International journal of pediatric otorhinolaryngology最新文献

{"title":"Prevalence of cholesteatoma in children with 22q11.2 deletion syndrome","authors":"Dovan Khalifee ,&nbsp;Hannah J. Brown ,&nbsp;Jill Arganbright ,&nbsp;Elie Khalifee","doi":"10.1016/j.ijporl.2025.112332","DOIUrl":"10.1016/j.ijporl.2025.112332","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the prevalence and relative risk of middle ear cholesteatoma in children with 22q11.2 deletion syndrome (22q11.2DS) as compared to children without the deletion, and to examine the relationship between cleft palate and cholesteatoma risk for these patients.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted using the TriNetX Analytics Network, a federated health research network that aggregates data from 45 U S. healthcare organizations. Patients who are 18 years old or younger with 22q11.2DS and without 22q11.2DS (control) were included. Patients in each group with a diagnosis of middle ear cholesteatoma or cleft palate were reported.</div></div><div><h3>Results</h3><div>The study included 6883 children with 22q11.2DS and 18,678,712 children without the deletion. The prevalence of middle ear cholesteatoma was higher in children with 22q11.2DS (0.872 %) compared to controls (0.0573 %), representing a relative risk of 15.223 (95 % CI: 11.824–19.598). The relative risk of cholesteatoma in children with 22q11.2DS and cleft palate compared to controls was 39.034 (95 % CI: 26.047–58.496). Even without cleft palate, the relative risk of cholesteatoma in children with 22q11.2DS remained elevated at 11.038 (95 % CI: 8.001–15.227).</div></div><div><h3>Conclusion</h3><div>Our study demonstrates a higher prevalence of cholesteatoma in 22q11.2DS children compared to the general pediatric population. While cleft palate increases the risk of cholesteatoma in these children, the elevated risk persists even in those without cleft palate.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112332"},"PeriodicalIF":1.2,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799896","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":"Trends in maxillary frenulum pathology and treatment from 2009 to 2023","authors":"Katelin R. Keenehan ,&nbsp;Gaayathri Varavenkataraman ,&nbsp;Conor R. Kellner ,&nbsp;Amanda G. Baanante ,&nbsp;Ellen Piccillo ,&nbsp;Michele M. Carr","doi":"10.1016/j.ijporl.2025.112335","DOIUrl":"10.1016/j.ijporl.2025.112335","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the rates of lip tie (LT) diagnosis and maxillary frenotomy (MF) in the US.</div></div><div><h3>Methods</h3><div>Using TriNetX, queries targeted pediatric patients with a LT diagnosis (ICD-10: Q38.0) or MF (CPT: 40806). Frequency and rate of LT and MF were collected between 2009 and 2023. Frequencies were collected for those with potential health hazards related to socioeconomic circumstances (ICD Z55-65), or low socioeconomic status (LSES). Demographics were collected and rates were stratified by age.</div></div><div><h3>Results</h3><div>13,340 patients were diagnosed with LT and 3771 had MF during the study period. The rate of LT diagnosis increased by 3500 % (0.002 %–0.070 %) and MF increased by 390 % (0.004 %–0.017 %). The mean age at diagnosis was 1.02 years (SD = 1.99) and of MF was 1.14 years (SD = 1.94). 28.3 % of those with LT underwent MF. These increases were predominantly seen in children 0–4 years old. Those with LSES were more likely to be diagnosed (OR = 1.71, 95 % CI = 1.60–1.84, p &lt; .001), but less likely to undergo MF (OR = 0.65, 95 % CI = 0.54–0.77, p &lt; .001).</div></div><div><h3>Conclusion</h3><div>The increase in LT and MF suggests growing acceptance of LT as a pathology, despite the lack of clear evidence supporting its classification as such. Socioeconomic status is related to the chance of undergoing MF following LT diagnosis. Good quality research to determine the value of MF in young children is urgently needed.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112335"},"PeriodicalIF":1.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791041","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":"Comparative analysis of GPT-4 and Google Gemini's consistency with pediatric otolaryngology guidelines","authors":"Nicholas A. Rossi ,&nbsp;Kassandra K. Corona ,&nbsp;Yuki Yoshiyasu ,&nbsp;Yusif Hajiyev ,&nbsp;Charles A. Hughes ,&nbsp;Harold S. Pine","doi":"10.1016/j.ijporl.2025.112336","DOIUrl":"10.1016/j.ijporl.2025.112336","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the accuracy and completeness of large language models (LLMs) in interpreting pediatric otolaryngology guidelines.