International journal of pediatric otorhinolaryngology最新文献

{"title":"Acute mastoiditis: 30 years review in a tertiary hospital.","authors":"Aida Veiga-Alonso, Natalia Roldán-Pascual, Rosa María Pérez-Mora, Beatriz Jiménez-Montero, María Jesús Cabero-Pérez, Carmelo Morales-Angulo","doi":"10.1016/j.ijporl.2024.112204","DOIUrl":"https://doi.org/10.1016/j.ijporl.2024.112204","url":null,"abstract":"<p><strong>Objective: </strong>Acute mastoiditis, the most common complication of acute otitis media, is approached in our study, focused on children from the Autonomous Community of Cantabria, Spain. The aim is to analyze its clinical-epidemiological characteristics and propose diagnostic and treatment recommendations.</p><p><strong>Study design/setting: </strong>We conducted a 30-year retrospective study on patients under 18 years of age diagnosed with acute mastoiditis in Cantabria.</p><p><strong>Methods: </strong>We analysed epidemiological data, clinical presentation, causes, treatment, and follow-up.</p><p><strong>Results: </strong>We included 111 patients, 60.4 % of which were under 2 years old. The average incidence was 3.9/100,000 children per year. Streptococcus pneumoniae was the most common microorganism. Third-generation cephalosporins and amoxicillin-clavulanic acid were the most frequently used antibiotics. 19 % of patients underwent temporal bone CT scans. Twenty-nine children required surgical intervention, primarily myringotomy and mastoidectomy. Only 5.4 % developed retroauricular abscesses. During follow-up, 32 % experienced new acute otitis media cases.</p><p><strong>Conclusions: </strong>The incidence of acute mastoiditis in Cantabria is similar to that of other developed countries. Imaging studies are reserved for cases with poor progression. Conservative management with antibiotics is suitable for many patients, with surgery reserved for poor responders. Complications are rare in our setting.</p>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"112204"},"PeriodicalIF":1.2,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872028","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":"Pediatric cochlear implantation in otitis media with effusion: Are ventilation tubes truly necessary?","authors":"Erim Pamuk, Ergin Eroğlu, Levent Sennaroğlu","doi":"10.1016/j.ijporl.2024.112203","DOIUrl":"https://doi.org/10.1016/j.ijporl.2024.112203","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to evaluate the clinical findings of our cochlear implant (CI) patients with otitis media with effusion (OME) and CI patients treated with ventilation tube (VT) for OME.</p><p><strong>Methods: </strong>The medical records of patients who underwent CI surgery at Hacettepe University, Department of Otorhinolaryngology, between November 1997 and March 2023 were reviewed. Patients who had OME or VT in the implanted ear at the time of surgery were included in the study. Perioperative findings, complication status, revision status, and reasons for revision were recorded.</p><p><strong>Results: </strong>A total of 2945 ears were operated for cochlear implantation during this period. Of these cases, 169 (5.7 %) had OME and 55 (1.86 %) had VT at time of surgery (180 patients). There were no significant differences between the two groups regarding demographic parameters and follow-up time. None of the investigated parameters showed any significant differences between the two groups, except for revision status. The revision rate was significantly higher in the OME group than that in the VT group (10.65 % vs. null, p = 0.008). The total non-OME and non-VT patient cohort had a significantly lower revision rates than the OME group (5.29 % vs. 10.65 %, p = 0.003).</p><p><strong>Conclusion: </strong>There is no significant difference in surgical difficulty and perioperative complications after CI between patients with VT and those with OME. The relationship between a higher rate of revision and OME in CI patients, and the optimal timing and necessity of VT insertion prior to CI surgery, should be further investigated.</p>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"112203"},"PeriodicalIF":1.2,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872030","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":"Radio-clinical assessment of crista fenestra during pediatric cochlear implantation.","authors":"Saad Elzayat, Hussein A El-Shirbeny, Ahmed Morshedy, Islam Soltan, Maurizio Barbara, Edoardo Covelli, Mona A Abdel-Kareem, Ashraf Fayed, Fathi Baki, Tawfiq Khurayzi, Haitham H Elfarargy","doi":"10.1016/j.ijporl.2024.112195","DOIUrl":"https://doi.org/10.1016/j.ijporl.2024.112195","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess the ability of preoperative computed tomography (CT) to predict the crista fenestra (CF) type during cochlear implantation and correlate these types with intraoperative findings. This may allow for precise preoperative planning with better surgical outcomes.