International journal of pediatric otorhinolaryngology最新文献

{"title":"Gender-specific acoustic profile of male children aged 10–15 years: Fundamental frequency and formant changes","authors":"Raveendran Revathi , M.B. Shivani , H.J. Sanjana , P. Prathiksha","doi":"10.1016/j.ijporl.2026.112709","DOIUrl":"10.1016/j.ijporl.2026.112709","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112709"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922392","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":"KLiP: A neural network-based surveillance tool for early identification of listening difficulties in children aged 3–6 years","authors":"Yu-Chen Hung ,&nbsp;Yi-ping Chang ,&nbsp;Yi-Chih Chan ,&nbsp;Ming Lo ,&nbsp;Pin-Chun Chen ,&nbsp;Shu-Ting Chang ,&nbsp;Yongfu Liao ,&nbsp;Hsuan-Mei Hong","doi":"10.1016/j.ijporl.2025.112700","DOIUrl":"10.1016/j.ijporl.2025.112700","url":null,"abstract":"<div><h3>Purpose</h3><div>To develop and validate a neural network-based Kid’s Listening Performance Checklist (KLiP) for early identification of listening difficulties in children aged 3-6 years, and to evaluate its effectiveness as a surveillance tool in real-world settings.</div></div><div><h3>Methods</h3><div>Development followed a multi-phase process: (1) systematic resource review to create preliminary items, (2) expert evaluation for content validity (7 experts), (3) assessment of inter-rater reliability between parents and teachers (182 parent-teacher pairs), (4) discriminant validity testing, (5) neural network model development trained on data from 341 children (202 with typical hearing, 139 with hearing loss), and (6) real-world validation testing with 71 parent-child pairs who completed both KLiP and hearing screening.</div></div><div><h3>Results</h3><div>The KLiP checklist comprises eight discriminating behavioral items and six risk factors. The neural network model achieved 90% sensitivity and 97% specificity in distinguishing between children with and without hearing loss in the development dataset. In preliminary real-world testing, high KLiP scores (≥0.5) appeared to identify children requiring further audiological attention, while low scores (&lt;0.5) strongly indicated typical hearing abilities in children without developmental concerns.</div></div><div><h3>Conclusions</h3><div>This preliminary study suggests that KLiP may demonstrate potential as a first-line surveillance tool for identifying listening difficulties in preschool children. Beyond surveillance, its implementation as an online platform with automated risk assessment and educational resources promotes awareness of listening difficulties among parents and teachers, supporting early identification within the pediatric hearing healthcare framework.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"201 ","pages":"Article 112700"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881801","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 care improves hearing intervention rates in children with microtia","authors":"Brandon D. Abell ,&nbsp;Marta Kulich ,&nbsp;Kaitlin E. Olson ,&nbsp;Megan E. Hedman ,&nbsp;Kirsten H. Adkisson ,&nbsp;Peggy E. Kelley ,&nbsp;Sarah A. Gitomer","doi":"10.1016/j.ijporl.2025.112672","DOIUrl":"10.1016/j.ijporl.2025.112672","url":null,"abstract":"<div><h3>Objectives</h3><div>Children with microtia/atresia (M-A) have a spectrum of complex and longitudinal needs which we aim to address at our center's innovative Multidisciplinary Clinic (MDC). Children attending the MDC see multiple specialists on the same day and participate in an inter-disciplinary discussion. The aim of this study was to compare patient characteristics, treatment choices, and outcomes between MDC and non-MDC patients.</div></div><div><h3>Methods</h3><div>This was a retrospective cohort study of patients with M-A treated at a tertiary children's hospital between 2001 and 2022. Demographic, socioeconomic, and clinical factors were compared between MDC and non-MDC patients.</div></div><div><h3>Results</h3><div>507 children with microtia and/or atresia were included, 319 (63 %) of which attended the MDC. The two cohorts did not significantly differ in sex, race, ethnicity, insurance status, language, distance from the MDC, or the Distressed Communities Index. MDC patients had higher rates of both non-surgical (82.1 % vs. 53.7 %; p &lt; 0.001) and transcutaneous surgical bone-amplification (40.6 % vs. 18.3 %; p &lt; 0.001). Additionally, median age at first non-surgical bone amplification fitting was significantly lower in MDC patients (0.8 years vs. 2.5 years, p = 0.011). Device compliance and functional or reconstructive surgery rates were similar between groups.</div></div><div><h3>Conclusion</h3><div>To date, this is the largest study of interdisciplinary M-A care. In this model, children have improved outcomes: they are more likely to receive a bone amplification hearing device and were fitted with non-surgical bone amplification devices at younger ages. It is worthwhile to promote early referral to the MDC, as well as implement similar multidisciplinary programs at other institutions.