International journal of pediatric otorhinolaryngology最新文献_第4页

“Inside-out” otoplasty in school-age children: Clinical and aesthetic results

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-02-10 DOI: 10.1016/j.ijporl.2025.112268

Aynur Aliyeva , Ramil Hashimli

Aim

Prominent ears are a common congenital deformity that can cause significant psychological distress, especially in school-age children. This study aims to evaluate the clinical and aesthetic outcomes of the ‘’inside-out’’ otoplasty technique in addressing prominent ears in children aged 7 to 17.

Methods

A retrospective review was conducted on 20 children (5 boys, 15 girls) who underwent bilateral ‘‘inside-out’’ otoplasty. Postoperative outcomes were evaluated at one year using the Global Aesthetic Improvement Scale (GAIS) and Visual Analog Scale (VAS) to assess clinical success and parental satisfaction. The procedure focused on reshaping the ear cartilage internally and externally to form natural helical and antihelical folds.

Results

Among the 20 patients, 60 % were rated as "very much improved” on the GAIS scale, 30 % as "much improved,” and 10 % as "improved.” No cases of "no change” or "worse” were observed. Additionally, 95 % of parents reported being "very” or "completely” satisfied with the appearance and symmetry of their children's ears, reflecting a high level of aesthetic and clinical success. Visual Analog Scale (VAS) scores demonstrated significant satisfaction, with all patients scoring between 1 and 3, further confirming the positive clinical and psychological outcomes of the ‘‘inside-out’’ otoplasty technique.

Conclusion

The "inside-out” otoplasty technique effectively corrects prominent ears in school-age children, providing aesthetic and psychological benefits. Early intervention improves ear appearance, boosts social integration, and enhances self-confidence. The procedure is safe and does not impact ear growth, making it a valuable early treatment option for children with prominent ears.

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引用次数: 0

The impact of social determinants of health on pediatric tonsillectomy

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-02-10 DOI: 10.1016/j.ijporl.2025.112271

Sarah R. Sutton , Kelsey A. Duckett , Paul J. Nietert , Marvella E. Ford , Phayvanh P. Pecha

Objective

To determine if health disparities impact pediatric tonsillectomy rates.

Introduction

Inequities in pediatric tonsillectomy have been identified in individual studies, however, a systematic review characterizing how the specific social determinants of health impact differences in receipt of pediatric tonsillectomy is needed.

Data sources

PubMed, Scopus, and CINAHL databases.

Review methods

A systematic review was performed in accordance with the PRISMA guidelines. The literature search aimed to capture all articles published through August 2022. Included articles evaluated tonsillectomy for the treatment of tonsillitis and/or obstructive sleep-disordered breathing in patients less than 21 years in which one or more social determinants of health were evaluated.

Results

A total of 801 unique articles were identified. Of those, 22 met inclusion criteria. Eight studies (36 %) evaluated tonsillectomy in the context of race, of which all showed that Black children underwent tonsillectomy at significantly lower rates than their White counterparts. Nine studies (41 %) evaluated insurance status, with population-based studies concluding that tonsillectomy utilization was higher in patients with public insurance. Studies of race and insurance were all from the United States. Eight studies (36 %) assessed socioeconomic status and six (28 %) assessed geographic location; however, these latter factors were difficult to compare given the varying metrics and locations among studies.

Conclusion

This systematic review shows that Black children undergo tonsillectomy at lower rates than White children, and children with public insurance undergo tonsillectomy at higher rates than children with other insurance types in the United States. Findings for rurality and socioeconomic status were heterogenous given regional and national differences in study settings.

Level of evidence

I.

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引用次数: 0

The effect of two different video demonstrations on pain and anxiety in children undergoing adenotonsillectomy: A randomized controlled trial 两种不同视频演示对接受腺扁桃体切除术儿童疼痛和焦虑的影响：随机对照试验

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-02-07 DOI: 10.1016/j.ijporl.2025.112267

Mihriye Koca , Meltem Kürtüncü , Aylin Kurt

Aim

The study was conducted to determine the effect of two different video demonstrations on pain and anxiety in children undergoing adenotonsillectomy.

Methods

This randomized controlled trial (NCT06339866) was conducted by randomly assigning children aged 6–12 years who underwent adenotonsillectomy to three groups (animation group = 34, cartoon group = 32 and control group = 32). Data were collected using Sociodemographic Questionnaire, Wong-Baker Faces Pain Rating Scale, Child Anxiety Scale-Conditioning (CAS-C).

