Ramyar Farzan, Mohammadjavad Sharifian, Mohammad Tolouei, Siamak Rimaz, Sanaz Masoumi
{"title":"Clinical Characteristics of Nasal Fractures: An 11-year Retrospective Study.","authors":"Ramyar Farzan, Mohammadjavad Sharifian, Mohammad Tolouei, Siamak Rimaz, Sanaz Masoumi","doi":"10.1055/s-0044-1788314","DOIUrl":"10.1055/s-0044-1788314","url":null,"abstract":"<p><p><b>Introduction</b> Nasal fractures are one of the most common diseases in the otorhinolaryngology emergency room that leads to significant complications. However, there is still no suitable method to prevent their occurrence, which may result from insufficient studies on their causes and related factors. <b>Objectives</b> To describe the demographic features, pattern, time of consultation, and etiological factors of patients with different types of nasal fractures. <b>Methods</b> We conducted a retrospective study of the records of patients with a diagnosis of nasal fracture treated between 2010 and 2021. The data included demographic characteristics, type of maxillofacial injury and associated lesions, complication rates, treatment modalities, and a description of the surgery. <b>Results</b> We included 599 patients, mostly male subjects (81.6%) injured in a road accident (55.3%), with a mean age of 31.64 ± 14.65 years, and mean length of hospital stay of 2.27 ± 2.21 days. Most accompanying fractures were maxillary (38.5%), multiple (24.6%), and mandibular (23.1%). The mean length of hospital stay was statistically different according to the cause of the fracture ( <i>p</i> = 0.036) and the types of treatment performed ( <i>p</i> = 0.041). <b>Conclusion</b> In general, trauma patients in the second to fourth decades of life and of the male gender are more prone to nasal fractures. Identifying the factors affecting the incidence of fractures enables the determination of the presentation patterns and the nature of the lesions to be evaluated. In addition, treatment evaluation and an analysis of the complication rate enable a more realistic interpretation of how patients are managed.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 2","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274757","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}
Lucas Diniz Costa, Ana Paula Brandão Silva, Mariane Stagi Almada, Vanessa Pinheiro Adamo, Guilherme Irie Nakazora, Gustavo Rossoni Carnelli, Antonio Carlos Cedin
{"title":"Use of Blood Thinners and Increased Nosebleeds during the Coronavirus Disease 2019 Pandemic.","authors":"Lucas Diniz Costa, Ana Paula Brandão Silva, Mariane Stagi Almada, Vanessa Pinheiro Adamo, Guilherme Irie Nakazora, Gustavo Rossoni Carnelli, Antonio Carlos Cedin","doi":"10.1055/s-0044-1791583","DOIUrl":"10.1055/s-0044-1791583","url":null,"abstract":"<p><p><b>Introduction</b> In May 2020, the World Health Organization declared Brazil a new epicenter of the coronavirus pandemic. <b>Objective</b> The present study aims to verify if the frequency of nasal bleeding and/or epistaxis in patients of a tertiary hospital was correlated with the pandemic of coronavirus disease 2019 (COVID-19) and with the use of anticoagulants. <b>Methods</b> The analysis performed was retrospective from the database of the otorhinolaryngology service of a Brazilian tertiary hospital, comparing 2 periods: 1 from March 2020 to July 2021 comprising the peak of pandemic setting, and another from August 2021 to May 2022. We checked data on the average number of cases/month and on the use of anticoagulants. <b>Results</b> In the period above mentioned, there were 61 cases of COVID-19-related epistaxis (from a total of 180 cases of nasal bleeding and/or epistaxis), with an average of 12 cases/month, demonstrating an increase in the frequency of cases at the institution, when compared to a study involving 343 cases from the same institution over a period of 42 months (October 2015-March 2019), in which the average was 8.1 cases/month. Among the patients with COVID-19 and nasal bleeding, 55 (90.17%) were using some type of anticoagulant at the time of bleeding: 41% were on subcutaneous heparin; 20% were on subcutaneous enoxaparin; 16.66% were receiving intravenous heparin on continuous infusion bomb (CIB); 6.66% were on extracorporeal membrane oxygenation (ECMO) associated with intravenous heparin on CIB; 4.99% were on oral rivaroxaban; and 1.66% are on oral apixaban. <b>Conclusion</b> Our study's data confirmed the increase in the number of epistaxis cases and the use of anticoagulants in COVID-19 patients.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 2","pages":"1-3"},"PeriodicalIF":1.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274781","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}
Alessandra Loli, João Victor Costa Müller, Eric Schneider de Azevedo, Regina Helena Garcia Martins
