International journal of pediatric otorhinolaryngology最新文献

{"title":"Hearing loss and vestibular dysfunction in congenital CMV infection: Could it be due to endolymphatic pressure anomaly? A preliminary study","authors":"Laureline Kahn ,&nbsp;Guillaume Poillon ,&nbsp;Monique Elmaleh-Bergès ,&nbsp;Luca Litman-Roventa ,&nbsp;Emilien Chebib ,&nbsp;Natacha Teissier ,&nbsp;Audrey Maudoux","doi":"10.1016/j.ijporl.2024.112172","DOIUrl":"10.1016/j.ijporl.2024.112172","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe the inner ear sectors after an inner ear MRI protocol and search for the presence of endolymphatic pressure anomaly in patients presenting with a congenital CMV infection and audio-vestibular dysfunction.</div></div><div><h3>Methods</h3><div>A 3D FLAIR MRI sequence, 4 h after gadolinium injection, was performed in patients with sensory-neural hearing loss secondary to a congenital CMV infection in order to analyse the morphology of the endolymphatic space.</div></div><div><h3>Results</h3><div>Two patients presented with a unilateral SNHL and 4 patients a bilateral SNHL. Seven ears with SNHL demonstrated an endolymphatic hydrops on MRI images and 2 showed a membranous labyrinth atelectasis. All ears but two had a marked enhancement in the perilymph of the basal turn of the cochlea. One ear, with a normal hearing threshold but altered vestibular function, demonstrated cochlear and saccular hydrops. Two ears with normal or near normal hearing and normal vestibular function were radiologically normal on the MRI.</div></div><div><h3>Conclusion</h3><div>The compartmental endolymphatic study using delayed contrast-enhanced MRI sequences in children with cCMV infection suggests a relationship between inner ear involvement and endolymphatic pressure anomaly.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"Article 112172"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791722","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":"Improve the behavioral auditory attention training effects on the Speech-In-Noise perception with simultaneous electrical stimulation in children with hearing loss: A randomized clinical trial","authors":"Nayiere Mansouri ,&nbsp;Mohanna Javanbakht ,&nbsp;Ali Jahan ,&nbsp;Enayatollah Bakhshi ,&nbsp;Moslem Shaabani","doi":"10.1016/j.ijporl.2024.112197","DOIUrl":"10.1016/j.ijporl.2024.112197","url":null,"abstract":"<div><h3>Background</h3><div>Auditory attention is an important cognitive factor that significantly affects speech perception in noisy environments. Hearing loss can impact attention, and it can impair speech perception in noise. Auditory attention training improves speech perception in noise in children with hearing loss. Could the combination of transcranial electrical current stimulation (tES) and auditory attention training enhance the speed and effectiveness of stability potentiation improvements? This investigation explores whether applying electrical stimulation alongside targeted auditory tasks can lead to more pronounced and rapid enhancements in cognitive function.</div></div><div><h3>Methods</h3><div>In this study, 24 children with moderate to severe S.N hearing loss were examined. The monaural-selective-auditory-attention test (mSAAT) and the test of everyday-attention-for-children (TEA-CH) were used to investigate auditory attention. The words-in-noise tests evaluated speech perception in noise. A go/no-go task was conducted to record auditory P300 evoked potential. Children were divided into three groups. Group A received auditory attention training. Group B received tDCS. Group C received combined method. The tests were repeated immediately and one month after training.</div></div><div><h3>Results</h3><div>Attention and speech perception improvement was significantly higher for the group that received the combined method compared to the groups that received auditory attention training with sham or tDCS alone (P &lt; <u>0.001)</u>. All three groups showed significant changes one month after the training ended. However, the group that received only tDCS demonstrated a significant decrease in improvement.</div></div><div><h3>Conclusion</h3><div>The study showed that combining auditory attention training with tDCS can improve speech perception in noise for children with hearing loss. Combining behavioral training with tDCS has a more significant impact than using behavioral training alone, and combined method leads to more stability improvements than using tDCS alone.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"Article 112197"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877296","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":"Autoimmune etiologies in pediatric recurrent parotitis: A retrospective analysis of patients referred to rheumatology","authors":"Maya Guhan ,&nbsp;Yiressy Pina ,&nbsp;Elton Lambert ,&nbsp;Maria Pereira ,&nbsp;Marietta De Guzman","doi":"10.1016/j.ijporl.2024.112192","DOIUrl":"10.1016/j.ijporl.2024.112192","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"Article 112192"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828524","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":"Vomer-to-nasopharyngeal widths and post-adenoidectomy outcomes in children: A prospective blinded study","authors":"Roee Noy ,&nbsp;Jacob T. Cohen ,&nbsp;Arie Gordin","doi":"10.1016/j.ijporl.2024.112193","DOIUrl":"10.1016/j.ijporl.2024.112193","url":null,"abstract":"<div><h3>Objectives</h3><div>The vomer is an essential component of the nasopharynx. Although variations in vomer width(VW) and nasopharyngeal width(NW) can be observed, their clinical significance on post-adenoidectomy outcomes in children with sleep-disordered breathing and obstructive sleep apnea(SDB–OSA) remains uncertain. The primary outcome was to investigate the association between VW and post-adenoidectomy clinical improvement. Secondary outcomes were to investigate the variability and interplay between VW and NW.