International journal of pediatric otorhinolaryngology最新文献

{"title":"The effects of maturation on auditory brainstem response latencies and amplitudes using CE-Chirp® LS stimulus in a pediatric population","authors":"Büşra Kaynakoğlu , İrem Sendesen , Eser Sendesen","doi":"10.1016/j.ijporl.2026.112711","DOIUrl":"10.1016/j.ijporl.2026.112711","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112711"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922391","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":"Associations between apnea-hypopnea index score and desaturation events during anesthesia induction in pediatric tonsillectomy patients: A retrospective analysis","authors":"Sarah Kim , Bailey Balouch , Spencer Clements , Bryant Wang , Ajay Singh , Donald Solomon","doi":"10.1016/j.ijporl.2026.112708","DOIUrl":"10.1016/j.ijporl.2026.112708","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112708"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911515","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":"Role of acoustic rhinometry in assessing severe adenoid hypertrophy in children with obstructive sleep apnea syndrome","authors":"Lin Su, Jun Xu, Zilong He, Guiliang Huang, Mingrong Nie, Changzhi Sun","doi":"10.1016/j.ijporl.2025.112703","DOIUrl":"10.1016/j.ijporl.2025.112703","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112703"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881803","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":"Outcomes of sialendoscopy in the management of juvenile recurrent parotitis: A systematic review and meta-analysis","authors":"Raisa Chowdhury , Ostap Orishchak , Nasser K. Almutairi , Mark Khoury , Sabrina Wurzba , Sam J. Daniel","doi":"10.1016/j.ijporl.2025.112690","DOIUrl":"10.1016/j.ijporl.2025.112690","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112690"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808536","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":"Volumetric airway changes in adolescents treated with mini-screw assisted rapid palatal expansion (MARPE)","authors":"R Nithin Vaishag ,&nbsp;Sapna Varma N.K ,&nbsp;Renuka Balu ,&nbsp;Rahul D. Prabha ,&nbsp;Ajith V.V","doi":"10.1016/j.ijporl.2025.112705","DOIUrl":"10.1016/j.ijporl.2025.112705","url":null,"abstract":"<div><h3>Objective</h3><div>Reduced airway dimensions of the upper pharynx due to transverse maxillary deficiency has a prevalence of 18 % among young adults. Bone anchored palatal expansion with miniscrew assisted rapid maxillary expansion (MARPE) appliance has expanded the envelope of treatment options available to treat maxillary constriction in adolescents and young adults. The purpose of the study was to evaluate the volumetric changes in airway dimensions following MARPE and to correlate clinical airway changes using flexible nasopharyngoscopy.</div></div><div><h3>Methods</h3><div>Ten adolescents (aged 15–20 years) with transverse maxillary deficiency satisfying the inclusion criteria were selected for the study and treated with MARPE. The changes with MARPE in dental, skeletal, and airway dimensions were evaluated clinically and radiographically with flexible nasopharyngoscopy and cone-beam computed tomography (CBCT) respectively. The volumetric changes were compared using paired sample <em>t</em>-test and the change in airway collapse was compared using Pearson Chi-square test.</div></div><div><h3>Results</h3><div>A significant increase in intermolar distance, interpremolar distance, maxillary inter-buccal and inter-lingual distance, molar bucco-lingual angulation, nasopharyngeal volume, and total airway volume was seen post expansion. Oropharyngeal volume and minimum cross-sectional area, showed a volumetric increase. Clinical evaluation showed a significant improvement in the airway collapse at the level of oropharynx. This corresponded with the findings of the radiographic evaluation.</div></div><div><h3>Conclusion</h3><div>The study results showed a significant improvement in nasopharyngeal and total airway volume following MARPE with significant improvement in pharyngeal airway in the region of oropharynx. MARPE can be recommended as a promising therapy for airway constriction in adolescents and young adults.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112705"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145862990","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":"Recurrent post-tonsillectomy bleeding in pediatric patients","authors":"Kathleen R. Billings ,&nbsp;Sydney J. Sachse ,&nbsp;Saied Ghadersohi ,&nbsp;Achilles A. Kanaris ,&nbsp;Rachel L. Schappacher ,&nbsp;Rachel D. Yoon ,&nbsp;Alexander J. Szymczak ,&nbsp;Inbal Hazkani","doi":"10.1016/j.ijporl.2026.112720","DOIUrl":"10.1016/j.ijporl.2026.112720","url":null,"abstract":"<div><h3>Objective</h3><div>Post-tonsillectomy hemorrhage is a common risk after tonsillectomy. The goal of this study is to analyze the rate of recurrent PTH (R-PTH), and to determine potential risk factors for recurrent bleeding.