International journal of pediatric otorhinolaryngology最新文献

英文中文

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 : 2026-01-11 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

Recurrent post-tonsillectomy bleeding in pediatric patients 小儿扁桃体切除术后复发性出血。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-11 DOI: 10.1016/j.ijporl.2026.112720

Kathleen R. Billings , Sydney J. Sachse , Saied Ghadersohi , Achilles A. Kanaris , Rachel L. Schappacher , Rachel D. Yoon , Alexander J. Szymczak , Inbal Hazkani

Objective

Post-tonsillectomy hemorrhage is a common risk after tonsillectomy. The goal of this study is to analyze the rate of recurrent PTH (R-PTH), and to determine potential risk factors for recurrent bleeding.

Methods

Retrospective cohort study of patients <18 years of age evaluated at a tertiary care pediatric hospital for PTH. Risk factors for patients with R-PTH episodes were evaluated, when compared to patients with a single bleeding episode. An assessment of healthcare utilization in those with R-PTH was performed.

Results

Among 18,819 tonsillectomies performed in the study period, 382 (2.0 %) had a PTH. Of these, 42 patients (11.0 %) experienced R-PTH: 35 patients (9.2 %) with two bleeding episodes, and 7 patients (1.8 %) with three. Patients with R-PTH were male (n = 26, 61.9 %), Hispanic/Latino (n = 19, 45.2 %), and English-speaking (n = 33, 78.6 %). The overall risk of R-PTH following tonsillectomy was 0.2 %, and the relative risk of R-PTH after an initial PTH was 5.4 times. None of the factors analyzed were found to have a significant association with R-PTH, although a greater proportion of patients with R-PTH were found to have a history of chronic tonsillitis (21.4 % vs 14.4 %). Healthcare utilization, an aggregate measurement of primary care, otolaryngology, telemedicine, and emergency department visits unrelated to PTH, was significantly higher in R-PTH patients (2.5 vs. 1.8 occurrences, p = 0.023).

Conclusions

The rate of R-PTH was small (0.2 %), although those patients with an initial PTH had a relative risk of 5.4 for a R-PTH episode. No clear risk factors for R-PTH were identified. Increased healthcare utilization was noted in those with R-PTH.

Level of evidence

目的：扁桃体切除术后出血是扁桃体切除术后常见的危险。本研究的目的是分析甲状旁腺激素（R-PTH）的复发率，并确定出血复发的潜在危险因素。方法：回顾性队列研究患者结果：在研究期间18,819例扁桃体切除术中，382例（2.0%）有PTH。其中，42例患者（11.0%）经历了甲状旁腺激素：35例患者（9.2%）有两次出血发作，7例患者（1.8%）有三次出血发作。R-PTH患者为男性（n = 26，占61.9%）、西班牙裔/拉丁裔（n = 19，占45.2%）和英语患者（n = 33，占78.6%）。扁桃体切除术后R-PTH的总风险为0.2%，而初始PTH后R-PTH的相对风险为5.4倍。虽然有较大比例的R-PTH患者有慢性扁桃体炎病史（21.4% vs 14.4%），但分析的所有因素均未发现与R-PTH有显著关联。与甲状旁腺激素无关的初级保健、耳鼻喉科、远程医疗和急诊科就诊的综合测量结果显示，r -甲状旁腺激素患者的医疗利用率明显更高（2.5比1.8,p = 0.023）。结论：尽管初始PTH患者发生R-PTH发作的相对风险为5.4，但R-PTH的发生率很小（0.2%）。没有明确的促甲状旁腺激素的危险因素。在有促性甲状旁腺激素的患者中，医疗保健利用率增加。证据等级：4；

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引用次数: 0

Interdisciplinary approach: The importance of dysphagia diagnostics in pediatric patients 跨学科方法：儿科患者吞咽困难诊断的重要性

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-11 DOI: 10.1016/j.ijporl.2026.112724

Fabian Kraus, Wafaa Shehata-Dieler, Rudolf Hagen, Stephan Hackenberg

Pediatric dysphagia represents a complex and multifactorial clinical challenge with potentially profound implications for development, nutritional status, pulmonary health, and overall quality of life. In infants and children, the early identification of swallowing difficulties is critical due to their impact on growth trajectories, neurodevelopment, and the psychosocial well-being of both the child and caregivers. This comprehensive article examines the importance of a systematic, interdisciplinary diagnostic approach in evaluating pediatric dysphagia in a university hospital. Based on a ten-year retrospective cohort study involving 223 pediatric patients aged one month to sixteen years, we investigate how the integration of clinical history, physical examination, and state-of-the-art instrumental techniques - such as flexible endoscopic evaluation of swallowing (FEES) - within a collaborative, multi-specialist framework can enhance diagnostic precision. Findings underscore the necessity of individualized, developmentally sensitive diagnostic pathways involving phoniatricions, ENT specialists, pediatricians, speech-language pathologists, radiologists and nutrition experts.