</div></div><div><h3>Methods</h3><div>This prospective, blinded cohort study was conducted at a tertiary hospital between 6/2022 and 7/2023. Children who underwent adenoidectomy for SDB–OSA were included. VW and NW were measured using a transoral endoscope. A calibrated ruler was positioned at the inferior aspect of the vomer for direct visualization, and the NW was calculated as the distance between the medial edges of the torus tubarius. Clinical improvement was collected using the OSA-18 survey.</div></div><div><h3>Results</h3><div>Of the 29 children (mean age:3.5 years, IQR: 2–4, 16[55 %] males), 26(89.6 %) showed a clinical improvement 1-month post-adenoidectomy (ΔOSA-18 score: 24.6,95 % confidence interval: 31–(-14),p = 0.001). The mean VW was 3.88 mm (IQR: 3–4), and the mean NW was 13.76 mm (IQR:13–14). In the univariable analysis, clinical improvement was associated with age &lt;3 years(p = 0.05), non-obese children(p = 0.01), large adenoids(p = 0.01), preoperative OSA-18 score&gt;60(p = 0.05), and lower VW/NW(p = 0.013). The odds ratio for clinical improvement was decreased by 1.08 for each 0.01 increase in VW/NW (95%CI:1.05–1.11,p = 0.01).</div></div><div><h3>Conclusions</h3><div>Lower VW/NW were associated with better clinical outcome 1-month post-adenoidectomy. Further randomized, prospective studies are needed to validate these findings and and explore whether interventions in this area could serve as a potential therapeutic target.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"Article 112193"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854165","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":"Efficacy of endoscopic sinus surgery in patients under six years old","authors":"Harrington Chloe,&nbsp;Ibrahim Ibrahim,&nbsp;Hengameh Bezadpour,&nbsp;Espinel Alexandra,&nbsp;Zalzal Habib G","doi":"10.1016/j.ijporl.2024.112213","DOIUrl":"10.1016/j.ijporl.2024.112213","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine safety and efficacy of very young patients under the age of six who underwent endoscopic sinus surgery (ESS) at our institution for the indications of either complicated acute rhinosinusitis (ARS) or chronic rhinosinusitis (CRS).</div></div><div><h3>Methods</h3><div>Retrospective cohort review of patients under six years old who underwent ESS for sinonasal pathology between 2016 and 2023 at a freestanding pediatric hospital. Age, sex, weight, diagnosis, laterality of disease, medications, types and number of surgical interventions, usage of image guidance, and outcomes were obtained from the medical record.</div></div><div><h3>Results</h3><div>A total of 25 patients met inclusion criteria (range 1 month–5 years). Eighteen of the patients underwent surgery for an indication of complicated ARS and 7 patients underwent surgery for CRS. Ages were separated into three categories, &lt;1 year (n = 1), 1–3 year (n = 3), 3–6 year (n = 21). Chi squared testing between these three age groups revealed no significant differences in revision rates. There were 5 children who required revision surgery, 3 of which had CRS. Ages of the children who required revision ranged from 2 to 4 years old. There was only one surgical complication observed.</div></div><div><h3>Conclusions</h3><div>Endoscopic sinus surgery has been increasingly considered safe in pediatric otolaryngology, however, our database in particular focuses on a very young subset of these patients in which there were very few (one) morbidities and no mortalities. Further study of this population should be continued to determine long term outcomes; however, it should be considered safe in acute situations.</div></div><div><h3>Level of evidence</h3><div>Level 4.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"188 ","pages":"Article 112213"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927206","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 \"Factors influencing auditory brainstem response changes in infants\" [Int. J. Pediatr. Otorhinolaryngol. Volume185/issue details, cover date, 112094].","authors":"Tomoko Esaki, Tadao Yoshida, Masumi Kobayashi, Kyoko Morimoto, Chisa Shibata, Michihiko Sone","doi":"10.1016/j.ijporl.2024.112206","DOIUrl":"https://doi.org/10.1016/j.ijporl.2024.112206","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":" ","pages":"112206"},"PeriodicalIF":1.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894312","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 \"A review of the importance of top-down processing assessment in auditory processing disorder\" [Int. J. Pediatr. Otorhinolaryngol. 