</div></div><div><h3>Materials and methods</h3><div>GPT-4 and Google Gemini were assessed on their responses to queries based on key action statements from three American Academy of Otolaryngology – Head and Neck Surgery Foundation (AAO-HNSF) clinical practice guidelines. Two independent reviewers evaluated responses using Likert scales for accuracy (1–5) and completeness (1–3). Inter-rater reliability was assessed with weighted Cohen's kappa. Statistical comparisons between models were performed using the Wilcoxon Signed-Rank Test.</div></div><div><h3>Results</h3><div>Both models achieved high scores (GPT-4: accuracy 4.74, completeness 2.94; Google Gemini: accuracy 4.82, completeness 2.98). No significant difference was found in accuracy (<em>p</em> = 0.134), while completeness showed concordance (<em>p</em> = 0.34). AI responses often emphasized the importance of individualization and consulting healthcare professionals.</div></div><div><h3>Conclusion</h3><div>GPT-4 and Google Gemini demonstrated potential as assistive tools in pediatric otolaryngology. However, limitations exist, including pre-trained datasets and subjective evaluation methods. Continuous learning and model refinement are crucial for reliable clinical integration. AI should complement, not replace, human expertise. This study contributes to the exploration of LLMs in pediatric otolaryngology.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112336"},"PeriodicalIF":1.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799897","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 retrospective study of audiological characteristics of hyperacusis versus misophonia in children with auditory processing disorder (APD)","authors":"Sabarinath Vijayakumar,&nbsp;Ansar Uddin Ahmmed","doi":"10.1016/j.ijporl.2025.112334","DOIUrl":"10.1016/j.ijporl.2025.112334","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This study aimed to evaluate in children with developmental auditory processing disorder (APD):&lt;ul&gt;&lt;li&gt;&lt;span&gt;1&lt;/span&gt;&lt;span&gt;&lt;div&gt;The value of routine audiological evaluations in distinguishing between hyperacusis and misophonia&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;2&lt;/span&gt;&lt;span&gt;&lt;div&gt;The prevalence and association of tinnitus with the audiological characteristics of hyperacusis, misophonia and no decreased sound tolerance (DST).&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;3&lt;/span&gt;&lt;span&gt;&lt;div&gt;The association between past history of otitis media with effusion (OME) and DST.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;/ul&gt;&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study design&lt;/h3&gt;&lt;div&gt;Retrospective study comparing outcomes of pure-tone thresholds from .25 to 12.5 kHz, ipsilateral stapedial reflex thresholds (SRTs), uncomfortable loudness levels (ULLs), past history of OME and tinnitus between those with and without DST.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study sample&lt;/h3&gt;&lt;div&gt;The study included 278 children with a diagnosis of APD, aged 6–16 years (mean age: 11.68 years, SD: 2.21) with nonverbal IQ ranging from 80 to 128 (mean: 98.74, SD: 9.92). Three groups of participants included i). Hyperacusis only (n = 107), ii). Misophonia with hyperacusis (n = 35) and iii). No DST (n = 136).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The pure-tone average for 8, 10 and 12.5 kHz (High PTAvg) was lower than the .25, .5, 1, 2 and 4 kHz pure-tone average (Low PTAvg) in all the three groups in both the ears, with significantly larger High-Low PTAvg difference in the ‘Misophonia with hyperacusis’ group compared to the ‘No DST group in the right ear. SRTs elicited by 1 and 4 kHz tones were similar in all the groups. ULLs were significantly lower for both 1 and 4 kHz tones in both ‘Misophonia with hyperacusis’ and ‘Hyperacusis only’ groups compared to the ‘No DST’ group, with higher level of significance for 4 kHz (p &lt; .001) compared to 1 kHz (p &lt; .01). ULLs did not reflect the severity of impact of DST on daily life. Despite