{"title":"Symptoms and Otorhinolaryngological Sequalae in Long Covid.","authors":"Alessandra Loli, João Victor Costa Müller, Eric Schneider de Azevedo, Regina Helena Garcia Martins","doi":"10.1055/s-0045-1809026","DOIUrl":"10.1055/s-0045-1809026","url":null,"abstract":"<p><strong>Introduction: </strong>After the pandemic caused by the coronavirus, many patients have presented remaining otorhinolaryngological symptoms, but most of them are unknown to health professionals.</p><p><strong>Objectives: </strong>To characterize otorhinolaryngological symptoms and sequelae in hospitalized patients for Covid-19.</p><p><strong>Methods: </strong>We made a recall to patients hospitalized between April 2020 and April 2022 due to Covid-19. Demographic data, initial and remaining symptoms, days of hospitalization, intubation and/or tracheostomy, and vaccination data were collected.</p><p><strong>Results: </strong>845 patients were hospitalized, 441 died, 404 patients were contacted by telephone, but only 109 responded to the questionnaire about initial and remaining otorhinolaryngological symptoms after 1.5 to 2 years of illness, 59 men and 50 women, with an average age of 58.61 years (20 to 94). Two study groups were composed: G 1 (n- 44; with remaining symptoms) and G 2 (n- 65; without remaining symptoms). 81% of patients in G1 and 67% of patients in G2 had been hospitalized for up to 20 days. Intubation occurred in 17 patients (G1-7; G2-10). Seven patients underwent tracheostomy. The most prevalent initial and remaining otorhinolaryngological symptoms, respectively, were dyspnea (68.8%; 14.6%), cough (65.1%; 11.92%), nasal obstruction (47.7%; 5.58%), smell dysfunction (44%; 11%), taste dysfunction (42%; 4.58%). Vaccination was reported by 54 patients (G1-21; G2-34).</p><p><strong>Conclusions: </strong>Otorhinolaryngological symptoms were common in patients hospitalized for Covid-19, especially dyspnea, cough, nasal obstruction, smell, and taste dysfunction. Although there was a favorable long-term evolution, 40% of patients maintained permanent symptoms, such as smell and taste dysfunction and dizziness, unrelated to the vaccine doses.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 2","pages":"1-6"},"PeriodicalIF":1.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225371","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":"Comparison of Two Quality Analysis Checklists Used to Appraise Studies Regarding the Assessment of Auditory Processing Disorder in Older Adults.","authors":"Vipin Ghosh, Asha Yathiraj, Darshan Devananda","doi":"10.1055/s-0044-1792083","DOIUrl":"10.1055/s-0044-1792083","url":null,"abstract":"<p><p><b>Introduction</b> A meta-analysis of published articles is usually done using standard scales and checklists. Several such scales and checklists are reported in the literature. However, there is little information regarding their utility so one can select the most appropriate one, especially in the field of audiology. <b>Objective</b> The current study aimed to compare a quality analysis carried out using the standard quality assessment criteria (SQAC) for evaluating primary research papers from a variety of fields', and the Modified Downs and Black Checklist (MDBC) for a set of articles in the area of auditory processing deficits (APDs) in older adults. <b>Methods</b> Two published checklists suitable for the field of audiology (SQAC and MDBC) were compared for a quality analysis of articles on APD in older adults. The two checklists were compared after categorizing their items into five subsections. Two audiologists rated the articles according to both checklists. <b>Results</b> The interrater reliability was found to be good for both checklists. Significant differences between the checklists were observed for specific subsections. However, there was no significant correlation between the two checklists. <b>Conclusion</b> It is inferred that the selection of an appropriate quality assessment checklist depends on the objective of the study. If the aim of a quality analysis study is to differentiate articles based on their overall caliber, or primarily based on the subsections, SQAC is recommended. However, if the aim is to distinguish research articles primarily based on the control of variables, or differentiate intervention-based studies, the MDBC is recommended.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 2","pages":"1-5"},"PeriodicalIF":1.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180501","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}
Mehmet Gökhan Demir, Sedat Aydın, Serpil Oguztuzun, Kayhan Basak
{"title":"Association Between the Expression of Cytochrome P450 and Glutathione S-transferase Enzyme and Antrochoanal Polyp Pathogenesis.","authors":"Mehmet Gökhan Demir, Sedat Aydın, Serpil Oguztuzun, Kayhan Basak","doi":"10.1055/s-0044-1801320","DOIUrl":"10.1055/s-0044-1801320","url":null,"abstract":"<p><p><b>Introduction</b> Antrochoanal polyp, which is a kind of smooth-surfaced single nasal polyp, is commonly present in cases of nasal obstruction. The pathogenesis of polyp formation is still unclear, but allergy is supposed to be a cause. <b>Objectives</b> To investigate the expression levels of antioxidant enzymes in antrochoanal polyp tissue. <b>Methods</b> The antrochoanal polyp group was composed of 23 patients who were diagnosed microscopically, and the control group was composed of 38 healthy patients. The sample of the control group