International journal of pediatric otorhinolaryngology最新文献

{"title":"Outcomes of stretching exercises after lingual frenotomy in infants: A prospective, interventional study","authors":"Jessa E. Miller ,&nbsp;Hye Rhyn Chung ,&nbsp;Camryn R. Marshall ,&nbsp;Holly M. Wilhalme ,&nbsp;Alisha N. West","doi":"10.1016/j.ijporl.2025.112280","DOIUrl":"10.1016/j.ijporl.2025.112280","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the safety and efficacy of stretching exercises after frenotomy for ankyloglossia.</div></div><div><h3>Study design</h3><div>Prospective cohort study.</div></div><div><h3>Setting</h3><div>Single academic tertiary care hospital.</div></div><div><h3>Methods</h3><div>Subjects with ankyloglossia were enrolled from 4/5/2021–4/5/2023. All patients underwent in-office frenotomy using scissors. Patients enrolled from 4/5/2021–10/5/2021 and 4/6/2022–4/5/2023 were assigned to the stretching group; those enrolled from 10/6/2021–4/5/2022 were assigned to the non-stretching group. Caregivers of patients in the stretching group were instructed on how to perform stretching exercises. All patients returned to clinic after one month for evaluation. Chart review was performed and demographic and outcomes data were collected.</div></div><div><h3>Results</h3><div>Eighty-eight patients were included. There were 25 patients in the non-stretching group and 63 in the stretching group; however, only 36 were adherent to stretching exercises and 27 were non-adherent. The average age of participants was 50.0 ± 45.5 days; 59.0 % were male. Preoperatively, all but one patient had breastfeeding difficulties. For the stretching adherent, stretching non-adherent, and non-stretching groups, there were persistent feeding difficulties present in 0 % (n = 0), 14.8 % (n = 4), and 16 % (n = 4), respectively (p = 0.024). Recurrent ankyloglossia was present in 5.6 % (n = 2), 40.7 % (n = 11), and 16 % (n = 4) of patients in the stretching adherent, stretching non-adherent, and non-stretching groups, respectively (p = 0.003). A revision procedure was required in 5.6 % (n = 2), 37.0 % (n = 10), and 32 % (n = 8) of those in the stretching adherent, stretching non-adherent, and non-stretching groups, respectively (0.005).</div></div><div><h3>Conclusion</h3><div>Stretching exercises improved patient-reported feeding difficulties, the development of recurrent frenulum, scarring, and need for revision procedure. Postoperative regimen adherence may be challenging for caregivers.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"191 ","pages":"Article 112280"},"PeriodicalIF":1.2,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487904","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":"Intracapsular tonsillectomy improves children's postoperative behavior measures","authors":"Ephraim Rinot ,&nbsp;Netanel Eisenbach ,&nbsp;Igor Yakubovich ,&nbsp;Ahmad Bader ,&nbsp;Abeer Dabbah Miari ,&nbsp;Samah Khalil ,&nbsp;Rania Faris ,&nbsp;Eyal Sela ,&nbsp;Maayan Gruber","doi":"10.1016/j.ijporl.2025.112279","DOIUrl":"10.1016/j.ijporl.2025.112279","url":null,"abstract":"<div><h3>Background</h3><div>Tonsillectomy represents one of the most frequently performed surgical interventions in pediatric otolaryngology (Bohr and Shermetaro, 2023) [1]. The selection of surgical technique plays a crucial role in determining multiple aspects of postoperative recovery, including pain management, healing trajectory, and behavioral adaptation (Karam et al., 2022; Lin et al., 2024). This investigation sought to evaluate the differential impacts of coblation intracapsular tonsillectomy (CIT) versus traditional cold dissection total tonsillectomy (TT) on postoperative behavioral patterns in pediatric patients.</div></div><div><h3>Objective</h3><div>This study aimed to conduct a comprehensive comparison of postoperative behavioral outcomes between pediatric patients undergoing CIT versus TT procedures.</div></div><div><h3>Methods</h3><div>The investigation prospectively enrolled 163 pediatric patients, aged 2–15 years, scheduled for tonsillectomy. Subjects underwent either CIT or TT procedures according to standardized protocols. Postoperative assessment utilized two validated instruments: the Parental Postoperative Pain Management (PPPM) questionnaire and the Wong-Baker Faces Pain Scale. Parents completed these assessments daily from postoperative day (POD) 1 through 7.