International journal of pediatric otorhinolaryngology最新文献

{"title":"Cochlear implantation in patients with keratitis-ichthyosis-deafness syndrome: A systematic review","authors":"Alexa N. Pearce,&nbsp;Soroush Farsi,&nbsp;Carissa C. Saadi,&nbsp;Alaina D. Baggett,&nbsp;John L. Dornhoffer,&nbsp;Robert A. Saadi","doi":"10.1016/j.ijporl.2025.112530","DOIUrl":"10.1016/j.ijporl.2025.112530","url":null,"abstract":"<div><h3>Objective</h3><div>Keratitis-Ichthyosis-Deafness (KID) syndrome is a rare congenital disorder characterized by vascularizing keratitis, hyperkeratosis, and profound sensorineural hearing loss. Skin debris and chronic otitis may render conventional hearing aids ineffective, and visual impairment may preclude use of sign language. This study assesses the unique challenges and outcomes associated with cochlear implantation (CI) in this patient population.</div></div><div><h3>Data sources</h3><div>Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol, PubMed, Web of Science, and Embase were queried from each database's inception to present day (November 2024) for articles describing CI outcomes in KID syndrome patients.</div></div><div><h3>Review methods</h3><div>Studies were examined for participant demographics, age at time of CI, lateralization of CI, previous hearing aid use, CI model, and follow-up length. A qualitative synthesis of post-operative complications and long-term outcomes was employed for all studies.</div></div><div><h3>Results</h3><div>Of 224 abstracts initially identified, 9 met the inclusion criteria, comprising 13 patients and 17 ears. Notable complications included postoperative infection (30.8 %, n = 4) and superficial wound dehiscence (15.4 %; n = 2). One patient required revision surgery with local tissue rearrangement, and one other patient was offered revision due to complications but refused. Ten ears (58.8 %) had very limited or no complications after CI. The average hearing improvement was 45 dB (28 dB–60 dB).</div></div><div><h3>Conclusion</h3><div>CI in patients with KID syndrome presents distinctive challenges but is a safe and effective treatment option. Close monitoring of the postoperative incision is advised to expediently manage any wound healing issues, but long-term results appear to be successful in most cases.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"197 ","pages":"Article 112530"},"PeriodicalIF":1.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922092","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 protective and therapeutic effects of coenzyme Q10 on acoustic trauma-induced hearing loss in rats","authors":"Togay Müderris ,&nbsp;Oben Yıldırım ,&nbsp;Tankut Uzun ,&nbsp;Serpil Mungan Durankaya ,&nbsp;Nesibe Kahraman Çetin ,&nbsp;Günay Kırkım ,&nbsp;Osman Yılmaz","doi":"10.1016/j.ijporl.2025.112534","DOIUrl":"10.1016/j.ijporl.2025.112534","url":null,"abstract":"<div><h3>Background</h3><div>Acoustic trauma is a process in which the sound energy coming into the ear is so high that it causes hearing loss. Although various treatments have entered clinical practice today, studies on the prevention and treatment of acoustic trauma continue. In our study, we investigated the protective and therapeutic effects of CoQ10 in rats with hearing loss due to acoustic trauma.</div></div><div><h3>Materials and method</h3><div>35 Wistar-type Albino rats were used in the study. The rats were randomly divided into five equal groups. The groups are the acoustic trauma group (group 1), the ethanol (solvent of CoQ10) group (group 2), the group given CoQ10 treatment after acoustic trauma (group 3), the control group (group 4), and the group given CoQ10 both before and after acoustic trauma (group 5). At the beginning of the experiment, after CoQ10 treatment and after acoustic trauma, the ABR test was performed in accordance with the experimental plan. At the end of the treatment, ABR was performed on all subjects and the subjects were sacrificed and their bilateral cochleas were excised. Cochleas were examined histopathologically.</div></div><div><h3>Results</h3><div>Hearing thresholds in the ABR performed on the last day of the study of rats that received CoQ10 after acoustic trauma and those that received CoQ10 both before and after acoustic trauma were significantly better than the measurements on the first day after acoustic trauma(p &lt; 0.05). In histopathological examination, it was observed that the rats in group 5 had more outer hair cells than those in groups 1 and 3. Marginal cell loss in the stria vascularis was less, and nuclear degeneration in the spiral ganglia was less.</div></div><div><h3>Conclusion</h3><div>In our study, it was determined that CoQ10 had both a protective and therapeutic effect on hearing loss due to acoustic trauma. Better ABR results were obtained in the group given CoQ10 both before and after acoustic trauma.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"197 ","pages":"Article 112534"},"PeriodicalIF":1.