International journal of pediatric otorhinolaryngology最新文献

{"title":"Wideband absorbance measurements in cochlear implant recipients: Insights into the Transcranial Veria Technique","authors":"Nerale Maraiah Mamatha ,&nbsp;Raghunath Bansode Rohit ,&nbsp;Karuppannan Arunraj","doi":"10.1016/j.ijporl.2026.112727","DOIUrl":"10.1016/j.ijporl.2026.112727","url":null,"abstract":"<div><h3>Purpose</h3><div>Cochlear implantation (CI) significantly improves hearing in individuals with severe to profound sensorineural hearing loss. However, variations in surgical techniques may affect middle and inner ear mechanics. This study explores the effect of transcranial transcanal wall-Veria technique for CI on middle ear mechanics, measured using wideband absorbance (WBA).</div></div><div><h3>Methods</h3><div>Ten children (4–7 years) who underwent CI using the transcranial Transcanal wall-Veria technique were compared to age- and gender-matched controls with normal-hearing children. Tympanometric measures such as static compliance, tympanometric peak pressure, Ear canal volume, resonance frequency, and wideband absorbance at peak and ambient pressure were measured.</div></div><div><h3>Results</h3><div>Conventional 226 Hz Tympanometric measures were similar for both CI and Normal hearing groups, showing no significant differences (<em>p</em> &gt; 0.05) between the groups. However, WBA measurements revealed significant changes (<em>p</em> &lt; 0.05) in absorbance across frequencies, particularly at higher frequencies (2000–8000 Hz). The WBA pattern was different, with two maximum absorbance for normal-hearing children, whereas single maxima around 2000 Hz for CI group. Further, WBA at peak pressure differed from ambient pressure in both groups at low and mid-frequencies, with significant differences (<em>p</em> &lt; 0.05) observed only in CI group. These results suggest that the Veria technique causes alterations in middle ear mechanics, specifically in the high-frequency regions.</div></div><div><h3>Conclusions</h3><div>This study highlights the utility of WBA in detecting subtle, frequency-specific changes in ear mechanics following the Veria CI technique, which may remain undetected by conventional tympanometry. Although functional auditory outcomes such as aided thresholds, speech perception scores, and eSRT were not correlated in this study,the findings underscore the importance of WBA as an advanced diagnostic tools in assessing the impact of surgical techniques on ear function post-CI.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112727"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010414","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":"Adenoidectomy with tympanostomy or with myringotomy alone: A systematic review of pediatric randomized controlled trials","authors":"Ebraheem Albazee ,&nbsp;Noof Albannai ,&nbsp;Hajar Alismail ,&nbsp;Yasmeen Alazemi ,&nbsp;Munawer Alsaeed ,&nbsp;Esraa Alhammadi ,&nbsp;Abrar Awadh ,&nbsp;Abdullah Alabdullah ,&nbsp;Mariam AlRaish ,&nbsp;Ahmad Alawadhi ,&nbsp;Ghezlan Aldawas ,&nbsp;Mohmmad Alkaak ,&nbsp;Dhoha Ismaeel","doi":"10.1016/j.ijporl.2026.112718","DOIUrl":"10.1016/j.ijporl.2026.112718","url":null,"abstract":"<div><h3>Background</h3><div>Otitis media with effusion (OME) is a leading cause of acquired conductive hearing loss in children. When performing an adenoidectomy for OME, surgeons must decide whether to supplement the procedure with a simple myringotomy or a myringotomy with tympanostomy tube (TT) insertion. While TT offers extended middle ear ventilation, it carries a risk of long-term complications. This systematic review of randomized controlled trials (RCTs) aimed to compare the efficacy and safety of these two approaches.</div></div><div><h3>Methods</h3><div>A comprehensive search of PubMed, Scopus, CENTRAL, and Web of Science was conducted for RCTs up to August 2025. Eligible RCTs were assessed for quality using the risk of bias (RoB)-2 tool. The primary outcomes were hearing improvement and resolution of effusion. Secondary outcomes included OME recurrence and postoperative complications.