higher prevalence of misophonia in females, the frequency of significant impact was similar in both males and females. Males had higher prevalence of hyperacusis but the frequency of significant impact on life was more in females.Tinnitus prevalences were 30.47 %, 45.7 %, and 18.18 % in the 'Hyperacusis only', 'Misophonia with hyperacusis', and 'No DST' groups respectively. The ‘Misophonia with hyperacusis’ group was older than the other two groups irrespective of tinnitus. Tinnitus was more prevalent in older children in the ‘Hyperacusis only’ and the ‘no DST’ groups. The presence or absence of tinnitus did not influence any of the audiological characteristics in the ‘Hyperacusis only’ and the ‘Misophonia with hyperacusis’ groups. Participants with tinnitus in the 'No DST' group had significantly lower ULL at 4 kHz, with a significant difference between 4 and 1 kHz in their right ear compared to those without tinnitus.The prevalences of past OME history were similar in the three groups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112334"},"PeriodicalIF":1.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855054","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":"Research on sleep disorders in children with episodic idiopathic vertigo provides evidence supporting the connection to migraine","authors":"Mario Faralli ,&nbsp;Giacomo Lupinelli ,&nbsp;Eva Orzan ,&nbsp;Alberto Verrotti Di Pianella ,&nbsp;Giampietro Ricci ,&nbsp;Valeria Gambacorta","doi":"10.1016/j.ijporl.2025.112331","DOIUrl":"10.1016/j.ijporl.2025.112331","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Migraine is the most common etiology of episodic vertigo in pediatric populations. The characteristics of migraine headaches in children differ from those in adults, with initial manifestations frequently presenting as periodic syndromes. Sleep disorders are prevalent among individuals with migraines. Headaches may not be present in early childhood, and children may not easily report aura or phono-photophobia. Therefore, it is essential to identify clinical and anamnesic elements that can support the etiopathogenetic hypothesis of migraine in the assessment of episodic idiopathic vertigo. The objective of this study was to assess the validity of research concerning sleep disorders in children experiencing episodic vertigo, with the aim of providing evidence for a connection to migraine.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The study included 25 participants diagnosed with episodic idiopathic vertigo, including 13 females and 12 males, aged between 5 and 14 years. A range of anamnestic parameters was analyzed, including the presence, type, and age of onset of sleep disorders; the presence, characteristics, and age of onset of headaches; and the presence of a family history of migraine. The data were compared with those of a control group matched for age and sex, which was affected by dysfunctional dysphonia and had no history of vertigo. The comparison of percentage values concerning the parameters under examination was conducted using the chi-square statistic test with Yates correction. A &lt;em&gt;t&lt;/em&gt;-test was employed to compare the means and standard deviations. The significance limit is established for p values ≤ 0.05.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Sleep disorders were present in 15 out of 25 patients (60 %) with episodic vertigo, compared to 3 out of 25 (12 %) in the control group (p = 0.001). Somniloquy is the most prevalent disorder. Headache was reported by 12 out of 25 recruited patients (48 %), with 8 cases classified as migraine-type, 1 as tension-type, and 3 as mixed or indefinite-type. In the control group, 4 out of 25 (16 %) reported headaches, including 1 migraine-type, 2 tension-type, and 1 mixed or indefinite-type (p = 0.03). A family history of migraine was identified in 19 (76 %) of the 25 patients and in 7 (28 %) of the 25 subjects in the control group (p = 0.001). The average age of onset for sleep disorders was 6.28 ± 1.67 years, while for headaches it was 9.25 ± 3.01 years (p = 0.01). The comparative analysis of symptom distribution by patient age indicates that all patients with sleep disorders reported this clinical manifestation by the age of eight years. Conversely, only 26.6 % of these patients reported experiencing the headache for the first time at the same age.