</p><p><strong>Study design: </strong>A prospective observational study.</p><p><strong>Settings: </strong>The study was done in multiple tertiary centers between September 2021 and March 2024.</p><p><strong>Method: </strong>ology: We correlated the preoperative radiological type of the CF with the intraoperative CF type to evaluate the accuracy and sensitivity of the HRCT to predict the CF type. We also assessed the need for CF drilling in each case.</p><p><strong>Results: </strong>Our study included 154 patients who underwent CI. They were 90 (58.4 %) males and 64 (41.5 %) females with ages ranging from 2.1 to 7.6 years, with a mean of 4.69 ± 1.19. The intra-class correlation coefficient between both radiological evaluators was 0.985, which indicated a high agreement between them. The intraoperative surgical types of CF were significantly related to the radiological types as the Spearman correlation coefficient was 0.976, and the P-value was <0.001.</p><p><strong>Conclusions: </strong>Our study revealed that preoperative CT is a precise tool for predicting the intraoperative type of CF during cochlear implantation type with a sensitivity of 96.67 % and an accuracy of 94.17 %. Moreover, drilling of the CF is recommended in type A3 and type B2 CF.</p>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"112195"},"PeriodicalIF":1.2,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863781","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":"Improve the behavioral auditory attention training effects on the Speech-In-Noise perception with simultaneous electrical stimulation in children with hearing loss: A randomized clinical trial.","authors":"Nayiere Mansouri, Mohanna Javanbakht, Ali Jahan, Enayatollah Bakhshi, Moslem Shaabani","doi":"10.1016/j.ijporl.2024.112197","DOIUrl":"https://doi.org/10.1016/j.ijporl.2024.112197","url":null,"abstract":"<p><strong>Background: </strong>Auditory attention is an important cognitive factor that significantly affects speech perception in noisy environments. Hearing loss can impact attention, and it can impair speech perception in noise. Auditory attention training improves speech perception in noise in children with hearing loss. Could the combination of transcranial electrical current stimulation (tES) and auditory attention training enhance the speed and effectiveness of stability potentiation improvements? This investigation explores whether applying electrical stimulation alongside targeted auditory tasks can lead to more pronounced and rapid enhancements in cognitive function.</p><p><strong>Methods: </strong>In this study, 24 children with moderate to severe S.N hearing loss were examined. The monaural-selective-auditory-attention test (mSAAT) and the test of everyday-attention-for-children (TEA-CH) were used to investigate auditory attention. The words-in-noise tests evaluated speech perception in noise. A go/no-go task was conducted to record auditory P300 evoked potential. Children were divided into three groups. Group A received auditory attention training. Group B received tDCS. Group C received combined method. The tests were repeated immediately and one month after training.</p><p><strong>Results: </strong>Attention and speech perception improvement was significantly higher for the group that received the combined method compared to the groups that received auditory attention training with sham or tDCS alone (P < 0.001). All three groups showed significant changes one month after the training ended. However, the group that received only tDCS demonstrated a significant decrease in improvement.</p><p><strong>Conclusion: </strong>The study showed that combining auditory attention training with tDCS can improve speech perception in noise for children with hearing loss. Combining behavioral training with tDCS has a more significant impact than using behavioral training alone, and combined method leads to more stability improvements than using tDCS alone.</p>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"112197"},"PeriodicalIF":1.2,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877296","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":"Corrigendum to \"A review of the importance of top-down processing assessment in auditory processing disorder\" [Int. J. Pediatr. Otorhinolaryngol. 