</div></div><div><h3>Results</h3><div>Eleven RCTs involving 955 pediatric patients were included. The addition of TT consistently resulted in superior short-term outcomes, with significantly better hearing levels and faster resolution of middle ear effusion within the first 3–6 months. However, these advantages were not sustained, and no significant differences in hearing or effusion rates were observed at 12-month follow-ups. In contrast, the TT group experienced a significantly higher incidence of long-term complications, including otorrhea, tympanosclerosis, and persistent tympanic membrane perforation.</div></div><div><h3>Conclusion</h3><div>Adding a TT to adenoidectomy provides a transient benefit in hearing and effusion resolution but significantly increases the risk of long-term tympanic membrane complications. Adenoidectomy with myringotomy alone appears to be a safer and equally effective long-term strategy for managing pediatric OME.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112718"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981428","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":"Prevalence of vestibular pathology in patients with congenital inner ear malformation","authors":"Gillian Michaelson ,&nbsp;Chelsea Cleveland ,&nbsp;Daniel Karasik ,&nbsp;Todd Otteson","doi":"10.1016/j.ijporl.2026.112723","DOIUrl":"10.1016/j.ijporl.2026.112723","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112723"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981430","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":"Using artificial intelligence to rewrite the script on pediatric ENT patient education","authors":"Andrew B. Brown ,&nbsp;Kastley Marvin ,&nbsp;Philip A. Gaudreau","doi":"10.1016/j.ijporl.2026.112707","DOIUrl":"10.1016/j.ijporl.2026.112707","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112707"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981431","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":"Genetic screening for hearing impairment and the genotype-phenotype correlation of GJB2 c.109G>A variants in 47,729 neonates: a population-based study in southern China","authors":"Jianjun Li,&nbsp;Meng Guo,&nbsp;Wenwen Yu,&nbsp;Li Ma,&nbsp;Qi Zhang,&nbsp;Qi Wang,&nbsp;Xueyu Yang,&nbsp;Hongyun He,&nbsp;Wenlan Liu","doi":"10.1016/j.ijporl.2026.112737","DOIUrl":"10.1016/j.ijporl.2026.112737","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to characterize the Variant profile of the 4 common deafness-causing genes and evaluated the genotype-phenotype correlation of <em>GJB2</em> c.109G &gt; A variants in a neonatal cohort, providing insights for early diagnosis of congenital hearing loss.</div></div><div><h3>Methods</h3><div>A total of 47,729 newborns in Shenzhen underwent integrated deafness gene screening (23 common pathogenic variants across <em>GJB2</em>, <em>SLC26A4</em>, <em>MT-RNR1</em>, and <em>GJB3</em>) and two-stage audiometric assessments from January 2022 to November 2024. Participants were stratified into three groups based on <em>GJB2</em> c.109G &gt; A genotypes: homozygous (Group A, n = 487), compound heterozygous (Group B, n = 87), and heterozygous carriers (Group C, n = 8055). Hearing function was evaluated via otoacoustic emissions (OAE) at 48 h postpartum, with non-passing cases receiving follow-up OAE and auditory brainstem response (ABR) testing at 42 days.</div></div><div><h3>Results</h3><div>Deafness-associated Variant were detected in 21.56 % (10,291/47,729) of neonates, with <em>GJB2</em> exhibiting the highest carrier frequency (20.25 %), followed by <em>SLC26A4</em> (1.44 %), <em>MT-RNR1</em> (0.28 %), and <em>GJB3</em> (0.18 %). The <em>GJB2</em> c.109G &gt; A locus dominated the variant landscape, with a carrier rate of 18.12 % (n = 8649) and an minor allele frequency of 9.57 %. The overall pass rates for the two-stage audiological assessments differed significantly across the groups: 63.66 % (Group A), 70.11 % (Group B), and 98.92 % (Group C). Bilateral hearing impairment predominated in Groups A and B.</div></div><div><h3>Conclusion</h3><div>The <em>GJB2</em> c.109G &gt; A Variant represents the most prevalent pathogenic variant in Shenzhen neonates, and the infants carrying deafness-causing genotypes of this variant presents relatively high hearing screening pass rate. Integrated genetic and audiometric screening could enhance early identification of high-risk infants.