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922588","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 “Neurodevelopmental impact of congenital cytomegalovirus in children with cochlear Implants” [Int. J. Pediatr. Otorhinolaryngol. 180 (2024) 111939]","authors":"Marie Reynders ,&nbsp;Kristin Kerkhofs ,&nbsp;Annabel Heyndrickx ,&nbsp;Kirana Noerens ,&nbsp;Ina Foulon","doi":"10.1016/j.ijporl.2025.112438","DOIUrl":"10.1016/j.ijporl.2025.112438","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"197 ","pages":"Article 112438"},"PeriodicalIF":1.3,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954151","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":"Visualizing natural sleep state during nasolaryngoscopy in infants: A feasibility study","authors":"Vanessa Helou ,&nbsp;Nicholas Oberlies ,&nbsp;Amber D. Shaffer ,&nbsp;Rachel Whelan ,&nbsp;Sanjay R. Patel ,&nbsp;Noel Jabbour","doi":"10.1016/j.ijporl.2025.112538","DOIUrl":"10.1016/j.ijporl.2025.112538","url":null,"abstract":"<div><h3>Introduction</h3><div>Otolaryngology consultation for infant airway obstruction is common, with nasolaryngoscopy being the primary diagnostic tool. However, traditional awake nasolaryngoscopy is often limited by infant crying and brief examinations. A more detailed drug-induced sleep endoscopy requires anesthesia and operating room resources. This study explores Time-Induced Sleep Endoscopy (TISE) as a relatively brief, non-invasive alternative for evaluating sleep-related airway dynamics in infants.</div></div><div><h3>Methods</h3><div>This prospective study enrolled infants under three months of age at UPMC Children's Hospital of Pittsburgh. Hospitalized infants requiring bedside flexible nasolaryngoscopy for airway evaluation were eligible. A flexible nasolaryngoscope was inserted nasally and left in place until the infant fell asleep with a 5-min cut-off. Endoscopic videos were scored for airway obstruction while awake and asleep by two pediatric otolaryngologists using the Sleep Endoscopy Rating Scale. Demographics and time to sleep were recorded. Logistic regression examined factors associated with successful TISE. Inter-rater reliability was assessed using Cohen's Kappa.</div></div><div><h3>Results</h3><div>Among 19 infants (median post-menstrual age at evaluation: 40.3 weeks, range: 37.1–51.5), TISE was successful in 11 (57.9 %), with an average time to sleep of 3.1 min. Infants younger than three weeks were eight times more likely to fall asleep compared to older infants (OR = 8.00, 95 % CI: 1.00–63.96, <em>p=.048</em>). Compared to awake endoscopy, TISE revealed higher frequency of airway obstruction, particularly for hypopharyngeal obstruction (100 % compared to 18 %, <em>p=.004</em>). Inter-rater reliability was moderate for awake endoscopy (κ = 0.55) and fair for TISE (κ = 0.38).</div></div><div><h3>Conclusion</h3><div>TISE can allow for visualization of sleep-related airway obstruction in some infants. Further validation is needed for broader use.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"197 ","pages":"Article 112538"},"PeriodicalIF":1.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906997","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":"Environmental sustainability in pediatric otolaryngology: An international survey of operating room practice patterns","authors":"Nick Teller ,&nbsp;Kalpesh Hathi ,&nbsp;Claire A. Wilson ,&nbsp;Jacob Davidson ,&nbsp;Anthony De Luca ,&nbsp;Neil K. Chadha ,&nbsp;Sohit Kanotra ,&nbsp;Eric Levi ,&nbsp;Mat Daniel ,&nbsp;Scott M. Rickert ,&nbsp;Thomas Schrepfer ,&nbsp;Niall Jefferson ,&nbsp;Julie Strychowsky","doi":"10.1016/j.ijporl.2025.112532","DOIUrl":"10.1016/j.ijporl.2025.112532","url":null,"abstract":"<div><h3>Objectives</h3><div>The primary objective of this study was to evaluate international practice patterns related to environmental sustainability in pediatric otolaryngology ORs, with a focus on the use of single-use versus reusable supplies.</div></div><div><h3>Methods</h3><div>An electronic survey was distributed using REDCap to members of an international pediatric otolaryngology WhatsApp group (n = 324). The survey included multiple-choice, Likert-scale, and open-ended questions regarding drape, gown, and glove usage for adenotonsillectomy, ear tube insertion, and laryngoscopy/bronchoscopy procedures, and broader sustainability practices including barriers and enablers.</div></div><div><h3>Results</h3><div>Response rate was 16.0 % (n = 52/324). Respondents were from North America (30.8 %), Europe (25.0 %), Australia/New Zealand (23.1 %), Asia (15.4 %), South America (3.8 %), and Africa (1.9 %). For adenotonsillectomy 61.5 % reported using single-use patient drapes, 61.5 % use single-use table drapes, and 44.2 % use single-use gowns. For ear tube insertions, single-use table drapes (53.8 %) were most frequently reported; single-use patient drapes (38.4 %) and gowns (21.2 %) were less common. For laryngoscopy/bronchoscopy, the majority did not use patient drapes (31.4 %) or gowns (32.7 %), while 62.8 % use single-use table drapes. Top barriers to improving sustainability in the OR were cost (51.9 %) and infection prevention and control (IPAC) practices (44.2 %). Enablers included sufficient technological (46.2 %) and financial (36.6 %) resources, dedicated policies (30.8 %), and supportive leadership (34.6 %).