Pub Date : 2025-10-31DOI: 10.1016/j.ijporl.2025.112631
Emre Söylemez , Yusuf Oktay Atılgan , Cihangir Karakaya , Mehmet Başcıllar , Ferhat Toper , Serdar Ensari
Objective
The aim of this study is to examine the levels of smartphone addiction and fear of missing out (FoMO) among adolescents with hearing loss, and to analyze the relationships between these factors and social anxiety.
Methods
The study included 26 adolescents with hearing loss (SNHL group) who use hearing aids (HA) or cochlear implants (CI) and communicate through oral language, along with 26 adolescents without hearing loss (control group). The degree of hearing loss and the use of HA/CI among participants with hearing loss, as well as smartphone usage characteristics for all participants, were documented. All individuals completed the Smartphone Addiction Scale–Short Version (SAS-SV), the Social Anxiety Scale for Adolescents (SAS-A), and the Turkish version of the Fear of Missing Out Scale (T-FoMOS).
Results
Adolescents in the SNHL group had significantly higher scores on the T-FoMOS, SAS-SV, and social anxiety in novel situations subscale of the SAS-A compared to those in the control group (p < 0.05). Additionally, adolescents with SNHL reported using smartphones for gaming significantly more often than their peers without hearing loss (p = 0.025). There was a positive correlation between T-FoMOS, SAS-SV, and SAS-A scores (p < 0.05).
Conclusion
The findings suggest that children with hearing loss may differ from their peers with typical hearing in terms of their relationship with digital media and psychosocial characteristics, even when they benefit from auditory devices such as CIs or HAs. Therefore, it is important to monitor smartphone use in children with hearing loss and to provide early support for managing FoMO and social anxiety.
{"title":"Fear of missing out (FoMO) and smartphone addiction among adolescents using cochlear implants and hearing aids: A cross-sectional assessment","authors":"Emre Söylemez , Yusuf Oktay Atılgan , Cihangir Karakaya , Mehmet Başcıllar , Ferhat Toper , Serdar Ensari","doi":"10.1016/j.ijporl.2025.112631","DOIUrl":"10.1016/j.ijporl.2025.112631","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study is to examine the levels of smartphone addiction and fear of missing out (FoMO) among adolescents with hearing loss, and to analyze the relationships between these factors and social anxiety.</div></div><div><h3>Methods</h3><div>The study included 26 adolescents with hearing loss (SNHL group) who use hearing aids (HA) or cochlear implants (CI) and communicate through oral language, along with 26 adolescents without hearing loss (control group). The degree of hearing loss and the use of HA/CI among participants with hearing loss, as well as smartphone usage characteristics for all participants, were documented. All individuals completed the Smartphone Addiction Scale–Short Version (SAS-SV), the Social Anxiety Scale for Adolescents (SAS-A), and the Turkish version of the Fear of Missing Out Scale (T-FoMOS).</div></div><div><h3>Results</h3><div>Adolescents in the SNHL group had significantly higher scores on the T-FoMOS, SAS-SV, and social anxiety in novel situations subscale of the SAS-A compared to those in the control group (p < 0.05). Additionally, adolescents with SNHL reported using smartphones for gaming significantly more often than their peers without hearing loss (p = 0.025). There was a positive correlation between T-FoMOS, SAS-SV, and SAS-A scores (p < 0.05).</div></div><div><h3>Conclusion</h3><div>The findings suggest that children with hearing loss may differ from their peers with typical hearing in terms of their relationship with digital media and psychosocial characteristics, even when they benefit from auditory devices such as CIs or HAs. Therefore, it is important to monitor smartphone use in children with hearing loss and to provide early support for managing FoMO and social anxiety.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"199 ","pages":"Article 112631"},"PeriodicalIF":1.3,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145451809","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}
Pub Date : 2025-10-31DOI: 10.1016/j.ijporl.2025.112633
Kelsey Richard , Bryan Liming , Derek Rogers
Introduction
Neonatal stridor can be caused by bilateral vocal fold paralysis (BVFP). Paradoxical vocal fold movement (PVFM), though rare, can precede BVFP. Both conditions may lead to airway obstruction requiring intervention. Suture lateralization is a minimally invasive, reversible alternative to tracheostomy. We present a case series of six infants with stridor who underwent suture lateralization.
