International journal of pediatric otorhinolaryngology最新文献

{"title":"Moral distress in Pediatric otolaryngology: A survey of ASPO members","authors":"Andrew J. Redmann ,&nbsp;Matthew M. Smith ,&nbsp;Claire Washabaugh ,&nbsp;Dan Benscoter ,&nbsp;Catherine K. Hart","doi":"10.1016/j.ijporl.2025.112365","DOIUrl":"10.1016/j.ijporl.2025.112365","url":null,"abstract":"<div><h3>Objectives</h3><div>1. Determine the prevalence of moral distress for pediatric otolaryngologists in North America.</div><div>2. Evaluate the impact of demographic variables on moral distress levels.</div></div><div><h3>Methods</h3><div>Moral distress is defined as “when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action”. The Moral Distress Survey-Revised (MDS-R) is a 21-question survey measuring moral distress in pediatric patients. A modified MDS-R (validated with pilot data in pediatric otolaryngology) was anonymously distributed to American Society of Pediatric Otolaryngology (ASPO) members. Descriptive statistics, bivariate and multivariate analysis were performed.</div></div><div><h3>Results</h3><div>Response rate was 86/656 (13 %). Mean modified MDS-R score was 49 (range 3–128), which is lower than that found in the literature for pediatric surgeons (mean 72), pediatric intensivists (means 57–86), and similar to pediatric oncologists (reported means 42–52). Female respondents had higher MDS-R scores than males (60 vs. 50). Providers in practice &lt;20 years had higher moral distress scores than those practicing &gt;20 years (54 vs. 43). Factors leading to higher degrees of distress involved communication breakdowns/lack of provider continuity and seeing other providers provide false hope to patients.</div></div><div><h3>Conclusion</h3><div>Pediatric Otolaryngologists have low degrees of moral distress compared to other pediatric subspecialists. Those with fewer years of experience have higher levels of moral distress. Further research is necessary to determine the impact of moral distress on the wellness of pediatric otolaryngologists.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112365"},"PeriodicalIF":1.2,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887890","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":"Esophageal pathology and the aerodigestive triple endoscopy for pediatric recurrent croup","authors":"Stephen Liangtjan Trisno ,&nbsp;Michael Carver ,&nbsp;Douglas Sidell ,&nbsp;Seema Khan","doi":"10.1016/j.ijporl.2025.112367","DOIUrl":"10.1016/j.ijporl.2025.112367","url":null,"abstract":"<div><div>Recurrent croup (RC) is characterized by recurrent episodes of stridor, barking cough, and hoarseness. While viral infections are the primary cause in croup, RC is thought to be caused by non-infectious etiologies such as structural airway abnormalities, allergic disorders, airway hyperresponsiveness and gastroesophageal reflux (GERD). Recent studies have suggested a potential link between esophageal diseases, particularly GERD/reflux esophagitis and eosinophilic esophagitis (EoE), and RC. This retrospective study aims to explore the association between esophageal disorders and RC through a multidisciplinary approach. A total of 68 patients with RC were identified in our aerodigestive center, 47 of whom underwent dual or triple endoscopy. Of these, 17 patients (36 %) were found to have esophageal disease, including EoE (15 %) and reflux esophagitis (19 %). Notably, food allergies were significantly more prevalent in the EoE group, and all patients with EoE had reported GI symptoms previously. While airway abnormalities were common across all groups, there were no significant differences between patients with and without esophageal disease. The study highlights the prevalence of esophageal diseases in patients with RC, particularly EoE, and a multidisciplinary aerodigestive evaluation may be beneficial for diagnosing concomitant esophageal conditions. Further studies are needed to determine the causal relationship between esophageal disorders and RC.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112367"},"PeriodicalIF":1.2,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895767","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":"Effect of Tacrolimus on Development of Experimental Cholesteatoma","authors":"Gülay Aktar Uğurlu ,&nbsp;Zeynep Kaptan ,&nbsp;Burak Numan Uğurlu ,&nbsp;Nuran Sungu ,&nbsp;Hatice Karadaş ,&nbsp;Şule Demirci ,&nbsp;Sevim Aslan Felek ,&nbsp;Necmi Arslan","doi":"10.1016/j.ijporl.2025.112357","DOIUrl":"10.1016/j.ijporl.2025.112357","url":null,"abstract":"<div><h3>Purpose</h3><div>Cholesteatoma is a benign yet aggressive middle ear tumor characterized by keratin accumulation and chronic inflammation, leading to bone resorption and severe complications. This study aimed to investigate the effects of Tacrolimus, a potent immunosuppressive agent, on cholesteatoma formation in a propylene glycol (PG)-induced experimental model.