International journal of pediatric otorhinolaryngology最新文献

{"title":"Adenotonsillectomy success for treating obstructive sleep apnea in children with Prader-Willi syndrome","authors":"Ross Rosen ,&nbsp;Jamil Hayden ,&nbsp;Abdul Saltagi ,&nbsp;Chelsea Cleveland ,&nbsp;Todd Otteson ,&nbsp;Tekin Baglam","doi":"10.1016/j.ijporl.2025.112305","DOIUrl":"10.1016/j.ijporl.2025.112305","url":null,"abstract":"<div><h3>Background</h3><div>Prader-Willi syndrome (PWS) is a rare genetic disorder that can increase risk of pediatric obstructive sleep apnea (OSA), caused by the combination of increased viscosity of secretions, craniofacial abnormalities, hypotonia, and obesity. While first-line treatment of pediatric OSA is typically adenotonsillectomy, the complex pathophysiology of OSA in PWS patients may lead to less success with this therapy.</div></div><div><h3>Methods</h3><div>The TriNetX database was queried for patients 18 years old or younger based on the diagnoses of PWS and OSA and the surgical interventions of adenotonsillectomy, tonsillectomy, and adenoidectomy. The primary endpoint was the removal of the diagnosis of OSA 6 months postoperatively. Pediatric patients without PWS were used as a control. Secondary endpoints were the risk of OSA with common medical interventions for children with PWS.</div></div><div><h3>Results</h3><div>A total of 2163 patients were found to have PWS, with 1035 (47 %) diagnosed with OSA. PWS patients undergoing surgery had a total success rate of 39.0 %, compared to 79.6 % in controls (p &lt; 0.001). Total success for these surgeries was also significantly lower compared to controls matched by demographics and obesity status (36.8 % versus 82.1 %, p &lt; 0.001). Use of growth hormone (RR 1.43, p &lt; 0.001) and testosterone (RR 1.39, p &lt; 0.001) were both associated with increased risk of OSA.</div></div><div><h3>Conclusions</h3><div>Adenotonsillectomy has significantly lower rates of success at treating pediatric OSA in patients with PWS. These patients would likely benefit from multidisciplinary care to treat their OSA and mitigate the effects of untreated disease, and further studies determining best practices for caring for these patients are necessary.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"192 ","pages":"Article 112305"},"PeriodicalIF":1.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629297","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":"Differential sleep architecture in different subtypes of positional obstructive sleep apnea in children","authors":"ChenXi Luo,&nbsp;Qi Li,&nbsp;WenBo Chen","doi":"10.1016/j.ijporl.2025.112312","DOIUrl":"10.1016/j.ijporl.2025.112312","url":null,"abstract":"<div><h3>Study objectives</h3><div>This study aimed to compare the clinical characteristics of two types of positional obstructive sleep apnea (POSA) in children: supine dominant OSA (spOSA) and supine isolated OSA (siOSA). The goal was to investigate the differences in sleep structures between the two groups.</div></div><div><h3>Methods</h3><div>A total of 384 children with OSA were included. Children with POSA were categorized into two subgroups: siOSA for those with a non-supine AHI &lt;1, and spOSA for those with a non-supine AHI ≥1. Clinical characteristics and polysomnographic features were compared between the two groups.</div></div><div><h3>Results</h3><div>Among the 384 patients with OSA, 128 (33.3 %) were classified as POSA. Weight, BMI, and BMI Z-scores were higher in the POSA group compared to the non-POSA group (NPOSA). Polysomnography (PSG) data indicated that total sleep time (TST) and N2 % were higher in the POSA group than in the NPOSA group. Minimum SaO₂ was lower in the POSA group, and oxygen desaturation index(ODI)values were higher compared to the NPOSA group. The rate of overweight and obesity was higher in the POSA group. Among the 128 POSA cases, 47 (36.7 %) were classified as spOSA and 81 (63.3 %) as siOSA. The siOSA patients were younger than those in the spOSA group. SiOSA patients had a higher N2 %, lower R %, and lower AHI, AHI_NREM, AHI_REM, OAHI, HI, and ODI compared to spOSA patients. The spOSA group had a higher rate of severe OSA compared to the siOSA group.</div></div><div><h3>Conclusion</h3><div>This study found significant differences between children with spOSA and siOSA. The spOSA group had higher values in AHI-related parameters. The spOSA group also showed a higher rate of moderate-to-severe OSA. In contrast, the siOSA group had younger age. Additionally, the siOSA group displayed abnormal sleep architecture: higher N2 % and lower R %. These differences suggest distinct pathological mechanisms may exist between the two subtypes. Therefore, targeted clinical strategies should be developed for each subtype.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"192 ","pages":"Article 112312"},"PeriodicalIF":1.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642286","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":"The intricate interrelationship of cochlear aperture and internal auditory canal diameter in pediatric normal petrous structures","authors":"Diksha Kumari ,&nbsp;Richi Sinha ,&nbsp;Umakant Prasad ,&nbsp;Rakesh Kumar Singh","doi":"10.1016/j.ijporl.2025.112296","DOIUrl":"10.1016/j.ijporl.2025.112296","url":null,"abstract":"<div><h3>Purpose</h3><div>The cochlear aperture and internal auditory canal dimensions play a pivotal role in cochlear nerve health, yet their normative data exhibit significant variability. This study seeks to establish definitive normative ranges for these dimensions and investigate their interrelationship in the context of normally developed pediatric temporal bones.