International journal of pediatric otorhinolaryngology最新文献

{"title":"Comparing sinonasal quality of life in pediatric nasal obstruction: Inferior turbinate cauterization vs turbinoplasty – A pilot study","authors":"Tayebeh Kazemi ,&nbsp;Sara S. Nabavizadeh ,&nbsp;Reza Kaboodkhani ,&nbsp;Ali Faramarzi ,&nbsp;Erfan Sadeghi ,&nbsp;Akram Rahmanipour","doi":"10.1016/j.ijporl.2024.112127","DOIUrl":"10.1016/j.ijporl.2024.112127","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study is to evaluate and compare the impacts of inferior turbinate monopolar submucosal cauterization and microdebrider-assisted inferior turbinoplasty on the sinonasal quality of life in pediatric patients with chronic nasal obstruction.</div></div><div><h3>Study design</h3><div>A pilot randomized controlled trial.</div></div><div><h3>Setting</h3><div>Tertiary hospital.</div></div><div><h3>Methods</h3><div>This pilot clinical trial enrolled pediatric patients, all of whom had persistent inferior nasal turbinate hypertrophy. They were assigned to undergo either inferior turbinate monopolar submucosal cauterization or microdebrider-assisted turbinoplasty. The procedures were conducted under general anesthesia for both groups. Patient-reported sinonasal symptoms were assessed using the SNOT-22 questionnaire at baseline and during follow-ups.</div></div><div><h3>Results</h3><div>The study enrolled 52 pediatric participants aged 4–14 years for turbinate reduction, ending with 40 after follow-up losses. Nineteen underwent cauterization, and 21 had turbinoplasty. Both groups showed significant SNOT-22 score improvements at 1, 3, and 6 months post-surgery, though the turbinoplasty group had initially greater improvements. No significant differences were found in postoperative complications, except a higher malodor sensation incidence at one week in the cauterization group.</div></div><div><h3>Conclusion</h3><div>In conclusion, both monopolar submucosal cautery and microdebrider-assisted turbinoplasty improved sinonasal quality of life in pediatric patients. Monopolar cautery was associated with more early postoperative malodor but may offer potential cost-effectiveness and simplicity. Further research is needed to validate these findings and refine surgical approaches.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"186 ","pages":"Article 112127"},"PeriodicalIF":1.2,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142421462","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":"Auditory processing abilities of children with congenital blindness","authors":"Isha Dhondekar,&nbsp;C.S. Vanaja","doi":"10.1016/j.ijporl.2024.112126","DOIUrl":"10.1016/j.ijporl.2024.112126","url":null,"abstract":"<div><h3>Background</h3><div>Children with visual challenges rely on their hearing ability to accomplish daily tasks more efficiently. Many investigations show changes in the auditory pathway in children and adults with early blindness. It can be hypothesized that the auditory processing abilities of children with congenital blindness will be superior to those of typically developing children without any visual challenges.</div></div><div><h3>Purpose</h3><div>The current study was designed to compare some of the auditory processing abilities of children with congenital blindness and typically developing children who do not have any visual challenges. Specifically, the study compared the perception of speech in noise, temporal patterning ability, binaural integration ability as well as auditory memory and sequencing abilities of children in two groups.</div></div><div><h3>Research design</h3><div>It was a prospective cross-sectional study comparing two groups.</div></div><div><h3>Study sample</h3><div>A total of 160 children, 80 typically developing children without any visual challenges (reference group) and 80 children with congenital blindness, in the age range of 7–11 years, participated in the study.</div></div><div><h3>Data collection and analysis</h3><div>Pitch pattern test (PPT), perception of speech perception in noise test in Marathi (PSIN-M), dichotic digit test in Marathi (DDT-M), and auditory memory and sequencing test in Marathi (AMST-M) were administered. Independent sample T test and Mann Whitney <em>U</em> test were used to compare the performance of the two groups on these tests.</div></div><div><h3>Results</h3><div>Children with congenital blindness showed significantly better scores on PPT, PSIN-M, and DDT-M as compared to children in the reference group in all the age groups. A clear trend was not observed on DDT-M.</div></div><div><h3>Conclusion</h3><div>It can be concluded that children with congenital blindness have better auditory processing, auditory memory, and sequencing abilities compared to typically developing children without any visual challenges.