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Children with episodic idiopathic vertigo exhibit a high prevalence of sleep disorders, alongside a significant correlation with headaches and a familial history of migraine. In younger","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112331"},"PeriodicalIF":1.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791040","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":"Protocol Implementation for In-Office Manual Tympanostomy Tube Insertion","authors":"Kelly Giroux CPNP-PC ,&nbsp;Logan F. McColl MD, MBA ,&nbsp;Christian Harter BS ,&nbsp;Emily Seitz BS, RN ,&nbsp;Isaac Kistler MS ,&nbsp;Tendy Chiang MD ,&nbsp;Kris Jatana MD ,&nbsp;Charles Elmaraghy MD","doi":"10.1016/j.ijporl.2025.112326","DOIUrl":"10.1016/j.ijporl.2025.112326","url":null,"abstract":"<div><div>Bilateral myringotomy/tympanostomy tube insertion (BTI) can decrease the frequency, severity, and quality of life burden of acute otitis media and chronic otitis media with effusion for pediatric patients and their caregivers. Implementing a practice protocol for in-office BTI (IO-BTI) can benefit patients by eliminating the risks associated with general anesthesia, pre-procedure fasting, and post-anesthetic effects such as emergence delirium. However, adaptation of IO-BTI has largely relied on proprietary devices that may limit cost savings and access to care. The goal of this study was to develop a protocol for manual IO-BTI without single use device to yield the aforementioned benefits, as well as lower health care costs to families and improve access to and timeliness of care. Described is a protocol for manual IO-BTI in an ambulatory clinic setting. The caregivers of 178 pediatric patients who underwent IO-BTI between 04/01/2023-07/31/2024 were administered a binary satisfaction survey. Surgical outcomes such as post-operative pain, early tympanostomy tube extrusion, and tympanostomy tube plugging were examined via retrospective chart review. The cost of BTI with general anesthesia in the operating room (OR) setting, device manual IO-BTI, and IO-BTI with single use devices were also examined. Survey responses demonstrated a 99% post-procedure satisfaction rate among patient caregivers. There were low frequencies of post-operative pain (0.7%), premature tympanostomy tube extrusion (0.8%), and plugging of tympanostomy tubes (1.5%). Gross cost analysis of device manual IO-BTI compared to IO-BTI with single use devices and BTI with general anesthesia in the OR revealed a 1.5x and 6x cost increase, respectively. The presented study demonstrates that manual IO-BTI is safe, feasible, cost effective, and yields high caregiver satisfaction and positive surgical outcomes for pediatric patients.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"192 ","pages":"Article 112326"},"PeriodicalIF":1.2,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric acute mastoiditis: A comparison of patients with and without intracranial complications","authors":"Richmond Laryea ,&nbsp;Wynne Zhang ,&nbsp;Mica Glaun ,&nbsp;Jae Eun Lee ,&nbsp;Justin Dat Nguyen ,&nbsp;Matthew S. Sitton ,&nbsp;Elton M. Lambert","doi":"10.1016/j.ijporl.2025.112329","DOIUrl":"10.1016/j.ijporl.2025.112329","url":null,"abstract":"<div><h3>Objective</h3><div>To assess pediatric patients presenting with acute mastoiditis with and without intracranial complications (ICC)</div></div><div><h3>Methods</h3><div>A case series with retrospective review was performed on pediatric patients who presented to a pediatric tertiary care center with the diagnosis of mastoiditis from 2012 to 2020. All patients had a documented microbiology culture. The main factors compared among patients were bacteria isolated from cultures, antibiotic resistance, and occurrence of intracranial complications of mastoiditis.</div></div><div><h3>Results</h3><div>298 patients with mastoiditis were included in this study with an average age of 8.6 years (SD = 4.45). 41 of those patients presented with at least one intracranial complication (ICC) with the most common being epidural abscess (51 %). 