</div></div><div><h3>Results</h3><div>Analysis revealed consistently superior behavioral outcomes in the CIT group compared to the TT cohort. Initial evaluations on POD 1 demonstrated advantages for the CIT technique across all measured parameters, with two reaching statistical significance. By POD 7, the behavioral differences between groups had become more pronounced, with seven parameters showing statistically significant advantages in the CIT group. Composite behavioral scores similarly demonstrated significant superiority in the CIT cohort.</div></div><div><h3>Conclusions</h3><div>The postoperative period following tonsillectomy presents substantial challenges for pediatric patients and their families, characterized by notable behavioral modifications. Our findings demonstrate that CIT procedures are associated with markedly improved behavioral outcomes compared to conventional TT approaches. These results provide compelling evidence supporting the preferential use of CIT when considering the behavioral impact of tonsillectomy in pediatric populations. This data contributes valuable insights to inform surgical decision-making in pediatric tonsillectomy cases.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"191 ","pages":"Article 112279"},"PeriodicalIF":1.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474492","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":"Transforming pediatric ENT documentation: Efficiency, accuracy, and adoption of speech recognition technology (Speaknosis)","authors":"Cristóbal Langdon,&nbsp;Oliver Haag,&nbsp;Melisa Vigliano,&nbsp;Maurizio Levorato,&nbsp;Johan Leon-Ulate,&nbsp;Marti Adroher","doi":"10.1016/j.ijporl.2025.112275","DOIUrl":"10.1016/j.ijporl.2025.112275","url":null,"abstract":"<div><h3>Introduction</h3><div>Efficient and accurate medical documentation ensures patient safety, continuity of care, and clinician satisfaction. Speech recognition technology has emerged as a promising alternative to traditional documentation methods, potentially reducing administrative burden and improving workflow efficiency. However, concerns about accuracy, consistency, and clinical adoption remain significant barriers to its integration into medical practice.</div></div><div><h3>Objective</h3><div>This study evaluates the impact of AI-powered speech recognition technology (Speaknosis) on medical documentation in pediatric ENT settings, focusing on its efficiency, accuracy, and acceptance among clinicians. The research also explores the tool's potential to enhance clinical data interpretation and decision-making.</div></div><div><h3>Methods</h3><div>Ten pediatric ENT physicians participated in 375 AI interactions, and a quasi-experimental design was employed. Speaknosis-generated documentation was assessed for semantic relevance (BERTScore), quality (PDQI-9), and clinician satisfaction using a 5-point Likert scale. Human interventions were analyzed for error correction and alignment with professional standards. Statistical analysis of quantitative data and thematic evaluation of qualitative feedback were conducted.</div></div><div><h3>Results</h3><div>The AI system achieved a high average BERTS score (96.50 %), with notable instances of inaccuracies requiring human intervention, including omission of clinical findings, redundant content, and formatting issues. The PDQI-9 mean score was 38.34, indicating overall high-quality documentation, with strengths in organization (mean = 5.0) and internal consistency (mean = 4.83). However, comprehensiveness (mean = 3.99) and timeliness (mean = 4.00) exhibited variability. Clinician satisfaction averaged 4.64, with higher satisfaction rates correlated to interactions with superior documentation quality and duration.</div></div><div><h3>Conclusion</h3><div>Speaknosis has the potential to improve documentation efficiency and accuracy and alleviate clinician burden. However, challenges in addressing error variability and comprehensiveness highlight the need for ongoing algorithm refinement and human oversight. This study emphasizes the transformative role of AI in healthcare documentation, contingent on robust validation and strategic implementation.