186, (November 2024), 112128].","authors":"Bahareh Khavarghazalani, Zahra Hosseini Dastgerdi, Morteza Hamidi Nahrani, Maryam Emadi","doi":"10.1016/j.ijporl.2024.112202","DOIUrl":"https://doi.org/10.1016/j.ijporl.2024.112202","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":" ","pages":"112202"},"PeriodicalIF":1.2,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828523","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":"Accidental tracheostomy decannulation: Risk factors and complications in pediatric patients using the NSQIP-P database","authors":"Jacob Heninger ,&nbsp;Arkadeep Ghosh ,&nbsp;Matthew Rowland ,&nbsp;Inbal Hazkani ,&nbsp;Taher Valika ,&nbsp;Eric C. Cheon","doi":"10.1016/j.ijporl.2024.112174","DOIUrl":"10.1016/j.ijporl.2024.112174","url":null,"abstract":"<div><h3>Background</h3><div>Accidental tracheostomy decannulation (ATD) is a life-threatening event in pediatric patients. The factors associated with ATD in children are largely unknown. Utilizing the National Surgical Quality Improvement Pediatric (NSQIP-P) dataset, we sought to identify the incidence of ATD and associated factors.</div></div><div><h3>Methods</h3><div>Patients who underwent surgery at continuously enrolled American College of Surgeons NSQIP-P hospitals from January 1, 2012, to December 31, 2021, were included. Those who underwent a tracheostomy (CPT 31600 or 31601) as a primary or concurrent procedure were analyzed. ATD was defined by the NSQIP-P REINTUB variable. Multivariable logistic regression analysis and propensity score matching were performed to identify independent associations between demographic variables, relevant comorbidities, intraoperative factors, and ATD. Multivariable regression analyses were performed to identify any association between ATD and unplanned reoperation, pneumonia, extended length of stay, and death in 30 days in both pre-matched and matched cohorts.</div></div><div><h3>Results</h3><div>A total of 5229 patients undergoing tracheostomy were included in the final analysis for the pre-matched cohort. ATD occurred in 93 (1.8 %) patients, with 42 % (n = 39) of these cases occurring within the first two postoperative days. In the matched cohort, female gender (<em>P</em> = 0.002) and structural pulmonary/airway abnormality (<em>P</em> = 0.016) were independently associated with ATD. Additionally, ATD was associated with unplanned reoperation (<em>P</em> &lt; 0.001) and pneumonia (<em>P</em> = 0.024). The pre-matched cohort showed consistent results with the matched cohort.</div></div><div><h3>Discussion</h3><div>Accidental decannulation is a serious complication following pediatric tracheostomy. By identifying patients at higher risk for ATD and the timing of its occurrence, providers can employ measures targeting these patients during their highest risk period. The sequelae associated with ATD further emphasize the importance of preventing this complication.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"187 ","pages":"Article 112174"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142757151","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":"Holiday letter 2024","authors":"Joseph E. Kerschner MD (Editor-in-Chief)","doi":"10.1016/j.ijporl.2024.112178","DOIUrl":"10.1016/j.ijporl.2024.112178","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"187 ","pages":"Article 112178"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806956","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":"Age-dependent trends in pediatric maxillary frenum classification","authors":"Alexandra F. Corbin ,&nbsp;Lauren A. DiNardo ,&nbsp;Deepthi S. Akella ,&nbsp;Alison C. Ma ,&nbsp;Douglas P. Nanu ,&nbsp;Francesca C. Viola ,&nbsp;Michele M. Carr","doi":"10.1016/j.ijporl.2024.112173","DOIUrl":"10.1016/j.ijporl.2024.112173","url":null,"abstract":"<div><h3>Objective</h3><div>To describe maxillary frenum Kotlow scores in a pediatric population.</div></div><div><h3>Methods</h3><div>A retrospective chart review was performed for children ages 0–19 years old seen at a pediatric otolaryngology clinic by one surgeon from March–December 2022. Inclusion criteria required a recorded maxillary frenum Kotlow score. Data collected included age, gender, race/ethnicity, Kotlow score, and history of maxillary frenotomy.</div></div><div><h3>Results</h3><div>570 children were included, comprising 267 (46.8%) females, 302 (53.0%) males, and 1 (0.2%) transgender male. Mean age was 5.0 years (95% CI 4.6–5.4). 24 patients (4.2%) had a history of maxillary frenotomy, while 546 (95.8%) did not. Among those with no maxillary frenotomy history, 21 (3.8%) had a Kotlow 1, 127 (23.3%) Kotlow 2, 261 (47.8%) Kotlow 3, and 137 (25.1%) Kotlow 4. Kotlow scores decreased with age. For children with prior maxillary frenotomy, class 1 frenum mean age was 6.9 years, and class 4 was 0.6 years (P=.008). For those without a maxillary frenotomy history, class 1 frenum mean age was 8.7 years, and class 4 was 1.3 years (P&lt;.001). No association was found between maxillary frenotomy history and lower Kotlow scores.</div></div><div><h3>Conclusion</h3><div>Nearly half of children have a Kotlow 3 maxillary frenum. Kotlow scores decrease as children age, reflecting elevated frenum insertion as the alveolar ridge develops. Otolaryngologists may find this data valuable when considering maxillary frenotomy in children.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"187 ","pages":"Article 112173"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759313","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}