186, (November 2024), 112128].","authors":"Bahareh Khavarghazalani, Zahra Hosseini Dastgerdi, Morteza Hamidi Nahrani, Maryam Emadi","doi":"10.1016/j.ijporl.2024.112202","DOIUrl":"https://doi.org/10.1016/j.ijporl.2024.112202","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":" ","pages":"112202"},"PeriodicalIF":1.2,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828523","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":"Optimizing topical nasal steroid application in adenoid hypertrophy: A computational fluid dynamics (CFD) analysis.","authors":"Bigyan Raj Gyawali, Ashutosh Kashyap, Sanju Thapa, Darshan Chaulagain, Suyogya Shakya, Niraj Kumar Kushwaha","doi":"10.1016/j.ijporl.2024.112205","DOIUrl":"https://doi.org/10.1016/j.ijporl.2024.112205","url":null,"abstract":"<p><strong>Introduction: </strong>Intranasal steroids are effective in managing adenoid hypertrophy in children, but the evidence regarding technique of use for optimal results is lacking.</p><p><strong>Methods: </strong>CFD analysis, with discrete phase modelling was done to simulate nasal spray in nasal cavity and drug delivery in the region of adenoids. The findings were validated using a 3D model designed from CT scan of the same region.</p><p><strong>Results: </strong>Our study shows that the maximum spray deposition in the adenoid region is with injection angle of 30° with the concentration value of 14 kg/m³.</p><p><strong>Discussion: </strong>Nasal steroids have been found to be quite effective in symptoms reduction in children with adenoid hypertrophy. The current guidelines for technique of application are similar to that which has been validated for nasal pathologies. But the studies analyzing optimum drug delivery to the adenoids with variations in technique of application are lacking. This is the research gap we have tried to fill with our study.</p><p><strong>Conclusion: </strong>The application of nasal steroids with nozzle inclined at 30° with respect to the floor of nose ensures maximum drug delivery to the adenoids and is likely to improve the efficacy of this treatment.</p>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"112205"},"PeriodicalIF":1.2,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854158","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":"Frequency of long-term nonsteroidal anti-inflammatory drug hypersensitivity after nasal polypectomy in childhood.","authors":"Demet Tekcan, Ilknur Kulhas Celik, Merih Önal, Hasibe Artac","doi":"10.1016/j.ijporl.2024.112201","DOIUrl":"https://doi.org/10.1016/j.ijporl.2024.112201","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"112201"},"PeriodicalIF":1.2,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142836590","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":"Vomer-to-nasopharyngeal widths and post-adenoidectomy outcomes in children: A prospective blinded study.","authors":"Roee Noy, Jacob T Cohen, Arie Gordin","doi":"10.1016/j.ijporl.2024.112193","DOIUrl":"https://doi.org/10.1016/j.ijporl.2024.112193","url":null,"abstract":"<p><strong>Objectives: </strong>The vomer is an essential component of the nasopharynx. Although variations in vomer width(VW) and nasopharyngeal width(NW) can be observed, their clinical significance on post-adenoidectomy outcomes in children with sleep-disordered breathing and obstructive sleep apnea(SDB-OSA) remains uncertain. The primary outcome was to investigate the association between VW and post-adenoidectomy clinical improvement. Secondary outcomes were to investigate the variability and interplay between VW and NW.</p><p><strong>Methods: </strong>This prospective, blinded cohort study was conducted at a tertiary hospital between 6/2022 and 7/2023. Children who underwent adenoidectomy for SDB-OSA were included. VW and NW were measured using a transoral endoscope. A calibrated ruler was positioned at the inferior aspect of the vomer for direct visualization, and the NW was calculated as the distance between the medial edges of the torus tubarius. Clinical improvement was collected using the OSA-18 survey.</p><p><strong>Results: </strong>Of the 29 children (mean age:3.5 years, IQR: 2-4, 16[55 %] males), 26(89.6 %) showed a clinical improvement 1-month post-adenoidectomy (ΔOSA-18 score: 24.6,95 % confidence interval: 31-(-14),p = 0.001). The mean VW was 3.88 mm (IQR: 3-4), and the mean NW was 13.76 mm (IQR:13-14). In the univariable analysis, clinical improvement was associated with age <3 years(p = 0.05), non-obese children(p = 0.01), large adenoids(p = 0.01), preoperative OSA-18 score>60(p = 0.05), and lower VW/NW(p = 0.013). The odds ratio for clinical improvement was decreased by 1.08 for each 0.01 increase in VW/NW (95%CI:1.05-1.11,p = 0.01).</p><p><strong>Conclusions: </strong>Lower VW/NW were associated with better clinical outcome 1-month post-adenoidectomy. Further randomized, prospective studies are needed to validate these findings and and explore whether interventions in this area could serve as a potential therapeutic target.