Methods
A retrospective review was conducted at a tertiary children's hospital from 2022 to 2024. Infants with BVFP or PVFM who underwent combined endoscopic and open suture lateralization were included.
Results
Four patients had BVFP diagnosed at birth. Two had PVFM and were found to have TUBB3 mutations. Five patients underwent suture lateralization within the first month of life; one underwent the procedure at 12 months for episodic respiratory distress. All patients were extubated by postoperative day 3. Five of six (83 %) had no increased work of breathing on room air. One required tracheostomy due to inability to wean from positive pressure. All others maintained adequate airways at last follow-up. Five of six patients (83 %) required feeding tube placement due to aspiration. Of these, four (80 %) were tolerating purees at follow-up.
Conclusions
Suture lateralization is a viable alternative to tracheostomy for infants with BVFP or PVFM and airway obstruction. While effective in avoiding tracheostomy, a higher-than-expected rate of postoperative aspiration was observed, highlighting the need for careful feeding evaluation and follow-up.
{"title":"Case series: Suture lateralization for neonatal vocal fold movement disorders","authors":"Kelsey Richard , Bryan Liming , Derek Rogers","doi":"10.1016/j.ijporl.2025.112633","DOIUrl":"10.1016/j.ijporl.2025.112633","url":null,"abstract":"<div><h3>Introduction</h3><div>Neonatal stridor can be caused by bilateral vocal fold paralysis (BVFP). Paradoxical vocal fold movement (PVFM), though rare, can precede BVFP. Both conditions may lead to airway obstruction requiring intervention. Suture lateralization is a minimally invasive, reversible alternative to tracheostomy. We present a case series of six infants with stridor who underwent suture lateralization.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted at a tertiary children's hospital from 2022 to 2024. Infants with BVFP or PVFM who underwent combined endoscopic and open suture lateralization were included.</div></div><div><h3>Results</h3><div>Four patients had BVFP diagnosed at birth. Two had PVFM and were found to have TUBB3 mutations. Five patients underwent suture lateralization within the first month of life; one underwent the procedure at 12 months for episodic respiratory distress. All patients were extubated by postoperative day 3. Five of six (83 %) had no increased work of breathing on room air. One required tracheostomy due to inability to wean from positive pressure. All others maintained adequate airways at last follow-up. Five of six patients (83 %) required feeding tube placement due to aspiration. Of these, four (80 %) were tolerating purees at follow-up.</div></div><div><h3>Conclusions</h3><div>Suture lateralization is a viable alternative to tracheostomy for infants with BVFP or PVFM and airway obstruction. While effective in avoiding tracheostomy, a higher-than-expected rate of postoperative aspiration was observed, highlighting the need for careful feeding evaluation and follow-up.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"199 ","pages":"Article 112633"},"PeriodicalIF":1.3,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145464313","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}
Pub Date : 2025-10-31DOI: 10.1016/j.ijporl.2025.112628
Periannan Jawahar Antony, Megha
Purpose
The relationship between parent and clinical supervisor ratings on the Categories of Auditory Performance (CAP) and Meaningful Auditory Integration Scale (MAIS) with directly measured speech perception abilities in children at six months and one year after cochlear implantation is not yet established.
Method
Fifty-two children with cochlear implants aged 3–6 years were evaluated, with 27 children tested at six months post-implantation and 25 children at one-year post-implantation. The CAP and MAIS rating scales were administered by a clinical supervisor and one parent of each child. Aided speech identification scores were obtained using the Modified Early Speech Perception Test at six months and the Speech Identification Test for Kannada-Speaking Children at one year.
Results
At six months post-implantation, there was no agreement between parent and supervisor ratings on the CAP and MAIS, and neither scale correlated with speech identification scores. However, at one year, parent ratings on both the CAP (r = 0.66) and MAIS (r = 0.62) showed strong positive correlations with speech identification scores. Regression analysis revealed that parent-rated CAP scores significantly predicted speech identification scores (R2 = 0.39). In contrast, supervisor ratings did not significantly correlate with speech measures at either time point.
Conclusion
While rating scales may not reflect auditory development in the first six months post-implantation, parent-report tools like the CAP and MAIS show promise as valid predictors of speech identification around one year after cochlear implantation in children. These findings highlight the critical value of caregiver impressions to comprehensively evaluate functional auditory outcomes over time.
