International journal of pediatric otorhinolaryngology最新文献

{"title":"Pott's puffy tumor in pediatric Patients: Our surgical experience","authors":"Udi Shapira ,&nbsp;Fares Butrus ,&nbsp;Nidal Muhanna ,&nbsp;Avraham Abergel ,&nbsp;Forsan Jahshan","doi":"10.1016/j.ijporl.2025.112486","DOIUrl":"10.1016/j.ijporl.2025.112486","url":null,"abstract":"<div><h3>Background</h3><div>Pott's puffy tumor (PPT) is a rare complication of frontal sinusitis defined as subperiosteal abscess of the anterior table of the frontal sinus with associated osteomyelitis. Its complications can be harmful to the patient, therefore immediate treatment is necessary. Surgical drainage and systemic antibiotics are considered as integral parts of the overall treatment. However, surgical approaches can differ between different centers and surgeons.</div></div><div><h3>Methods</h3><div>We retrospectively evaluated the electronic records of 13 pediatric patients with PPT between 2018 and 2023.Clinical, laboratory radiology, and demographic findings were evaluated as well as surgical and post op data.</div></div><div><h3>Results</h3><div>Thirteen patients were included in the study (M/F: 7/6), the median age was 11.3 (6–15) years old. eight (61.5 %) patients had an intracranial complication. All patients were treated with intravenous antibiotics. One patient was treated conservatively and the other 12 were operated on. In the first operation 3/12 (25 %) underwent only frontal sinus trephination, 5/12 (41.66 %) underwent endoscopic sinus surgery (ESS) and 4/12 (33.33 %) underwent combined endoscopic and trephination surgery. Repeated surgery was needed for 5 patients, four of them underwent only endoscopic drainage and one underwent combined endoscopic and trephination surgery. The media hospitalization time (days) after the 1st surgical intervention was 8.3 for the combined approach, 9.6 for the external approach and 14.75 for the endoscopic approach. All patients recovered uneventfully.</div></div><div><h3>Conclusions</h3><div>Herein, we report our surgical experience in pediatric patients with PPT treated in a tertiary hospital. Ideally, PPT should be managed with a combination of broad-spectrum antibiotic therapy and surgical intervention.</div><div>Traditionally, open approaches served as the primary surgical route to access frontal sinus in PPT patients. However, the emergence of endoscopes instrumentation has supplemented these approaches in dealing with PPT. Our database reveals that open approach still has an important role in PPT treatment as patients who underwent only endoscopic drainage faced a higher risk of inadequate improvement and necessitating reintervention.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"196 ","pages":"Article 112486"},"PeriodicalIF":1.2,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632356","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":"Laryngeal squamous cell carcinoma in a 4-year-Old child: A rare case report","authors":"Mukhtar Baryare Matan ,&nbsp;Abdullahi Ahmed Tahlil ,&nbsp;Nafisa Ahmed Mohamed ,&nbsp;Abdifatah Mohamed Tahlil ,&nbsp;Mohamed Abdirahman Omar ,&nbsp;Omar Mohamed Hassan ,&nbsp;Ismail Gedi İbrahim ,&nbsp;Hussein Osman Abdulle ,&nbsp;Abdullahi Ali Moallim Hussein ,&nbsp;Christian Ayele ,&nbsp;Kassim Hagi Hossain ,&nbsp;Yahye A. Mohamud Shoole","doi":"10.1016/j.ijporl.2025.112482","DOIUrl":"10.1016/j.ijporl.2025.112482","url":null,"abstract":"<div><div>Laryngeal Squamous Cell Carcinoma (LSCC) is an extremely rare malignancy cancer in children, accounting for less than 1 % of head and neck cancers in those under 18. This case report discusses a 4-year-old boy with a three-year history of worsening respiratory distress and stridor, who was ultimately diagnosed with superficially invasive squamous cell carcinoma of the larynx. The child showed significant symptoms that led to further assessment. Indirect laryngoscopy revealed a whitish lesion on the left vocal cord and posterior commissure. Microlaryngoscopy under general anesthesia allowed complete removal of the lesion, initially thought to be juvenile papillomatosis. However, histopathology confirmed LSCC, showing acanthotic stratified squamous epithelium with marked pleomorphism and lamina propria invasion. This case emphasizes the importance of early detection and treatment of pediatric laryngeal cancer, despite its rarity and the risk of misdiagnosis. It adds to the limited literature on this condition and underscores the need for clinicians to remain vigilant when evaluating respiratory symptoms in children.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"196 ","pages":"Article 112482"},"PeriodicalIF":1.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632357","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":"Predictive value of preoperative neutrophil-to-lymphocyte ratio for post-tonsillectomy hemorrhage: Age-specific insights from a pediatric cohort","authors":"Mustafa Ibas ,&nbsp;Muruvvet Paksoy ,&nbsp;Mehmet Nuri Elgormus ,&nbsp;Hafize Uzun ,&nbsp;Erkan Karatas","doi":"10.1016/j.ijporl.2025.112480","DOIUrl":"10.1016/j.ijporl.2025.112480","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"196 ","pages":"Article 112480"},"PeriodicalIF":1.