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112672"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145683162","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":"In Memoriam – Prof. Livije Kalogjera, MD, PhD (1957–2025)","authors":"","doi":"10.1016/j.ijporl.2025.112668","DOIUrl":"10.1016/j.ijporl.2025.112668","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112668"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800475","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":"Investigation of the effects of adenoidectomy and tonsillectomy on craniofacial morphology and physical growth in children with obstructive sleep apnea","authors":"Nao Hesaka ,&nbsp;Yosuke Shimamura ,&nbsp;Konomi Ikeda ,&nbsp;Kiyoe Shimizu ,&nbsp;Shintaro Chiba","doi":"10.1016/j.ijporl.2025.112673","DOIUrl":"10.1016/j.ijporl.2025.112673","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effects of adenoidectomy and tonsillectomy (AT) on craniofacial morphology and physical growth in children with obstructive sleep apnea (OSA).</div></div><div><h3>Study design</h3><div>Retrospective cohort study.</div></div><div><h3>Methods</h3><div>Forty-two children diagnosed with OSA by polysomnography (PSG) were divided into surgical (AT, n = 28) and nonsurgical (n = 14) groups. Cephalometric parameters and height/weight standard deviations (SDs) were compared pre- and post-intervention.</div></div><div><h3>Results</h3><div>Significant changes in mandibular parameters (SNB, Facial Axis, FMA) were observed post-AT (p &lt;0.0005, p &lt;0.0005, p = 0.004, respectively). In univariate logistic regression analyses, age at the time of surgery(cut-off 5.5 years) and A/N ratio(cut-off 0.75) were significantly associated with postoperative improvement in height SD.</div></div><div><h3>Conclusion</h3><div>AT may enhance mandibular growth and be associated with improved height development in children OSA, particularly in younger children. These findings are exploratory and require confirmation in larger, prospective studies.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112673"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145768008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Determinants of quality of life in post lingually defeaned Cochlear implant users” [Int. J. Pediatr. Otorhinolaryngol. (99), December 2025, 112659]","authors":"Boon Chin Te ,&nbsp;Noor Dina Hashim ,&nbsp;Asma Abdullah ,&nbsp;Bee See Goh ,&nbsp;Wan Fazlina Wan Hashim","doi":"10.1016/j.ijporl.2025.112667","DOIUrl":"10.1016/j.ijporl.2025.112667","url":null,"abstract":"<div><h3>Objectives</h3><div>Cochlear implant (CI) is an essential rehabilitative intervention for individuals with severe to profound hearing loss. This study aimed to assess the quality of life (QOL) and to identify potential factors influencing the QOL among post-lingually deafened CI recipients.</div></div><div><h3>Subjects and methods</h3><div>A cross-sectional study was conducted involving 58 post-lingual CI recipients with at least one year of implant experience. Demographic and CI-related data were collected. Auditory performance and speech intelligibility were evaluated using CAP II and SIR, while QOL was assessed using the WHOQOL-BREF questionnaire. Simple linear regression analyses were performed to investigate the associations between patients’ characteristics and the four WHOQOL-BREF domains (physical health, psychological, social relationships and environment).</div></div><div><h3>Results</h3><div>The mean participant age was 32.95 (sd ± 18.27) years. Longer CI usage was significantly associated with better physical domain experience (b: 0.076; 95 %CI 0.01 to 0.14), whilst longer duration of deafness prior to implant negatively predicted environmental domain scores (b: −0.08; 95 %CI −0.12 to −0.34). Achieving verbal communication was associated with an 8.321-point increase in the environmental domain score (95 % CI 0.68 to 15.96). No significant determinants were identified for the psychological domain. Daily CI usage, CAP II and SIR score, monthly income level, CI laterality, and surgical complications had no significant association with any domain.</div></div><div><h3>Conclusion</h3><div>CI enhances QOL in individuals with severe to profound hearing loss. Key positive determinants of QOL include shorter duration of deafness, longer CI experience and use of verbal communication. These findings underscore the importance of early implantation and effective post implant auditory rehabilitation in improving patient outcomes.