{"title":"Rating scales as predictors of speech perception in paediatric cochlear implant users","authors":"Periannan Jawahar Antony, Megha","doi":"10.1016/j.ijporl.2025.112628","DOIUrl":"10.1016/j.ijporl.2025.112628","url":null,"abstract":"<div><h3>Purpose</h3><div>The relationship between parent and clinical supervisor ratings on the Categories of Auditory Performance (CAP) and Meaningful Auditory Integration Scale (MAIS) with directly measured speech perception abilities in children at six months and one year after cochlear implantation is not yet established.</div></div><div><h3>Method</h3><div>Fifty-two children with cochlear implants aged 3–6 years were evaluated, with 27 children tested at six months post-implantation and 25 children at one-year post-implantation. The CAP and MAIS rating scales were administered by a clinical supervisor and one parent of each child. Aided speech identification scores were obtained using the Modified Early Speech Perception Test at six months and the Speech Identification Test for Kannada-Speaking Children at one year.</div></div><div><h3>Results</h3><div>At six months post-implantation, there was no agreement between parent and supervisor ratings on the CAP and MAIS, and neither scale correlated with speech identification scores. However, at one year, parent ratings on both the CAP (r = 0.66) and MAIS (r = 0.62) showed strong positive correlations with speech identification scores. Regression analysis revealed that parent-rated CAP scores significantly predicted speech identification scores (R<sup>2</sup> = 0.39). In contrast, supervisor ratings did not significantly correlate with speech measures at either time point.</div></div><div><h3>Conclusion</h3><div>While rating scales may not reflect auditory development in the first six months post-implantation, parent-report tools like the CAP and MAIS show promise as valid predictors of speech identification around one year after cochlear implantation in children. These findings highlight the critical value of caregiver impressions to comprehensively evaluate functional auditory outcomes over time.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"199 ","pages":"Article 112628"},"PeriodicalIF":1.3,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145431366","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}
Pub Date : 2025-10-31DOI: 10.1016/j.ijporl.2025.112635
Liting Chen , Tian'e Cai , Hui Zeng , Na Du , Cuiyun Li , Yue Zhou , Kaiqiao Chen , Yanan Shi , Guoling You , Ying Yu
Objective
To conduct combined hearing and genetic screening for hearing impairment in newborns in Sanya City, and to characterize the distribution of common deafness-related gene mutations and population-specific features in Hainan Province.
Methods
Hearing and genetic screening for deafness were jointly conducted on 15,283 newborns born at hospitals in Sanya City from 2022 to 2023. Hearing screening consisted of otoacoustic emissions and automated auditory brainstem responses. The 20 loci of four deafness-related genes (GJB2, GJB3, SLC26A4, and MT-RNR1) were examined.
Results
A total of 421 cases of deafness-related gene mutations were identified, yielding a carrier rate of 2.75 %. Among these, 347 neonates (82.42 %) passed the physiologic hearing screening but carried deafness gene mutations. The detection rates for mutations in GJB2, GJB3, SLC26A4, and MT-RNR1 genes were 1.41 %, 0.12 %, 0.86 %, and 0.41 %, respectively. The c.235delC mutation in GJB2 is the most frequent genotype, accounting for 85.65 % of cases with GJB2 mutations, and the c.919-2A > G mutation in SLC26A4 is the second most common, accounting for 66.67 % of cases with SLC26A4 mutations. The detection rate of the GJB2 mutations in newborns who did not pass the hearing screening was significantly higher than that in newborns who passed the hearing screening (2.23 % vs 1.12 %, P < 0.01). Mutations were identified in newborns representing only 9 ethnic groups. The c.235delC mutation in the GJB2 gene was the most prevalent mutation among both the Han and Li ethnic groups. Additionally, the c.919-2A > G mutation of the SLC26A4 gene emerged as the second most common genotype in both ethnic groups.
Conclusions
The c.235delC mutation of GJB2 and c.919-2A > G mutation of SLC26A4 are the predominant types of deafness-related gene mutations in newborns in Sanya. Genetic screening serves as a valuable adjunct to newborn hearing screening by enabling the early the identification of infants at risk for hereditary hearing loss and aminoglycoside-induced ototoxicity. Large-scale implementation of combined hearing and genetic screening improves the overall detection of at-risk newborns, thereby facilitating prevention strategies and early clinical intervention to mitigate hearing impairment hearing impairment.
