Pub Date : 2026-01-09DOI: 10.1016/j.ijporl.2026.112717
Trimartani Koento , Shefilyn Widjaja
{"title":"Ankyloglossia and its association with sleep-disordered breathing in children: A systematic review","authors":"Trimartani Koento , Shefilyn Widjaja","doi":"10.1016/j.ijporl.2026.112717","DOIUrl":"10.1016/j.ijporl.2026.112717","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112717"},"PeriodicalIF":1.3,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981429","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}
{"title":"Gender-specific acoustic profile of male children aged 10–15 years: Fundamental frequency and formant changes","authors":"Raveendran Revathi , M.B. Shivani , H.J. Sanjana , P. Prathiksha","doi":"10.1016/j.ijporl.2026.112709","DOIUrl":"10.1016/j.ijporl.2026.112709","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112709"},"PeriodicalIF":1.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922392","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}
Pub Date : 2026-01-06DOI: 10.1016/j.ijporl.2026.112715
Theresa Y.S. Leow , Stijn Bekkers , Stefanie S.V. Henriet , Myrthe K.S. Hol , Arno M. Janssen , Thijs T.G. Jansen , Henricus P.M. Kunst , Sjoert A.H. Pegge , Jerome J. Waterval , Jakko van Ingen , Koen J. Van Aerde
Background
This study aims to evaluate the drug-induced adverse events of our institutional multidisciplinary clinical pathway for M. abscessus treatment and gives suggestions for monitoring and management of adverse events.
Methods
Patients treated according to a published institutional clinical pathway in our tertiary referral centre were included. Main outcome measures were the type and frequency of adverse events documented. In addition, reasons for drug cessation or interruption were evaluated.
Results
Ten patients were included (mean age: 8 years old; male: 70 %). All patients suffered from adverse events, in 90 % of the cases leading to pre-term drug interruption (40 %) or even cessation (70 %) of one or more antibiotics. Most common adverse events were gastrointestinal (100 %), weight loss (60 %), elevated liver enzymes (70 %), hypoalbuminemia (90 %) and hypertriglyceridemia (70 %). Most adverse events were likely caused by tigecycline. All children were clinically cured after the treatment and did not suffer from long-term physical adverse events.
Conclusions
The multidrug treatment for M. abscessus otomastoiditis is frequently complicated by adverse events. Management by a specialized team is recommended. Frequent clinical monitoring, regular blood tests, audiograms and ECGs are recommended. Prophylactic antiemetics should be administered due to the high frequency of nausea and vomiting, particularly with tigecycline.
{"title":"Safety and tolerability of a standardized treatment regimen for Mycobacterium abscessus otomastoiditis","authors":"Theresa Y.S. Leow , Stijn Bekkers , Stefanie S.V. Henriet , Myrthe K.S. Hol , Arno M. Janssen , Thijs T.G. Jansen , Henricus P.M. Kunst , Sjoert A.H. Pegge , Jerome J. Waterval , Jakko van Ingen , Koen J. Van Aerde","doi":"10.1016/j.ijporl.2026.112715","DOIUrl":"10.1016/j.ijporl.2026.112715","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to evaluate the drug-induced adverse events of our institutional multidisciplinary clinical pathway for <em>M. abscessus</em> treatment and gives suggestions for monitoring and management of adverse events.</div></div><div><h3>Methods</h3><div>Patients treated according to a published institutional clinical pathway in our tertiary referral centre were included. Main outcome measures were the type and frequency of adverse events documented. In addition, reasons for drug cessation or interruption were evaluated.</div></div><div><h3>Results</h3><div>Ten patients were included (mean age: 8 years old; male: 70 %). All patients suffered from adverse events, in 90 % of the cases leading to pre-term drug interruption (40 %) or even cessation (70 %) of one or more antibiotics. Most common adverse events were gastrointestinal (100 %), weight loss (60 %), elevated liver enzymes (70 %), hypoalbuminemia (90 %) and hypertriglyceridemia (70 %). Most adverse events were likely caused by tigecycline. All children were clinically cured after the treatment and did not suffer from long-term physical adverse events.</div></div><div><h3>Conclusions</h3><div>The multidrug treatment for <em>M. abscessus</em> otomastoiditis is frequently complicated by adverse events. Management by a specialized team is recommended. Frequent clinical monitoring, regular blood tests, audiograms and ECGs are recommended. Prophylactic antiemetics should be administered due to the high frequency of nausea and vomiting, particularly with tigecycline.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112715"},"PeriodicalIF":1.3,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145966089","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}