143 (48 %) of patients had a history of acute otitis media prior to presentation, and thirty-eight patients (13 %) had a history of chronic otitis media prior to presentation. Patients with a history of acute otitis media were less likely to develop ICC compared to patients without a history of otologic infections OR: 0.49 (95 % CI = 0.24–0.99), p = 0.047. Patients with history of chronic otitis media were less likely to develop ICC compared to patients with no history of otologic infections OR: 0.20 (95 % CI = 0.04–0.90), p = 0.036. Patients with antibiotic use were more likely to develop ICC compared to antibiotic naïve patients OR: 2.64 (95 % CI = 1.31–5.32) p = 0.006. There was also no significant effect of patient sex, and ethnicity in the development of ICC.</div></div><div><h3>Conclusion</h3><div>The occurrence of intracranial complications from mastoiditis are noted to be higher in patients with no history of otologic infections. Additionally, the occurrence of ICC is noted to be higher among patients with prior antibiotic use.</div><div>Level of evidence: level 4</div></div><div><h3>Level of evidence</h3><div>level 4</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"193 ","pages":"Article 112329"},"PeriodicalIF":1.2,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143814848","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":"Auditory modulation processing in children with mild to moderate hearing loss","authors":"Ferdous Rasouli ,&nbsp;Parisa Jalilzadeh Afshari ,&nbsp;Enayatollah Bakhshi","doi":"10.1016/j.ijporl.2025.112330","DOIUrl":"10.1016/j.ijporl.2025.112330","url":null,"abstract":"<div><h3>Background and objective</h3><div>Children with hearing loss often have difficulty understanding speech in noisy environments like classrooms, leading to educational and communication challenges. Detecting and discriminating auditory spectro-temporal fundamentals is essential for speech comprehension. So, in this study, we investigated how children with mild to moderate hearing loss (MMHL) process these auditory modulations and their relation to speech perception in noise, comparing their performance to that of children with normal hearing.</div></div><div><h3>Methods</h3><div>This cross-sectional study selected 31 children with mild to moderate sensorineural hearing loss (SNHL) and 34 normally hearing (NH) children, aged 8 to 12. After obtaining consent, participants underwent tests, including the Spectral Modulation Ripple Test (SMRT), Amplitude Modulation Detection Tests (AMDTs) at 10, 50, and 200 Hz, and Speech Perception in Noise (SPiN) assessments using Word-in-Noise (WIN) and BKB-SIN tests, conducted monaurally. Results were compared between the two groups, evaluating the effects of hearing loss severity and correlations among the tests, as well as score comparisons from both ears within each group.</div></div><div><h3>Results</h3><div>Significant differences were observed between groups (MMHL and NH) in SMRT, AMDTs, and SPiN tests (p &lt; 0.05), with the NH group scoring better. However, no significant differences were observed between mild and moderate hearing loss (p &gt; 0.05). There was no correlation between SMRT and AMDTs with the WIN test (p &gt; 0.05). Notably, significant correlations were found between SMRT and BKB tests in both groups. Sporadic correlations were also identified between AMDTs at higher rates and BKB results for both groups (p &lt; 0.05). Scores between the two ears showed no significant differences across all tests (p &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Children with Mild to moderate SNHL have a lesser ability to use spectral and temporal modulation information, making it difficult for them to understand speech in noisy environments. Nonverbal spectral and temporal modulation tests require minimal cognitive effort and are valuable for evaluating perceptual disorders and developing auditory rehabilitation programs for these children.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"192 ","pages":"Article 112330"},"PeriodicalIF":1.2,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748714","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":"Trends in pediatric bone conduction hearing device selection according to demographic and socioeconomic factors","authors":"Joseph S. Schertzer ,&nbsp;Priya Arya ,&nbsp;Ashley Catanzarite ,&nbsp;Erin Holman ,&nbsp;Kaitlyn A. Brooks ,&nbsp;Kristan P. Alfonso ,&nbsp;Nandini Govil","doi":"10.1016/j.ijporl.2025.112325","DOIUrl":"10.1016/j.ijporl.2025.112325","url":null,"abstract":"<div><h3>Objectives</h3><div>A variety of bone conduction hearing devices (BCHD) exist for the treatment of conductive hearing loss including percutaneous, passive transcutaneous, and active transcutaneous devices. The purpose of this study was to evaluate trends in selection of pediatric BCHD according to demographic and socioeconomic factors.