</div></div><div><h3>Methods</h3><div>Retrospective cohort study of patients &lt;18 years of age evaluated at a tertiary care pediatric hospital for PTH. Risk factors for patients with R-PTH episodes were evaluated, when compared to patients with a single bleeding episode. An assessment of healthcare utilization in those with R-PTH was performed.</div></div><div><h3>Results</h3><div>Among 18,819 tonsillectomies performed in the study period, 382 (2.0 %) had a PTH. Of these, 42 patients (11.0 %) experienced R-PTH: 35 patients (9.2 %) with two bleeding episodes, and 7 patients (1.8 %) with three. Patients with R-PTH were male (n = 26, 61.9 %), Hispanic/Latino (n = 19, 45.2 %), and English-speaking (n = 33, 78.6 %). The overall risk of R-PTH following tonsillectomy was 0.2 %, and the relative risk of R-PTH after an initial PTH was 5.4 times. None of the factors analyzed were found to have a significant association with R-PTH, although a greater proportion of patients with R-PTH were found to have a history of chronic tonsillitis (21.4 % vs 14.4 %). Healthcare utilization, an aggregate measurement of primary care, otolaryngology, telemedicine, and emergency department visits unrelated to PTH, was significantly higher in R-PTH patients (2.5 vs. 1.8 occurrences, <em>p</em> = 0.023).</div></div><div><h3>Conclusions</h3><div>The rate of R-PTH was small (0.2 %), although those patients with an initial PTH had a relative risk of 5.4 for a R-PTH episode. No clear risk factors for R-PTH were identified. Increased healthcare utilization was noted in those with R-PTH.</div></div><div><h3>Level of evidence</h3><div>4.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112720"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145966036","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 use of MEK inhibitors in pediatric patients presenting with respiratory distress and laryngeal Rosai-Dorfman Disease: Two case reports","authors":"Sarah Van der Elst ,&nbsp;Carolyn Fein Levy ,&nbsp;Morris Edelman ,&nbsp;Nika Finelt ,&nbsp;Lee P. Smith ,&nbsp;Neha A. Patel","doi":"10.1016/j.ijporl.2026.112710","DOIUrl":"10.1016/j.ijporl.2026.112710","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112710"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911503","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 post-operative outcomes following posterior versus anterior tympanostomy tube placement: preliminary results at 2–12 week follow-up","authors":"Kristen Zayan ,&nbsp;Amber Shaffer ,&nbsp;Marina Rushchak ,&nbsp;Raymond Maguire ,&nbsp;Dennis Kitsko ,&nbsp;Cuneyt Alper ,&nbsp;Jeffrey Simons ,&nbsp;Noel Jabbour ,&nbsp;Allison Tobey ,&nbsp;Joseph Dohar ,&nbsp;Amanda Stapleton ,&nbsp;Rachel Whelan ,&nbsp;Zachary Bennett ,&nbsp;David Chi","doi":"10.1016/j.ijporl.2025.112704","DOIUrl":"10.1016/j.ijporl.2025.112704","url":null,"abstract":"<div><h3>Introduction</h3><div>Tympanostomy tubes (TTs) are a common otolaryngologic procedure. Historically, tubes placed in the anterior inferior (AI) quadrant were thought to last longer, reduce ossicular damage, and minimize hearing loss. However, perforation risk remains at 2–16 %. AI perforations may require more complicated repair compared to PI perforations. This study aims at comparing early hearing outcomes between AI and PI TT placement after 3 months.</div></div><div><h3>Methods</h3><div>Randomized controlled trial was conducted at a tertiary pediatric hospital. Children (6 months–14 years) undergoing initial TT placement were randomized to receive a tube in AI in one ear and a tube in the PI quadrant in the opposite ear. Exclusion criteria included non-RAOM indications, tube type other than Armstrong, anatomical abnormalities, or genetic conditions. Audiometry and caregiver questionnaires at 3-month follow-up were analyzed using McNemar's Chi-squared test.</div></div><div><h3>Results</h3><div>Of 386 enrolled, 118 completed audiometry (73 with ear-specific data). Only one patient had mild hearing loss (30 dB PTA at 500 Hz) in the PI ear. Tympanometry in 41 participants showed similar rates of flattened admittance: 9.8 % in PI vs. 7.3 % in AI (OR: 1.00). Caregivers of 303 participants reported tube blockage in 5.6 % (PI) vs. 5.9 % (AI) and otorrhea in 25.7 % (PI) vs. 24.4 % (AI). Provider forms for 86 patients showed similar occlusion rates. Tube patency could not be assessed in 41.9 % of PI vs. 3.5 % of AI tubes due to visualization limitations.</div></div><div><h3>Conclusion</h3><div>No significant differences in hearing, tube extrusion, or function were observed between AI and PI TT placement at first follow-up.