</div></div><div><h3>Methods</h3><div>Fifteen male Wistar Albino rats were used, with right ears serving as controls and left ears as the experimental group. Cholesteatoma was induced by injecting 60 % PG combined with Gentamicin and Saline into the middle ear. The experimental group received the same solution supplemented with Tacrolimus. Histological evaluation included keratinization, inflammation, fibrosis, and vascular proliferation. Statistical analysis was performed to compare the control and experimental groups.</div></div><div><h3>Results</h3><div>Experimental cholesteatoma formation was achieved in 80 % of ears injected with PG (12 out of 15 ears). In the Tacrolimus-treated group, cholesteatoma formation was observed in only 1 ear (6.7 %), while the remaining 14 ears showed no evidence of keratin lamellae (p &lt; 0.05). Although Tacrolimus significantly inhibited epithelial keratinization and invagination, no significant differences were found between groups regarding acute or chronic inflammation, fibrosis, or vascular proliferation (p &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Tacrolimus demonstrated a strong inhibitory effect on cholesteatoma formation in this experimental model by markedly reducing epithelial keratinization and invagination. These findings suggest Tacrolimus's potential as a novel therapeutic agent for cholesteatoma. However, further studies are required to assess its safety, long-term efficacy, and clinical applicability.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112357"},"PeriodicalIF":1.2,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882463","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":"Effects of hearing aids on early prelingual auditory development in children with unilateral cochlear implantation: a linear mixed model for longitudinal data","authors":"Mei Li ,&nbsp;Wei-li Kong ,&nbsp;Ning-ying Song","doi":"10.1016/j.ijporl.2025.112366","DOIUrl":"10.1016/j.ijporl.2025.112366","url":null,"abstract":"<div><h3>Introduction</h3><div>We conducted a liner mixed model to explore the two-year early prelingual auditory development (EPLAD) of children with and without hearing aids (HAs) after unilateral cochlear implantation (CI) through a longitudinal study.</div></div><div><h3>Methods</h3><div>86 children with unilateral CI were divided into CI + HA (46) and CI (40) groups. Their EPLAD was assessed using the Infant Toddler Meaningful Auditory Integration Scale (IT/MAIS) before CI and at 1st, 3rd, 6th, 12th, 18th, and 24th months post-activation. A spline function described the EPLAD trajectory, and a best-fitting curve predicted IT/MAIS score changes over time. A linear mixed model analyzed the effects of HAs on EPLAD.</div></div><div><h3>Results</h3><div>CI + HA group had significantly higher IT/MAIS scores pre-op and up to 18 months post-CI (p &lt; 0.01). There was no significant difference in the trajectory of EPLAD among different sex and age groups (p &gt; 0.05). ITMAIS, sound detection and sound recognition trajectory of CI + HA group was significantly different from that of CI group (p &lt; 0.01). We constructed a predictive score of IT/MAIS, sound detection and sound recognition over time with high accuracy (R = 0.99).</div></div><div><h3>Conclusions</h3><div>Most of studies about the effects of HAs on auditory development after CI merely conducted cross-sectional approach, which cannot reflect the real changes of individuals. For children with unilateral cochlear implant, wearing hearing aids in the contralateral ear can continuously improve EPLAD. The auditory development of individual is a dynamic process, and longitudinal study is more advantage to explore the real differences.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112366"},"PeriodicalIF":1.2,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876797","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":"Increased incidence of intracranial complications following pediatric sinogenic and otogenic infections in the post-COVID-19 Era: A systematic review and meta-analysis","authors":"Pranav A. Patel ,&nbsp;Asher T. Ripp ,&nbsp;Shaun A. Nguyen ,&nbsp;Alexander N. Duffy ,&nbsp;Zachary M. Soler ,&nbsp;Ramin Eskandari ,&nbsp;David R. White ,&nbsp;Rodney J. Schlosser","doi":"10.1016/j.ijporl.2025.112364","DOIUrl":"10.1016/j.ijporl.2025.112364","url":null,"abstract":"<div><h3>Background</h3><div>This systematic-review and meta-analysis aims to evaluate and summarize the prevalence of pediatric intracranial complications following sinogenic or otogenic infections before and after the COVID-19 pandemic.