International journal of pediatric otorhinolaryngology最新文献

{"title":"Multidisciplinary management of severe pediatric salivary gland disorders: 10-year single center experience","authors":"Aidan Vanek , Jemma Maynard , Kolapo Dairo , Zialesi Adissem , Megan McNutt , Isaac Kistler , Alexandra Gach , Justin Sherrer , Prasanth Pattisapu , Tendy Chiang , Jonathan M. Grischkan","doi":"10.1016/j.ijporl.2025.112680","DOIUrl":"10.1016/j.ijporl.2025.112680","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112680"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145734475","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":"Behavioral and socio-emotional profiles in early-school-age children with cochlear implants versus normal-hearing peers","authors":"Yuşa Başoğlu ,&nbsp;İlayda Başoğlu ,&nbsp;Gül Ölçek","doi":"10.1016/j.ijporl.2025.112653","DOIUrl":"10.1016/j.ijporl.2025.112653","url":null,"abstract":"<div><h3>Objective</h3><div>To compare teacher-reported socio-emotional and behavioral functioning in early-school-age children with cochlear implants (CI) versus normal-hearing (NH) peers using the Child Behavior Assessment Scale (CBAS), and to test whether group differences persist after adjustment for socioeconomic factors.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, 80 children aged 5–6 years were enrolled (CI = 40; NH = 40). Teachers completed CBAS subscales (Adjustment, Social Anxiety, Rule-breaking Behaviors) and total score. Between-group comparisons used Mann–Whitney U tests. ANCOVA on CBAS total adjusted for maternal education, paternal education, and household income. Exploratory correlations within the CI group examined age and clinical durations.</div></div><div><h3>Results</h3><div>Compared with NH peers, the CI group showed lower Adjustment (mean ± SD: 61.45 ± 15.46 vs 80.95 ± 6.56; p &lt; .001) and higher Social Anxiety (64.20 ± 13.27 vs 34.28 ± 7.02; p &lt; .001) and Rule-breaking Behaviors (113.33 ± 26.77 vs 61.08 ± 15.98; p &lt; .001). CBAS total was higher in the CI group (238.98 ± 48.22) than NH (176.30 ± 17.10; p &lt; .001). In ANCOVA, the CI versus NH effect on CBAS total remained significant (F(1,75) = 33.846, p &lt; .001; partial η² = 0.311), while socioeconomic covariates were not significant. Within the CI group, child age correlated positively with Rule-breaking Behaviors (r = 0.331, p = .037).</div></div><div><h3>Conclusions</h3><div>At school entry children with CI showed higher levels of socio-emotional and behavioral difficulties compared to NH peers; however, these findings should be interpreted with caution given the sample size and cross-sectional design. The results support routine psychosocial surveillance and targeted supports within CI follow-up and school settings.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112653"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145677562","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":"Social risk factors of recurrent croup","authors":"J.B. Eyring ,&nbsp;Brandon M. Hemeyer ,&nbsp;Wesley P. Allen ,&nbsp;Christopher Stewart ,&nbsp;Quinn T. Orb ,&nbsp;Jeremy D. Meier ,&nbsp;Reema Padia","doi":"10.1016/j.ijporl.2025.112682","DOIUrl":"10.1016/j.ijporl.2025.112682","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate associations between recurrent croup and neighborhood-level social determinants of health, including socioeconomic status, education, physical infrastructure, environmental exposure, and healthcare access.</div></div><div><h3>Methods</h3><div>We conducted a retrospective study of 252 recurrent and 594 isolated pediatric croup cases from seven hospitals and ten otolaryngology clinics across two health systems. Patient addresses were geocoded and linked to the Agency for Healthcare Research and Quality's Social Determinants of Health database. Multivariate logistic regression was used to assess associations between recurrent croup and neighborhood-level socioeconomic, environmental, and access-related factors.</div></div><div><h3>Results</h3><div>Patients with recurrent croup were younger (mean age 3.30 years vs. 4.84 years for isolated croup, p &lt; .0001), and lived in areas of lower household income (p &lt; .05) and educational attainment (p &lt; .01). There were no significant differences in population density, air pollution, or distance to emergency departments between recurrent and isolated croup.</div></div><div><h3>Conclusions</h3><div>Social determinants of health, particularly lower household income and education, were associated with recurrent croup. Physicians should consider these factors in the management of recurrent croup and engage in shared decision-making with parents to improve outcomes. Further research is needed to investigate additional environmental and demographic factors.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112682"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145762741","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":"Artificial intelligence classification of pediatric middle ear effusion using consumer-grade otoscopes","authors":"Sruthi Surapaneni ,&nbsp;Nikhil Rangarajan ,&nbsp;Kyle Davis ,&nbsp;Katherine Pletcher ,&nbsp;Jeffrey Flowers ,&nbsp;Graham Strub ,&nbsp;Abby Nolder ,&nbsp;Deanne King ,&nbsp;Alexander P. Marston ,&nbsp;Mark Vecchiotti ,&nbsp;Kristan Alfonso ,&nbsp;Sean Evans ,&nbsp;Anita Deshpande ,&nbsp;Kara Prickett ,&nbsp;April Landry ,&nbsp;Steven Goudy ,&nbsp;Nandini Govil ,&nbsp;Anna Messner ,&nbsp;Gresham Richter ,&nbsp;Andrew R. Scott ,&nbsp;Courtney A. Hill","doi":"10.1016/j.ijporl.2025.112655","DOIUrl":"10.1016/j.ijporl.2025.112655","url":null,"abstract":"<div><h3>Introduction</h3><div>Early and accurate diagnosis of middle ear effusion in primary care settings enables timely intervention, improving long-term patient outcomes while preventing overtreatment with antibiotics. Diagnosis requires assessment of tympanic membrane mobility, but this is hampered by access to and inexperience with pneumatic otoscopy or tympanometry. This research aims to train an artificial intelligence algorithm, using tympanic membrane images captured with consumer-grade otoscopes, to accurately predict the presence or absence of pediatric middle ear effusions.