目的：对三亚市新生儿进行听力与遗传联合筛查，了解海南省常见耳聋相关基因突变的分布及人群特异性特征。方法：对2022 - 2023年在三亚市医院出生的15283例新生儿进行听力和耳聋遗传筛查。听力筛查包括耳声发射和自动听觉脑干反应。检测4个耳聋相关基因（GJB2、GJB3、SLC26A4、MT-RNR1）的20个位点。结果：共鉴定耳聋相关基因突变421例，携带率为2.75%。其中347例（82.42%）新生儿通过生理性听力筛查，但携带耳聋基因突变。GJB2、GJB3、SLC26A4和MT-RNR1基因的突变检出率分别为1.41%、0.12%、0.86%和0.41%。GJB2中c.235delC突变是最常见的基因型，占GJB2突变病例的85.65%，SLC26A4中c.919-2A > G突变是第二常见的基因型，占SLC26A4突变病例的66.67%。未通过听力筛查的新生儿GJB2突变检出率显著高于通过听力筛查的新生儿（2.23% vs 1.12%）， SLC26A4基因pg突变在两民族中都是第二常见的基因型。结论：GJB2的c.235delC突变和SLC26A4的c.919-2A > G突变是三亚市新生儿耳聋相关基因突变的主要类型。遗传筛查是新生儿听力筛查的一种有价值的辅助手段，可以早期识别有遗传性听力损失和氨基糖苷引起的耳毒性风险的婴儿。大规模实施听力和基因联合筛查提高了对高危新生儿的整体发现，从而促进预防策略和早期临床干预，以减轻听力损害。
{"title":"Combined hearing screening and genetic screening of deafness among Sanya newborns in Hainan Province","authors":"Liting Chen , Tian'e Cai , Hui Zeng , Na Du , Cuiyun Li , Yue Zhou , Kaiqiao Chen , Yanan Shi , Guoling You , Ying Yu","doi":"10.1016/j.ijporl.2025.112635","DOIUrl":"10.1016/j.ijporl.2025.112635","url":null,"abstract":"<div><h3>Objective</h3><div>To conduct combined hearing and genetic screening for hearing impairment in newborns in Sanya City, and to characterize the distribution of common deafness-related gene mutations and population-specific features in Hainan Province.</div></div><div><h3>Methods</h3><div>Hearing and genetic screening for deafness were jointly conducted on 15,283 newborns born at hospitals in Sanya City from 2022 to 2023. Hearing screening consisted of otoacoustic emissions and automated auditory brainstem responses. The 20 loci of four deafness-related genes (<em>GJB2</em>, <em>GJB3</em>, <em>SLC26A4</em>, and <em>MT-RNR1</em>) were examined.</div></div><div><h3>Results</h3><div>A total of 421 cases of deafness-related gene mutations were identified, yielding a carrier rate of 2.75 %. Among these, 347 neonates (82.42 %) passed the physiologic hearing screening but carried deafness gene mutations. The detection rates for mutations in <em>GJB2</em>, <em>GJB3</em>, <em>SLC26A4</em>, and <em>MT-RNR1</em> genes were 1.41 %, 0.12 %, 0.86 %, and 0.41 %, respectively. The c.235delC mutation in <em>GJB2</em> is the most frequent genotype, accounting for 85.65 % of cases with <em>GJB2</em> mutations, and the c.919-2A > G mutation in <em>SLC26A4</em> is the second most common, accounting for 66.67 % of cases with <em>SLC26A4</em> mutations. The detection rate of the <em>GJB2</em> mutations in newborns who did not pass the hearing screening was significantly higher than that in newborns who passed the hearing screening (2.23 % vs 1.12 %, P < 0.01). Mutations were identified in newborns representing only 9 ethnic groups. The c.235delC mutation in the <em>GJB2</em> gene was the most prevalent mutation among both the Han and Li ethnic groups. Additionally, the c.919-2A > G mutation of the <em>SLC26A4</em> gene emerged as the second most common genotype in both ethnic groups.</div></div><div><h3>Conclusions</h3><div>The c.235delC mutation of <em>GJB2</em> and c.919-2A > G mutation of <em>SLC26A4</em> are the predominant types of deafness-related gene mutations in newborns in Sanya. Genetic screening serves as a valuable adjunct to newborn hearing screening by enabling the early the identification of infants at risk for hereditary hearing loss and aminoglycoside-induced ototoxicity. Large-scale implementation of combined hearing and genetic screening improves the overall detection of at-risk newborns, thereby facilitating prevention strategies and early clinical intervention to mitigate hearing impairment hearing impairment.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"199 ","pages":"Article 112635"},"PeriodicalIF":1.3,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145437793","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}
