International Archives of Otorhinolaryngology最新文献

{"title":"The Temporomandibular Joint Compromise (TMJC) as a Cause of Otoneurological Symptoms: Headaches, Dizziness and Tinnitus.","authors":"Rafael Casañas, Isabel González-Esmorís, Jose Cabrera, Víctor Pérez-Candela, Pedro Saavedra, José Larena-Avellaneda","doi":"10.1055/s-0046-1819593","DOIUrl":"https://doi.org/10.1055/s-0046-1819593","url":null,"abstract":"<p><strong>Introduction: </strong>The prevalence of temporomandibular disorders in the population with chronic or recurrent headaches is too high for a relationship not to exist. Publications propose the examination of the masticatory system in all patients with headache.</p><p><strong>Objective: </strong>To introduce a new entity within temporomandibular disorders, temporomandibular joint compromise (TMJC), mandibular movement limiting pathology of extra-articular traumatic cause, and evaluate the response rate and safety of treatment. The limiting cause of mandibular movement is the lack of space between the mandibular ramus and maxilla. The main symptoms of TMJC include headache, dizziness, and tinnitus. In many cases, the headache is previously diagnosed as a migraine.</p><p><strong>Methods: </strong>Data were collected from 54 patients aged between 6 and 59 years who had a confirmed diagnosis of migraine (according to the the International Classification of Headache Disorders, 3rd edition [ICHD3]) and were treated for TMJC in a dental clinic. They also presented other otolaryngological symptoms. A retrospective quasi-experimental study without a control group was carried out due to ethical considerations related to the harmless nature of the treatment.</p><p><strong>Results: </strong>After treatment of TMJC, migraine symptoms disappeared in 52 patients (96.3%, <i>p</i>  < 0.001) and persisted, although with clinical improvement, in 2 (3.7%). There was also an improvement in the other associated symptoms: dizziness disappeared in 23 out of the 27 affected patients (85.21%, <i>p</i>  < 0.001) and tinnitus disappeared in the 31 affected patients (100%, <i>p</i>  < 0.001). No significant treatment-related side effects were observed.</p><p><strong>Conclusion: </strong>The present study shows the high rate of response and safety of the treatment of TMJC.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 2","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Accuracy and User Satisfaction of Culturally-Relevant Kannada-Based Hearing Screening App Compared to Technical Screening Method.","authors":"Hemanth Narayan Shetty, Juditha Tina","doi":"10.1055/s-0046-1817134","DOIUrl":"https://doi.org/10.1055/s-0046-1817134","url":null,"abstract":"<p><strong>Introduction: </strong>Non-technical hearing screening using a self-assessment questionnaire in a mobile app offers a low-cost solution for at-risk populations. The present study developed Kannada-language hearing questions using health literacy principles-plain language, simple phrasing, and dialect inclusion-to improve accessibility for underserved groups.</p><p><strong>Objective: </strong>To evaluate the effectiveness of culturally relevant Kannada hearing questions in detecting hearing loss compared with technical screening. The objectives were to assess the content validity of the new questionnaire, compare the accuracy of technical and non-technical screening apps against conventional pure-tone audiometry, and measure client satisfaction.</p><p><strong>Study sample and design: </strong>Eighty-four participants aged 20 to 45 years with minimal-to- moderate hearing loss were evaluated using a comparative research design.</p><p><strong>Methods: </strong>A standardised adult hearing questionnaire was developed and content-validated. Each participant underwent hearing screening with both technical and non-technical mobile apps, followed by a client satisfaction survey. Conventional pure-tone audiometry (0.5-8 kHz) was used to determine hearing thresholds.</p><p><strong>Results: </strong>The technical screening app demonstrated 97% sensitivity and accuracy, with 95% specificity. Although the non-technical app initially showed lower accuracy, employing a two-refer threshold improved its performance to 86% sensitivity, 100% specificity, and 97% accuracy. Additionally, user satisfaction ratings were higher for the non-technical app.</p><p><strong>Conclusion: </strong>With a two-refer threshold, the accuracy of the Kannada non-technical screening app was comparable to that of the technical screening method.</p><p><strong>Clinical relevance: </strong>The self-guided technical app benefits individuals with technical proficiency, while the non-technical screening is ideal for native speakers with dexterity issues or limited technical skills.