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588081","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 laryngeal surgery in children with congenital laryngomalacia and neurological and neurodevelopmental comorbidities - A NSQIP analysis","authors":"Achilles A. Kanaris ,&nbsp;Alexander J. Szymczak ,&nbsp;Paulina Piwowarczyk ,&nbsp;Saied Ghadersohi ,&nbsp;Inbal Hazkani","doi":"10.1016/j.ijporl.2025.112483","DOIUrl":"10.1016/j.ijporl.2025.112483","url":null,"abstract":"<div><h3>Introduction</h3><div>Children with neurological and neurodevelopmental comorbidities (NNC) may experience poorer post-operative outcomes following the surgical management of laryngomalacia. The objective of this study is to assess short-term outcomes of this group.</div></div><div><h3>Methods</h3><div>A retrospective cohort study utilizing the American College of Surgeons National Surgical Quality Improvement Program – Pediatric Database years 2015–2023. Pediatric patients ages 18 and under were selected by CPT codes 31541 and 31561 and ICD-10 code Q31.5. NNC were defined as the presence of impaired cognitive status/developmental delay, seizure disorder, cerebral palsy, structural central nervous system abnormality, or neuromuscular disorder.</div></div><div><h3>Results</h3><div>A total of 5805 cases met the inclusion criteria, with 1229 cases involving patients with NNC. Patients with NNC were older at the time of surgery (14.7 vs. 4.1 months; p &lt; 0.001), more frequently classified as American Society of Anesthesiologists class 3 (71 % vs. 46 %, p &lt; 0.001), more likely to have cardiac risk factors (38.7 % vs. 13.2 %; p &lt; 0.001) and to be born prematurely (31.5 % vs. 18.4 %; p &lt; 0.001).</div><div>While controlling for sociodemographic and medical factors, children with NNC were at 2.85 times greater odds of developing post-operative pneumonia (95 % CI 1.36–6.01, p = 0.005), 2.35 times greater odds of requiring oxygen at discharge (95 % CI 1.61–3.44, p &lt; 0.001), and 1.90 times greater odds of undergoing unplanned reintubation (95 % CI 1.04–3.45, p = 0.036).</div></div><div><h3>Conclusion</h3><div>Patients with NNC undergoing laryngeal surgery for laryngomalacia may be at a higher risk of postoperative complications, highlighting the importance of careful evaluation of surgical management and postoperative monitoring in this population.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"196 ","pages":"Article 112483"},"PeriodicalIF":1.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144587473","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":"Evaluation of olfactory bulb volume and insular cortex area in children with adenoid hypertrophy: A retrospective MRI study","authors":"Yasin Teki̇n ,&nbsp;Ziya Şencan ,&nbsp;Nuray Bayar Muluk ,&nbsp;Selçuk Başer ,&nbsp;Adnan Özdemi̇r ,&nbsp;Ela Comert ,&nbsp;Gökçe Özel","doi":"10.1016/j.ijporl.2025.112481","DOIUrl":"10.1016/j.ijporl.2025.112481","url":null,"abstract":"<div><h3>Objectives</h3><div>In this study, central and peripheral olfactory areas were examined in patients with adenoid hypertrophy; Based on the idea that adenoid hypertrophy may cause smell impairment, its effect on olfactory bulb volumes and insular cortex areas was evaluated.</div></div><div><h3>Methods</h3><div>This retrospective study included 60 male and 61 female patients who had Cranial Magnetic Resonance Imaging (MRI) and had no comorbidities. In MRI measurements, patients with adenoid tissue to nasopharyngeal air column ratio &gt;%50 were designated as the patient group with adenoid hypertrophy (25 boys, 22 girls) (Group 1), and patients with adenoid tissue to nasopharyngeal air column ratio ≤ %50 were designated as the control group (35 boys, 39 girls). (Group 2). Olfactory bulb volumes and insular cortex areas in cranial MRI sections; adenoid width, nasopharyngeal distance, air column and soft palate measurements were taken.</div></div><div><h3>Results</h3><div>There were no statistically significant differences between olfactory bulb volume and insular cortex area of children with adenoid hypertrophy and the control group (p &gt; 0.05). In the groups we evaluated, it was observed that there was a linear relationship between air column measurements, which became smaller as the adenoid tissue grew, and bilateral olfactory bulb measurements (p &lt; 0.05). It was also determined that there was a directly proportional relationship between olfactory bulb measurements and insular cortex areas. (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>In children with adenoid hypertrophy with the ratio of adenoid width to nasopharyngeal air column distance is &gt;%50, the reduction in olfactory bulb volumes and insular cortex areas is more pronounced. There is a statistically insignificant difference in olfactory bulb volume, with a tendency to be smaller in children with adenoid hypertrophy.