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"191 ","pages":"Article 112275"},"PeriodicalIF":1.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464152","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":"Global tonsillectomy practice patterns – A survey study of pediatric otolaryngologists","authors":"Gina M. Spencer ,&nbsp;Claire A. Wilson ,&nbsp;Jacob Davidson ,&nbsp;Julie E. Strychowsky ,&nbsp;Claire M. Lawlor ,&nbsp;Hannah Burns ,&nbsp;Eishaan K. Bhargava ,&nbsp;James Fowler ,&nbsp;M. Elise Graham","doi":"10.1016/j.ijporl.2025.112276","DOIUrl":"10.1016/j.ijporl.2025.112276","url":null,"abstract":"<div><h3>Objective</h3><div>There is variation in surgical techniques and postoperative management of tonsillectomy globally. Our objective was to consolidate international similarities and differences in tonsillectomy management by pediatric otolaryngologists.</div></div><div><h3>Methods</h3><div>This cross-sectional survey study was conducted from April 4 to May 16, 2024. It involved a 55-item questionnaire distributed online to an international sample of pediatric otolaryngologists via an international WhatsApp group comprising pediatric otolaryngologists from various countries. The study achieved responses from 132 out of 293 invited pediatric otolaryngologists (45.1 % response rate). Participants were from 22 countries. Eligibility included proficiency in English and currently practicing pediatric otolaryngology.</div></div><div><h3>Results</h3><div>Among respondents, the majority primarily performed extracapsular tonsillectomy (44.7 %), followed by those who used both intracapsular and extracapsular tonsillectomy equally (34.8 %), and those who predominantly performed intracapsular tonsillectomy (20.5 %). Ideal patient candidates for extracapsular tonsillectomy included those with recurrent tonsillitis (70.5 %), recurrent peritonsillar abscesses (67.4 %), and obstructive sleep apnea (46.2 %). Ideal candidates for intracapsular tonsillectomy were those with obstructive sleep apnea (50.0 %) and bleeding disorders (38.6 %). Intracapsular tonsillectomy adoption was notably high in this cohort, with 68.8 % of European respondents favoring intracapsular tonsillectomy. Postoperative pain management varied, with 76.5 % of respondents using acetaminophen, 77.3 % using ibuprofen, and 28.8 % prescribing opioids, primarily oxycodone (48.6 %). Access to polysomnography was reported by 84.0 % of respondents. Common indications for inpatient admission included age under three (75.8 %), medical comorbidity (71.2 %), and severe sleep apnea (59.1 %).</div></div><div><h3>Conclusion</h3><div>This study highlights the increasing adoption of intracapsular tonsillectomy and the need for comprehensive guidelines addressing the observed global variability in practices.</div></div><div><h3>Level of evidence</h3><div>4.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"191 ","pages":"Article 112276"},"PeriodicalIF":1.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of acute and chronic facial palsy in children and adolescents: Prognostic factors for the outcomes","authors":"Chang Ho Hong ,&nbsp;Gerd Fabian Volk ,&nbsp;Orlando Guntinas-Lichius","doi":"10.1016/j.ijporl.2025.112277","DOIUrl":"10.1016/j.ijporl.2025.112277","url":null,"abstract":"<div><h3>Introduction</h3><div>Pediatric facial palsy is a rare disease. There is a lack of data on the outcome of peripheral acute facial palsy (AFP) or chronic facial palsy (CFP) in children and adolescents after treatment and on the prognostic factors.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted in a university facial nerve center. Clinical data was analyzed for their impact on probability of recovery or functional improvement using univariable and multivariable statistics.</div></div><div><h3>Results</h3><div>84 F P patients (range: 0–18 years, 35 % AFP, 17.9 % flaccid CFP; 29.8 % synkinetic CFP) treated 2003–2021 were included. All AFP received intravenous prednisolone therapy (PT). 56 % of patients with synkinetic CFP were treated with electromyography biofeedback facial training (EBFT). Facial nerve reconstruction (FNR) was the most common treatment (40 %) for flaccid CFP. 82.8 % of AFP fully recovered. Synkinetic CFP showed improvement in 60 %. 