</div></div><div><h3>Methods</h3><div>Using an over-the-counter digital otoscope, tympanic membrane images were obtained from patients aged 6 months to 6 years old undergoing tympanostomy tube placement at 4 different institutions. The images were labeled according to the middle ear findings identified by pediatric otolaryngologists during myringotomy. A deep learning neural network was trained to classify tympanic membrane images as “Effusion” or “No Effusion”.</div></div><div><h3>Results</h3><div>From 219 patients, 537 tympanic membrane images were obtained. Serous, mucoid or purulent effusion were represented in 263 images and 273 images demonstrated no effusion. The trained model achieved a classification accuracy of 92.1 %, a sensitivity of 90.3 %, and specificity of 93.8 %.</div></div><div><h3>Discussion</h3><div>This model has a balanced sensitivity and specificity comparable to or surpassing pneumatic otoscopy (94 % sensitivity, 80 % specificity) and tympanometry (90–94 % sensitivity, 50–75 % specificity). With current barriers to using the diagnostic tools recommended in clinical guidelines, it is evident that an inexpensive, objective diagnostic aid is needed for the primary care setting. This model's performance demonstrates the first step toward an accessible tool for primary care providers.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112655"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145668334","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":"Conservative treatment of mastoiditis without the need for imaging: A 20-year follow-up study","authors":"Ayalon Hadar ,&nbsp;Yehuda Schwarz ,&nbsp;Sharon Ovnat Tamir ,&nbsp;Adiel Cohen ,&nbsp;Chanan Shaul ,&nbsp;Jean-Yves Sichel ,&nbsp;Pierre Attal","doi":"10.1016/j.ijporl.2025.112675","DOIUrl":"10.1016/j.ijporl.2025.112675","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112675"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145723401","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":"2026-01-01","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}

{"title":"Factors associated with misophonia in children","authors":"Katelin R. Keenehan ,&nbsp;Erin M. Gawel ,&nbsp;Amanda G. Baanante ,&nbsp;Gaayathri Varavenkataraman ,&nbsp;Alexis Rondinelli ,&nbsp;Ellen Piccillo ,&nbsp;Michele M. Carr","doi":"10.1016/j.ijporl.2025.112681","DOIUrl":"10.1016/j.ijporl.2025.112681","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112681"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145734476","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":"Provision of a preparatory information video for parents prior to an infant's diagnostic audiological assessment: a randomised controlled trial","authors":"Alison Jagger ,&nbsp;Jane Sheehan ,&nbsp;Kate L. Francis ,&nbsp;Melinda Barker ,&nbsp;Felicity Hood ,&nbsp;Valerie Sung ,&nbsp;Zeffie Poulakis","doi":"10.1016/j.ijporl.2025.112679","DOIUrl":"10.1016/j.ijporl.2025.112679","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the impact of a preparatory information video on parent knowledge and anxiety. The video was viewed prior to infant diagnostic audiology, following referral from a universal newborn hearing screening program.</div></div><div><h3>Methods</h3><div>Randomised controlled trial comparing the provision of an information video in addition to usual care (intervention) versus usual care only. Parents of infants who were referred to audiology by the Victorian Infant Hearing Screening Program between February and December 2024 were assessed for eligibility. Parent knowledge and preparedness about infant audiological testing was measured using a study designed questionnaire (score range 0–9) and anxiety was assessed using a standardised measure. Mean differences were compared between the groups. Number of appointments required to reach a complete diagnosis was also measured and parent feedback regarding usefulness of the video was sought.</div></div><div><h3>Results</h3><div>The intervention group scored 2.1 (95 % confidence interval 1.6–2.6) points higher on total knowledge score compared to the usual care group. Analysis of knowledge questionnaire items at an individual level showed the proportion of correct responses was up to 48 % higher in the intervention group. No difference in anxiety scores or the number of appointments required to reach a complete diagnosis was observed. More than 94 % of participants would recommend the video to other parents.</div></div><div><h3>Conclusion</h3><div>Routine provision of preparatory video information prior to infant diagnostic audiology is recommended. In addition to usual care, video information embedded within clinical services can improve parent knowledge and preparedness, and support parent health literacy.</div><div>Trial ID ACTRN12623000886684.