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112667"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145660955","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":"Cleft lip/palate multidisciplinary team effectiveness on appropriate surgery timing and improving disparities","authors":"Hrithik Praveen ,&nbsp;Nomongo Dorjsuren ,&nbsp;Nick De Oliveira ,&nbsp;Stephane Braun ,&nbsp;Izabela Galdyn ,&nbsp;Michael Golinko ,&nbsp;Matthew Pontell ,&nbsp;James D. Phillips ,&nbsp;Ryan H. Belcher","doi":"10.1016/j.ijporl.2025.112676","DOIUrl":"10.1016/j.ijporl.2025.112676","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112676"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145787235","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 management of severe pediatric salivary gland disorders: 10-year single center experience","authors":"Aidan Vanek ,&nbsp;Jemma Maynard ,&nbsp;Kolapo Dairo ,&nbsp;Zialesi Adissem ,&nbsp;Megan McNutt ,&nbsp;Isaac Kistler ,&nbsp;Alexandra Gach ,&nbsp;Justin Sherrer ,&nbsp;Prasanth Pattisapu ,&nbsp;Tendy Chiang ,&nbsp;Jonathan M. Grischkan","doi":"10.1016/j.ijporl.2025.112680","DOIUrl":"10.1016/j.ijporl.2025.112680","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112680"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145734475","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":"Behavioral and socio-emotional profiles in early-school-age children with cochlear implants versus normal-hearing peers","authors":"Yuşa Başoğlu ,&nbsp;İlayda Başoğlu ,&nbsp;Gül Ölçek","doi":"10.1016/j.ijporl.2025.112653","DOIUrl":"10.1016/j.ijporl.2025.112653","url":null,"abstract":"<div><h3>Objective</h3><div>To compare teacher-reported socio-emotional and behavioral functioning in early-school-age children with cochlear implants (CI) versus normal-hearing (NH) peers using the Child Behavior Assessment Scale (CBAS), and to test whether group differences persist after adjustment for socioeconomic factors.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, 80 children aged 5–6 years were enrolled (CI = 40; NH = 40). Teachers completed CBAS subscales (Adjustment, Social Anxiety, Rule-breaking Behaviors) and total score. Between-group comparisons used Mann–Whitney U tests. ANCOVA on CBAS total adjusted for maternal education, paternal education, and household income. Exploratory correlations within the CI group examined age and clinical durations.</div></div><div><h3>Results</h3><div>Compared with NH peers, the CI group showed lower Adjustment (mean ± SD: 61.45 ± 15.46 vs 80.95 ± 6.56; p &lt; .001) and higher Social Anxiety (64.20 ± 13.27 vs 34.28 ± 7.02; p &lt; .001) and Rule-breaking Behaviors (113.33 ± 26.77 vs 61.08 ± 15.98; p &lt; .001). CBAS total was higher in the CI group (238.98 ± 48.22) than NH (176.30 ± 17.10; p &lt; .001). In ANCOVA, the CI versus NH effect on CBAS total remained significant (F(1,75) = 33.846, p &lt; .001; partial η² = 0.311), while socioeconomic covariates were not significant. Within the CI group, child age correlated positively with Rule-breaking Behaviors (r = 0.331, p = .037).</div></div><div><h3>Conclusions</h3><div>At school entry children with CI showed higher levels of socio-emotional and behavioral difficulties compared to NH peers; however, these findings should be interpreted with caution given the sample size and cross-sectional design. The results support routine psychosocial surveillance and targeted supports within CI follow-up and school settings.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112653"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145677562","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":"Social risk factors of recurrent croup","authors":"J.B. Eyring ,&nbsp;Brandon M. Hemeyer ,&nbsp;Wesley P. Allen ,&nbsp;Christopher Stewart ,&nbsp;Quinn T. Orb ,&nbsp;Jeremy D. Meier ,&nbsp;Reema Padia","doi":"10.1016/j.ijporl.2025.112682","DOIUrl":"10.1016/j.ijporl.2025.112682","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate associations between recurrent croup and neighborhood-level social determinants of health, including socioeconomic status, education, physical infrastructure, environmental exposure, and healthcare access.</div></div><div><h3>Methods</h3><div>We conducted a retrospective study of 252 recurrent and 594 isolated pediatric croup cases from seven hospitals and ten otolaryngology clinics across two health systems. Patient addresses were geocoded and linked to the Agency for Healthcare Research and Quality's Social Determinants of Health database. Multivariate logistic regression was used to assess associations between recurrent croup and neighborhood-level socioeconomic, environmental, and access-related factors.</div></div><div><h3>Results</h3><div>Patients with recurrent croup were younger (mean age 3.30 years vs. 4.84 years for isolated croup, p &lt; .0001), and lived in areas of lower household income (p &lt; .05) and educational attainment (p &lt; .01). There were no significant differences in population density, air pollution, or distance to emergency departments between recurrent and isolated croup.</div></div><div><h3>Conclusions</h3><div>Social determinants of health, particularly lower household income and education, were associated with recurrent croup. Physicians should consider these factors in the management of recurrent croup and engage in shared decision-making with parents to improve outcomes. Further research is needed to investigate additional environmental and demographic factors.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"200 ","pages":"Article 112682"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145762741","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}