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"186 ","pages":"Article 112126"},"PeriodicalIF":1.2,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442853","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":"Comparison of postoperative bleeding in pediatric tonsillectomy versus tonsillotomy","authors":"Zofnat Asulin,&nbsp;Ohad Cohen,&nbsp;Boaz Forer,&nbsp;Jean-Yves Sichel,&nbsp;Pierre Attal ,&nbsp;Chanan Shaul","doi":"10.1016/j.ijporl.2024.112125","DOIUrl":"10.1016/j.ijporl.2024.112125","url":null,"abstract":"<div><h3>Objective</h3><div>Tonsillar surgery is a common intervention for pediatric obstructive sleep apnea and recurrent tonsillitis. This study compared postoperative bleeding incidence and severity following tonsillotomy and tonsillectomy at a single medical center.</div></div><div><h3>Study design</h3><div>A retrospective cohort study on 1984 pediatric patients (1–18 years old) who underwent surgery during 2004–2011 and 2019–2022. Tonsillectomy was performed during 2004–2011, while tonsillotomy was preferred for obstructive sleep apnea during 2019–2022. Tonsillectomy was performed using cold steel technique with complete removal of tonsillar tissue, while tonsillotomy was conducted using mono- or bipolar diathermy, preserving minimal tissue on the tonsillar capsule.</div></div><div><h3>Setting</h3><div>Shaare-Zedek Medical Center, Faculty of Medicine, Hebrew University.</div></div><div><h3>Methods</h3><div>Outcome measures included postoperative bleeding incidence and severity, surgery duration, hospitalization length, and readmission.</div></div><div><h3>Results</h3><div>Tonsillotomy was conducted on 958 (48.3 %) patients, and tonsillectomy was performed on 1026 (51.7 %) patients. Obstructive sleep apnea was the only indication in 1553 (78.3 %) patients. Overall bleeding rate was lower following tonsillotomy (3.9 %) than tonsillectomy (9.5 %) (p &lt; 0.001). Significantly more patients required surgical bleeding control post-tonsillectomy than post-tonsillotomy: 39 (3.7 %) vs. 5 (0.5 %), respectively (p &lt; 0.001). Tonsillectomy resulted in higher readmission rates (11.8 % vs 6.1 %, p &lt; 0.001), more blood transfusions (3 vs. 0), and higher postoperative hemoglobin diminution (1.57 ± 2 vs. 0.94 ± 1 g/dL, p = 0.035). The duration of the surgery was shorter for tonsillotomy (24.7 vs 26.5 min, p = 0.012). Tonsillectomy sustained higher bleeding rates for obstructive sleep apnea patients (7.0 % vs 3.9 %, p = 0.006). For recurrent tonsillitis patients, bleeding rates did not vary between year groups. Older age and tonsillectomy were the most significant risk factors for postoperative bleeding.</div></div><div><h3>Conclusion</h3><div>Among children undergoing tonsillar surgery for obstructive sleep apnea, tonsillotomy was associated with a safer postoperative bleeding profile, reduced bleeding severity, and fewer readmissions compared to tonsillectomy.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"186 ","pages":"Article 112125"},"PeriodicalIF":1.2,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400257","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":"A review of the importance of top-down processing assessment in auditory processing disorder","authors":"Bahareh Khavarghazalani ,&nbsp;Zahra Hosseini Dastgerdi ,&nbsp;Morteza Hamidi Nahrani ,&nbsp;Maryam Emadi","doi":"10.1016/j.ijporl.2024.112128","DOIUrl":"10.1016/j.ijporl.2024.112128","url":null,"abstract":"<div><h3>Introduction</h3><div>Auditory perception process is a transient phenomenon, which enables the person to make the relationship between events and auditory factor by working memory and obtain the sequence of auditory features and be able differentiate the auditory sources by using these component. In auditory processing, the basis formed by bottom – up process (data – driven). This pathway is dependent on the central auditory integration and also on acoustic signal input and interpreting auditory information is involved top-down process (concept – driven), which this pathway is dependent on central higher resource such as perception, attention, working memory and its span. The purpose of this study was to address information about top-down processing and auditory processing disorder.</div></div><div><h3>Materials and methods</h3><div>A review of the latest literature on (central) auditory processing disorders and top-down processing was performed using PUBMED, EBSCO, SCIENCE DIRECT, ASHA, GOOGLE SCHOLAR, THIEME, PROQUEST data sources.</div></div><div><h3>Conclusion</h3><div>Deficit in cognitive processing of auditory information in children cause difficulty in processing auditory information and outbreak auditory processing disorder symptoms. Cognitive evaluation (especially working memory) in this subject is important as bottom-up processing evaluation.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"186 ","pages":"Article 112128"},"PeriodicalIF":1.2,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396962","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":"Application of enhanced recovery after surgery based on multiphase optimization strategy in the nursing management of children with snoring disease day surgery","authors":"Zhi Ling Wang ,&nbsp;Yu Ling Shen ,&nbsp;Ting Wu,&nbsp;Hui Ni,&nbsp;Ya Qin Zhou,&nbsp;Wen Juan Wang","doi":"10.1016/j.ijporl.2024.112123","DOIUrl":"10.1016/j.ijporl.2024.112123","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Aims and objectives&lt;/h3&gt;&lt;div&gt;This study aimed to investigate the effectiveness of applying a multiphase optimization strategy (MOST) to enhance recovery after surgery (ERAS) protocols within the nursing management of children undergoing day surgery for snoring disease.