Results

The pain score of the children in the control group was found to be significantly higher than that of the other groups (p < 0.05). Furthermore, the pain score of the children in the cartoon group was found to be significantly higher than that of the children in the educational animation group (p < 0.05). In all of the parent and nurse assessments, the mean scores of the children in the education group were found to be lower after surgery compared to the preoperative period (p < 0.001). A negative correlation was observed between Wong-Baker Faces Expressions Pain Rating Scale scores and change in CAS-C scores (p < 0.05). The changes in CAS-C scores accounted for 26.1 % of the total variance in pain scores according to the children's assessment, 19.0 % according to the parents' assessment, and 42.6 % according to the nurses' assessment. The intraclass correlation analysis was conducted to assess the agreement between the mean scores of children, parents, and nurses on the Wong-Baker Faces Expressions Pain Rating Scale and the CAS-C. The results demonstrated excellent agreement (p < 0.001).

Conclusion

The use of educational animation and cartoons in the preoperative period has a significant effect on reducing postoperative anxiety and pain levels in children. The use of educational animation was found to be the most effective method. In future studies, it is recommended that more impressive videos and presentations with technological developments be used comparatively both in children undergoing adenotonsillectomy and in children undergoing different surgical procedures.

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引用次数: 0

Cognitive linguistic abilities in school-aged children with repaired cleft lip and palate: A systematic review

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-02-06 DOI: 10.1016/j.ijporl.2025.112246

Pushpavathi Mariswamy , Sreeraj Konadath , Prashanth Prabhu , Kavassery Venkateswaran Nisha , Yashaswini Channabasavegowda , Meghana Ningaraju

Aim & objective

The present review aimed to investigate cognitive-linguistic abilities in children with cleft lip and palate (CLP) with a mean age less than 18 years, using PRISMA framework. The objective is to synthesize and provide insights into how these cognitive processes may differ between children with CLP and typically developing children.

Method

A comprehensive literature search was conducted across electronic databases covering studies published between January 2000 and December 2023. Seven eligible studies were included with comparison groups and were selected based on the Population, Intervention, Comparison, Outcome, and Study Design criteria outlined by Methley et al. [38]. Data extraction was performed using the Rayyan QCRI system to develop a customized form, and study quality was assessed using the Appraisal Tool for Cross-Sectional Studies. The selected studies explored various subdomains of cognitive-linguistic, such as Attention, Memory, Executive Function, and Reading comprehension, in children with Repaired CLP.

Results

Children with CLP demonstrated comparable or superior performance to their typically developing peers in some attention measures, such as the continuous performance test (CPT-II), suggesting potential compensatory mechanisms. Contrasting findings regarding memory performance, including strengths in verbal memory for familiar stimuli, suggest that children with CLP may develop alternative neurological strategies for language learning. These findings emphasize that children with CLP often achieve developmental milestones comparable to their peers despite facing specific cognitive-linguistic challenges.

Conclusion

This review highlights the importance of understanding the Cognitive-Linguistic challenges faced by children with CLP, emphasizing the need for targeted interventions to support their academic and developmental outcomes. Early identification and tailored interventions remain pivotal to mitigating academic and developmental difficulties while supporting long-term outcomes.

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引用次数: 0

Efficacy of a novel narrative intervention program for children with developmental language disorder: A pilot randomized controlled trial

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-02-05 DOI: 10.1016/j.ijporl.2025.112243

Sara Magdy Ibrahim , Ossama Ahmed Sobhy , Riham Mohamed ElMaghraby , Nesrine Hazem Hamouda

Introduction

The narratives of children with DLD are characterized by several deficits. Narrative proficiency is crucial for communication and education; therefore, children with Developmental Language Disorder (DLD) face risks of linguistic delays, social challenges, and educational difficulties. Research indicates that interventions focused on narratives enhance narrative and overall linguistic skills, as well as literacy skills and social interactions among peers. This study aimed to develop the Oral Narrative Language Intervention Program (ONLIP) and assess its effectiveness in enhancing the narrative and linguistic skills of children with DLD compared to conventional language intervention.

Methods

A pilot randomized controlled study was conducted on 44 children with developmental language disorder. The participants were randomly divided by block randomization into two groups: the cases group, which received training with the ONLIP, and the control group, which received conventional intervention for 3 months. The participants were evaluated pre- and post-intervention using the Arabic version of the Test of Narrative Language—Second Edition (TNL-2) and the Comprehensive Arabic Language Test (CALT).