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 2","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Blood Group on Contralateral Suppression of Otoacoustic Emissions, Speech Perception in Noise, and Binaural Integration.","authors":"Pancham Ponnana S A, Jovita Priya Tauro, Nikhil Paremajalu S, Akhil Varghese, Kamalakannan Karupaiah, Prashanth Prabhu","doi":"10.1055/s-0046-1819712","DOIUrl":"https://doi.org/10.1055/s-0046-1819712","url":null,"abstract":"<p><strong>Introduction: </strong>Understanding the relationship between blood groups (A, B, AB, and O) and auditory functioning can provide valuable insights into individual differences in hearing ability and potential risks for hearing loss.</p><p><strong>Objective: </strong>To assess the impact of blood group on auditory functions. It examined contralateral suppression of transient evoked otoacoustic emissions (TEOAEs), speech perception in noise (SPIN), and binaural integration using the dichotic consonant-vowel (DCV) test.</p><p><strong>Methods: </strong>There were 60 female participants, from the blood groups A, B, AB, and O, aged 18 to 30 years with normal hearing were included. This study's preliminary assessments included pure-tone audiometry, immittance audiometry, and otoscopy to exclude hearing loss and middle ear dysfunction. Suppression of TEOAE was measured with and without contralateral broadband noise, while SPIN was tested at signal-to-noise ratios (SNRs) of -10, 0, and +10 dB. The DCV test assessed binaural integration with the presentation of prerecorded consonant-vowel stimuli simultaneously.</p><p><strong>Results: </strong>The Kruskal-Wallis H test showed no significant differences in TEOAE suppression amplitudes, SPIN scores across SNRs, or DCV scores across the four blood groups.</p><p><strong>Conclusion: </strong>These findings suggest that blood type has no discernible effect on central auditory functions, such as binaural integration, speech perception in noisy environments, or efferent auditory system functioning. This research, thus, highlights the need for further investigation with diverse methodologies and larger cohorts, to better understand the role of blood groups in auditory processing.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 2","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation and Validation of the Rhinitis Control Assessment Test (RCAT) for Allergic Rhinitis in Urdu Language.","authors":"Maira Adeel, Ahmad Nawaz, Hamza Ahmed Larik, Maheen Pyarali, Ammad Ali, Ramsha Tariq, Najeebullah Arbani, Haissan Iftikhar","doi":"10.1055/s-0046-1818632","DOIUrl":"https://doi.org/10.1055/s-0046-1818632","url":null,"abstract":"<p><strong>Introduction: </strong>Allergic rhinitis (AR) is an IgE-mediated inflammatory reaction of the nasal mucosa triggered by various allergens, leading to nasal congestion, rhinorrhoea, sneezing, nasal itching, ocular redness, lacrimation, and postnasal dripping. This condition can also cause sleep disturbances and fatigue, which can affect productivity at work and academic performance, therefore posing substantial economic burden. Positive outcomes rely on efficacy of medications, potential adverse effects of medication, treatment response, and overall prognosis.</p><p><strong>Objective: </strong>To investigate the utility of the Rhinitis Control Assessment Test (RCAT) as a clinical tool in Urdu for evaluating and monitoring allergic rhinitis.</p><p><strong>Methods: </strong>The RCAT is a self-administered questionnaire consisting of six questions addressing specific rhinitis symptoms.</p><p><strong>Results: </strong>The study included 60 (35 male and 25 female) patients with ages ranging from 18 to 55 (mean: 35) years. The RCAT demonstrated acceptable internal consistency with a Cronbach's alpha of 0.759. Interitem correlations supported that the questionnaire items reflected related constructs. Paired sample t-tests showed statistically significant improvements in all RCAT items posttreatment ( <i>p</i>  < 0.001), except for the compliance-related item (q5; <i>p</i>  = 0.166). The overall score increased significantly (mean difference = 9.28; <i>p</i>  < 0.001), indicating improved rhinitis control.</p><p><strong>Conclusion: </strong>The RCAT has proven to be a valuable tool for assessing allergic rhinitis control. Its ease of use and adaptability across languages make it an excellent choice for routine monitoring and management of AR. The successful application of RCAT in Urdu further enhances its accessibility and effectiveness for native speakers.