</div></div><div><h3>Methods</h3><div>This prospective study included seventy-eight children under fifteen years, diagnosed with bilateral severe-to-profound sensorineural hearing loss and free from temporal bone deformities. Utilizing high-resolution computed tomography scans, we measured the diameters of the cochlear aperture at the mid-modiolar level and the internal auditory canal at the porus, midsection, and fundus. The associations between these dimensions were analyzed using Spearman's rank correlation and linear regression.</div></div><div><h3>Results</h3><div>The mean cochlear aperture diameter was 2.16 mm, while the internal auditory canal diameters at the porus, midsection, and fundus were 6.60 mm, 4.27 mm, and 3.88 mm, respectively. Significant positive correlations were observed between the cochlear aperture and internal auditory canal diameters at the midsection (rs = 0.246, p = 0.029) and fundus (rs = 0.338, p = 0.002), as well as the average internal auditory canal diameter (rs = 0.233, p = 0.039). Regression analysis indicated that the internal auditory canal diameter at the fundus explained 17.5 % of the variance in cochlear aperture diameter (β = 0.179, p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>This study established normative ranges for cochlear aperture and internal auditory canal dimensions in children, addressing past variability. These findings support cochlear implant planning, with a regression model offering a noninvasive tool to estimate cochlear aperture size. We also identified a unique, significant correlation between the two, highlighting a shared developmental pathway.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"192 ","pages":"Article 112296"},"PeriodicalIF":1.2,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143576768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A remarkable increase in pediatric mastoiditis cases and changing management: A one-year single center experience","authors":"Özge Kaba ,&nbsp;Cansu Badem Kaya ,&nbsp;Semih Tekin ,&nbsp;Şahin Öğreden ,&nbsp;Canan Caymaz","doi":"10.1016/j.ijporl.2025.112295","DOIUrl":"10.1016/j.ijporl.2025.112295","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"192 ","pages":"Article 112295"},"PeriodicalIF":1.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592660","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":"Mutation spectrum of GJB2, SLC26A4 and mtDNA12SrRNA genes in non-syndromic hearing loss patients from Gansu, China","authors":"Shihong Duan,&nbsp;Yuan Hou,&nbsp;Yong Li,&nbsp;Yufen Guo","doi":"10.1016/j.ijporl.2025.112298","DOIUrl":"10.1016/j.ijporl.2025.112298","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined the mutation spectrum and frequency of three prevalent pathogenic genes in patients with non-syndromic hearing loss (NSHL) from Gansu Province, China.</div></div><div><h3>Methods</h3><div>We analyzed 452 NSHL patients from five special education schools across several cities in Gansu Province using SNPscan technology to determine the mutation spectrum of <em>mtDNA 12S rRNA</em>, <em>GJB2</em>, and <em>SLC26A4</em> genes.</div></div><div><h3>Results</h3><div>Among the 452 patients evaluated, mutations in the <em>GJB2</em> gene were observed in 91 cases (20.13 %), mutations in the <em>SLC26A4</em> gene in 81 cases (17.92 %), and homoplasmic mutations in mtDNA 12S rRNA in 26 cases (5.75 %). Significant differences in <em>GJB2</em> mutations were observed between Han patients and those of Hui, Tibetan and Mongolian ethnicity (χ² = 4.554, p = 0.033; χ² = 3.987, p = 0.046; χ² = 4.041, p = 0.044), as well as in <em>SLC26A4</em> gene mutations between Han patients and both Hui and Tu patients (χ² = 4.247, p = 0.039; p = 0.035, two-sided). <em>MT-RNR1</em> mutations were exclusively identified in Tibetans, Han, and Hui patients.</div></div><div><h3>Conclusion</h3><div>Our findings demonstrate variations in the mutation spectra of the <em>GJB2</em>, <em>SLC26A4</em>, and <em>mtDNA 12S rRNA</em> genes across different ethnic groups, highlighting ethnic variations in mutation prevalence. This study expands the understanding of the genetic mutation spectrum associated with deafness in Gansu and supports the enhancement of molecular diagnostic accuracy for diverse ethnic populations in the region.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"191 ","pages":"Article 112298"},"PeriodicalIF":1.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549920","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":"Management of middle ear disease in pediatric primary ciliary dyskinesia","authors":"Ethan G. Muhonen ,&nbsp;Austin Zhu ,&nbsp;Sera Sempson ,&nbsp;Samantha Bothwell ,&nbsp;Scott D. Sagel ,&nbsp;Kenny H. Chan","doi":"10.1016/j.ijporl.2025.112297","DOIUrl":"10.1016/j.ijporl.2025.112297","url":null,"abstract":"<div><h3>Introduction</h3><div>Primary ciliary dyskinesia (PCD) adversely affects the middle ear from early childhood resulting in otitis media with effusion (OME) and conductive hearing loss (CHL). Chronic otorrhea and tympanic membrane (TM) perforation are serious postoperative complications from tympanostomy tube (TT) placement. Management of OME and CHL has been debated for decades. This study reports on a proposed management schema for the middle ear in individuals with PCD.