International journal of pediatric otorhinolaryngology最新文献_第6页

Randomized clinical trial of post-operative outcomes following posterior versus anterior tympanostomy tube placement: preliminary results at 2–12 week follow-up 后鼓室造瘘管置入与前鼓室造瘘管置入术后结果的随机临床试验：随访2-12周的初步结果。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-02-01 Epub Date: 2025-12-28 DOI: 10.1016/j.ijporl.2025.112704

Kristen Zayan , Amber Shaffer , Marina Rushchak , Raymond Maguire , Dennis Kitsko , Cuneyt Alper , Jeffrey Simons , Noel Jabbour , Allison Tobey , Joseph Dohar , Amanda Stapleton , Rachel Whelan , Zachary Bennett , David Chi

Introduction

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.

Methods

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.

Results

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.

Conclusion

No significant differences in hearing, tube extrusion, or function were observed between AI and PI TT placement at first follow-up.

鼓膜造瘘管（TTs）是一种常见的耳鼻喉外科手术。历史上，放置在前下象限（AI）的管道被认为持续时间更长，减少听骨损伤，并最大限度地减少听力损失。然而，射孔风险仍为2- 16%。与PI射孔相比，AI射孔可能需要更复杂的修复。本研究旨在比较人工智能和PI TT放置3个月后的早期听力结果。方法：在某三级儿科医院进行随机对照试验。接受初始TT放置的儿童（6个月至14岁）随机接受一只耳朵AI管和另一只耳朵PI象限管。排除标准包括非raom适应症、阿姆斯特朗以外的管型、解剖异常或遗传条件。采用McNemar卡方检验对3个月随访时的听力测量和护理问卷进行分析。结果：386名受试者中，118人完成了听力测量（73人有耳特异性数据）。只有1例患者在PI耳有轻度听力损失（30db PTA在500hz）。41名参与者的鼓室测量显示相似的平坦导纳率：PI为9.8%，AI为7.3% （OR: 1.00）。303名参与者的护理人员报告管堵塞为5.6% （PI）对5.9% (AI)，耳漏为25.7% （PI）对24.4% （AI）。86例患者的提供者表格显示相似的闭塞率。由于视觉限制，41.9%的PI和3.5%的AI无法评估管的通畅程度。结论：首次随访时，人工智能与PI TT放置在听力、管挤压或功能方面无显著差异。

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引用次数: 0

Impact of anesthetics choice on auditory brainstem response testing in children: A systematic review 麻醉选择对儿童听觉脑干反应测试的影响：一项系统综述

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-02-01 Epub Date: 2026-01-05 DOI: 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。

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引用次数: 0

Cervical and ocular vestibular-evoked myogenic potentials induced by bone conduction in the pediatric group: Test–Retest reliability and validity 小儿组骨传导诱发颈、眼前庭肌诱发电位：重测信度和效度

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-02-01 Epub Date: 2025-12-28 DOI: 10.1016/j.ijporl.2025.112702

Deniz Uğur Cengi̇z , Sanem Can Sarioğlu , Buşra Mazooğlu , Almıla Avşar Demi̇r , Mehmet Aslan

Background

It is better to perform the VEMP test with bone conduction stimulus in the pediatric group, where conduction-type pathologies can be frequently observed.

Aim

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.

Materials and methods

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.

Results

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.

Conclusion

Cervical and ocular VEMP tests using bone-conduction stimuli are reliable methods for evaluating the functional integrity of the vestibular system in pediatric populations.

背景：在经常观察到传导型病理的儿童组中，最好在骨传导刺激下进行VEMP试验。目的探讨不同频率（250 Hz、500 Hz、750 Hz）骨传导刺激下小儿前庭诱发肌电位（VEMP）测试的规范性值，并评价其重测信度。材料与方法本研究采用描述性设计，纳入37例8-18岁的健康个体。颈椎VEMP和眼部VEMP测试使用B-71骨振动器进行，该振动器在60 dB nHL下以250、500和750 Hz的频率提供音爆刺激。第一次测试由一位临床医生进行，一周后由另一位临床医生进行第二次测试。重测分析评估了波潜伏期、间隔期、振幅和振幅不对称值。由于数据呈正态分布，故采用参数检验；组内比较采用配对t检验，组间比较采用独立t检验，并计算ICC值以评估信度。结果骨传导刺激下颈椎VEMP评估参数的类内相关系数（ICC）在250 Hz时为0.60 ~ 0.87，在500 Hz时为0.54 ~ 0.74，在750 Hz时为0.50 ~ 0.78。在使用骨传导刺激的眼部VEMP中，ICC值在250 Hz时为0.60至0.84，在500 Hz时为0.68至0.84，在750 Hz时为0.65至0.79。结论采用骨传导刺激的颈、眼VEMP试验是评估儿童前庭系统功能完整性的可靠方法。