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 2","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High-Frequency Hearing Loss and Decrease in High-Frequency Hearing Thresholds after Positive Airway Pressure Treatment in Patients with Severe OSA.","authors":"Hande Arslan, Zeynep Özer, Nevra Güllü Arslan, Gökhan Akgül, Doğukan Özdemir, Dursun Mehmet Mehel","doi":"10.1055/s-0046-1819642","DOIUrl":"https://doi.org/10.1055/s-0046-1819642","url":null,"abstract":"<p><strong>Introduction: </strong>Obstructive sleep apnea (OSA) is a breathing disorder that causes hypoxia which, in turn, causes cochlear dysfunction.</p><p><strong>Objectives: </strong>To determine whether Positive Airway Pressure (PAP) treatment has a positive or negative effect on hearing during 6-month follow-up of severe OSA.</p><p><strong>Methods: </strong>There were 59 patients with severe OSA in the study group and 31 volunteers in the control group. Audiologic tests were performed on both groups before the start of PAP treatment, at the 3 ^rd and 6 ^th month of the PAP treatment.</p><p><strong>Results: </strong>The mean ages of the study and control groups were 46.3 ± 7.1 and 43.8 ± 7.7 years, respectively ( <i>p</i>  = 0.39). The test means for Sleep Efficiency (89.3 ± 4.2), AHI (45.3 ± 16.8), ODI (39.5 ± 20.8), MOS (89.9 ± 3.7), AD (7.6 ± 3.4), LOS (78 ± 8.5), and TDOS (40.7 ± 26) were registered for the study group. High-frequency PTA (HF-PTA) scores were higher in the study group than in the control ( <i>p</i>  < 0.01); they also decreased in the 3 ^rd month of treatment ( <i>p</i>  < 0.01) and persisted in the 6 ^th month. There was a correlation between HF-PTA and MOS, AD, and LOS ( <i>p</i>  < 0.01; 0.05; 0.045, respectively). Also, 8 kHz hearing levels were highly correlated with HF-PTA in the study and control groups ( <i>p</i>  < 0.01 and ρ = 0.74; <i>p</i>  = 0.01 and ρ = 0.58, respectively).</p><p><strong>Conclusion: </strong>High-frequency hearing threshold levels may show improvement with the use of PAP therapy. Also, the 8 kHz hearing levels may be used to predict high-frequency hearing loss and early cochlear damage.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 2","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Advantages of Silicone Stent in Revision Endoscopic Dacryocystorhinostomy in a Tertiary Care Hospital.","authors":"Charushila Sonawane, Ritu Radheshyam Raval, Anushree Bajaj, Bhalchandra Paike, Tanvi Patil","doi":"10.1055/s-0046-1818565","DOIUrl":"https://doi.org/10.1055/s-0046-1818565","url":null,"abstract":"<p><strong>Introduction: </strong>Silicone stents are often employed in dacryocystorhinostomy (DCR) procedures to maintain the patency of the newly created tear drainage passage during the healing stage. These stents are flexible, biocompatible, and generally well tolerated by patients. They help prevent adhesion formation and ensure that the surgical opening remains open as the tissue heals. Use of stents in primary DCR is well documented, but their advantages in revision DCR need further exploration. We evaluated the advantages of silicone stents in revision endoscopic DCR performed at a tertiary care hospital.</p><p><strong>Objective: </strong>To compare the surgical success rates of revision endoscopic DCR with and without the use of silicone stents, analyze the incidence of postoperative complications, assess patient satisfaction and quality of life following revision endoscopic DCR using standardized patient questionnaires and evaluate the effectiveness of silicone stents in maintaining ostium patency during the healing process.</p><p><strong>Methods: </strong>The present prospective, interventional, hospital-based study involved 160 patients with nasolacrimal duct obstruction with patent upper and lower canaliculi with symptoms like epiphora, discharge from the eye, swelling in the lacrimal region, hard stop on lacrimal syringing and previous failed endoscopic endonasal DCR and common canalicular obstruction for 2 years.</p><p><strong>Results: </strong>When compared with the non-silicone stent group, the silicone stent group experienced shorter hospital stays, larger anatomical patency, lower recurrence rates, higher satisfaction, and higher success rates.</p><p><strong>Conclusion: </strong>In revision DCR, the use of silicone stents greatly improves surgical results, patient satisfaction, recurrence rates, and hospital stays.