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112679"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145819144","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":"The Grisel Syndrome: early interdisciplinary treatment needed to prevent severe upper cervical deformity - Experience from a high-volume spine center and systematic review of existing literature","authors":"Vincent J. Heck ,&nbsp;Peer Eysel ,&nbsp;Tobias Prasse ,&nbsp;Max J. Scheyerer ,&nbsp;Katrin Eysel-Gosepath","doi":"10.1016/j.ijporl.2025.112656","DOIUrl":"10.1016/j.ijporl.2025.112656","url":null,"abstract":"<div><h3>Purpose</h3><div>Grisel Syndrome (GS) describes a rare, non-traumatic atlantoaxial rotatory subluxation in children typically associated with upper respiratory tract infection, or otorhinolaryngological surgery. The aim of this study was to systematically review the literature regarding interdisciplinary treatment approaches, consequences of delayed or misdiagnosed GS, and upper cervical deformities resulting from misdiagnosed GS. Additionally, we share our institutional experience with this pathology.</div></div><div><h3>Methods</h3><div>We queried our institutional database for patients suffering from GS which were treated in our department between 2001 and 2024. A systematic literature search was conducted using Medline and the Cochrane Library, following PRISMA guidelines.</div></div><div><h3>Results</h3><div>Our database revealed three patients with GS. One patient with misdiagnosed of GS presented with rigid occipital rotation, ultimately progressing to occipito-atlantoaxial rotatory dislocation (OAARD). Two patients were early diagnosed and successfully treated with halo vest immobilization. The systematic literature review identified 13 cases of OAARD across 12 reports. Etiologies included upper respiratory infections, otorhinolaryngological surgery, juvenile idiopathic arthritis, and minor trauma. The average time to diagnosis of OAARD was 5.9 months (0.5–18 months). The treatment involved occipito-atlantal fusion (43 %), atlantoaxial fusion with halo vest (29 %), or traction followed by halo vest (21 %).</div></div><div><h3>Conclusion</h3><div>GS and OAARD are underrecognized and often diagnosed late, causing irreversible deformity and permanent loss of upper cervical spine mobility. Painful torticollis following upper respiratory tract infection, otorhinolaryngological surgery, or minor trauma should be treated as GS until proven otherwise. Early recognition and interdisciplinary treatment are crucial to prevent progression and avoid invasive surgical interventions.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112656"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617529","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":"Longitudinal impact of the coronavirus disease pandemic on pediatric adenoidectomy volume and referrals in Japan: A 6-year retrospective study","authors":"Makoto Ogawa ,&nbsp;Takeshi Maruta ,&nbsp;Takefumi Kamakura ,&nbsp;Yusuke Otami ,&nbsp;Takato Sudo ,&nbsp;Hiroto Fujita ,&nbsp;Nozomi Fujisawa ,&nbsp;Shusuke Okamoto ,&nbsp;Maki Yamashita ,&nbsp;Suzuyo Okazaki ,&nbsp;Kiyohito Hosokawa ,&nbsp;Yasuo Mishiro","doi":"10.1016/j.ijporl.2025.112654","DOIUrl":"10.1016/j.ijporl.2025.112654","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the impact of the coronavirus disease (COVID-19) pandemic and public health measures, including emergency declarations and reclassification of COVID-19, on pediatric adenoidectomy (Ad) volume and referrals diagnosed with adenoidal hypertrophy (AH) accompanied by obstructive sleep apnea (OSA) and/or otitis media with effusion (OME) in Japan.</div></div><div><h3>Methods</h3><div>Monthly case volumes from January 2019 to December 2024 were analyzed at a regional tertiary hospital. Trends were assessed for pediatric Ad, new referrals, general anesthesia surgeries (all departments and ENT), and regional COVID-19 cases. Ad cases were classified according to the presence of concomitant tonsillectomy (T) or tympanostomy tube insertion (TTI); referrals based on the presence of OSA or OME symptoms. The annual age trends were also evaluated.</div></div><div><h3>Results</h3><div>General anesthesia surgeries across the hospital and in the adult ENT department declined temporarily during the emergency declarations but rapidly recovered afterward, whereas those in the pediatric ENT department remained below the baseline even after each declaration. Notably, Ad volumes showed no apparent post-declaration recoveries and remained suppressed until 2023, except for a transient increase in summer 2021, followed by a sharp rebound after the COVID-19 reclassification. In 2024, the volumes of Ad with concurrent T and referrals for AH with OSA or OME symptoms both exceeded the pre-pandemic baseline. Surgical age declined during the pandemic, while referral age remained stable until 2023. Both ages increased in 2024.</div></div><div><h3>Conclusion</h3><div>The total Ad volume—especially Ad with concurrent T—and referrals for AH with OSA symptoms showed an abrupt decline immediately after the pandemic onset, followed by a sharp recovery exceeding pre-pandemic levels. These findings suggest that public health crises can disrupt elective care for chronic pediatric conditions and that the post-pandemic surge reflects behavioral changes and pent-up demand as well as possible epidemiological alterations in tonsillar tissue dynamics.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112654"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617530","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}