Results

Following therapy, the DLD cases group demonstrated a statistically significant improvement in the composite performance of TNL-2 and all of the assessed narrative comprehension and production skills. Comparing the scores for the CALT between pre-and post-intervention, both groups demonstrated a statistically significant improvement.

Conclusions

ONLIP is an effective narrative intervention tool for improving the narrative comprehension and production skills of DLD children compared to conventional training. Both forms of intervention are effective for improving linguistic form and structure.

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引用次数: 0

Exploring teacher knowledge and attitudes towards the inclusion of children with hearing impairment in mainstream education- A systematic review

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-02-04 DOI: 10.1016/j.ijporl.2025.112255

Sai Keerthan K, Dhanshree R. Gunjawate, Rohit Ravi, Kaushlendra Kumar

Introduction

Mainstreaming education is considered one of the most effective approaches to including children with hearing impairment (CWHI) in regular classrooms. The success of such inclusion in mainstream education depends on teachers' attitudes and knowledge towards hearing loss and inclusion. It was thus felt essential to document and understand the teachers' attitudes and knowledge towards the inclusion of CWHI in mainstream education.

Method

Systematic review was carried out to identify studies related to the teachers' attitudes and knowledge towards the inclusion of CWHI in mainstreaming education using PubMed, Scopus and Cochrane databases. The inclusion criteria included studies conducted in school teachers (both primary and secondary) using questionnaires to explore their knowledge and attitudes towards inclusion of CWHI in mainstream classrooms, published in English up to March 2024. The review followed the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement.

Results

366 articles were identified, and after screening, only seven studies were included in the present review that met the criteria. All seven studies reported positive attitudes among teachers towards the inclusion of hearing-impaired students in regular classrooms. Strategies such as modifying the teachers' working environment, providing training, and installing schools with assistive listening systems were found to eliminate the negative attitudes.

Conclusion

Both positive and negative attitudes persist among teachers towards the inclusion of children with hearing impairment in mainstream education. While there is overwhelming support for the inclusion of CWHI in mainstream classrooms, teachers' reluctance is mainly related to insufficient training and resources to meet the needs of these children.

{"title":"Exploring teacher knowledge and attitudes towards the inclusion of children with hearing impairment in mainstream education- A systematic review","authors":"Sai Keerthan K, Dhanshree R. Gunjawate, Rohit Ravi, Kaushlendra Kumar","doi":"10.1016/j.ijporl.2025.112255","DOIUrl":"10.1016/j.ijporl.2025.112255","url":null,"abstract":"<div><h3>Introduction</h3><div>Mainstreaming education is considered one of the most effective approaches to including children with hearing impairment (CWHI) in regular classrooms. The success of such inclusion in mainstream education depends on teachers' attitudes and knowledge towards hearing loss and inclusion. It was thus felt essential to document and understand the teachers' attitudes and knowledge towards the inclusion of CWHI in mainstream education.</div></div><div><h3>Method</h3><div>Systematic review was carried out to identify studies related to the teachers' attitudes and knowledge towards the inclusion of CWHI in mainstreaming education using PubMed, Scopus and Cochrane databases. The inclusion criteria included studies conducted in school teachers (both primary and secondary) using questionnaires to explore their knowledge and attitudes towards inclusion of CWHI in mainstream classrooms, published in English up to March 2024. The review followed the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement.</div></div><div><h3>Results</h3><div>366 articles were identified, and after screening, only seven studies were included in the present review that met the criteria. All seven studies reported positive attitudes among teachers towards the inclusion of hearing-impaired students in regular classrooms. Strategies such as modifying the teachers' working environment, providing training, and installing schools with assistive listening systems were found to eliminate the negative attitudes.</div></div><div><h3>Conclusion</h3><div>Both positive and negative attitudes persist among teachers towards the inclusion of children with hearing impairment in mainstream education. While there is overwhelming support for the inclusion of CWHI in mainstream classrooms, teachers' reluctance is mainly related to insufficient training and resources to meet the needs of these children.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112255"},"PeriodicalIF":1.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143329699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlations between the pediatric sleep questionnaire and the pediatric overnight pulse oximetry

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-02-04 DOI: 10.1016/j.ijporl.2025.112245