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 2","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hearing Characteristics of Adults before Exposure to Potentially Ototoxic Chemotherapy.","authors":"Cecília Vieira Peruch, Vera Beatris Martins, Felipe de Oliveira Goulart, Marcia Salgado Machado, Eliane Dallegrave, Monalise Costa Batista Berbert","doi":"10.1055/s-0046-1819640","DOIUrl":"https://doi.org/10.1055/s-0046-1819640","url":null,"abstract":"<p><strong>Introduction: </strong>Cancer patients undergoing potentially-ototoxic chemotherapy may present a series of hearing disorders and risk factors prior to treatment. Thus, it is necessary to know the profile of these patients to promote preventive actions and guidelines regarding the hearing health of these individuals.</p><p><strong>Objective: </strong>To describe and relate the hearing characteristics of patients entering a chemotherapy service before the exposure to potentially-ototoxic drugs.</p><p><strong>Methods: </strong>We conducted a cross-sectional study of 261 individuals who started chemotherapy between April and December 2022. All patients filled out a hearing case history and underwent otoscopy. Individuals who had a non-altered otoscopy due to obstructive cerumen underwent distortion-product otoacoustic emissions (DPOAEs) at 2, 4, 6, 8, 10, and 12 kHz in both ears.</p><p><strong>Results: </strong>In total, 83% of the patients reported good hearing and 31% described some level of hearing impairment. The most prevalent self-reported hearing issue was tinnitus (35%). Only 12% had a medical diagnosis of hearing loss, and 20% had obstructive cerumen during otoscopy. Individuals who reported hearing impairments such as reduced hearing and difficulty understanding noises demonstrated fewer responses in the DPOAEs at various frequencies. In addition, there were significant differences in DPOAE amplitudes among different age groups. Given the substantial burden of hearing loss with ageing, attention to this population is essential for the possibility of preventing or delaying hearing loss.</p><p><strong>Conclusion: </strong>Cancer patients entering a chemotherapy service have a hearing case history of risk factors and hearing alterations prior to exposure to potentially-ototoxic drugs.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 2","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applicability of Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS) for the Assessment of Patients Eligible for Facial Esthetic Surgery: A Scoping Review.","authors":"Arthur Ricardo Carminatti Ortina, Carolina Rodrigues Laranjeira Vilar, Odin Ferreira do Amaral Neto, Rogerio Hamerschmidt, Maria Theresa Costa Ramos Oliveira","doi":"10.1055/s-0046-1819563","DOIUrl":"https://doi.org/10.1055/s-0046-1819563","url":null,"abstract":"<p><strong>Introduction: </strong>Although the Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS) is a complete questionnaire for evaluating BDD, there are few studies in the literature to investigate or screen for dysmorphism in patients undergoing facial plastic surgery.</p><p><strong>Objective: </strong>To map and evaluate facial plastic studies that used this questionnaire to research body dysmorphism in their populations. The secondary objectives were to review the criteria and questions assessed by the questionnaire and their applicability.</p><p><strong>Methods: </strong>The study selection criteria involved studies that used the BDD-YBOCS in screening studies for dysmorphism in patients who were candidates for or underwent facial plastic surgery. Literature search was carried out in PubMed/electronic database, database Google Scholar data, and Web of Science by the authors. Two independent researchers conducted a citation search of relevant literature. To select appropriate patients for esthetic procedures, validated preoperative BDD screening tools should be used.</p><p><strong>Results: </strong>Historically, patients with BDD had contraindications for esthetic procedures and surgeries. However, recent evidence supports more refined decision-making based on disorder severity and patients' overall level of functioning.</p><p><strong>Conclusion: </strong>It is reaffirmed that esthetic surgery is not effective in treating BDD, despite declared patient satisfaction. Therefore, the psychological disorder must be treated first because surgical treatment without prior psychological treatment may result in dangerous consequences for surgeons.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 2","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations among Self-Reported Laryngopharyngeal Reflux, Allergic Symptoms, and Type of Dysphonia.","authors":"Abdul-Latif Hamdan, Yara Yammine, Patrick Abou Raji Feghali, Jad Hosri, Lana Ghzayel, Jessica Aoun","doi":"10.1055/s-0046-1818630","DOIUrl":"https://doi.org/10.1055/s-0046-1818630","url":null,"abstract":"<p><strong>Introduction: </strong>Dysphonia is defined as a change in voice timber, pitch, or loudness. Precipitating factors may be occupational or health-related, such as allergy and laryngopharyngeal reflux (LPR).