Pub Date : 2025-10-28DOI: 10.1016/j.ijporl.2025.112616
Christina Zhu , Emily Clementi , John Anderson , Shreya Chalasani , Anuja Shah , Lovedeep Singh , Nidhi Mereddy , Oluebubechukwu Eze , Earl H. Harley
{"title":"In-office frenotomy complications in infants with Ankyloglossia: A systematic review and meta-analysis","authors":"Christina Zhu , Emily Clementi , John Anderson , Shreya Chalasani , Anuja Shah , Lovedeep Singh , Nidhi Mereddy , Oluebubechukwu Eze , Earl H. Harley","doi":"10.1016/j.ijporl.2025.112616","DOIUrl":"10.1016/j.ijporl.2025.112616","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"199 ","pages":"Article 112616"},"PeriodicalIF":1.3,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145384408","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}
Pub Date : 2025-10-25DOI: 10.1016/j.ijporl.2025.112595
Cameron P. Worden , Elena Quinonez Del Cid , Yining Jiao , Ezer H. Benaim , Andrew Prince , Mia Sharrock , Catherine Hart , Julia Kimbell , Theresa A. Dickerson , Marc Niethammer , Robert Fleck , Carlton J. Zdanski
Introduction
In this study we aim to prove we can compare 4D CT findings in children with clinically suspected tracheomalacia to a normalized 3D Pediatric Airway Atlas to evaluate for potentially clinically useful diagnostic metrics.
Methods
This retrospective analysis included patients from the ongoing DYMOSA study who underwent 4D CT imaging for clinically suspected tracheomalacia. Tracheal 4D CT images were analyzed and compared to a weight-matched Pediatric Airway Atlas of children with radiographically normal airways. Key metrics included minimum airway cross sectional area, Airway Percentage Collapse, zMin-cross sectional area, zMax-cross sectional area, and Delta z.
Results
Five male children (mean age: 65 months, mean weight: 26.0 kg) were included. Three were diagnosed with tracheomalacia via bronchoscopy, while two were diagnosed with no tracheomalacia. A difference in Airway Percentage Collapse between non-tracheomalacia and tracheomalacia cases was noted when comparing their mean percentages: 25 % for non-tracheomalacia versus 61 % for tracheomalacia cases. Utilizing the Pediatric Airway Atlas for comparison, mean zMin-cross sectional area for the tracheomalacia cases was lower for those without tracheomalacia (−2.5 versus −1.1). zMax-cross sectional area was also lower for those with tracheomalacia versus for those without tracheomalacia (−1.79 vs 0.4).
Conclusion
Results of this study show potential utility of novel metrics derived from non-invasive 4D CT imaging in the evaluation of children with suspected tracheomalacia. Future work is needed to evaluate these metrics on larger blinded datasets, to investigate the potential for these metrics to discriminate patients with tracheomalacia from those without tracheomalacia, and to stratify disease severity.