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;While MOST has been applied to behavioral intervention research in smoking cessation, AIDS management, and weight loss by international scholars, its application in constructing nursing intervention projects remains relatively unexplored&lt;strong&gt;.&lt;/strong&gt;&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Using convenience sampling, randomised controlled trial.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A convenience sampling method was employed. The study recruited 200 preschool children diagnosed with snoring who underwent day surgery at a specific hospital between January 2023 and January 2024. The participants were divided into two groups: a control group receiving standard nursing care and an experimental group receiving MOST-guided, integrated high-quality nursing plans specifically designed for children with snoring undergoing day surgery, adhering to established ERAS guidelines.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Children in the experimental group exhibited significantly lower anxiety levels compared to the control group, both in the preoperative waiting area and upon returning to the ward (&lt;em&gt;p&lt;/em&gt; &lt; 0.01). While the quality of discharge teaching scale (QDTS) scores did not reveal a statistically significant difference between the groups (&lt;em&gt;p&lt;/em&gt; &gt; 0.01), the content of discharge instructions and the perceived effectiveness and skill of nurse guidance differed significantly between the control and experimental groups(&lt;em&gt;p&lt;/em&gt; &lt; 0.01). Notably, the experimental group experienced a demonstrably lower incidence of thirst, hunger, crying, aspiration, pain, and conversion of day ward to routine hospitalization mode compared to the control group (all &lt;em&gt;p&lt;/em&gt; &lt; 0.01). There was no significant difference in the incidence of postoperative nausea and vomiting between the groups after rehydration (&lt;em&gt;p&lt;/em&gt; &gt; 0.01).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The implementation of ERAS protocols enhanced by MOST within the nursing management of children with snoring undergoing day surgery demonstrates significant efficacy. This approach can effectively reduce preoperative anxiety in children, improve the quality of discharge guidance provided to parents, and demonstrably decrease the occurrence of postoperative thirst, hunger, crying, aspiration, pain, and the need for unplanned hospitalization transitions within 6 h after surgery.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Relevance to clinical practice&lt;/h3&gt;&lt;div&gt;It is necessary to provide fast rehabilitation nursing for children with snoring during daytime operation. Nurses should adopt the theory of fast rehabilitation based on multi-stage optimization strategy to promote children's fast rehabilitation","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"186 ","pages":"Article 112123"},"PeriodicalIF":1.2,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380816","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":"Advancing neonatal hearing screening in Latin America: Insights from pediatric otolaryngologists","authors":"Daniel Peñaranda ,&nbsp;Riley Hue Vo ,&nbsp;Tania Sih ,&nbsp;Graciela Gonzalez Franco ,&nbsp;Tulio A. Valdez","doi":"10.1016/j.ijporl.2024.112122","DOIUrl":"10.1016/j.ijporl.2024.112122","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the real-world application of legislative measures and regulations governing newborn hearing testing in Latin America.</div></div><div><h3>Methods</h3><div>An online survey was sent to the Interamerican Association of Pediatric Otorhinolaryngology (IAPO) network to investigate neonatal hearing screening practices. Twelve questions were asked about legislation, implementation, and barriers to neonatal hearing screening.</div></div><div><h3>Results</h3><div>A total of 89 pediatric otolaryngologists representing 20 Latin American nations participated in this survey. The majority of respondents (64 %) indicated the existence of neonatal hearing laws within their respective countries and correctly named the specific legislation. However, it is noteworthy that over half (58 %) of pediatric ear, nose, and throat specialists reported that these laws are not consistently put into practice in their daily clinical routines. Respondents from five countries disclosed that neonatal hearing screening is not conducted within the first month of an infant’s life.