S. Bellavance , M. Khoury , E. Delisle , C. Nhan , M. Bergeron

Background

Since access to polysomnography is often limited, overnight pulse oximetry (OPO) is often used as an alternative despite its lower sensitivity. OPO can be an effective screening tool for sleep-disordered breathing (SDB), potentially indicating the presence of obstructive sleep apnea (OSA). OPO is also required for organizing postoperative monitoring following adenotonsillectomy. The Pediatric Sleep Questionnaire (PSQ) is a validated 22-item questionnaire that assesses OSA symptoms, of which the first six items report obstructive symptoms (obstructive subscale). Our study aims to determine the correlation between OPO and PSQ results and to evaluate if this questionnaire can be used to prioritize OPO for children suspected of OSA.

Methods

We conducted a retrospective, single-center study in a pediatric tertiary hospital involving 100 consecutive children. Participants were included if they were 2 years and older, had clinical suspicion of OSA, a completed PSQ, and a recent OPO result.

Results

The total PSQ score and the obstructive PSQ subscale have respective sensitivities of 80.4 % and 83.8 % for predicting SDB suggested by OPO. The sensitivity of the obstructive subscale increases to 90.9 % in children with adenotonsillar hypertrophy. However, the PSQ score isn't a reliable predictor of the severity of OSA as determined by OPO. The presence of comorbidities in children does not influence the correlation between the PSQ and OPO results.

Conclusion

The obstructive PSQ subscale is a quick, easy, and sensitive tool for predicting OSA diagnosed by OPO, particularly when there is adenotonsillar hypertrophy. The PSQ can prioritize children with high scores for OPO.

{"title":"Correlations between the pediatric sleep questionnaire and the pediatric overnight pulse oximetry","authors":"S. Bellavance , M. Khoury , E. Delisle , C. Nhan , M. Bergeron","doi":"10.1016/j.ijporl.2025.112245","DOIUrl":"10.1016/j.ijporl.2025.112245","url":null,"abstract":"<div><h3>Background</h3><div>Since access to polysomnography is often limited, overnight pulse oximetry (OPO) is often used as an alternative despite its lower sensitivity. OPO can be an effective screening tool for sleep-disordered breathing (SDB), potentially indicating the presence of obstructive sleep apnea (OSA). OPO is also required for organizing postoperative monitoring following adenotonsillectomy. The Pediatric Sleep Questionnaire (PSQ) is a validated 22-item questionnaire that assesses OSA symptoms, of which the first six items report obstructive symptoms (obstructive subscale). Our study aims to determine the correlation between OPO and PSQ results and to evaluate if this questionnaire can be used to prioritize OPO for children suspected of OSA.</div></div><div><h3>Methods</h3><div>We conducted a retrospective, single-center study in a pediatric tertiary hospital involving 100 consecutive children. Participants were included if they were 2 years and older, had clinical suspicion of OSA, a completed PSQ, and a recent OPO result.</div></div><div><h3>Results</h3><div>The total PSQ score and the obstructive PSQ subscale have respective sensitivities of 80.4 % and 83.8 % for predicting SDB suggested by OPO. The sensitivity of the obstructive subscale increases to 90.9 % in children with adenotonsillar hypertrophy. However, the PSQ score isn't a reliable predictor of the severity of OSA as determined by OPO. The presence of comorbidities in children does not influence the correlation between the PSQ and OPO results.</div></div><div><h3>Conclusion</h3><div>The obstructive PSQ subscale is a quick, easy, and sensitive tool for predicting OSA diagnosed by OPO, particularly when there is adenotonsillar hypertrophy. The PSQ can prioritize children with high scores for OPO.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112245"},"PeriodicalIF":1.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348759","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

Excision of tongue base lesions in children: The frenuloplasty mini-rake technique

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-02-04 DOI: 10.1016/j.ijporl.2025.112251

Anne-Sophie Prevost , Jennifer M. Siu , Nikolaus E. Wolter , Evan J. Propst

Objectives

We developed a new approach of exposing the tongue base using frenuloplasty and mini-rakes (FMR) to resect lesions directly with microbipolar cautery. The purpose of this study is to review the patients who underwent this procedure at our center.

Methods

A medical chart review was conducted from January 2011 to June 2023 looking for children under 18 years of age who had a base of tongue lesion resected using the FMR technique. Age at time of surgery, lesion type, intubation, number of days until eating, and length of hospital stay were recorded.