在这项研究中，我们的目的是证明我们可以将临床上疑似气管软化症的儿童的4D CT表现与标准化的3D儿童气道图谱进行比较，以评估潜在的临床有用的诊断指标。方法回顾性分析正在进行的DYMOSA研究中因临床疑似气管软化而行4D CT成像的患者。对气管4D CT图像进行分析，并与影像学上气道正常的儿童的体重匹配的儿科气道图谱进行比较。主要指标包括最小气道横截面积、气道塌陷百分率、zmin横截面积、zmax横截面积和z。结果纳入5例男性患儿，平均年龄65个月，平均体重26.0 kg。其中3例经支气管镜检查诊断为气管软化症，2例未诊断为气管软化症。当比较平均百分比时，非气管软化症和气管软化症患者气道塌陷百分比的差异被注意到：非气管软化症患者为25%，气管软化症患者为61%。利用儿童气道图谱进行比较，气管软化症患者的平均zmin横截面积低于无气管软化症患者（- 2.5 vs - 1.1）。气管软化症患者的zmax横断面积也低于无气管软化症患者（- 1.79 vs 0.4）。结论：本研究结果显示，基于无创4D CT成像的新指标在评估疑似气管软化症儿童中的潜在效用。未来的工作需要在更大的盲法数据集上评估这些指标，研究这些指标区分气管软化症患者和非气管软化症患者的潜力，并对疾病严重程度进行分层。
{"title":"4D-computed tomography in the evaluation of dynamic tracheal obstruction in children: A case series","authors":"Cameron P. Worden , Elena Quinonez Del Cid , Yining Jiao , Ezer H. Benaim , Andrew Prince , Mia Sharrock , Catherine Hart , Julia Kimbell , Theresa A. Dickerson , Marc Niethammer , Robert Fleck , Carlton J. Zdanski","doi":"10.1016/j.ijporl.2025.112595","DOIUrl":"10.1016/j.ijporl.2025.112595","url":null,"abstract":"<div><h3>Introduction</h3><div>In this study we aim to prove we can compare 4D CT findings in children with clinically suspected tracheomalacia to a normalized 3D Pediatric Airway Atlas to evaluate for potentially clinically useful diagnostic metrics.</div></div><div><h3>Methods</h3><div>This retrospective analysis included patients from the ongoing DYMOSA study who underwent 4D CT imaging for clinically suspected tracheomalacia. Tracheal 4D CT images were analyzed and compared to a weight-matched Pediatric Airway Atlas of children with radiographically normal airways. Key metrics included minimum airway cross sectional area, Airway Percentage Collapse, zMin-cross sectional area, zMax-cross sectional area, and Delta z.</div></div><div><h3>Results</h3><div>Five male children (mean age: 65 months, mean weight: 26.0 kg) were included. Three were diagnosed with tracheomalacia via bronchoscopy, while two were diagnosed with no tracheomalacia. A difference in Airway Percentage Collapse between non-tracheomalacia and tracheomalacia cases was noted when comparing their mean percentages: 25 % for non-tracheomalacia versus 61 % for tracheomalacia cases. Utilizing the Pediatric Airway Atlas for comparison, mean zMin-cross sectional area for the tracheomalacia cases was lower for those without tracheomalacia (−2.5 versus −1.1). zMax-cross sectional area was also lower for those with tracheomalacia versus for those without tracheomalacia (−1.79 vs 0.4).</div></div><div><h3>Conclusion</h3><div>Results of this study show potential utility of novel metrics derived from non-invasive 4D CT imaging in the evaluation of children with suspected tracheomalacia. Future work is needed to evaluate these metrics on larger blinded datasets, to investigate the potential for these metrics to discriminate patients with tracheomalacia from those without tracheomalacia, and to stratify disease severity.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"199 ","pages":"Article 112595"},"PeriodicalIF":1.3,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145464311","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}
Pub Date : 2025-10-24DOI: 10.1016/j.ijporl.2025.112559
Muhammad Hazim Azizul , Chai Jia Ning , Erica Yee Hing , Chong Chia Yin , Goh Bee See , Asma Abdullah , Wan Fazlina Wan Hashim , Norazlin Kamal Nor , Faizah Mohd Zaki
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Pub Date : 2025-10-23DOI: 10.1016/j.ijporl.2025.112610
Laura Cavallé Garrido , Carlos de Paula Vernetta , Abel Guzmán Calvete , Javier Álvarez Arocas , Cláudia Gonçalves , Miguel Armengot Carceller
Purpose
This study provides prospective and retrospective data on safety and performance results with the Bonebridge BCI 602 (MED-EL) active transcutaneous bone conduction implant in children.
Methods
Audiological data were collected at 3 intervals (preoperative, initial activation and 3 months postoperative). Quality of life was assessed with the Speech, Spatial, and Qualities of Hearing (SSQ12/P), KID KINDL and Audio Processor Satisfaction Questionnaire (APSQ) as well as a postoperative questionnaire specifically designed for this study.