26.7 % of flaccid CFP patients showed improved facial mobility. AFP patients with a Stennert Index (SI) &gt; 6 (p = 0.024), House Brackmann scale (HB) &gt; III (p = 0.034), or PT started more than 96 h after onset had worse outcomes. CFP patients with SI motor function &gt;4 (p = 0.002), total SI &gt; 6 (p = 0.015), HB &gt; III (p = 0.002), or ipsilateral loss of the stapedius reflex (p = 0.021) had a lower probability of improvement.</div></div><div><h3>Conclusions</h3><div>PT should ideally begin within 96 h after the onset of AFP in children to maximize recovery chances. The severity of FP is a key prognostic factor for recovery. Like adults, children with synkinetic CFP benefit from EBFT. Guideline-based therapies for adults seem to be also effective for children and adolescents.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112277"},"PeriodicalIF":1.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventing unnecessary tympanostomy tube placement in children: A 5-year Update","authors":"Sofia Piperno ,&nbsp;Zachary S. Burgess ,&nbsp;Jason F. Ohlstein ,&nbsp;Yusif Hajiyev ,&nbsp;Charles A. Hughes ,&nbsp;Harold S. Pine","doi":"10.1016/j.ijporl.2025.112250","DOIUrl":"10.1016/j.ijporl.2025.112250","url":null,"abstract":"<div><h3>Objective</h3><div>In 2022 the American Academy of Otolaryngology (AAO) published updated clinical guidelines for pediatric tympanostomy tube placement. Statement 6 recommended that clinicians should not perform tympanostomy tube insertion in children with recurrent acute otitis media (rAOM) who do not have middle ear effusion (MEE) at the time of evaluation. We performed a 5-year update on a study evaluating this recommendation in our pediatric patient population.</div></div><div><h3>Study design</h3><div>Retrospective cohort study.</div></div><div><h3>Setting</h3><div>University of Texas Medical Branch.</div></div><div><h3>Methods</h3><div>Retrospective chart review was performed on children aged 6 months to 12 years diagnosed with rAOM without MEE at the time of assessment. The watchful waiting group (WW) consisted of children who did not receive tympanostomy tubes, while the watchful waiting failure group (BMT) ultimately underwent myringotomy with tube placement. Common rAOM risk factors were assessed between groups.</div></div><div><h3>Results</h3><div>285 children met inclusion criteria. There was a significant difference in age between groups (WW = 2.62 ± 1.87 years, BMT = 1.79 ± 1.19 years; p &lt; 0.001). There was a 64.2 % success rate for watchful waiting. There was no significant difference in risk factors associated with rAOM between the groups.</div></div><div><h3>Conclusion</h3><div>As a 5-year update from a previous study, this study again assesses Statement 6 of the 2022 AAO tympanostomy tube guidelines. The 64.2 % watchful waiting success rate following these guidelines is consistent with the 66 % success rate found at the same institution 5 years prior. Contrary to the previous study, older children were significantly more likely to be successfully observed.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"191 ","pages":"Article 112250"},"PeriodicalIF":1.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479516","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":"Socioeconomic disparities in reconstructive pediatric microtia surgery","authors":"Kalena Liu ,&nbsp;Alex J. Gordon ,&nbsp;Danielle F. Eytan ,&nbsp;Zahrah Taufique","doi":"10.1016/j.ijporl.2025.112278","DOIUrl":"10.1016/j.ijporl.2025.112278","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the association of race/ethnicity and education status on time to intervention and the total number of interventions in pediatric patients with microtia undergoing hearing intervention and external ear reconstruction.</div></div><div><h3>Methods</h3><div>A retrospective chart review was performed in pediatric patients diagnosed with congenital ear deformities evaluated by an otolaryngologist or audiologist from January 1, 2013 to December 1, 2021 at a large surgical institution. Variables analyzed included demographics, patient conditions, time to surgery, and number of surgeries. Statistical analysis included analysis of variance, chi-squared tests, and multivariate regression.