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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 : 2026-02-01 Epub 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

KLiP: A neural network-based surveillance tool for early identification of listening difficulties in children aged 3–6 years KLiP：一种基于神经网络的早期识别3-6岁儿童听力障碍的监测工具

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-02-01 Epub Date: 2025-12-29 DOI: 10.1016/j.ijporl.2025.112700

Yu-Chen Hung , Yi-ping Chang , Yi-Chih Chan , Ming Lo , Pin-Chun Chen , Shu-Ting Chang , Yongfu Liao , Hsuan-Mei Hong

Purpose

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.

Methods

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.

Results

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 (<0.5) strongly indicated typical hearing abilities in children without developmental concerns.

Conclusions

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.

目的开发并验证基于神经网络的儿童听力表现检查表（KLiP），用于3-6岁儿童听力障碍的早期识别，并评估其作为现实环境中监测工具的有效性。方法：开发过程分为多个阶段：(1)通过系统资源评价创建初步项目，(2)对内容效度进行专家评价（7名专家），(3)对182对家长-教师进行评价间信度评估，(4)判别效度检验，(5)对341名儿童（听力正常儿童202名，听力损失儿童139名）数据进行神经网络模型开发训练，(6)对71对同时完成KLiP和听力筛查的家长-儿童进行现实验证检验。结果KLiP检查表包括8个区别性行为项目和6个危险因素。该神经网络模型在区分发育数据集中的听力损失儿童和非听力损失儿童方面达到了90%的灵敏度和97%的特异性。在初步的真实世界测试中，高KLiP分数（≥0.5）似乎表明儿童需要进一步的听力学关注，而低分数（<0.5）强烈表明儿童没有发育问题的典型听力能力。结论本初步研究表明，KLiP可能显示出作为识别学龄前儿童听力障碍的一线监测工具的潜力。除了监测之外，作为一个具有自动风险评估和教育资源的在线平台，它的实施提高了家长和教师对听力困难的认识，支持在儿童听力保健框架内进行早期识别。

{"title":"KLiP: A neural network-based surveillance tool for early identification of listening difficulties in children aged 3–6 years","authors":"Yu-Chen Hung , Yi-ping Chang , Yi-Chih Chan , Ming Lo , Pin-Chun Chen , Shu-Ting Chang , Yongfu Liao , 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 (<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":"2026-02-01","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}

引用次数: 0

Multidisciplinary care improves hearing intervention rates in children with microtia 多学科治疗可提高听力障碍儿童的听力干预率

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1016/j.ijporl.2025.112672

Brandon D. Abell , Marta Kulich , Kaitlin E. Olson , Megan E. Hedman , Kirsten H. Adkisson , Peggy E. Kelley , Sarah A. Gitomer

Objectives

Children with microtia/atresia (M-A) have a spectrum of complex and longitudinal needs which we aim to address at our center's innovative Multidisciplinary Clinic (MDC). Children attending the MDC see multiple specialists on the same day and participate in an inter-disciplinary discussion. The aim of this study was to compare patient characteristics, treatment choices, and outcomes between MDC and non-MDC patients.

Methods

This was a retrospective cohort study of patients with M-A treated at a tertiary children's hospital between 2001 and 2022. Demographic, socioeconomic, and clinical factors were compared between MDC and non-MDC patients.

Results

507 children with microtia and/or atresia were included, 319 (63 %) of which attended the MDC. The two cohorts did not significantly differ in sex, race, ethnicity, insurance status, language, distance from the MDC, or the Distressed Communities Index. MDC patients had higher rates of both non-surgical (82.1 % vs. 53.7 %; p < 0.001) and transcutaneous surgical bone-amplification (40.6 % vs. 18.3 %; p < 0.001). Additionally, median age at first non-surgical bone amplification fitting was significantly lower in MDC patients (0.8 years vs. 2.5 years, p = 0.011). Device compliance and functional or reconstructive surgery rates were similar between groups.