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112704"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145878391","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":"Impact of anesthetics choice on auditory brainstem response testing in children: A systematic review","authors":"Quan Lu ,&nbsp;Loga Iyer ,&nbsp;Surbhi Srinivas ,&nbsp;Anita Jeyakumar","doi":"10.1016/j.ijporl.2026.112714","DOIUrl":"10.1016/j.ijporl.2026.112714","url":null,"abstract":"<div><h3>Objective</h3><div>Critically appraise the literature for anesthetic agents and routes of administration and their impacts on successful sedation and auditory brainstem response (ABR) testing outcomes in children.</div></div><div><h3>Methods</h3><div>Searches of PubMed, Cochrane, and Web of Science for all available literature, last accessed February 2025, using “auditory brainstem response”, “anesthesia”, “anesthetic”, “IV anesthesia”, “volatile anesthesia”, “oral anesthesia”, “pediatric”, “sevoflurane”, and “hearing loss” with “AND”. Non-English, non-pediatric, studies unrelated to anesthetic agents and ABR were excluded.</div></div><div><h3>Results</h3><div>510 studies screened, 24 included (6053 patients (35.2 % female)). Eight studies with 282 patients reported the impact of different anesthetics on ABR waveforms, and sixteen with 5771 participants reported the rate of successful sedation. Sixty-nine patients from three studies demonstrated no significant difference in waveforms among different anesthetic agents. Four studies with 144 participants reported significant alterations of waveforms between pharmacologic and non-anesthetized groups. One study with 79 participants found that sevoflurane produced more false positives, resulting in more severe hearing loss diagnoses than propofol. Anesthetic agents with various routes of administration demonstrated different levels of efficacy in achieving sedation, with IV propofol and intranasal dexmedetomidine exhibiting improved performance.</div></div><div><h3>Conclusion</h3><div>Current literature demonstrates the use of multiple anesthetic agents and routes of administration during ABR testing in children with varying degrees of successful sedation and extent of impact on ABR waveforms. Limited data suggest that IV propofol is highly effective in achieving sedation with a lower impact on ABR testing outcomes. Nevertheless, further investigation is required to guide anesthetic selection during ABR testing in children.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112714"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922390","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":"Cervical and ocular vestibular-evoked myogenic potentials induced by bone conduction in the pediatric group: Test–Retest reliability and validity","authors":"Deniz Uğur Cengi̇z ,&nbsp;Sanem Can Sarioğlu ,&nbsp;Buşra Mazooğlu ,&nbsp;Almıla Avşar Demi̇r ,&nbsp;Mehmet Aslan","doi":"10.1016/j.ijporl.2025.112702","DOIUrl":"10.1016/j.ijporl.2025.112702","url":null,"abstract":"<div><h3>Background</h3><div>It is better to perform the VEMP test with bone conduction stimulus in the pediatric group, where conduction-type pathologies can be frequently observed.</div></div><div><h3>Aim</h3><div>This study aimed to establish normative values of the Vestibular-Evoked Myogenic Potential (VEMP) test in pediatric individuals using bone-conduction stimuli at different frequencies (250 Hz, 500 Hz, 750 Hz) and to evaluate its test–retest reliability.</div></div><div><h3>Materials and methods</h3><div>This study employed a descriptive design and included 37 healthy individuals aged 8–18 years. Cervical VEMP and ocular VEMP tests were conducted using a B-71 bone vibrator that delivered tone-burst stimuli at frequencies of 250, 500, and 750 Hz at 60 dB nHL. The first test was administered by one clinician, and the second test was conducted by another clinician one week later. Test–retest analysis evaluated wave latencies, interlatencies, amplitudes, and amplitude asymmetry values. Since the data showed normal distribution, parametric tests were used; within-group comparisons were analyzed with paired t-tests, between-group comparisons with independent t-tests, and ICC values were calculated to assess reliability.</div></div><div><h3>Results</h3><div>In cervical VEMP using bone-conduction stimuli, the intraclass correlation coefficient (ICC) values for the assessment parameters ranged from 0.60 to 0.87 at 250 Hz, from 0.54 to 0.74 at 500 Hz, and from 0.50 to 0.78 at 750 Hz. In ocular VEMP using bone-conduction stimuli, the ICC values ranged from 0.60 to 0.84 at 250 Hz, from 0.68 to 0.84 at 500 Hz, and from 0.65 to 0.79 at 750 Hz.</div></div><div><h3>Conclusion</h3><div>Cervical and ocular VEMP tests using bone-conduction stimuli are reliable methods for evaluating the functional integrity of the vestibular system in pediatric populations.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112702"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881802","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}