International journal of pediatric otorhinolaryngology最新文献

{"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}

{"title":"Role of acoustic rhinometry in assessing severe adenoid hypertrophy in children with obstructive sleep apnea syndrome","authors":"Lin Su, Jun Xu, Zilong He, Guiliang Huang, Mingrong Nie, Changzhi Sun","doi":"10.1016/j.ijporl.2025.112703","DOIUrl":"10.1016/j.ijporl.2025.112703","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112703"},"PeriodicalIF":1.3,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881803","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":"Newborn Hearing Screening to Diagnosis: A Clinical Study of 15,818 Cases","authors":"Yanmin Chen M.M ,&nbsp;Feiwei An PhD","doi":"10.1016/j.ijporl.2025.112701","DOIUrl":"10.1016/j.ijporl.2025.112701","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the epidemiological characteristics, risk factors, and follow-up outcomes of neonatal hearing loss, thereby providing a basis for optimizing screening and intervention strategies.</div></div><div><h3>Methods</h3><div>A total of 15,818 newborns born at Shenzhen Maternity and Child Healthcare Hospital between January and December 2022 were enrolled. Initial screening was conducted using distortion product otoacoustic emissions (DPOAE). Infants who referred underwent rescreening with a combination of DPOAE and automated auditory brainstem response(AABR), and those who failed were referred for comprehensive diagnostic evaluation at 3 months of age, including auditory brainstem response(ABR), auditory steady-state response(ASSR), and acoustic immittance testing. Pass rates and loss-to-follow-up rates at each stage were analyzed, along with the characteristics and risk factors of confirmed hearing loss.</div></div><div><h3>Results</h3><div>Of the cohort, 15,643 newborns completed the initial screening, with a pass rate of 96.71%. Forty-six cases were confirmed with hearing loss, yielding a detection rate of 2.94 per 1,000. The pass rate for the right ear (97.93%) was significantly higher than for the left ear (97.55%) (P &lt; 0.001). Among the diagnosed cases, hearing loss was predominantly unilateral (56.52%), mild-to-moderate in degree (73.91%), and conductive in type (50.00%). The primary risk factors identified were preterm birth (30.43%), low birth weight (17.39%), craniofacial anomalies (15.22%), and hyperbilirubinemia (13.04%). Follow-up and genetic testing were completed for 42 infants. Pathogenic variants in GJB2 or SLC26A4 genes were identified in 4 cases (9.52%). Hearing returned to normal in 10 infants (23.81%), while the hearing status of those with severe-to-profound loss remained stable. A significant difference was observed in the distribution of hearing loss between the initial diagnosis and follow-up (P &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>This study found a neonatal hearing loss detection rate consistent with previous reports, observed a higher screening pass rate in the right ear. The hearing loss was predominantly unilateral and mild-to-moderate, with follow-up revealing a dichotomous trend of either spontaneous recovery or persistence. This pattern highlights the necessity of enhancing follow-up management during the critical window between rescreening and diagnosis, and of formulating stratified and individualized intervention and follow-up protocols.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112701"},"PeriodicalIF":1.3,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881804","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":"KLiP: A neural network-based surveillance tool for early identification of listening difficulties in children aged 3–6 years","authors":"Yu-Chen Hung ,&nbsp;Yi-ping Chang ,&nbsp;Yi-Chih Chan ,&nbsp;Ming Lo ,&nbsp;Pin-Chun Chen ,&nbsp;Shu-Ting Chang ,&nbsp;Yongfu Liao ,&nbsp;Hsuan-Mei Hong","doi":"10.1016/j.ijporl.2025.112700","DOIUrl":"10.1016/j.ijporl.2025.112700","url":null,"abstract":"<div><h3>Purpose</h3><div>To develop and validate a neural network-based Kid’s Listening Performance Checklist (KLiP) for early identification of listening difficulties in children aged 3-6 years, and to evaluate its effectiveness as a surveillance tool in real-world settings.</div></div><div><h3>Methods</h3><div>Development followed a multi-phase process: (1) systematic resource review to create preliminary items, (2) expert evaluation for content validity (7 experts), (3) assessment of inter-rater reliability between parents and teachers (182 parent-teacher pairs), (4) discriminant validity testing, (5) neural network model development trained on data from 341 children (202 with typical hearing, 139 with hearing loss), and (6) real-world validation testing with 71 parent-child pairs who completed both KLiP and hearing screening.