</p>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"112193"},"PeriodicalIF":1.2,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854165","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":"Predicting most comfortable listening levels of ESRT from ECAP thresholds in paediatric cochlear implant users.","authors":"Periannan Jawahar Antony, Palani Saravanan, Manjula Puttapasappa, Geetha Chinnaraj, Megha","doi":"10.1016/j.ijporl.2024.112194","DOIUrl":"https://doi.org/10.1016/j.ijporl.2024.112194","url":null,"abstract":"<p><p>Studies have reported a varied correlation strength between the electrically evoked compound action potential (ECAP) and electrically evoked stapedial reflex thresholds (ESRT) in cochlear implant recipients. However, there is a lack of information on the relationship between the two measures in paediatric cochlear implant users. This study was aimed to compare the ESRT and ECAP measures and determine where ECAP thresholds fall within the dynamic range of ESRT-based Maps in paediatric cochlear implant users. The study involved 40 children aged between 3 and 6 years and were implanted with MedEL cochlear implant device unilaterally. ESRT and ECAP thresholds were measured for all twelve electrodes during the same mapping session, three months after cochlear implant activation. The results revealed significant differences between ECAP and ESRT thresholds across all electrodes. A significant moderate correlation between ESRT and ECAP thresholds was observed on all electrodes. The ECAP thresholds could predict the ESRT based Most comfortable levels (MCLs) significantly. Notably, ECAP thresholds fell by 17-34 % from the upper stimulation levels of ESRT-based maps across the electrodes. This study's findings have significant implications for programming cochlear implants in paediatric patients. For children who are unable to cooperate during ESRT measurements, or in cases where ESRT cannot be elicited, ECAP measurements offer a viable alternative. ECAP-based estimates can be used to set MCL levels that closely approximate those derived from ESRT, ensuring appropriate stimulation levels for these young children using cochlear implants.</p>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"112194"},"PeriodicalIF":1.2,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863250","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":"Is imaging necessary in pediatric patients with isolated tinnitus?","authors":"Zainab Balogun, Tracy Cheng, Amber D Shaffer, David Chi, Dennis Kitsko","doi":"10.1016/j.ijporl.2024.112196","DOIUrl":"https://doi.org/10.1016/j.ijporl.2024.112196","url":null,"abstract":"<p><strong>Objectives: </strong>Tinnitus is a common otologic complaint which can range from bothersome to debilitating. Imaging is frequently utilized to rule out tumors, fractures, and other causes but can also cause significant medical and economic burden for patients. Furthermore, the pediatric population may require sedation for imaging. This study explored how commonly imaging was performed in pediatric patients with isolated tinnitus and whether imaging results affected clinical care.</p><p><strong>Methods: </strong>A retrospective case series of 266 patients aged 0-22 years diagnosed with tinnitus at a tertiary children's hospital was performed. Patients with otologic complaints other than tinnitus were excluded. Logistic regression, Wilcoxon rank-sum tests, and log-rank survival analysis were used for statistical analysis.</p><p><strong>Results: </strong>The mean age of tinnitus diagnosis was 13.4 years (IQR 10.8-16.7), 221/266 (83.1 %) of patients were white, and 139/266 (52.3 %) were male. In the 108 with details available, 29 (26.9 %) had pulsatile tinnitus. Twenty-one of two-hundred and sixty-six (7.9 %) had a history of migraines and 24/266 (9.0 %) had a history of psychiatric diagnosis. Seventy-four out of two-hundred and sixty-six (27.8 %) of patients completed CT and/or MRI imaging. Eleven out of forty-four (14.9 %) of those who underwent imaging had abnormal findings, and only 1 MRI and 1 CT showed new abnormal findings. Of note, the abnormal MRI and CT were of the same patient, and the CT was obtained as part of a trauma survey. Of the 64 patients with follow-up, 47 % of patients noted resolution of tinnitus. Patients with pulsatile tinnitus and a history of migraines were more likely to obtain imaging (OR = 8.14, 6.17; p < 0.001, <0.001, respectively). History of sinusitis, head/ear trauma, psychiatric diagnosis, and pulsatile tinnitus was not correlated with new abnormal imaging.</p><p><strong>Conclusions: </strong>In pediatric patients with isolated tinnitus, imaging very rarely reveals new abnormalities which can impact clinical care. Additional research is needed to optimize resource utilization and identify cohorts of pediatric patients with tinnitus in whom imaging can be deferred.</p>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"112196"},"PeriodicalIF":1.2,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822150","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}