</div></div><div><h3>Conclusion</h3><div>There remains a strong reliance on single-use materials in pediatric otolaryngology ORs globally. Cost, IPAC, education, and leadership are important considerations in sustainability efforts. These findings identify actionable targets for waste reduction and support the need for specialty-specific sustainability interventions.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"197 ","pages":"Article 112532"},"PeriodicalIF":1.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144912545","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":"Multi-component and multi-frequency tympanometry: a comparison between cochlear implanted ear and non-implanted ear","authors":"Palani Saravanan ,&nbsp;Megha ,&nbsp;Pooja Venkatesh","doi":"10.1016/j.ijporl.2025.112537","DOIUrl":"10.1016/j.ijporl.2025.112537","url":null,"abstract":"<div><h3>Objectives</h3><div>Cochlear implant (CI) surgery may alter middle ear structure and function, potentially affecting the measurement of the electrically evoked stapedius reflex threshold (eSRT). This study aimed to investigate such alterations using multi-component and multi-frequency tympanometry. Specific objectives were to compare tympanometric findings, multi-component tympanogram patterns, and frequency-dependent changes in admittance (ΔY), susceptance (ΔB), conductance (ΔG), and phase angle (Δθ) between implanted and contralateral non-implanted ears.</div></div><div><h3>Methods</h3><div>Twenty-two paediatric participants with unilateral CI (Cochlear Nucleus CI422 with CP802 processor), aged 3.5–7 years, were included. Tympanometric assessments were performed using probe tones of 226 Hz, 678 Hz, and 1000 Hz to record admittance, susceptance, and conductance. Multi-component tympanograms were classified according to the Vanhuyse model. Multi-frequency tympanometry was conducted using the sweep-frequency method (250–2000 Hz, in 50 Hz steps). Parameters ΔY, ΔB, ΔG, and Δθ across frequencies were compared between implanted and non-implanted ears.</div></div><div><h3>Results</h3><div>The implanted ears showed significant reductions in static admittance and elevations in resonant frequency compared to non-implanted ears (p &lt; 0.05). At 1000 Hz, 5 of 22 implanted ears (22.7 %) demonstrated the 3B1G pattern, compared with 11 of 22 (50 %) non-implanted ears. Frequency-dependent decreases in ΔY, ΔB, ΔG, and Δθ were also significant in implanted ears (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>CI surgery is associated with frequency-dependent changes in the implanted ear, indicating altered mechano-acoustical properties of the middle ear and increased stiffness. These changes may influence clinical procedures, particularly eSRT measurement.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"197 ","pages":"Article 112537"},"PeriodicalIF":1.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906996","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":"Epidemiology and patterns of dog bite-related head and neck injuries: A NEISS database study","authors":"Sharwani Kota ,&nbsp;Christina Zhu ,&nbsp;Sneha Banerjee ,&nbsp;Earl Harley","doi":"10.1016/j.ijporl.2025.112535","DOIUrl":"10.1016/j.ijporl.2025.112535","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"197 ","pages":"Article 112535"},"PeriodicalIF":1.3,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922093","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 geospatial analysis of the pediatric otolaryngology workforce in the United States","authors":"Milan P. Fehrenbach ,&nbsp;Asher C. Park ,&nbsp;Payton O. Abney ,&nbsp;Mackenzie N. Sweatt ,&nbsp;Alyssa J. Smith","doi":"10.1016/j.ijporl.2025.112536","DOIUrl":"10.1016/j.ijporl.2025.112536","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"197 ","pages":"Article 112536"},"PeriodicalIF":1.3,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903341","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":"Fistulas don't tell the whole story: Predicting the need for surgery in pediatric patients with non-tuberculous mycobacterial cervicofacial lymphadenitis","authors":"Katie Holland ,&nbsp;Abbey L. Landini ,&nbsp;Tanner Parsons ,&nbsp;Inbal Hazkani ,&nbsp;Maura E. Ryan ,&nbsp;Corey Bregman ,&nbsp;Ben Z. Katz ,&nbsp;John Maddalozzo","doi":"10.1016/j.ijporl.2025.112531","DOIUrl":"10.1016/j.ijporl.2025.112531","url":null,"abstract":"<div><h3>Introduction</h3><div>Cervicofacial lymphadenitis (CFL) in children is commonly caused by non-tuberculous mycobacterium (NTM). NTM presents as lymphadenopathy, which can result in violaceous skin changes, necrosis, and fistulas in later stages. Multiple therapeutic modalities are available, encompassing conservative management, antimicrobial treatment, and surgical procedures of varying complexity, with considerable inter-institutional and intra-institutional practice variation.This study aimed to evaluate whether the radiographic presence of fistulous tracts in patients with NTM CFL is associated with an increased probability of requiring surgery.