":"<div><h3>Background</h3><div>Children occasionally adhere their tongues to cold metal surfaces during winter (“tundra tongue”), but little is known about the epidemiology and outcomes of these cases.</div></div><div><h3>Objectives</h3><div>To explore the following questions: who experiences tundra tongue, under which circumstances does it occur, and what are the outcomes?</div></div><div><h3>Methods</h3><div>We conducted a scoping review to identify case reports published in historical newspapers from Norway, Sweden and Denmark using national library databases. Epidemiological data were charted manually from newspaper items describing literal frozen tongues.</div></div><div><h3>Results</h3><div>Among 17,009 unique search hits, 856 reports of 113 different cases were identified. Almost all cases (96 %) involved children, median age 5.25 years, and the majority were boys (63 %). Tongues were most often frozen to railings (40 %). Ambient temperature was reported in 18 cases with a median of −16.5 °C. Outcomes ranged from discomfort to potential amputation of tongue tissue, with 20 (18 %) cases involving a doctor or a hospital. Severe injuries were reported in several cases through three distinct mechanisms: (1) the direct effect of cold on tissue, (2) detachment injuries, and (3) the consequences of immobility.</div></div><div><h3>Conclusion</h3><div>Children, and especially boys, in wintertime, are vulnerable to tundra tongue. Most cases had no or mild consequences but severe injuries were also described in multiple cases. Hence, parents, health care professionals and policymakers should not underestimate the potential harm of tundra tongue.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112740"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146046696","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

Exploring cochlear implantation and quality of life in pediatric recipients with autism spectrum disorder 探讨人工耳蜗植入对儿童自闭症谱系障碍患者生活质量的影响

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-03-01 Epub Date: 2026-01-20 DOI: 10.1016/j.ijporl.2026.112725

Meredith Allen , Camille Reeves , Sofia Torres-Small , Robert J. Yawn , Charles B. Macdonald , Samuel H. Smith , Celine Richard

Objective

This study aims to comprehensively assess the timing and accessibility of cochlear implantation, patterns of its utilization, and the associated outcomes related to quality of life (QoL), in children diagnosed with autism spectrum disorder (ASD).

Study design

Retrospective case-control review, and cross-sectional hearing-related QoL survey.

Setting

Tertiary children's hospital.

Methods

This investigation employed a retrospective case-control design, complemented by a cross-sectional hearing-related QoL survey using the HEAR-QL questionnaires. Outcomes were compared between two populations of pediatric cochlear implant recipients: one group with a preoperative diagnosis of ASD and a control group of neurotypical peers. A review of 413 patient records from 2000 to 2022 identified 22 eligible patients with ASD and matched controls. Of these, 16 participants from the ASD group and 16 controls completed the prospective quality-of-life surveys.

Results

The time between the definitive diagnosis of profound sensorineural hearing loss and the cochlear implantation evaluation was longer for patients with ASD. However, no other significant differences in care delays were observed between ASD children and controls, including time to CI qualification, and implantation. Nevertheless, children with ASD aged 2–6 years showed poorer outcomes in social interaction (p = 0.02) and new social situations (p = 0.02 and 0.04). Despite these behavioral differences, no significant disparity in hearing-related QoL-related communication outcomes was observed.

Conclusion

The study shows that cochlear implant benefit children with ASD, with expected challenges not affecting overall success. It underscores the importance of individualized approaches to address delays in CI evaluation, communication, and social interaction challenges. These insights can help guide care teams, parents and educators in setting realistic expectations following cochlear implantation.