</div></div><div><h3>Methods</h3><div>A literature search was performed using the PubMed, Scopus, and CINAHL databases to answer the question: In pediatric patients, was there an increase in the prevalence or severity of intracranial complications due to sinogenic or otogenic infections during and after the COVID-19 pandemic? Publications which included primary data on patients under the age of 18 years old, focusing on intracranial complications following otogenic and sinogenic infections were included.</div></div><div><h3>Results</h3><div>Of 1025 abstracts screened, 18 studies were included. There were no significant differences in age or sex between the two cohorts. Compared to the pre-COVID era, post-COVID infections were more likely to have neurologic complications upon presentation [11.4 % (1.6–53.0) vs 50.1 % (13.9–86.2), p &lt; 0.01], cerebral venous sinus thrombosis (CVST) [14.1 % (10.6–18.2) vs 40.5 % (25.2–56.9), p &lt; 0.01], intraparenchymal abscess [40.3 % (43.9–72.2) vs 54.9 % (25.2–87.1), p &lt; 0.01], and meningitis [10.6 % (0.0–39.4) vs 40.2 % (13.4–70.8), p &lt; 0.01]. Metronidazole use [38.7 % (31.8–46.0) vs 71.9 % (51.3–88.6), p &lt; 0.01], craniectomy [16.1 % (1.3–42.8) vs 37.4 % (2.9–83.0), p = 0.02], and burr holes [16.8 % (11.5–23.3) vs 26.6 % (12.7–43.3), p = 0.02] were increased in the post-COVID cohort.</div></div><div><h3>Conclusion</h3><div>There are considerable differences in neurologic deficits, CVST, intraparenchymal abscesses, meningitis, and treatment modalities in pre- and post-COVID cohorts of children with intracranial complications of otorhinogenic origin. Further research is required to determine the underlying mechanism for these differences.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112364"},"PeriodicalIF":1.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864288","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 a phased onboarding program for novice advanced practice providers","authors":"Laurie Newton,&nbsp;Cecille Sulman","doi":"10.1016/j.ijporl.2025.112363","DOIUrl":"10.1016/j.ijporl.2025.112363","url":null,"abstract":"<div><h3>Background</h3><div>Nurse practitioners and physician assistants, collectively referred to as advanced practice providers (APPs), are trained generally even though they are often hired into specialty practices such as pediatric otolaryngology (ENT). Because of this, novice APPs require a thorough onboarding to allow them to have the knowledge and skills needed to care for today's complex otolaryngology patients. Standard onboarding programs for APPs are often lacking, and orientation varies across areas. The purpose of our project was to develop a standardized phased onboarding program to help with a successful transition to practice for novice APPs joining our academic pediatric ENT practice.</div></div><div><h3>Methods</h3><div>A phased onboarding tool was developed and piloted with a novice APP new hire in our specialty. The APP progresses through four phases during orientation, with scheduled formative and summative feedback sessions. Competency metrics are established with the goal of the novice APP meeting patient care goals at the advanced beginner level by the end of phase two and at the competent to proficient level by the end of phase four.</div></div><div><h3>Results</h3><div>This manuscript will share a newly developed phased onboarding and orientation program specific to pediatric ENT, including lessons learned, which has a goal for novice APPs to be completing their orientation in approximately 6 months.</div></div><div><h3>Conclusion</h3><div>Standardized onboarding is necessary to facilitate a successful transition to practice for novice APPs. This tool can be implemented in other pediatric otolaryngology practices and other specialties.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112363"},"PeriodicalIF":1.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882474","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 effect of chewing gum on postoperative pain in children undergoing tonsillectomy","authors":"Sumbule Koksoy Vayısoglu ,&nbsp;Harun Gur ,&nbsp;Emine Oncu ,&nbsp;Onur Ismi","doi":"10.1016/j.ijporl.2025.112362","DOIUrl":"10.1016/j.ijporl.2025.112362","url":null,"abstract":"<div><h3>Aims</h3><div>The aim of this study was to investigate the impact of chewing gum on postoperative pain in pediatric patients undergoing tonsillectomy.