Pub Date : 2026-01-05DOI: 10.1016/j.ijporl.2026.112713
Jacob G.J. Wihlidal , Elysia M. Grose , Yasmin Madan , Evan J. Propst , Adrian L. James , Jennifer M. Siu , Nikolaus E. Wolter
{"title":"Household button battery coating materials for injury prevention in esophageal impaction: An ex vivo porcine study","authors":"Jacob G.J. Wihlidal , Elysia M. Grose , Yasmin Madan , Evan J. Propst , Adrian L. James , Jennifer M. Siu , Nikolaus E. Wolter","doi":"10.1016/j.ijporl.2026.112713","DOIUrl":"10.1016/j.ijporl.2026.112713","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112713"},"PeriodicalIF":1.3,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145966064","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}
Pub Date : 2026-01-05DOI: 10.1016/j.ijporl.2026.112711
Büşra Kaynakoğlu , İrem Sendesen , Eser Sendesen
{"title":"The effects of maturation on auditory brainstem response latencies and amplitudes using CE-Chirp® LS stimulus in a pediatric population","authors":"Büşra Kaynakoğlu , İrem Sendesen , Eser Sendesen","doi":"10.1016/j.ijporl.2026.112711","DOIUrl":"10.1016/j.ijporl.2026.112711","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112711"},"PeriodicalIF":1.3,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922391","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}
Pub Date : 2026-01-05DOI: 10.1016/j.ijporl.2026.112708
Sarah Kim , Bailey Balouch , Spencer Clements , Bryant Wang , Ajay Singh , Donald Solomon
{"title":"Associations between apnea-hypopnea index score and desaturation events during anesthesia induction in pediatric tonsillectomy patients: A retrospective analysis","authors":"Sarah Kim , Bailey Balouch , Spencer Clements , Bryant Wang , Ajay Singh , Donald Solomon","doi":"10.1016/j.ijporl.2026.112708","DOIUrl":"10.1016/j.ijporl.2026.112708","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112708"},"PeriodicalIF":1.3,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911515","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}
Pub Date : 2026-01-05DOI: 10.1016/j.ijporl.2026.112710
Sarah Van der Elst , Carolyn Fein Levy , Morris Edelman , Nika Finelt , Lee P. Smith , Neha A. Patel
{"title":"The use of MEK inhibitors in pediatric patients presenting with respiratory distress and laryngeal Rosai-Dorfman Disease: Two case reports","authors":"Sarah Van der Elst , Carolyn Fein Levy , Morris Edelman , Nika Finelt , Lee P. Smith , Neha A. Patel","doi":"10.1016/j.ijporl.2026.112710","DOIUrl":"10.1016/j.ijporl.2026.112710","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112710"},"PeriodicalIF":1.3,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911503","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}
Pub Date : 2026-01-05DOI: 10.1016/j.ijporl.2026.112707
Andrew B. Brown , Kastley Marvin , Philip A. Gaudreau
{"title":"Using artificial intelligence to rewrite the script on pediatric ENT patient education","authors":"Andrew B. Brown , Kastley Marvin , Philip A. Gaudreau","doi":"10.1016/j.ijporl.2026.112707","DOIUrl":"10.1016/j.ijporl.2026.112707","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112707"},"PeriodicalIF":1.3,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981431","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}
Pub Date : 2026-01-05DOI: 10.1016/j.ijporl.2026.112714
Quan Lu , Loga Iyer , Surbhi Srinivas , Anita Jeyakumar
Objective
Critically appraise the literature for anesthetic agents and routes of administration and their impacts on successful sedation and auditory brainstem response (ABR) testing outcomes in children.
Methods
Searches of PubMed, Cochrane, and Web of Science for all available literature, last accessed February 2025, using “auditory brainstem response”, “anesthesia”, “anesthetic”, “IV anesthesia”, “volatile anesthesia”, “oral anesthesia”, “pediatric”, “sevoflurane”, and “hearing loss” with “AND”. Non-English, non-pediatric, studies unrelated to anesthetic agents and ABR were excluded.
Results
510 studies screened, 24 included (6053 patients (35.2 % female)). Eight studies with 282 patients reported the impact of different anesthetics on ABR waveforms, and sixteen with 5771 participants reported the rate of successful sedation. Sixty-nine patients from three studies demonstrated no significant difference in waveforms among different anesthetic agents. Four studies with 144 participants reported significant alterations of waveforms between pharmacologic and non-anesthetized groups. One study with 79 participants found that sevoflurane produced more false positives, resulting in more severe hearing loss diagnoses than propofol. Anesthetic agents with various routes of administration demonstrated different levels of efficacy in achieving sedation, with IV propofol and intranasal dexmedetomidine exhibiting improved performance.