</div></div><div><h3>Results</h3><div>The KLiP checklist comprises eight discriminating behavioral items and six risk factors. The neural network model achieved 90% sensitivity and 97% specificity in distinguishing between children with and without hearing loss in the development dataset. In preliminary real-world testing, high KLiP scores (≥0.5) appeared to identify children requiring further audiological attention, while low scores (&lt;0.5) strongly indicated typical hearing abilities in children without developmental concerns.</div></div><div><h3>Conclusions</h3><div>This preliminary study suggests that KLiP may demonstrate potential as a first-line surveillance tool for identifying listening difficulties in preschool children. Beyond surveillance, its implementation as an online platform with automated risk assessment and educational resources promotes awareness of listening difficulties among parents and teachers, supporting early identification within the pediatric hearing healthcare framework.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112700"},"PeriodicalIF":1.3,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881801","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":"Volumetric airway changes in adolescents treated with mini-screw assisted rapid palatal expansion (MARPE)","authors":"R Nithin Vaishag ,&nbsp;Sapna Varma N.K ,&nbsp;Renuka Balu ,&nbsp;Rahul D. Prabha ,&nbsp;Ajith V.V","doi":"10.1016/j.ijporl.2025.112705","DOIUrl":"10.1016/j.ijporl.2025.112705","url":null,"abstract":"<div><h3>Objective</h3><div>Reduced airway dimensions of the upper pharynx due to transverse maxillary deficiency has a prevalence of 18 % among young adults. Bone anchored palatal expansion with miniscrew assisted rapid maxillary expansion (MARPE) appliance has expanded the envelope of treatment options available to treat maxillary constriction in adolescents and young adults. The purpose of the study was to evaluate the volumetric changes in airway dimensions following MARPE and to correlate clinical airway changes using flexible nasopharyngoscopy.</div></div><div><h3>Methods</h3><div>Ten adolescents (aged 15–20 years) with transverse maxillary deficiency satisfying the inclusion criteria were selected for the study and treated with MARPE. The changes with MARPE in dental, skeletal, and airway dimensions were evaluated clinically and radiographically with flexible nasopharyngoscopy and cone-beam computed tomography (CBCT) respectively. The volumetric changes were compared using paired sample <em>t</em>-test and the change in airway collapse was compared using Pearson Chi-square test.</div></div><div><h3>Results</h3><div>A significant increase in intermolar distance, interpremolar distance, maxillary inter-buccal and inter-lingual distance, molar bucco-lingual angulation, nasopharyngeal volume, and total airway volume was seen post expansion. Oropharyngeal volume and minimum cross-sectional area, showed a volumetric increase. Clinical evaluation showed a significant improvement in the airway collapse at the level of oropharynx. This corresponded with the findings of the radiographic evaluation.</div></div><div><h3>Conclusion</h3><div>The study results showed a significant improvement in nasopharyngeal and total airway volume following MARPE with significant improvement in pharyngeal airway in the region of oropharynx. MARPE can be recommended as a promising therapy for airway constriction in adolescents and young adults.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112705"},"PeriodicalIF":1.3,"publicationDate":"2025-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145862990","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":"Randomized clinical trial of post-operative outcomes following posterior versus anterior tympanostomy tube placement: preliminary results at 2–12 week follow-up","authors":"Kristen Zayan ,&nbsp;Amber Shaffer ,&nbsp;Marina Rushchak ,&nbsp;Raymond Maguire ,&nbsp;Dennis Kitsko ,&nbsp;Cuneyt Alper ,&nbsp;Jeffrey Simons ,&nbsp;Noel Jabbour ,&nbsp;Allison Tobey ,&nbsp;Joseph Dohar ,&nbsp;Amanda Stapleton ,&nbsp;Rachel Whelan ,&nbsp;Zachary Bennett ,&nbsp;David Chi","doi":"10.1016/j.ijporl.2025.112704","DOIUrl":"10.1016/j.ijporl.2025.112704","url":null,"abstract":"<div><h3>Introduction</h3><div>Tympanostomy tubes (TTs) are a common otolaryngologic procedure. Historically, tubes placed in the anterior inferior (AI) quadrant were thought to last longer, reduce ossicular damage, and minimize hearing loss. However, perforation risk remains at 2–16 %. AI perforations may require more complicated repair compared to PI perforations. This study aims at comparing early hearing outcomes between AI and PI TT placement after 3 months.</div></div><div><h3>Methods</h3><div>Randomized controlled trial was conducted at a tertiary pediatric hospital. Children (6 months–14 years) undergoing initial TT placement were randomized to receive a tube in AI in one ear and a tube in the PI quadrant in the opposite ear. Exclusion criteria included non-RAOM indications, tube type other than Armstrong, anatomical abnormalities, or genetic conditions. Audiometry and caregiver questionnaires at 3-month follow-up were analyzed using McNemar's Chi-squared test.