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study of patients with clinical or histopathologic diagnosis of NTM at a single tertiary care urban pediatric hospital between 2010 and 2024. Demographic, physical examination, medical and surgical treatment, laboratory findings, and follow-up data were collected. Available imaging was blindly reviewed by pediatric neuroradiologists for the presence of cutaneous fistula (CF). Patients were excluded if they were over 18 years of age, did not have imaging, and had presentation/pathology/culture data inconsistent with NTM. Descriptive statistics, analysis of variance (ANOVA), and logistic regression tests were used for group comparisons.</div></div><div><h3>Results</h3><div>Sixty-six patients were found to have proven or presumed NTM CFL, available imaging, and disease resolution at the time of chart review. Forty-seven (71.2 %) had evidence of cutaneous fistulas. For those 47 with CF, 15 underwent primary surgical treatment while 32 had primary antibiotic treatment, although ultimately 28 of the latter required surgery. For those with and without CF there were significantly more patients who required surgical treatment for resolution (p &lt; 0.001). There was no significant difference in the likelihood of surgical intervention for disease resolution between patients with CF compared to those without.</div></div><div><h3>Conclusions</h3><div>While the radiographic presence of CF did not significantly predict the likelihood of requiring surgical intervention, most patients with and without CF ultimately required surgery for disease resolution rather than responding to long-term antibiotic therapy alone. These findings suggest that surgical intervention remains a critical component of NTM CFL management regardless of initial imaging findings. This information can help clinicians counsel families that while medical therapy may be attempted initially, surgical treatment should be anticipated as part of the treatment course for optimal disease resolution.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"197 ","pages":"Article 112531"},"PeriodicalIF":1.3,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144893278","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":"Endoscopic posterior cricoid split with costal cartilage graft in pediatric bilateral vocal cord paralysis: A retrospective institutional series and literature comparison","authors":"Alhanouf A. Alhedaithy ,&nbsp;Zahra Almoumen ,&nbsp;Mohammed Y. Alyousef ,&nbsp;Deema R. Alhudaithi ,&nbsp;Mohammed Sulaiman Alsayyari ,&nbsp;Ahmed Alammar","doi":"10.1016/j.ijporl.2025.112533","DOIUrl":"10.1016/j.ijporl.2025.112533","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to evaluate the clinical outcomes of endoscopic posterior cricoid split with costal cartilage grafting (EPCSCG) in pediatric patients with bilateral vocal cord paralysis (BVCP) and compare these results with those in the existing literature.</div></div><div><h3>Methods</h3><div>This retrospective case series included pediatric patients (≤18 years) who underwent EPCSCG between 2017 and 2024 at a tertiary care center. Data were extracted from operative reports, clinical notes, and endoscopy records. The primary outcomes included tracheostomy status, decannulation rate, breathing function (Empey Index), swallowing outcomes (dysphagia outcome and severity scale [DOSS]), and voice assessment (Voice Handicap Index–10 [VHI-10]). A structured literature review was also conducted for comparison.</div></div><div><h3>Results</h3><div>The study included nine patients (median age: 3 years, interquartile range: 1–6 years). Four patients underwent preoperative tracheostomy, and all underwent successful decannulation. Tracheostomy was avoided entirely in the remaining five patients, resulting in a 100 % tracheostomy-free rate. The Empey Index improved postoperatively in two-thirds of the tested patients. Voice outcomes remained impaired with a moderately elevated mean VHI-10 score of 20.7. No major complications occurred, and additional surgeries were performed in four patients, including balloon dilations for subglottic stenosis, partial laser arytenoidectomy, right vocal cord suture lateralization, adenoidectomy, and tracheocutaneous fistula repair. A literature comparison revealed a wide variability in decannulation rates (28.6–100 %) and inconsistent reporting of voice and swallowing outcomes.</div></div><div><h3>Conclusion</h3><div>EPCSCG is a safe and effective surgical option for pediatric patients with BVCP that achieves excellent decannulation and swallowing outcomes. Persistent dysphonia remains a limitation, highlighting the need for comprehensive preoperative and postoperative functional assessments.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"197 ","pages":"Article 112533"},"PeriodicalIF":1.3,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902690","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}