</div></div><div><h3>Conclusions</h3><div>While the majority of Latin American nations have established legislation concerning neonatal hearing screening, its application in clinical practice is lacking due to economic obstacles. Marked disparities across Latin America persist for neonatal hearing screening. Our study provides key insights and recommendations aimed at addressing these issues, including the need for stronger legislative enforcement, increased funding, improved infrastructure, targeted professional training, and expanded public education to strengthen this vital aspect of healthcare in Latin America.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"186 ","pages":"Article 112122"},"PeriodicalIF":1.2,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406383","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":"Barriers to auditory brainstem response testing under anesthesia","authors":"Alexandra E. Tunkel ,&nbsp;Anisa Benbourenane ,&nbsp;Hengameh K. Behzadpour ,&nbsp;Md Sohel Rana ,&nbsp;Tracey Ambrose ,&nbsp;Eve Kronzek ,&nbsp;Diego A. Preciado ,&nbsp;Brian K. Reilly","doi":"10.1016/j.ijporl.2024.112124","DOIUrl":"10.1016/j.ijporl.2024.112124","url":null,"abstract":"<div><h3>Objective</h3><div>Auditory brainstem response (ABR) testing is the gold standard for diagnosis of hearing loss in children who cannot complete behavioral audiometry. Testing under general anesthesia is often recommended when natural sleep ABR and/or behavioral audiometry are unsuccessful. This study aims to determine which demographic and patient factors serve as barriers to receiving this diagnostic testing.</div></div><div><h3>Methods</h3><div>A retrospective chart review from an internal database of patients who underwent ABR testing under anesthesia from 2017 to 2023 was completed. Patient demographics, clinical diagnoses, dates of initial recommendation, and dates of testing were recorded.</div></div><div><h3>Results</h3><div>A total of 395 patients met inclusion criteria, with a median time from initial evaluation to successful ABR under anesthesia of 5.1 months (range 0.1–209 months). This time was significantly higher in patients with public insurance compared to private insurance and in patients with the following medical complexities: cardiac disease, developmental delay, neurologic disease, eye disease, and genetic syndromes not associated with hearing loss. The interval was significantly shorter in patients with abnormal ear anatomy.</div></div><div><h3>Conclusion</h3><div>Patient factors, such as insurance type and certain medical diagnoses, may lead to delayed ABR testing under anesthesia and thus delayed diagnosis and management of hearing loss. This has implications for the timely care and treatment of children with hearing loss.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"186 ","pages":"Article 112124"},"PeriodicalIF":1.2,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142375453","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":"Linguistic analysis of letters of recommendation for pediatric otolaryngology: A pilot study","authors":"Taylor Loth ,&nbsp;Rebecca Compton ,&nbsp;Zahrah Taufique ,&nbsp;Andrew Redmann ,&nbsp;Brianne Barnett Roby","doi":"10.1016/j.ijporl.2024.112121","DOIUrl":"10.1016/j.ijporl.2024.112121","url":null,"abstract":"<div><h3>Objectives</h3><div>To analyze the language of letters of recommendation for pediatric otolaryngology fellowship for possible gender and/or racial bias. To refine methodology for future investigation of gender and language within letters of recommendation for pediatric otolaryngology fellowship.</div></div><div><h3>Methods</h3><div>Practicing pediatric otolaryngologists were recruited as survey participants. A total of 10 letters of recommendation were screened to represent an equal number of applicants who identify as male and female and an equal number of applicants who identify as White and applicants who identify as Black, Indigenous, or a Person of Color. Names, pronouns, location, and other identifying information were removed from the letters. Survey participants were asked to read each letter and categorize the applicant's gender and race as well as that of the letter writer. The letters were also subject to analysis by WordStat linguistic software.</div></div><div><h3>Results</h3><div>A total of 35 pediatric otolaryngologists participated in the survey. Participants assigned gender of the applicant correctly in 43 % of letters and gender of the letter writer correctly in 53 % of letters. Race of the applicant was judged correctly in 65 % of letters. Participants indicated words such as caring, hard-working, and prepared led them to assume the applicant was female, which was corroborated by linguistic analysis. No such words were identified as predictive of race.</div></div><div><h3>Conclusion</h3><div>This pilot study suggests that while there are certain linguistic associations with gender among applications to pediatric otolaryngology fellowship, they may not impact biases held by the reader. This is relevant given a recent rise in the number of female applicants to this subspecialty and ongoing unfilled fellowship positions. Future studies are needed to determine if such associations exist and ultimately affect match potential and success within the field. These studies will require analysis of more letters and with more survey respondents, along with a higher in-depth linguistic analysis.