was taken from the inferior turbinate mucosa by punch biopsy under general anesthesia, and the antrochoanal polyp sample was collected from sinus surgery. The cytochrome P450 (CYP) and glutathione S-transferase (GST) expressions of the groups were investigated under microscopy and scored by senior pathologists. <b>Results</b> The antrochoanal polyp group had statistically less expression of CYP family 1 subfamily A member 1 (CYP1A1) than the control group ( <i>p</i> < 0.05). Moreover, GST Pi 1 (GSTP1), GST Mu 1 (GSTM1), and GST Alpha 1 (GSTA1) expressions were not different between the groups ( <i>p</i> > 0.05). <b>Conclusion</b> Allergy and chronic inflammation are postulated reasons for antrochoanal polyp formation, but, according to our results, we could not detect any relation between antrochoanal polyp formation and GST expression in tissue. However, the decreased level of CYP1A1 expression in the antrochoanal polyp group may be related with the pathogenesis of the antrochoanal polyp formation.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 2","pages":"1-6"},"PeriodicalIF":1.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183057","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":"Artificial Intelligence in the Diagnosis and Treatment of Speech Disorders: Bridging Neurology and Otorhinolaryngology.","authors":"Wyllians Vendramini Borelli, Tatiana Luft, Geraldo Pereira Jotz","doi":"10.1055/s-0045-1809334","DOIUrl":"10.1055/s-0045-1809334","url":null,"abstract":"","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 2","pages":"1-2"},"PeriodicalIF":1.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181112","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}
Ahmed Elsobki, Hemmat Baz, Reham Ae Ibrahim, Menna Ibrahim Hashish, Mohamed E El-Deeb, Noha Ahmed El-Kholy
{"title":"New Numerical Score and Stepwise Algorithm for the Classification and Management of Laryngomalacia.","authors":"Ahmed Elsobki, Hemmat Baz, Reham Ae Ibrahim, Menna Ibrahim Hashish, Mohamed E El-Deeb, Noha Ahmed El-Kholy","doi":"10.1055/s-0044-1801317","DOIUrl":"10.1055/s-0044-1801317","url":null,"abstract":"<p><p><b>Introduction</b> The classification and management of laryngomalacia are challenging topics that are continuously updated and modified by pediatric airway surgeons. However, a numerical stratification of the patients to decide on the conservative management or intervention has not yet been established. <b>Objective</b> To provide an easy approach to cases of laryngomalacia by adopting an updated scoring system with a stepwise management algorithm. <b>Methods</b> We conducted a prospective study that included patients diagnosed with laryngomalacia over three years. The proposed symptom and history score was used to categorize patients into mild, moderate, and severe grades. Then, the examination and investigation scores designed were applied to the selected cases according to the management algorithm. Basic data from the patients and their flow throughout the study were assessed. <b>Results</b> The study included 112 patients with a mean age of 4.3 ± 2.2 months. In total, 44 (39.3%) cases were considered mild, 48 (42.86%), moderate, and 20 (17.85%), severe. The examination score was used to assess 68 out of 112 patients, including all moderate and severe cases of laryngomalacia. All of the mild cases were followed up, and none required surgery. The investigation score was applied to 55 cases, including all the severe cases, as preoperative evaluation, and 35 out of 48 moderate cases. <b>Conclusion</b> This newly proposed scoring system with the associated algorithm is an easily applicable way to deal with, classify, and properly manage laryngomalacia cases.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 2","pages":"1-12"},"PeriodicalIF":1.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183058","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}
Mohammad Shamim Ansari, Arvinder Singh Sood, Satya Prakash Dubey
{"title":"Development of the Parental Expectations and Perspectives Questionnaire in Hindi to Measure the Outcomes from Pediatric Cochlear Implantation.","authors":"Mohammad Shamim Ansari, Arvinder Singh Sood, Satya Prakash Dubey","doi":"10.1055/s-0044-1791275","DOIUrl":"10.1055/s-0044-1791275","url":null,"abstract":"<p><p><b>Introduction</b> The pediatric cochlear implantation (PCI) outcomes, as seen through the parental perspective questionnaire (PPQ), may provide a more comprehensive and accurate view on the functional status of cochlear implant recipients in real-life situations. However, there is no Hindi language version of the PPQ. Therefore, the purpose of the present study was to translate and culturally adapt the original PPQ into Hindi to measure the outcomes in children with CI. <b>Methods</b> The original PPQ was translated into Hindi through a forward-backward process. The questionnaire was content- and face-validated. The harmonized Hindi questionnaire consisted of 74 items covering two domains: decision-making (26 items) and outcomes (48 items). It was piloted in 139 parents of children with CI, to determine the validity and reliability and to measure the outcome of PCI. <b>Results</b> The PPQ-Hindi version was easy to understand for parents. They reported that the questionnaire completion time was appropriate. The instrument had a high degree of content- and face-validity, and it matched the original. The overall Cronbach α was 0.89, and the test-retest reliability coefficient was 0.92. <b>Conclusions</b> The PPQ was successfully translated into Hindi and adapted to this specific culture and population, exhibiting a good validity and reliability to measure outcomes in PCI. Thus, the instrument has the potential to be an effective tool for parents to self-administer and to evaluate the effects of CI in their children.