</p><p><strong>Objective: </strong>To investigate the association between combined LPR, and allergic rhinitis (AR), and type of dysphonia, that is, functional versus non-functional.</p><p><strong>Methods: </strong>A retrospective chart review of all patients with dysphonia who presented to the Voice Unit at a tertiary referral center between November 2018 and February 2022 was conducted. Patients must have previously filled out the Reflux Symptom Index (RSI) and AR questionnaires to be recruited. Based on laryngeal examination, the etiology of dysphonia was stratified as functional versus non-functional (referred to as structural/neurologic).</p><p><strong>Results: </strong>A total of 137 patients were included, 65 (47.4%) of whom had a structural voice disorder, 22 (16.1%) had neurologic voice disorders, and 50 (36.5%) had a functional voice disorder. Seventy-eight patients (56.1%) had a positive RSI ≥ 13, suggestive of LPR. In these patients, dysphonia was functional in 31, structural-in 34, and neurologic in 13 ( <i>p</i>  = 0.568). Sixty-eight patients (48.9%) had a positive AR score ≥ 1, suggestive of allergy, 62% of whom had functional dysphonia, 46.2% had structural dysphonia, and 31.8% had neurologic dysphonia ( <i>p</i>  = 0.046). Twenty-five of the 50 patients (50%) with functional dysphonia had RSI ≥ 13 and AR ≥ 1 versus 29.3% (19/65) of the structural subgroup and 31.8% (7/22) of the neurologic subgroup ( <i>p</i>  = 0.063). After adjusting for smoking, patients with both reflux and allergy had 2.913 (95%CI = 1.32-6.442) times the odds having functional dysphonia compared with those having either or none ( <i>p</i>  = 0.008).</p><p><strong>Conclusion: </strong>Patients with dysphonia and history of LPR and allergy are more likely to have a functional underlying etiology.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 2","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Perceptions of Pediatric Hearing Loss among University Students in Jordan.","authors":"Reeman Marzouqah, Rama Alasir, Laila Qanawati, Yazan Gammoh","doi":"10.1055/s-0046-1818564","DOIUrl":"https://doi.org/10.1055/s-0046-1818564","url":null,"abstract":"<p><strong>Introduction: </strong>Early identification of pediatric hearing loss is vital to reduce long-term developmental consequences; however, awareness among future healthcare professionals remains limited in many low- and middle-income countries.</p><p><strong>Objective: </strong>To assess the knowledge and perceptions of university students in Jordan regarding pediatric hearing loss.</p><p><strong>Methods: </strong>We conducted a cross-sectional study using a questionnaire that evaluated the students' awareness of the common causes and risk factors for hearing loss in children, perceptions of early intervention, and self-reported confidence in identifying and referring potential cases. The awareness and perception items were grouped into two categories, and misconception rates were calculated as the proportion of respondents answering <i>agree</i> or <i>strongly agree</i> to statements that were factually incorrect. Chi-square tests were conducted to examine associations between participant demographics and response patterns, with statistical significance set at <i>p</i>  < 0.05.</p><p><strong>Results: </strong>A total of 411 students participated (response rate: 84.4%); most were aged from 18 to 25 years (81%) and female (53%), with 65% of them enrolled in the Faculty of Allied Medical Sciences, Al-Ahliyya Amman University, Jordan. Misconceptions were more common in awareness items (mean: 30.4%), with the highest rate observed for the belief that neonatal meningitis or seizures do not cause hearing loss (44%). Perception items showed lower misconception rates (mean :13.4%), with the highest being that parental suspicion should not influence clinical opinion (26%). The Chi-squared analysis revealed that higher awareness was significantly associated with year of study ( <i>p</i>  < 0.001), major ( <i>p</i>  < 0.001), and family history ( <i>p</i>  < 0.05).</p><p><strong>Conclusion: </strong>Despite their positive attitudes, students showed limited clinical knowledge. Strengthening audiology education in health science university programs may improve early detection and intervention outcomes in Jordan.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 2","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}