Results
22 pediatric patients (20 conductive/mixed hearing loss (CHL/MHL) and 2 single-sided deafness (SSD)) aged 4–17 received a BCI 602. Three-month post-op pure-tone average (PTA4) functional gain (FG) was 31.9 dB HL for the CHL/MHL group and 11.3 dB HL in the SSD patients. CHL/MHL patients had a mean word recognition score (WRS) improvement of 80.6 ± 23.9 % at initial activation and 83 ± 20.3 % at 3 months post-op. Speech recognition in noise at +5 dB SNR in the CHL/MHL group improved from 24.6 ± 28.3 % unaided to 74.9 ± 26 % aided at 3 months post-op. The mean post-op total scores were 5.5 ± 1.8 on the SSQ12/P and 8.87 ± 0.93 on the APSQ questionnaires. No major complications were noted on the postoperative questionnaire; minor complications were resolved by the end of the study. Stable bone and air conduction thresholds confirmed device safety.
Conclusion
The Bonebridge BCI 602 is safe and effective for use in the pediatric population.
目的：本研究为儿童骨桥BCI 602 （MED-EL）主动经皮骨传导植入物的安全性和性能结果提供前瞻性和回顾性数据。方法术前、初始激活、术后3个月分别采集听力学资料。通过语音、空间和听力质量（SSQ12/P）、KID KINDL和音频处理者满意度问卷（APSQ）以及为本研究专门设计的术后问卷来评估生活质量。结果22例4-17岁儿童（20例传导性/混合性听力损失（CHL/MHL）和2例单侧耳聋（SSD））接受BCI 602评分。CHL/MHL组3个月术后纯音平均（PTA4）功能增益（FG）为31.9 dB HL， SSD组为11.3 dB HL。CHL/MHL患者初始激活时的平均单词识别评分（WRS）改善为80.6±23.9%，术后3个月时的平均单词识别评分（WRS）改善为83±20.3%。术后3个月，CHL/MHL组在+5 dB信噪比下的语音识别从无辅助的24.6±28.3%提高到辅助的74.9±26%。SSQ12/P评分为5.5±1.8分，APSQ评分为8.87±0.93分。术后问卷调查未发现重大并发症；轻微并发症在研究结束时得到解决。稳定的骨和空气传导阈值证实了器械的安全性。结论Bonebridge BCI 602在儿童人群中使用安全有效。
{"title":"Bonebridge active transcutaneous bone conduction hearing implant: Results in the pediatric population","authors":"Laura Cavallé Garrido , Carlos de Paula Vernetta , Abel Guzmán Calvete , Javier Álvarez Arocas , Cláudia Gonçalves , Miguel Armengot Carceller","doi":"10.1016/j.ijporl.2025.112610","DOIUrl":"10.1016/j.ijporl.2025.112610","url":null,"abstract":"<div><h3>Purpose</h3><div>This study provides prospective and retrospective data on safety and performance results with the Bonebridge BCI 602 (MED-EL) active transcutaneous bone conduction implant in children.</div></div><div><h3>Methods</h3><div>Audiological data were collected at 3 intervals (preoperative, initial activation and 3 months postoperative). Quality of life was assessed with the Speech, Spatial, and Qualities of Hearing (SSQ12/P), KID KINDL and Audio Processor Satisfaction Questionnaire (APSQ) as well as a postoperative questionnaire specifically designed for this study.</div></div><div><h3>Results</h3><div>22 pediatric patients (20 conductive/mixed hearing loss (CHL/MHL) and 2 single-sided deafness (SSD)) aged 4–17 received a BCI 602. Three-month post-op pure-tone average (PTA<sub>4)</sub> functional gain (FG) was 31.9 dB HL for the CHL/MHL group and 11.3 dB HL in the SSD patients. CHL/MHL patients had a mean word recognition score (WRS) improvement of 80.6 ± 23.9 % at initial activation and 83 ± 20.3 % at 3 months post-op. Speech recognition in noise at +5 dB SNR in the CHL/MHL group improved from 24.6 ± 28.3 % unaided to 74.9 ± 26 % aided at 3 months post-op. The mean post-op total scores were 5.5 ± 1.8 on the SSQ12/P and 8.87 ± 0.93 on the APSQ questionnaires. No major complications were noted on the postoperative questionnaire; minor complications were resolved by the end of the study. Stable bone and air conduction thresholds confirmed device safety.</div></div><div><h3>Conclusion</h3><div>The Bonebridge BCI 602 is safe and effective for use in the pediatric population.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"199 ","pages":"Article 112610"},"PeriodicalIF":1.3,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145420531","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}
Pub Date : 2025-10-23DOI: 10.1016/j.ijporl.2025.112611
Tamy Nathalia Tanaka , Ana Carolina Lemos Veloso , Rebecca Maunsell , Ana Carolina Constantini , Maria Isabel Ramos do Amaral
{"title":"Central auditory screening in children with behavioral dysphonia using the AudBility program","authors":"Tamy Nathalia Tanaka , Ana Carolina Lemos Veloso , Rebecca Maunsell , Ana Carolina Constantini , Maria Isabel Ramos do Amaral","doi":"10.1016/j.ijporl.2025.112611","DOIUrl":"10.1016/j.ijporl.2025.112611","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"199 ","pages":"Article 112611"},"PeriodicalIF":1.3,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145420532","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}
Pub Date : 2025-10-22DOI: 10.1016/j.ijporl.2025.112613
Erin E. Briggs , Isabelle J. Chau , Shaun A. Nguyen , Justin C. Pelic , Erin A. Harvey , Ted A. Meyer
Objective
Explore the impact of the COVID-19 pandemic on pediatric acute mastoiditis (AM).