</div></div><div><h3>Results</h3><div>Disparities were identified in reconstructive microtia repair, with non-White patients having an increased number of external ear reconstructive surgeries (p = 0.004), with Black patients average 2 external ear reconstructive surgeries, Hispanic patients 1.74 surgeries, while White patients averaged 0.812 surgeries. All non-White patients also demonstrated increased total number of surgeries (1.94 Asian, 2.57 Black, 2.11 Hispanic, 3.29 Other/Unknown, vs 1.23 White, p = 0.007) and total number of interventions (2.17 Asian, 2.71 Black, 2.37 Hispanic 3.43 Other/Unknown, vs 1.56 White, p = 0.02) as compared to White patients. In multivariate regression analysis, race was a significant factor influencing the number of reconstructive and overall surgeries, while the presence of aural atresia was the strongest predictor for requiring additional hearing surgery.</div></div><div><h3>Conclusion</h3><div>An increased number of interventions and surgeries were seen amongst non-White patients with microtia. Further investigation is warranted to understand the socioeconomic factors associated with pediatric microtia surgery.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"191 ","pages":"Article 112278"},"PeriodicalIF":1.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464229","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":"Surgical and audiometric outcomes of active osseointegrated bone-conduction hearing device (Cochlear™ Osia® 2 system) placement from a tertiary paediatric centre","authors":"Mona Mozaffari,&nbsp;Nicola Guderley,&nbsp;Anita Wong,&nbsp;Sevasti Konstantinidou,&nbsp;Nikul Amin,&nbsp;Robert Nash","doi":"10.1016/j.ijporl.2025.112272","DOIUrl":"10.1016/j.ijporl.2025.112272","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the audiometric and surgical outcomes of implanted Osia<strong>®</strong> 2 bone conduction devices in a large paediatric population.</div></div><div><h3>Methods</h3><div>We conducted a retrospective electronic patient record review of patients implanted with the Cochlear<strong>™</strong> Osia<strong>®</strong> 2 system, over a two-year period. Pre-operative clinical details, audiometric data, operative details and post-operative surgical and audiological outcomes were recorded.</div></div><div><h3>Results</h3><div>66 Osia<strong>®</strong> 2 devices were implanted in 49 patients between September 2021 and September 2023 (median age: 9, range: 5–18). Patients were followed up in the ENT clinic for an average of 8.7 months. The majority of cases were primary surgery with patients using a BCHD on softband prior to surgery. Post-op pure tone audiometry and speech in noise testing showed a notable improvement post Osia (vs aided pre Osia) which was significant at 4 KHz and 0 dB speech-noise-ratio. There was one case of infection requiring explant and re-implantation with no further issues. Other post-operative complications included abnormal scarring and neuropathic pain. Subjective reports from the device users reflected high daily compliance and overall satisfaction with the device.</div></div><div><h3>Conclusion</h3><div>The Cochlear<strong>™</strong> Osia<strong>®</strong> 2 is a relatively new active, transcutaneous osseointegrated implant, which has been available to our paediatric practice since September 2021. Our experience demonstrates the device is an increasingly popular choice amongst paediatric patients and can be safely implanted in children. We advocate simultaneous bilateral implantation in children with bilateral hearing loss. We have seen limited surgical complications and overall excellent audiometric outcomes.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112272"},"PeriodicalIF":1.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437481","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":"Hearing loss in newborns with prenatal cytomegalovirus record: Analysis of the nation-based data in Türkiye","authors":"Rahşan Çinar ,&nbsp;Başak Tezel ,&nbsp;Bekir Keskinkiliç ,&nbsp;Fatih Kara ,&nbsp;Yusuf Kemal Kemaloğlu","doi":"10.1016/j.ijporl.2025.112274","DOIUrl":"10.1016/j.ijporl.2025.112274","url":null,"abstract":"<div><h3>Purpose</h3><div>Primary and non-primary prenatal maternal cytomegalovirus (CMV) infections are a common risk factor for congenital CMV (cCMV) infection, leading to sensorineural hearing loss (SNHL). In this study, we looked for the rate of SNHL in newborns with prenatal maternal CMV records in the National Newborn Hearing Screening Program (NNHSP).