</div></div><div><h3>Material and methods</h3><div>This study was conducted as a prospective, randomized controlled single-blind interventional study. Patients were randomized into two groups: control group which received a standard postoperative protocol and the chewing gum group which received the same postoperative protocol. Pain was evaluated by the Wong Baker scale.</div></div><div><h3>Results</h3><div>A total of 75 patients participated in the study, with 40 in the control group and 35 in the chewing gum group. The children's mean age and gender distribution were similar across the groups. According to the independent t-test results, there was a significant difference in pain levels between the chewing gum and control groups on all days. The pain levels in the chewing gum group were lower compared to the control group. Analgesic use was also lower in the gum group on all days (p &lt; 0.05). Generalized linear mixed model analysis confirmed a significant independent effect of chewing gum on pain scores (p &lt; 0.001), though the effect did not vary over time.</div></div><div><h3>Conclusion</h3><div>In conclusion, chewing gum may serve as a non-pharmacological method for postoperative pain management. In clinical practice, chewing gum could be a simple, low-cost, and easy-to-implement intervention.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112362"},"PeriodicalIF":1.2,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143858940","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":"Randomized clinical trial of non-opioid pain medications after intracapsular adenotonsillectomy","authors":"Nathan E. Lu,&nbsp;Amber D. Shaffer,&nbsp;Marina V. Rushchak,&nbsp;Raymond C. Maguire,&nbsp;Noel Jabbour,&nbsp;Allison B.J. Tobey,&nbsp;Jennifer L. McCoy ,&nbsp;David H. Chi","doi":"10.1016/j.ijporl.2025.112361","DOIUrl":"10.1016/j.ijporl.2025.112361","url":null,"abstract":"<div><h3>Background</h3><div>Our purpose was to determine if non-opioid pain control is safe and effective in the treatment of pain following intracapsular adenotonsillectomy (T&amp;A).</div></div><div><h3>Methods</h3><div>A randomized, open-label, controlled trial of children ages 3–17 undergoing intracapsular T&amp;A was conducted at a tertiary children's hospital April 2021–May 2023. Exclusions were concomitant procedures, Down syndrome, coagulopathy, craniofacial anomalies, and current opioid use. Participants were randomized to receive a prescription for oxycodone (opioid group) or not (non-opioid group). All patients received ibuprofen/acetaminophen. The primary outcome, average Wong-Baker FACES pain scores on post-operative days 0–14, was compared between groups using t-tests. The secondary outcome, emergency department (ED)/urgent care visits, was compared using logistic regression.</div></div><div><h3>Results</h3><div>Age (median 4, range 3–12) and gender (42/70, 60 % male) were similar in both groups. Pain diaries were returned by 21/36 (58 %) in the opioid group and 23/34 (68 %) of the non-opioid group. Average pain was not different between groups before (opioid: mean 3.2, 95 % CI 2.5–3.8; non-opioid: mean 3.3, 95 % CI 2.5–4.0) or after (opioid: mean: 1.1, 95 % CI 0.6–1.5; non-opioid mean: 1.0, 95 % CI 0.5–1.5) analgesics. Only 7/21 (33 %) of the opioid group took ≥1 dose of oxycodone; no patients in the non-opioid group requested an opioid prescription. There were no differences in peak pain scores, duration of analgesic use, ED/urgent care visits, or caregiver-reported symptoms or satisfaction between groups.</div></div><div><h3>Conclusions</h3><div>Pain scores were low compared with previous reports in children undergoing extracapsular T&amp;A, suggesting non-opioid management is appropriate for pain control in this population.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112361"},"PeriodicalIF":1.2,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874631","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":"Multidisciplinary aerodigestive team meetings for the management of complex airway patients","authors":"Aryan Kalra ,&nbsp;Rachel Blokland ,&nbsp;Wendy Nicholls ,&nbsp;Raimundo Garcia-Matte ,&nbsp;Shyan Vijayasekaran","doi":"10.1016/j.ijporl.2025.112360","DOIUrl":"10.1016/j.ijporl.2025.112360","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the clinical profiles and management of patients discussed at our tertiary paediatric hospital's multidisciplinary aerodigestive team (ADT) meetings.