Data sources
CINAHL, Cochrane Library, PubMed, Scopus.
Methods
Literature was searched from 2014 to 2025 for articles reporting AM in children. Specific outcomes included clinical presentation, bacterial epidemiology, complications, and management. Primary outcome measures included continuous measures (mean), proportions (%), mean difference (Δ), and relative risk (RR) with 95 % confidence intervals (CI).
Results
There were seven included studies (N = 1001 children) with 632 patients in the pre-COVID cohort and 369 in the COVID-era cohort. There was a significant difference in the proportion of intracranial complications with a 20 % greater risk of having an intracranial complication after the COVID pandemic than before (RR: 1.2 [95 % CI: 0.6–2.3], p = 0.0097). There was also a significant decrease in the proportion of cases treated conservatively with antibiotics after the pandemic (mean difference 10.8 % [95 % CI: 2.9 %–18.0 %], p < 0.01). Bacterial epidemiology also experienced a significant shift in composition following the pandemic.
Conclusion
The COVID-19 pandemic has led to a rise in intracranial complications in pediatric AM, with fewer cases being treated solely with antibiotics. Additionally, the pandemic has altered the bacterial epidemiological patterns of AM, highlighting opportunities for further investigation into the characteristics of AM during and after this period to inform and improve future management strategies.
{"title":"Acute mastoiditis in children during the Covid era: A systematic review and meta-analysis","authors":"Erin E. Briggs , Isabelle J. Chau , Shaun A. Nguyen , Justin C. Pelic , Erin A. Harvey , Ted A. Meyer","doi":"10.1016/j.ijporl.2025.112613","DOIUrl":"10.1016/j.ijporl.2025.112613","url":null,"abstract":"<div><h3>Objective</h3><div>Explore the impact of the COVID-19 pandemic on pediatric acute mastoiditis (AM).</div></div><div><h3>Data sources</h3><div>CINAHL, Cochrane Library, PubMed, Scopus.</div></div><div><h3>Methods</h3><div>Literature was searched from 2014 to 2025 for articles reporting AM in children. Specific outcomes included clinical presentation, bacterial epidemiology, complications, and management. Primary outcome measures included continuous measures (mean), proportions (%), mean difference (Δ), and relative risk (RR) with 95 % confidence intervals (CI).</div></div><div><h3>Results</h3><div>There were seven included studies (N = 1001 children) with 632 patients in the pre-COVID cohort and 369 in the COVID-era cohort. There was a significant difference in the proportion of intracranial complications with a 20 % greater risk of having an intracranial complication after the COVID pandemic than before (RR: 1.2 [95 % CI: 0.6–2.3], <em>p</em> = 0.0097). There was also a significant decrease in the proportion of cases treated conservatively with antibiotics after the pandemic (mean difference 10.8 % [95 % CI: 2.9 %–18.0 %], p < 0.01). Bacterial epidemiology also experienced a significant shift in composition following the pandemic.</div></div><div><h3>Conclusion</h3><div>The COVID-19 pandemic has led to a rise in intracranial complications in pediatric AM, with fewer cases being treated solely with antibiotics. Additionally, the pandemic has altered the bacterial epidemiological patterns of AM, highlighting opportunities for further investigation into the characteristics of AM during and after this period to inform and improve future management strategies.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"198 ","pages":"Article 112613"},"PeriodicalIF":1.3,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145358929","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}
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