</div></div><div><h3>Results</h3><div>Of 386 enrolled, 118 completed audiometry (73 with ear-specific data). Only one patient had mild hearing loss (30 dB PTA at 500 Hz) in the PI ear. Tympanometry in 41 participants showed similar rates of flattened admittance: 9.8 % in PI vs. 7.3 % in AI (OR: 1.00). Caregivers of 303 participants reported tube blockage in 5.6 % (PI) vs. 5.9 % (AI) and otorrhea in 25.7 % (PI) vs. 24.4 % (AI). Provider forms for 86 patients showed similar occlusion rates. Tube patency could not be assessed in 41.9 % of PI vs. 3.5 % of AI tubes due to visualization limitations.</div></div><div><h3>Conclusion</h3><div>No significant differences in hearing, tube extrusion, or function were observed between AI and PI TT placement at first follow-up.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112704"},"PeriodicalIF":1.3,"publicationDate":"2025-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145878391","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":"Cervical and ocular vestibular-evoked myogenic potentials induced by bone conduction in the pediatric group: Test–Retest reliability and validity","authors":"Deniz Uğur Cengi̇z ,&nbsp;Sanem Can Sarioğlu ,&nbsp;Buşra Mazooğlu ,&nbsp;Almıla Avşar Demi̇r ,&nbsp;Mehmet Aslan","doi":"10.1016/j.ijporl.2025.112702","DOIUrl":"10.1016/j.ijporl.2025.112702","url":null,"abstract":"<div><h3>Background</h3><div>It is better to perform the VEMP test with bone conduction stimulus in the pediatric group, where conduction-type pathologies can be frequently observed.</div></div><div><h3>Aim</h3><div>This study aimed to establish normative values of the Vestibular-Evoked Myogenic Potential (VEMP) test in pediatric individuals using bone-conduction stimuli at different frequencies (250 Hz, 500 Hz, 750 Hz) and to evaluate its test–retest reliability.</div></div><div><h3>Materials and methods</h3><div>This study employed a descriptive design and included 37 healthy individuals aged 8–18 years. Cervical VEMP and ocular VEMP tests were conducted using a B-71 bone vibrator that delivered tone-burst stimuli at frequencies of 250, 500, and 750 Hz at 60 dB nHL. The first test was administered by one clinician, and the second test was conducted by another clinician one week later. Test–retest analysis evaluated wave latencies, interlatencies, amplitudes, and amplitude asymmetry values. Since the data showed normal distribution, parametric tests were used; within-group comparisons were analyzed with paired t-tests, between-group comparisons with independent t-tests, and ICC values were calculated to assess reliability.</div></div><div><h3>Results</h3><div>In cervical VEMP using bone-conduction stimuli, the intraclass correlation coefficient (ICC) values for the assessment parameters ranged from 0.60 to 0.87 at 250 Hz, from 0.54 to 0.74 at 500 Hz, and from 0.50 to 0.78 at 750 Hz. In ocular VEMP using bone-conduction stimuli, the ICC values ranged from 0.60 to 0.84 at 250 Hz, from 0.68 to 0.84 at 500 Hz, and from 0.65 to 0.79 at 750 Hz.</div></div><div><h3>Conclusion</h3><div>Cervical and ocular VEMP tests using bone-conduction stimuli are reliable methods for evaluating the functional integrity of the vestibular system in pediatric populations.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112702"},"PeriodicalIF":1.3,"publicationDate":"2025-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881802","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":"Hearing aids for otitis media with effusion in children: practicality and cost","authors":"Oliver Greenwood ,&nbsp;Jim Harrigan ,&nbsp;Haytham Kubba","doi":"10.1016/j.ijporl.2025.112687","DOIUrl":"10.1016/j.ijporl.2025.112687","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112687"},"PeriodicalIF":1.3,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808537","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":"Outcomes of sialendoscopy in the management of juvenile recurrent parotitis: A systematic review and meta-analysis","authors":"Raisa Chowdhury ,&nbsp;Ostap Orishchak ,&nbsp;Nasser K. Almutairi ,&nbsp;Mark Khoury ,&nbsp;Sabrina Wurzba ,&nbsp;Sam J. Daniel","doi":"10.1016/j.ijporl.2025.112690","DOIUrl":"10.1016/j.ijporl.2025.112690","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112690"},"PeriodicalIF":1.3,"publicationDate":"2025-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808536","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":"Sialendoscopy-assisted corticosteroid irrigation in Juvenile recurrent parotitis: Clinical outcomes, sonographic assessment, and diagnostic delay","authors":"Luca J. Merlo,&nbsp;Gunther Pabst","doi":"10.1016/j.ijporl.2025.112686","DOIUrl":"10.1016/j.ijporl.2025.112686","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112686"},"PeriodicalIF":1.3,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145787237","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}