Conclusion
Current literature demonstrates the use of multiple anesthetic agents and routes of administration during ABR testing in children with varying degrees of successful sedation and extent of impact on ABR waveforms. Limited data suggest that IV propofol is highly effective in achieving sedation with a lower impact on ABR testing outcomes. Nevertheless, further investigation is required to guide anesthetic selection during ABR testing in children.
目的对麻醉药物和给药途径及其对儿童成功镇静和听觉脑干反应(ABR)测试结果的影响进行批判性评价。方法检索PubMed、Cochrane和Web of Science所有可用文献,最后检索日期为2025年2月,检索词为“听觉脑干反应”、“麻醉”、“麻醉剂”、“静脉麻醉”、“挥发性麻醉”、“口腔麻醉”、“儿科”、“七氟烷”和“听力损失”。非英语、非儿科、与麻醉剂和ABR无关的研究被排除在外。结果510项研究被筛选,24项纳入(6053例患者,其中35.2%为女性)。8项涉及282例患者的研究报告了不同麻醉剂对ABR波形的影响,16项涉及5771名参与者的研究报告了镇静成功率。三个研究的69例患者显示不同麻醉剂的波形无显著差异。四项144名参与者的研究报告了药物组和非麻醉组之间波形的显著改变。一项有79名参与者的研究发现,七氟醚产生了更多的假阳性,导致比异丙酚更严重的听力损失诊断。不同给药途径的麻醉药在达到镇静效果方面表现出不同程度的疗效,静脉注射异丙酚和鼻内注射右美托咪定表现出更好的效果。结论目前的文献表明,在不同程度的成功镇静和对ABR波形的影响程度的儿童中,在ABR测试中使用多种麻醉剂和给药途径。有限的数据表明,静脉注射异丙酚在实现镇静方面非常有效,对ABR测试结果的影响较小。然而,需要进一步的研究来指导儿童ABR试验中麻醉剂的选择。
{"title":"Impact of anesthetics choice on auditory brainstem response testing in children: A systematic review","authors":"Quan Lu , Loga Iyer , Surbhi Srinivas , Anita Jeyakumar","doi":"10.1016/j.ijporl.2026.112714","DOIUrl":"10.1016/j.ijporl.2026.112714","url":null,"abstract":"<div><h3>Objective</h3><div>Critically appraise the literature for anesthetic agents and routes of administration and their impacts on successful sedation and auditory brainstem response (ABR) testing outcomes in children.</div></div><div><h3>Methods</h3><div>Searches of PubMed, Cochrane, and Web of Science for all available literature, last accessed February 2025, using “auditory brainstem response”, “anesthesia”, “anesthetic”, “IV anesthesia”, “volatile anesthesia”, “oral anesthesia”, “pediatric”, “sevoflurane”, and “hearing loss” with “AND”. Non-English, non-pediatric, studies unrelated to anesthetic agents and ABR were excluded.</div></div><div><h3>Results</h3><div>510 studies screened, 24 included (6053 patients (35.2 % female)). Eight studies with 282 patients reported the impact of different anesthetics on ABR waveforms, and sixteen with 5771 participants reported the rate of successful sedation. Sixty-nine patients from three studies demonstrated no significant difference in waveforms among different anesthetic agents. Four studies with 144 participants reported significant alterations of waveforms between pharmacologic and non-anesthetized groups. One study with 79 participants found that sevoflurane produced more false positives, resulting in more severe hearing loss diagnoses than propofol. Anesthetic agents with various routes of administration demonstrated different levels of efficacy in achieving sedation, with IV propofol and intranasal dexmedetomidine exhibiting improved performance.</div></div><div><h3>Conclusion</h3><div>Current literature demonstrates the use of multiple anesthetic agents and routes of administration during ABR testing in children with varying degrees of successful sedation and extent of impact on ABR waveforms. Limited data suggest that IV propofol is highly effective in achieving sedation with a lower impact on ABR testing outcomes. Nevertheless, further investigation is required to guide anesthetic selection during ABR testing in children.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112714"},"PeriodicalIF":1.3,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922390","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}
Pub Date : 2026-01-05DOI: 10.1016/j.ijporl.2026.112706
Authors Amy Hannigan , Raimundo Garcia-Matte , Christopher Jackson , Hannah Burns , Eric Levi , Phillip Sale , Hayley Herbert
{"title":"Catastrophic primary bleeding post intracapsular tonsillectomy in paediatrics – highlighting risk and technical considerations","authors":"Authors Amy Hannigan , Raimundo Garcia-Matte , Christopher Jackson , Hannah Burns , Eric Levi , Phillip Sale , Hayley Herbert","doi":"10.1016/j.ijporl.2026.112706","DOIUrl":"10.1016/j.ijporl.2026.112706","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112706"},"PeriodicalIF":1.3,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145957676","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}