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 2","pages":"1-10"},"PeriodicalIF":1.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12101876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142474","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}
Érica Alessandra Caldas, Patrick Rademaker Burke, Aline Gomes Bittencourt, Patricia Andréia Caldas, Eduardo Henrique Costa Rodrigues, Natalino Salgado Filho
{"title":"Analysis of Auditory Function before and after a Single Session of Hemodialysis in Patients with Chronic Kidney Disease.","authors":"Érica Alessandra Caldas, Patrick Rademaker Burke, Aline Gomes Bittencourt, Patricia Andréia Caldas, Eduardo Henrique Costa Rodrigues, Natalino Salgado Filho","doi":"10.1055/s-0044-1789196","DOIUrl":"10.1055/s-0044-1789196","url":null,"abstract":"<p><p><b>Introduction</b> Hearing is a complex process that involves mechanical, chemical, and neurophysiological components. Changes in hearing can be caused by congenital or acquired etiological factors. Chronic kidney disease (CKD) is one of the causes of hearing loss. <b>Objective</b> To compare auditory findings before and after a single session of hemodialysis in patients with chronic kidney disease. <b>Methods</b> A clinical cross-sectional research was conducted with a sample of 23 individuals between 24 to 57 years of age with a diagnosis of CKD undergoing hemodialysis. Distortion product otoacoustic emission (DPOAE) and transient otoacoustic emission (TOAE) tests were performed before and after a session of hemodialysis. <b>Results</b> The DPOAE test revealed that 26% of the participants had failure in both ears prior to dialysis and 30.4% had failure after dialysis. Comparing the DPOAE and TOAE tests before and after hemodialysis, a slight decrease was found in patients with \"fail\" results from the predialysis test to the postdialysis test, but the difference did not achieve statistical significance. <b>Conclusions</b> No significant hearing changes assessed through otoacoustic emissions occurred after a single session of hemodialysis in the sample analyzed.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 2","pages":"1-6"},"PeriodicalIF":1.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963985","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}
Mariana de Medeiros Cardoso, Rudimar Dos Santos Riesgo, Pricila Sleifer
{"title":"Auditory Brainstem Response Findings in Children with Level 1 Autism Spectrum Disorder: A Comparative Study.","authors":"Mariana de Medeiros Cardoso, Rudimar Dos Santos Riesgo, Pricila Sleifer","doi":"10.1055/s-0044-1792084","DOIUrl":"10.1055/s-0044-1792084","url":null,"abstract":"<p><p><b>Introduction</b> Autism spectrum disorder is a pervasive developmental disorder characterized by deficits in communication and social interactions, as well as repetitive behavioral patterns. Understanding the relationship between auditory brainstem response and hearing is crucial, considering the importance of sensory function. Auditory brainstem response testing is a tool that evaluates the auditory system from periphery to brainstem in response to an acoustic stimulus, providing important information about the auditory pathways. <b>Objective</b> To compare auditory brainstem response findings in children with autism spectrum disorder versus those of a control group. <b>Methods</b> Cross-sectional, comparative study of 23 children (age 7-10 years) diagnosed with autism spectrum disorder and an age- and sex-matched control group of normal-hearing children with typical development. All participants underwent otoscopy, impedance audiometry, pure-tone audiometry, speech audiometry, and brainstem evoked response audiometry. <b>Results</b> Statistically significant between-group differences were seen on comparison of the absolute latencies of waves III ( <i>p</i> = 0.047) and V ( <i>p</i> = 0.034), as well as interpeak intervals III to V ( <i>p</i> = 0.048) and I to V ( <i>p</i> = 0.036), with increased values in the study group. The sample was composed of 8.7% females and 91.3% males. <b>Conclusion</b> In this sample, children with autism spectrum disorder showed increased auditory brainstem response latencies compared to the control group, suggesting auditory pathway impairment.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 2","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985100","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}