</div></div><div><h3>Methods</h3><div>A pediatric PCD cohort was retrospectively reviewed at Children's Hospital Colorado (CHCO) using electronic health record systems. Paired middle-ear/audiologic data for all subjects at their most recent CHCO visits were organized in a 4-age-group grid to compare clinical/audiologic outcomes between no-TT and TT subgroups.</div></div><div><h3>Results</h3><div>68 PCD subjects with middle-ear and audiologic data were tabulated. No-TT and TT subgroup comparisons showed no difference in clinical (normal TM and OME prevalence) and hearing [CHL percentage and pure-tone average (PTA)] outcomes across 4 age-groups except for higher percentage of normal TM (10 to &lt;15 years category; p = 0.006) and fewer hearing loss ears (≥15 years category; p = 0.008), both favoring the no-TT subgroup. There were 9/13 (subjects/ears) in the TT subgroup with TM perforations, and a total of 130 sets of TT and other medical/surgical procedures were performed in this sub-cohort.</div></div><div><h3>Conclusion</h3><div>Children with PCD have a high prevalence of otologic complications. A schema is proposed to restrict the indications for TT placement and guide active management of CHL with the goal of preventing adverse sequalae of OME and achieving best clinical outcomes.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"192 ","pages":"Article 112297"},"PeriodicalIF":1.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143576767","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":"Cochlear Implant in Prelingual Children: Predicting the First-word Utterance from LittlEARS Auditory Questionnaire","authors":"Nihal Hisham Abdelhamid ,&nbsp;Mohammad Mostafa Gaballah ,&nbsp;Moataz Abdel Baky ,&nbsp;Rahma Sweedy","doi":"10.1016/j.ijporl.2025.112294","DOIUrl":"10.1016/j.ijporl.2025.112294","url":null,"abstract":"<div><h3>Objective</h3><div>The LittlEARS Auditory Questionnaire (LEAQ) is a reliable tool for assessing children's auditory development. This study investigates the expected time for the first-word utterance in children with cochlear implant (CI) based on the LEAQ score.</div></div><div><h3>Methods</h3><div>An observational study was conducted on 94 children (50 males and 44 females) with bilateral severe to profound sensorineural hearing loss (SNHL) who underwent CI surgery at a tertiary center between January 2022 and November 2024. The study included children with prelingual hearing loss and satisfactory auditory responses post-surgery, while those with post-lingual onset or an intelligence quotient (IQ) below 85 were excluded. The LEAQ was applied every 3 months postoperatively. The total score was calculated from all ‘yes’ answers, and hearing age was determined until the child uttered their first word.</div></div><div><h3>Results</h3><div>Children were expected to utter their first word at an average LEAQ score of 11.3 ± 4.1 and an average hearing age of 0.8 ± 0.5 years. The average chronological age at first-word utterance was 4.0 ± 1.1 years, when the average implantation age was 3.3 ± 1.1 years. Significant positive correlations were found between the LEAQ score and the chronological and hearing ages at first-word utterance. The age of implantation did not significantly affect the LEAQ score.</div></div><div><h3>Conclusion</h3><div>The first-word development among CI children is predicted by the LEAQ score, influenced by the child's chronological age and duration of CI use. While the age at which the child underwent the implantation seemed to be a non-significant predictor.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"192 ","pages":"Article 112294"},"PeriodicalIF":1.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143576769","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 “Factors influencing auditory brainstem response changes in infants” [Int. J. Pediatr. Otorhinolaryngol. Volume185/issue details, cover date, 112094]","authors":"Tomoko Esaki ,&nbsp;Tadao Yoshida ,&nbsp;Masumi Kobayashi ,&nbsp;Kyoko Morimoto ,&nbsp;Chisa Shibata ,&nbsp;Michihiko Sone","doi":"10.1016/j.ijporl.2024.112206","DOIUrl":"10.1016/j.ijporl.2024.112206","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112206"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894312","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":"Retraction notice to “Outcomes and considerations in children with developmental delay undergoing tonsillectomy” [Int. J. Pediatr. Otorhinolaryngol. 164 (January 2023) 111393]","authors":"Jordan B. Luttrell,&nbsp;Chad A. Nieri,&nbsp;Madhu Mamidala,&nbsp;Anthony Sheyn","doi":"10.1016/j.ijporl.2023.111839","DOIUrl":"10.1016/j.ijporl.2023.111839","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 111839"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139196241","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":"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 ,&nbsp;Zahra Hosseini Dastgerdi ,&nbsp;Morteza Hamidi Nahrani ,&nbsp;Maryam Emadi","doi":"10.1016/j.ijporl.2024.112202","DOIUrl":"10.1016/j.ijporl.2024.112202","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112202"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}