</div></div><div><h3>Methods</h3><div>The database between 2016 and 2019 was retrospectively analyzed for those with prenatal maternal CMV record. The controls were composed of the sex-matched newborns without prenatal maternal CMV record. In addition to hearing status at the end of NNHSP, other risk factors related to congenital hearing loss (CHL) were also analyzed in both groups.</div></div><div><h3>Results</h3><div>The study included 243 and 235 newborns with and without prenatal maternal CMV records, respectively, and of them, 222 and 213 newborns completed the whole NNHSP. While the control newborns without any risk factors disclosed no SNHL, 1.96 % of those with only prenatal maternal CMV record had SNHL. Rates of SNHL in those with risk factors were 3.33 % and 3.88 % in the prenatal maternal CMV and control groups, respectively.</div></div><div><h3>Conclusion</h3><div>With the results of this study, we can say that the CHL rate in those with prenatal maternal CMV history (1.96 %) was much higher than previously published CHL data in general population in Türkiye (0.2–0.3 %). Presence of other risk factors along with prenatal maternal CMV increased the rate of SNHL. Maternal CMV infection should be taken account during management of pregnancies as important a risk factor as other risk factors of CHL even in the societies with high maternal CMV seropositivity.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112274"},"PeriodicalIF":1.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420987","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":"Implementation of Child Life Specialists to improve outcomes in flexible endoscopic evaluation of swallowing in children","authors":"Beth Osterbauer ,&nbsp;Yvonne Adigwu ,&nbsp;Sheng Zhou ,&nbsp;Katy Peck ,&nbsp;Avital Abraham ,&nbsp;Christian Hochstim","doi":"10.1016/j.ijporl.2025.112266","DOIUrl":"10.1016/j.ijporl.2025.112266","url":null,"abstract":"<div><h3>Background</h3><div>Dysphagia and feeding difficulties are common problems in children, and Flexible Endoscopic Evaluation of Swallowing (FEES) is a modality for evaluating pharyngeal swallow function through a transnasal flexible fiberoptic laryngoscopy.</div></div><div><h3>Objective</h3><div>Due to the concerns around participation and its impact on successfully completing FEES in children, we began utilizing Child Life Specialists (CLS) for FEES procedures and a concurrent implementation research study was launched to measure the impact CLS interventions had on participation rates of children undergoing FEES.</div></div><div><h3>Methods</h3><div>A retrospective chart review was conducted, collecting patient demographics, participation rates and presence of CLS for all FEES conducted in the study period. To compare children undergoing FEES with the benefit of CLS and those without a CLS present, two by two comparisons were conducted using Student's T-test and Pearson's Chi Squared test.</div></div><div><h3>Results</h3><div>During the study period 196 children had a FEES with a median age of 2 years (range 2 weeks–17.8 years). Overall, 89 % of children cooperated with the procedure, and in children over the age of 5 years, 99 % of children cooperated. Presence of CLS did not seem to affect cooperation rates in our study.</div></div><div><h3>Conclusion</h3><div>The addition of CLS services to the FEES team did not appear to improve participation rates in the current study, however more subtle potential impacts on procedural satisfaction/comfort were not assessed. Our results point to the need for additional work to standardize protocols in pediatric FEES to ensure not only improved participation, but a comfortable patient/family experience.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112266"},"PeriodicalIF":1.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444266","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}