Conclusion

To date, this is the largest study of interdisciplinary M-A care. In this model, children have improved outcomes: they are more likely to receive a bone amplification hearing device and were fitted with non-surgical bone amplification devices at younger ages. It is worthwhile to promote early referral to the MDC, as well as implement similar multidisciplinary programs at other institutions.

患有小症/闭锁（M-A）的儿童有一系列复杂和纵向的需求，我们的目标是在我们中心创新的多学科诊所（MDC）解决这些需求。参加争取民主变革运动的儿童在同一天看多名专家，并参加跨学科讨论。本研究的目的是比较MDC和非MDC患者的患者特征、治疗选择和结果。方法：本研究是一项回顾性队列研究，研究对象为2001年至2022年在某三级儿童医院接受治疗的M-A患者。比较MDC和非MDC患者的人口学、社会经济和临床因素。结果共纳入507例小个子和/或闭锁儿童，其中319例（63%）参加了MDC。这两个队列在性别、种族、民族、保险状况、语言、与争取民主变革运动的距离或贫困社区指数方面没有显著差异。MDC患者的非手术率（82.1%比53.7%;p < 0.001）和经皮手术骨扩增率（40.6%比18.3%;p < 0.001）均较高。此外，MDC患者首次非手术骨扩增安装时的中位年龄显著降低（0.8岁比2.5岁，p = 0.011）。两组之间的器械依从性和功能或重建手术率相似。结论：这是迄今为止规模最大的跨学科综合护理研究。在这个模型中，儿童的结果有所改善：他们更有可能接受骨放大助听器，并在更年轻的时候安装了非手术骨放大设备。促进早日转介到争取民主变革运动，以及在其他机构实施类似的多学科方案是值得的。

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引用次数: 0

In Memoriam – Prof. Livije Kalogjera, MD, PhD (1957–2025) 纪念- Livije Kalogjera教授，医学博士，博士（1957-2025）

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-01 Epub Date: 2025-12-13 DOI: 10.1016/j.ijporl.2025.112668

引用次数: 0

Cleft lip/palate multidisciplinary team effectiveness on appropriate surgery timing and improving disparities 唇腭裂多学科团队在适当手术时机和改善差异方面的有效性

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-01 Epub Date: 2025-12-12 DOI: 10.1016/j.ijporl.2025.112676

Hrithik Praveen , Nomongo Dorjsuren , Nick De Oliveira , Stephane Braun , Izabela Galdyn , Michael Golinko , Matthew Pontell , James D. Phillips , Ryan H. Belcher

引用次数: 0

Corrigendum to “Determinants of quality of life in post lingually defeaned Cochlear implant users” [Int. J. Pediatr. Otorhinolaryngol. (99), December 2025, 112659] “人工耳蜗术后患者生活质量的决定因素”的勘误表[Int.]j . Pediatr。Otorhinolaryngol。[99].地球科学，2025,112659。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-01 Epub Date: 2025-12-01 DOI: 10.1016/j.ijporl.2025.112667

Boon Chin Te , Noor Dina Hashim , Asma Abdullah , Bee See Goh , Wan Fazlina Wan Hashim

Objectives

Cochlear implant (CI) is an essential rehabilitative intervention for individuals with severe to profound hearing loss. This study aimed to assess the quality of life (QOL) and to identify potential factors influencing the QOL among post-lingually deafened CI recipients.

Subjects and methods

A cross-sectional study was conducted involving 58 post-lingual CI recipients with at least one year of implant experience. Demographic and CI-related data were collected. Auditory performance and speech intelligibility were evaluated using CAP II and SIR, while QOL was assessed using the WHOQOL-BREF questionnaire. Simple linear regression analyses were performed to investigate the associations between patients’ characteristics and the four WHOQOL-BREF domains (physical health, psychological, social relationships and environment).