目的综合评价自闭症谱系障碍（ASD）儿童人工耳蜗植入的时机、可及性、使用模式以及与生活质量（QoL）相关的结果。研究设计：回顾性病例对照研究和听力相关生活质量横断面调查。设置三级儿童医院。方法本研究采用回顾性病例对照设计，并辅以使用听力- ql问卷进行听力相关生活质量横断面调查。比较两组儿童人工耳蜗受者的结果：一组术前诊断为ASD，对照组为神经正常的同龄人。对2000年至2022年413例患者记录的回顾确定了22例符合条件的ASD患者和匹配的对照组。其中，来自ASD组的16名参与者和对照组的16名参与者完成了预期生活质量调查。结果ASD患者从明确诊断为重度感音神经性听力损失到人工耳蜗植入评估的时间较长。然而，在ASD儿童和对照组之间，在护理延迟方面没有观察到其他显著差异，包括CI认证时间和植入时间。然而，2-6岁ASD儿童在社交互动（p = 0.02）和新社会情境（p = 0.02和0.04）方面表现较差。尽管存在这些行为差异，但在听力相关的生活质量相关的沟通结果中没有观察到显著差异。结论：研究表明人工耳蜗对ASD儿童有益，预期的挑战不会影响整体的成功。它强调了个性化方法在解决CI评估、沟通和社会互动挑战中的延迟的重要性。这些见解可以帮助指导护理团队、家长和教育工作者在人工耳蜗植入后设定切合实际的期望。

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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 : 2026-03-01 Epub Date: 2026-02-02 DOI: 10.1016/j.ijporl.2026.112741

Orlando Guntinas-Lichius (Guest editor)

引用次数: 0

Enhancing paediatric endoscopic airway training with a high-fidelity 3D-printed simulator 增强儿科内镜气道训练与高保真3d打印模拟器

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-03-01 Epub Date: 2026-01-11 DOI: 10.1016/j.ijporl.2026.112716

Victoria Carswell , Wisha Gul , Thushitha Kunanandam

Objectives

To develop and validate a high-fidelity, low-cost paediatric airway simulation model for endoscopic procedures, replicating a range of laryngeal pathologies. The study assessed the model's face, content, and construct validity and evaluated its educational value for airway surgery training.

Methods

A prospective, multicentre validation study was conducted across three international paediatric otolaryngology courses. Eighty otolaryngologists of varying seniority completed a 19-item Likert questionnaire assessing face and content validity for laryngomalacia, subglottic stenosis and laryngeal cyst models. A subgroup of registrars undertook repeated supraglottoplasty practice to assess construct validity through performance scores and completion time.

Results

All 80 participants completed validation surveys. Mean face and content validity scores exceeded 4/5 across all models, indicating strong anatomical fidelity and educational value. The simulator was rated highly for improving endoscopic technique (mean content score 4.79 ± 0.41). In the construct validity subgroup, supraglottoplasty completion time improved by 7.54m (t = 3.55, p = 0.01) with skill scores increasing by +1.25 points (t = −3.56, p = 0.01). Junior trainees showed greater improvement than seniors. Participants provided favourable qualitative feedback on realism and instrument handling.

Conclusions

This modular, 3D-printed paediatric airway simulator demonstrates face, content and construct validity, with reproducible educational benefits across an international cohort. Its low cost, modularity and interchangeable inserts supports scalable adoption in training programmes. Future work should assess transferability of skills to clinical practice and optimise tissue fidelity for improved haptic realism.

目的：开发和验证一种高保真、低成本的儿科气道模拟模型，用于内镜手术，复制一系列喉部病变。本研究评估了模型的外观、内容和结构效度，并评价了其对气道外科培训的教育价值。方法在三个国际儿科耳鼻喉科课程中进行了一项前瞻性、多中心验证研究。80名不同资历的耳鼻喉科医生完成了一份19项李克特问卷，评估喉软化症、声门下狭窄和喉囊肿模型的面部和内容效度。一组注册者进行了重复的喉上成形术练习，通过表现分数和完成时间来评估结构的有效性。结果80名参与者均完成了验证性问卷调查。所有模型的平均面部和内容效度得分均超过4/5分，显示出较强的解剖逼真度和教育价值。该模拟器对内镜技术的改进评价较高（平均内容评分4.79±0.41）。在构念效度亚组，喉上成形术完成时间提高了7.54m (t = 3.55, p = 0.01)，技能得分提高了+1.25分（t = - 3.56, p = 0.01）。初级学员比高年级学员表现出更大的进步。与会者对现实主义和仪器处理提供了有利的定性反馈。这个模块化的3d打印儿科气道模拟器展示了面部、内容和结构的有效性，在国际队列中具有可重复的教育效益。它的低成本，模块化和可互换的插入支持可扩展的培训计划采用。未来的工作应评估技能转移到临床实践和优化组织保真度，以提高触觉真实感。

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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 : 2026-03-01 Epub 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