Results

We identified 16 patients who underwent excision of a tongue base lesion using the FMR technique. The median (IQR) age was 1.9 (0.9–7.9) years. The diagnosis on pathology of the lesions were 13 lingual thyroglossal duct cysts, 1 lingual thyroid goiter, 1 dermoid cyst and 1 vallecular cyst excised. Nine (57 %) patients were extubated immediately after the procedure on the operating table, 6 (38 %) were extubated on the first postoperative day, and 1 (6 %) was extubated on the second postoperative day. The median (IQR) number of days until starting a normal oral diet was 1.0 (0–1.0) and the median (IQR) length of hospital stay was 2.5 (1.8–3.3) days. There were no complications from this technique.

Conclusion

Excision of tongue base lesions is feasible in children using the FMR technique. This may obviate the need for suspension microlaryngoscopy and laser resection and decrease risks associated with that technique.

{"title":"Excision of tongue base lesions in children: The frenuloplasty mini-rake technique","authors":"Anne-Sophie Prevost , Jennifer M. Siu , Nikolaus E. Wolter , Evan J. Propst","doi":"10.1016/j.ijporl.2025.112251","DOIUrl":"10.1016/j.ijporl.2025.112251","url":null,"abstract":"<div><h3>Objectives</h3><div>We developed a new approach of exposing the tongue base using frenuloplasty and mini-rakes (FMR) to resect lesions directly with microbipolar cautery. The purpose of this study is to review the patients who underwent this procedure at our center.</div></div><div><h3>Methods</h3><div>A medical chart review was conducted from January 2011 to June 2023 looking for children under 18 years of age who had a base of tongue lesion resected using the FMR technique. Age at time of surgery, lesion type, intubation, number of days until eating, and length of hospital stay were recorded.</div></div><div><h3>Results</h3><div>We identified 16 patients who underwent excision of a tongue base lesion using the FMR technique. The median (IQR) age was 1.9 (0.9–7.9) years. The diagnosis on pathology of the lesions were 13 lingual thyroglossal duct cysts, 1 lingual thyroid goiter, 1 dermoid cyst and 1 vallecular cyst excised. Nine (57 %) patients were extubated immediately after the procedure on the operating table, 6 (38 %) were extubated on the first postoperative day, and 1 (6 %) was extubated on the second postoperative day. The median (IQR) number of days until starting a normal oral diet was 1.0 (0–1.0) and the median (IQR) length of hospital stay was 2.5 (1.8–3.3) days. There were no complications from this technique.</div></div><div><h3>Conclusion</h3><div>Excision of tongue base lesions is feasible in children using the FMR technique. This may obviate the need for suspension microlaryngoscopy and laser resection and decrease risks associated with that technique.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112251"},"PeriodicalIF":1.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403010","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

Rapid palate expansion's impact on nasal breathing: A systematic review

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-02-04 DOI: 10.1016/j.ijporl.2025.112248

Alessio Danilo Inchingolo , Alessandra Laforgia , Angelo Michele Inchingolo , Giulia Latini , Carmen Pezzolla , Paola Nardelli , Andrea Palermo , Francesco Inchingolo , Giuseppina Malcangi , Gianna Dipalma

Proper nasal breathing is essential for the craniofacial development of children. Maxillary constriction, often associated with impaired nasal breathing, results in a narrow upper jaw, posterior crossbite, and a high palatal vault, which elevates the nasal floor and increases nasal resistance. Rapid maxillary expansion (RME) is a common orthodontic procedure that expands the maxillary dental arch, thereby widening the nasal cavity (NC). The aim of this systematic review is to evaluate the effectiveness of RME on nasal breathing in pediatric patients. We searched databases including PubMed, Web of Science, and Scopus using the keywords: 'maxillary,' 'expansion,' 'palatal,' 'RME,' 'disjunction,' and 'nasal.' The screening phase concluded with the selection of 13 publications for this review, encompassing randomized controlled trials, cohort studies, and case-control studies. The quality of the studies was assessed using established criteria, and data were extracted and analyzed. RME significantly increases the transverse dimensions of the maxilla and NC, contributing to an increase in NC volume. While structural improvements are consistent across studies, functional benefits, such as reduced nasal resistance, exhibit variability. Factors including age, pre-treatment skeletal conditions, and adenotonsillar hypertrophy influence the efficacy of RME. Certain devices, such as the Hybrid-Hyrax expander (HHE), have shown promising results in enhancing nasal ventilation.