小儿吞咽困难是一种复杂的多因素临床挑战，对发育、营养状况、肺部健康和整体生活质量具有潜在的深远影响。在婴儿和儿童中，吞咽困难的早期识别是至关重要的，因为它们对儿童和照顾者的生长轨迹、神经发育和社会心理健康都有影响。这篇综合性的文章探讨了在大学医院评估儿童吞咽困难的一个系统的、跨学科的诊断方法的重要性。基于一项为期10年的回顾性队列研究，涉及223名1个月至16岁的儿童患者，我们研究了如何将临床病史、体格检查和最先进的仪器技术（如柔性内窥镜吞咽评估（FEES））整合在一个协作的多专家框架内，以提高诊断精度。研究结果强调了个体化的、对发育敏感的诊断途径的必要性，这些诊断途径包括发音专家、耳鼻喉科专家、儿科医生、语言病理学家、放射科医生和营养专家。

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引用次数: 0

Early detection of congenital cytomegalovirus – universal screening in the neonatal ICU 先天性巨细胞病毒的早期检测——新生儿重症监护病房的普遍筛查。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-10 DOI: 10.1016/j.ijporl.2026.112712

Avani Vasireddy , Monica Ogunsusi , Rick Pittman , Kristin Weimer , Eileen Raynor

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 : 2026-01-09 DOI: 10.1016/j.ijporl.2026.112717

Trimartani Koento , Shefilyn Widjaja

引用次数: 0

Gender-specific acoustic profile of male children aged 10–15 years: Fundamental frequency and formant changes 10-15岁男性儿童的性别声学特征：基本频率和共振峰的变化

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-07 DOI: 10.1016/j.ijporl.2026.112709

Raveendran Revathi , M.B. Shivani , H.J. Sanjana , P. Prathiksha

引用次数: 0

Safety and tolerability of a standardized treatment regimen for Mycobacterium abscessus otomastoiditis 脓肿分枝杆菌耳乳突炎标准化治疗方案的安全性和耐受性。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-06 DOI: 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.

背景：本研究旨在评估我们机构多学科临床途径治疗脓肿分枝杆菌的药物性不良事件，并对不良事件的监测和管理提出建议。方法：根据我们三级转诊中心公布的机构临床路径治疗的患者纳入。主要结局指标是记录的不良事件的类型和频率。此外，还评估了药物停止或中断的原因。结果：纳入10例患者，平均年龄8岁，男性占70%。所有患者均出现不良事件，90%的病例导致早产停药（40%）甚至停止使用一种或多种抗生素（70%）。最常见的不良事件是胃肠道（100%）、体重减轻（60%）、肝酶升高（70%）、低白蛋白血症（90%）和高甘油三酯血症（70%）。大多数不良事件可能由替加环素引起。所有患儿治疗后均临床痊愈，未发生长期身体不良事件。结论：多药治疗脓肿支原体耳乳突炎易并发不良事件。建议由专门的团队进行管理。建议经常进行临床监测，定期进行血液检查、听音图和心电图检查。由于恶心和呕吐的频率高，应给予预防性止吐药，特别是替加环素。

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引用次数: 0

Household button battery coating materials for injury prevention in esophageal impaction: An ex vivo porcine study 家用纽扣电池涂层材料预防食管嵌塞损伤：猪的离体研究。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-05 DOI: 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

引用次数: 0

The effects of maturation on auditory brainstem response latencies and amplitudes using CE-Chirp® LS stimulus in a pediatric population 使用CE-Chirp®LS刺激的儿童人群成熟对听觉脑干反应潜伏期和振幅的影响

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-05 DOI: 10.1016/j.ijporl.2026.112711

Büşra Kaynakoğlu , İrem Sendesen , Eser Sendesen

引用次数: 0

Associations between apnea-hypopnea index score and desaturation events during anesthesia induction in pediatric tonsillectomy patients: A retrospective analysis 儿童扁桃体切除术患者麻醉诱导时呼吸暂停低通气指数评分与去饱和事件的相关性：回顾性分析。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-05 DOI: 10.1016/j.ijporl.2026.112708

Sarah Kim , Bailey Balouch , Spencer Clements , Bryant Wang , Ajay Singh , Donald Solomon

引用次数: 0

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全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

International journal of pediatric otorhinolaryngology

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