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112737"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146018710","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":"Composite chondroperichondrial clip (“Triple-C”) tympanoplasty in pediatric patients","authors":"Shadi Shinnawi ,&nbsp;Roni Barzilai ,&nbsp;Majd Khoury ,&nbsp;Muhammad Zahlaka ,&nbsp;Ali Hammad ,&nbsp;Mauricio Cohen-Vaizer","doi":"10.1016/j.ijporl.2026.112746","DOIUrl":"10.1016/j.ijporl.2026.112746","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112746"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146063215","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":"Catastrophic primary bleeding post intracapsular tonsillectomy in paediatrics – highlighting risk and technical considerations","authors":"Authors Amy Hannigan ,&nbsp;Raimundo Garcia-Matte ,&nbsp;Christopher Jackson ,&nbsp;Hannah Burns ,&nbsp;Eric Levi ,&nbsp;Phillip Sale ,&nbsp;Hayley Herbert","doi":"10.1016/j.ijporl.2026.112706","DOIUrl":"10.1016/j.ijporl.2026.112706","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112706"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145957676","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":"Analyses of GJB2 status in hereditary and non-syndromic hearing loss cases in Turkey reveal pathogenicity of rare c.247_249delTTC variant","authors":"Sait Tümer ,&nbsp;Mustafa Bülent Şerbetçioğlu ,&nbsp;Günay Kırkım ,&nbsp;Seda Nur Homurlu ,&nbsp;Oğuz Altungöz","doi":"10.1016/j.ijporl.2026.112739","DOIUrl":"10.1016/j.ijporl.2026.112739","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112739"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146075220","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":"Determination of the normative values of the subjective visual vertical and horizontal test in the pediatric population","authors":"Sanem Can Sarıoğlu ,&nbsp;Deniz Uğur Cengi̇z ,&nbsp;Esra Buğra ,&nbsp;Buşra Mazooğlu ,&nbsp;Almıla Avşar","doi":"10.1016/j.ijporl.2026.112749","DOIUrl":"10.1016/j.ijporl.2026.112749","url":null,"abstract":"<div><h3>Background</h3><div>Subjective Visual Vertical (SVV) and Subjective Visual Horizontal (SVH) tests are useful tests to identify central vestibular tone imbalances.</div></div><div><h3>Aim</h3><div>To determine the normal values of the Subjective Visual Vertical/Subjective Visual Horizontal (SVV/SVH) test in the pediatric group. The normative data were intended to be used as reference values in the vestibular evaluation of patients presenting with balance disorders and complaints of dizziness.</div></div><div><h3>Materials and methods</h3><div>The study included 60 individuals between the ages of 8 and 18. All participants underwent static and dynamic SVV and SVH testing using the Virtualis Virtual Reality device, based on a test-retest protocol with six different initial tilt angles (10°, −10°, 20°, −20°, 30°, −30°). Deviation angles were analyzed.</div></div><div><h3>Results</h3><div>Across all tilt angles, the mean deviation angle ranged from 1.93° to 2.44° for the static SVV test and from 1.73° to 2.31° for the static SVH test. For the dynamic SVV test, the mean deviation angle ranged from 10.47° to 11.42°, while in the dynamic SVH test, it ranged from 7.3° to 8.85° across all tilt angles.</div></div><div><h3>Conclusion</h3><div>As a result of this study, normative values for static and dynamic SVV and SVH tests using the Virtualis Virtual Reality Device were established for use in vestibular assessment in the pediatric population. The study contributes to the current literature by providing updated data, addressing the limited number of studies on static and dynamic SVV and SVH tests in pediatric populations.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112749"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137428","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 role of nasopharyngeal airways in Robin sequence: Insights from a retrospective cohort study with review of the literature","authors":"Shirley van de Velde ,&nbsp;Maartje Haasnoot ,&nbsp;Saskia Coenraad ,&nbsp;J. Peter W. Don Griot ,&nbsp;Aebele B. Mink van der Molen ,&nbsp;Emma C. Paes","doi":"10.1016/j.ijporl.2026.112744","DOIUrl":"10.1016/j.ijporl.2026.112744","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"202 ","pages":"Article 112744"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146075223","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}