</div></div><div><h3>Lay summary</h3><div>This pilot study aims to evaluate letters of recommendation for pediatric otolaryngology fellowship applications for gender bias with the goal of outlining future studies. There were certain words associated with a given gender, which could impact applicants’ potential to match.</div></div><div><h3>Level of evidence</h3><div>NA.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"186 ","pages":"Article 112121"},"PeriodicalIF":1.2,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142377921","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":"Comprehensive management of chronic ear disease: Consecutive patient analysis at a tertiary children's hospital","authors":"Michael D. Puricelli","doi":"10.1016/j.ijporl.2024.112118","DOIUrl":"10.1016/j.ijporl.2024.112118","url":null,"abstract":"<div><h3>Objective</h3><div>To characterize medical complexity and advanced interventions necessary to treat pediatric patients with chronic ear disease.</div></div><div><h3>Methods</h3><div>A retrospective case review of children who received surgery for chronic otitis media, cholesteatoma, or tympanic membrane perforation at a tertiary children's hospital from 2020 to 2024 was performed. The frequency and type of medical complexities as well as distribution and success of advanced otologic interventions were recorded.</div></div><div><h3>Results</h3><div>Operations were performed on 80 ears. Forty-five percent were in medically complex patients. Twenty-five percent had a syndrome, 13 % had American Society for Anesthesiologists Severity Class 3 or more, and 38 % attended multi-disciplinary programs. Advanced audiology testing protocols were utilized in 53 % of patients, and multiple children received complex sleep and airway operations. Advanced surgical techniques were required in 58 %. Post-operatively, an intact tympanic membrane was achieved in 95 % of operated ears (p &lt; 0.01). Residual and recurrent cholesteatoma were each present in 5 % of cases, with mean follow-up of 11.6 months. Otorrhea reduced from 64 % of patients pre-operatively to 2 % post-operatively (p &lt; 0.01), including cessation in all individuals who reported social/bullying issues related to ear drainage/odor. Unrestricted water exposure was achieved in 99 % of individuals (p &lt; 0.01). Patients showed a mean improvement after surgery of 7.6 dB, as measured by the change in air-bone gap (p &lt; 0.05). <strong>Conclusions</strong>: Comprehensive treatment of otologic conditions included care that was holistic of all medical needs, integrated with other services, developmentally appropriate, encompassing of non-otologic procedures, technically advanced, effective, and functionally-focused. Surgical teams should endeavor together to provide this combination of services.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"186 ","pages":"Article 112118"},"PeriodicalIF":1.2,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365217","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":"Correlations between clinical parameters and PSQ in children with suspected OSA","authors":"Laura Jelušić ,&nbsp;Hrvoje Vidić ,&nbsp;Andrijana Včeva ,&nbsp;Željko Zubčić ,&nbsp;Hrvoje Mihalj ,&nbsp;Zlatko Kljajić ,&nbsp;Ivan Abičić ,&nbsp;Kristina Kralik ,&nbsp;Tihana Mendeš","doi":"10.1016/j.ijporl.2024.112120","DOIUrl":"10.1016/j.ijporl.2024.112120","url":null,"abstract":"<div><div>The aim of this study was to measure tonsils and adenoid vegetations, investigate the modified Mallampati score, determine BMI according to body mass and corresponding percentile, and compare these data with the results of the Pediatric Sleep Questionnaire (PSQ). The subjects were children aged 2 to 18 who were indicated for adenotonsillectomy at the Clinic for Otorhinolaryngology and Head and Neck Surgery. A doctor specialist conducted the clinical examinations. According to the PSQ, 75 subjects were divided into two groups: those at high risk and those at low risk for developing obstructive sleep apnea (OSA). The PSQ results showed that 45 subjects (60 %) were at high risk for OSA, and these subjects had significantly lower weight and BMI. Although a higher number of subjects had grade 4 tonsils and grade 3 and 4 adenoids, this distribution was not statistically significant. There was no statistically significant difference in the distribution of the modified Mallampati score when compared with the PSQ results. Lower body mass and BMI were statistically significant risk factors for OSA, while the size of the tonsils and adenoids, as well as the modified Mallampati score, did not show any statistically significant difference in comparison with the PSQ results.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"186 ","pages":"Article 112120"},"PeriodicalIF":1.2,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371799","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}