Results

The mean participant age was 32.95 (sd ± 18.27) years. Longer CI usage was significantly associated with better physical domain experience (b: 0.076; 95 %CI 0.01 to 0.14), whilst longer duration of deafness prior to implant negatively predicted environmental domain scores (b: −0.08; 95 %CI −0.12 to −0.34). Achieving verbal communication was associated with an 8.321-point increase in the environmental domain score (95 % CI 0.68 to 15.96). No significant determinants were identified for the psychological domain. Daily CI usage, CAP II and SIR score, monthly income level, CI laterality, and surgical complications had no significant association with any domain.

Conclusion

CI enhances QOL in individuals with severe to profound hearing loss. Key positive determinants of QOL include shorter duration of deafness, longer CI experience and use of verbal communication. These findings underscore the importance of early implantation and effective post implant auditory rehabilitation in improving patient outcomes.

目的：人工耳蜗（CI）是重度到重度听力损失患者必不可少的康复干预手段。本研究旨在评估语聋后CI受者的生活质量（QOL），并确定影响其生活质量的潜在因素。对象和方法：一项横断面研究涉及58名至少有一年种植经验的语后CI受者。收集人口统计和ci相关数据。使用CAP II和SIR评估听力表现和语音清晰度，使用WHOQOL-BREF问卷评估生活质量。采用简单线性回归分析研究患者特征与WHOQOL-BREF四个领域（身体健康、心理、社会关系和环境）之间的关系。结果：参与者平均年龄为32.95 （sd±18.27）岁。较长的CI使用时间与更好的物理领域体验显著相关（b: 0.076; 95% CI 0.01至0.14），而植入前较长的耳聋持续时间负预测环境领域评分（b: -0.08; 95% CI -0.12至-0.34）。实现语言交流与环境领域得分增加8.321分相关（95% CI 0.68至15.96）。没有确定心理领域的重要决定因素。每日CI使用、CAP II和SIR评分、月收入水平、CI偏侧性和手术并发症与任何领域均无显著相关性。结论：CI可提高重度至重度听力损失患者的生活质量。生活质量的关键积极因素包括较短的耳聋持续时间，较长的CI经验和语言交流的使用。这些发现强调了早期植入和有效的植入后听觉康复对改善患者预后的重要性。

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引用次数: 0

Investigation of the effects of adenoidectomy and tonsillectomy on craniofacial morphology and physical growth in children with obstructive sleep apnea 腺样体和扁桃体切除术对阻塞性睡眠呼吸暂停患儿颅面形态和体格发育影响的研究。

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology

Pub Date : 2026-01-01 Epub Date: 2025-12-05 DOI: 10.1016/j.ijporl.2025.112673

Nao Hesaka , Yosuke Shimamura , Konomi Ikeda , Kiyoe Shimizu , Shintaro Chiba

Objective

To evaluate the effects of adenoidectomy and tonsillectomy (AT) on craniofacial morphology and physical growth in children with obstructive sleep apnea (OSA).

Study design

Retrospective cohort study.

Methods

Forty-two children diagnosed with OSA by polysomnography (PSG) were divided into surgical (AT, n = 28) and nonsurgical (n = 14) groups. Cephalometric parameters and height/weight standard deviations (SDs) were compared pre- and post-intervention.

Results

Significant changes in mandibular parameters (SNB, Facial Axis, FMA) were observed post-AT (p <0.0005, p <0.0005, p = 0.004, respectively). In univariate logistic regression analyses, age at the time of surgery(cut-off 5.5 years) and A/N ratio(cut-off 0.75) were significantly associated with postoperative improvement in height SD.

Conclusion

AT may enhance mandibular growth and be associated with improved height development in children OSA, particularly in younger children. These findings are exploratory and require confirmation in larger, prospective studies.

目的：探讨腺样体和扁桃体切除术（AT）对阻塞性睡眠呼吸暂停（OSA）患儿颅面形态和体格发育的影响。研究设计：回顾性队列研究。方法：将42例经多导睡眠图（PSG）诊断为OSA的患儿分为手术组（n = 28）和非手术组（n = 14）。比较干预前后的头颅测量参数和身高/体重标准偏差（SDs）。结果：AT后观察到下颌参数（SNB, Facial Axis， FMA）的显著变化(p结论：AT可能促进OSA儿童的下颌生长并与改善身高发育有关，特别是在年幼的儿童中。这些发现是探索性的，需要在更大的前瞻性研究中得到证实。

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引用次数: 0