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was performed on all patients who underwent BCHD placement at a tertiary academic pediatric healthcare system between January 2019 to April 2023. Audiology discussed all BCHD options during the consultation, with families deciding the ultimate device and manufacturer. Data collected for multivariate logistic regression analysis included age, gender, primary language spoken, etiology for hearing loss, and insurance type. Significance was set at p &gt; 0.05.</div></div><div><h3>Results</h3><div>A total of 97 patients were included in the study representing 129 devices. Twenty-eight patients received concurrent bilateral BCHD placement at initial surgery, and four underwent contralateral BCHD placement at a later date. The majority of patients received an active transcutaneous device (Med-El Bonebridge, n = 55; Cochlear Osia, n = 33), three received a passive transcutaneous device (Sophono), and ten patients received percutaneous devices (Ponto Connect, n = 3, Cochlear Connect, n = 7). Multivariate logistic regression analysis was performed on the subset of patients who received active transcutaneous devices (Med-El Bonebridge, n = 37; Cochlear Osia, n = 21) and revealed no significant relationships between demographic and socioeconomic factors and device selection (p &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>There has been a shift towards the active transcutaneous devices at our institution, with comparable audiometric outcomes between the passive transcutaneous and percutaneous devices. Selection of a pediatric BCHD is a complex decision-making process which involves interdisciplinary discussion between the audiologist, surgeon, patient, and caregivers.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"192 ","pages":"Article 112325"},"PeriodicalIF":1.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768469","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":"Trends and predictors of positive surgical margins in pediatric thyroid cancer","authors":"John J. Ceremsak ,&nbsp;Rahul K. Sharma ,&nbsp;Vivian L. Weiss ,&nbsp;Huiying Wang ,&nbsp;Michael C. Topf ,&nbsp;Sarah L. Rohde ,&nbsp;Ryan H. Belcher","doi":"10.1016/j.ijporl.2025.112328","DOIUrl":"10.1016/j.ijporl.2025.112328","url":null,"abstract":"<div><h3>Objective</h3><div>To understand trends in positive margin rates in pediatric thyroid cancer over time and investigate predictors of positive margins.</div></div><div><h3>Study design and setting</h3><div>Retrospective analysis of deidentified National Cancer Database (NCDB) records from 2004 to 2020.</div></div><div><h3>Methods</h3><div>The study cohort included pediatric patients (age 18 or younger) with thyroid cancer with available records in the NCDB. The positive margin rate was calculated by year of diagnosis. Multivariable regression was used to assess for predictors of positive margins. Survival analysis was performed stratified by margin status.</div></div><div><h3>Results</h3><div>We identified 6240 patients who met inclusion criteria. The overall positive margin rate was 15.5 % and did not change significantly over the study period. Positive margins were independently associated with younger age, male gender, total thyroidectomy, papillary histology, and positive lymph node status on multivariable logistic regression models. Hospital volume was not a predictor of positive margin rate. Margin status did not impact overall survival.</div></div><div><h3>Conclusion</h3><div>Positive margins in pediatric thyroid cancer are more likely in younger patients, male patients, those undergoing total thyroidectomy, those with lymph node metastasis, and those with papillary thyroid carcinoma. Hospital volume is not associated with positive margin rate. Positive margins do not impact overall survival in this patient population.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"192 ","pages":"Article 112328"},"PeriodicalIF":1.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759605","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}