</div></div><div><h3>Method</h3><div>Retrospective chart review of all patients discussed at the Perth Children's Hospital ADT meetings between December 2018 and July 2022. Patient demographics, clinical characteristics and meeting outcomes, including procedures, investigations and follow-up were reviewed.</div></div><div><h3>Results</h3><div>A total of 580 ADT meeting consults were recorded for 304 patients, with 116 patients requiring multiple consultations. The median age at time of consult was 2.74 years and 51.0 % of patients were male. The commonest aerodigestive tract disorders included tracheomalacia (20.7 %), laryngomalacia (20.7 %), laryngotracheal stenosis (13.2 %), gastro-oesophageal reflux (9.4 %) and tracheo-oesophageal fistula (9.4 %). A secondary diagnosis was seen in 45.5 % of patients, most commonly Trisomy 21 (10.2 %), Robin Sequence (4.9 %) and Cerebral Palsy (3.0 %). Children with secondary diagnoses (P &lt; 0.01), tracheostomy dependence (P &lt; 0.01), upper airway disorders (P &lt; 0.01) and oesophageal disorders (P &lt; 0.01) were more likely to require multiple ADT consults. Further investigations were ordered after 25.9 % of consults, most commonly polysomnography (14.9 %) and video fluoroscopic swallowing studies (6.1 %). A total of 742 procedures were performed to diagnose and/or treat aerodigestive disease. The commonest diagnostic procedures were microlaryngoscopy and bronchoscopy (46.9 %), upper gastrointestinal endoscopy (7.8 %) and sleep nasendoscopy (6.7 %). The commonest interventional surgical procedures were adenoidectomy (12.4 %), balloon dilation of laryngotracheal stenosis (9.4 %), steroid injection to laryngeal scar or granulation tissue (8.4 %) and supraglottoplasty (6.7 %).</div></div><div><h3>Conclusion</h3><div>The aerodigestive program utilises a multidisciplinary approach to manage a medically complex cohort of patients. This study presents a large sample of patients from an Otolaryngology-led aerodigestive program in Australia and is intended to guide development of aerodigestive programs across the world in various clinical contexts.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112360"},"PeriodicalIF":1.2,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855055","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":"Application of the odor Stick identification test for Japanese (OSIT-J) in preschool Children: A study on odor identification and developmental correlations","authors":"Yuna Inada ,&nbsp;Masaharu Kato","doi":"10.1016/j.ijporl.2025.112353","DOIUrl":"10.1016/j.ijporl.2025.112353","url":null,"abstract":"<div><div>This study aimed to evaluate the applicability of the Odor Stick Identification Test for the Japanese (OSIT-J) among preschool children aged 4–6. The study sought to determine whether the OSIT-J, originally designed for adults, can effectively assess olfactory identification in young children, and explore its correlation with developmental factors. This observational study included 84 preschool children who took the OSIT-J and vocabulary tests. A developmental and daily contact experience questionnaire was administered to the parents. The OSIT-J included 12 odors that Japanese adults were familiar with, while children were asked to identify these odors using four alternatives. The vocabulary test assessed children's understanding of the terms used in the OSIT-J. Children's ability to identify odors was found to improve with age, particularly among girls. Significant correlations were observed between OSIT-J and developmental test scores (total, social, and language) and vocabulary test scores. However, no correlation was observed between daily contact experience and social communication questionnaire scores. The children easily identified certain odors, such as curry and Japanese orange. The OSIT-J could serve as a promising tool to assess the olfactory identification abilities of preschool children. The study highlights the role of vocabulary and social interactions in odor identification. This indicates the utility of also considering social and language development when difficulties with odor identification are observed in the preschool years. Future research should validate the effectiveness of this test in detecting olfactory disorders and explore its use in diverse populations.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112353"},"PeriodicalIF":1.2,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851467","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}