Overall, RME is an effective intervention for improving nasal breathing in children with maxillary constriction. However, further research is necessary to fully elucidate the variability in functional outcomes. Future studies should refine measurement techniques and compare different devices and protocols to optimize RME application.

{"title":"Rapid palate expansion's impact on nasal breathing: A systematic review","authors":"Alessio Danilo Inchingolo , Alessandra Laforgia , Angelo Michele Inchingolo , Giulia Latini , Carmen Pezzolla , Paola Nardelli , Andrea Palermo , Francesco Inchingolo , Giuseppina Malcangi , Gianna Dipalma","doi":"10.1016/j.ijporl.2025.112248","DOIUrl":"10.1016/j.ijporl.2025.112248","url":null,"abstract":"<div><div>Proper nasal breathing is essential for the craniofacial development of children. Maxillary constriction, often associated with impaired nasal breathing, results in a narrow upper jaw, posterior crossbite, and a high palatal vault, which elevates the nasal floor and increases nasal resistance. Rapid maxillary expansion (RME) is a common orthodontic procedure that expands the maxillary dental arch, thereby widening the nasal cavity (NC). The aim of this systematic review is to evaluate the effectiveness of RME on nasal breathing in pediatric patients. We searched databases including PubMed, Web of Science, and Scopus using the keywords: 'maxillary,' 'expansion,' 'palatal,' 'RME,' 'disjunction,' and 'nasal.' The screening phase concluded with the selection of 13 publications for this review, encompassing randomized controlled trials, cohort studies, and case-control studies. The quality of the studies was assessed using established criteria, and data were extracted and analyzed. RME significantly increases the transverse dimensions of the maxilla and NC, contributing to an increase in NC volume. While structural improvements are consistent across studies, functional benefits, such as reduced nasal resistance, exhibit variability. Factors including age, pre-treatment skeletal conditions, and adenotonsillar hypertrophy influence the efficacy of RME. Certain devices, such as the Hybrid-Hyrax expander (HHE), have shown promising results in enhancing nasal ventilation.</div><div>Overall, RME is an effective intervention for improving nasal breathing in children with maxillary constriction. However, further research is necessary to fully elucidate the variability in functional outcomes. Future studies should refine measurement techniques and compare different devices and protocols to optimize RME application.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112248"},"PeriodicalIF":1.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420423","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

The effect of dynamic visual acuity on rapid naming in school-aged children with dyslexia

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2025-02-03 DOI: 10.1016/j.ijporl.2025.112253

Gamze Nas Özütemiz , Şevval Özüm Açıksöz Yay , Işılay Öz , Burcu Akın Sarı , Hande Ayraler Taner , Eda Çakmak

Objectives

A decrease in vestibulo-ocular reflex (VOR) gain can lead to retinal slip, negatively impacting visual acuity. During reading, eye movements are essential for smoothly transitioning between lines and words. Impaired VOR may disrupt these movements, resulting in additional corrective actions and affecting reading speed. This study aims to explore the relationship between dynamic visual acuity and rapid naming skills in children with dyslexia, compare dynamic visual acuity between children with dyslexia and neurotypical children, and assess gender-related differences.

Methods

Dynamic visual acuity was assessed using a functional head impulse test, followed by a rapid naming test.

Results

A moderately significant relationship was found between left lateral (LL) 5000°/s² and the number naming test (r_s = −0.589, p = 0.027), as well as between LL 5000°/s² and the color naming test (r_s = -0.581, p = 0.029). A moderately significant relationship was observed between the right lateral(RL) 7000°/s² and the object naming test (r_s = −0.593, p = 0.033). Significant differences were observed between neurotypical children and children with dyslexia in the following tests: right lateral (RL) 5000°/s², RL general percentage, left lateral (LL) general percentage, right anterior (RA) 3000°/s², right anterior(RA) 6000°/s², right anterior (RA) 7000°/s², RA general percentage, left anterior (LA) 5000°/s², right posterior (RP) 3000°/s², RP 5000°/s², RP 7000°/s², and RP general percentage. In children with dyslexia, differences were observed based on gender in the LA 7000°/s², RP 6000°/s², RP 7000°/s² and RP general percentage tests.

Conclusion

Children with dyslexia had lower dynamic visual acuity, and girls were more markedly affected. In addition, a moderately negative association was observed between dynamic visual acuity and rapid naming time in children with dyslexia.

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引用次数: 0