</div><div>It was concluded that adenoid hypertrophy might cause decrease in the olfactory areas (olfactory bulb volume and insular cortex area) and could be an important cause of smell impairment.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"196 ","pages":"Article 112481"},"PeriodicalIF":1.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596858","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":"Retrospective long-term analysis of tympanoplasty in children","authors":"Osikhe Ejeah-Braimoh,&nbsp;Bastian Baselt,&nbsp;Christof Röösli","doi":"10.1016/j.ijporl.2025.112474","DOIUrl":"10.1016/j.ijporl.2025.112474","url":null,"abstract":"<div><h3>Objective</h3><div>Tympanoplasty is a well-established surgical intervention for tympanic membrane perforation (TMP) in children, aiming to restore anatomical integrity and improve auditory function. However, long-term outcomes remain variable, and factors influencing surgical success are still debated. This study evaluates anatomical and functional outcomes of pediatric tympanoplasty over a five-year follow-up period, with a particular focus on the influence of age and other prognostic factors.</div></div><div><h3>Methods</h3><div>A retrospective single-center cohort study was conducted at a tertiary referral hospital, including pediatric patients (≤16 years) who underwent tympanoplasty for TMP between January 01, 2012 and December 31, 2022. Data were retrieved from electronic hospital records, including operative reports, audiometric evaluations, and follow-up documentation. Primary outcomes were anatomical success (intact tympanic membrane at follow-up) and functional success (air-bone gap &lt;20 dB). Secondary outcomes included postoperative complications and factors influencing surgical success.</div></div><div><h3>Results</h3><div>A total of 111 ears (96 patients) were analyzed, with a mean follow-up of 17.9 months (range 3–60 months). The overall anatomical success rate at five years was 57.9 % and functional success at five years was 69.4 %. No significant correlation between age and anatomical or functional outcomes was found, except at 12-months-follow-up, there was a statistically significant advantage for older patients in functional success. Perforation size and etiology significantly impacted success rates, with smaller and infection-related perforations demonstrating better outcomes.</div></div><div><h3>Conclusion</h3><div>Tympanoplasty in children can result in favorable functional outcomes and moderate long-term anatomical success. No consistent age-related effect was observed, suggesting that surgical timing should be based on individual clinical factors rather than age alone. Perforation size and location as well as etiology emerged as more relevant prognostic factors. Future prospective multicenter studies are needed to validate these findings and guide patient selection.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"196 ","pages":"Article 112474"},"PeriodicalIF":1.2,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604703","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":"Ossicular chain reconstruction in children: Outcomes of autologous incus interposition and TORP","authors":"Aynur Aliyeva ,&nbsp;Elvin Alaskarov","doi":"10.1016/j.ijporl.2025.112473","DOIUrl":"10.1016/j.ijporl.2025.112473","url":null,"abstract":"<div><h3>Aim</h3><div>To compare hearing outcomes and prognostic factors in pediatric patients undergoing ossiculoplasty with autologous incus interposition (AII) or total ossicular replacement prosthesis (TORP).</div></div><div><h3>Methods</h3><div>This retrospective study included 102 children under 18 who underwent tympanoplasty with ossicular reconstruction between 2021 and 2024. Patients were divided into two groups based on reconstruction type (AII or TORP). Audiological outcomes were assessed at short-term (6–12 months) and middle-term (&gt;12 months) follow-up. Air conduction (AC), bone conduction (BC), and air-bone gap (ABG) thresholds were measured. Multivariate logistic regression was used to identify predictors of ABG closure ≤20 dB.</div></div><div><h3>Results</h3><div>Among the 102 patients, 52 underwent AII, and 50 received TORP. At middle-term follow-up, ABG ≤ 20 dB was achieved in 72.5 % of AII patients versus 39.5 % in the TORP group (p = 0.003). AII patients also showed better AC thresholds (≤30 dB in 75.0 % vs. 57.9 %, p = 0.005) and greater hearing gain (13.1 ± 3.8 dB vs. 12.2 ± 4.3 dB, p = 0.028). Multivariate analysis identified intact stapes and AII use as independent predictors of success. Outcomes were also more favorable in cholesteatoma cases when the stapes were preserved.</div></div><div><h3>Conclusion</h3><div>AII offers superior middle-term hearing outcomes compared to TORP in pediatric ossiculoplasty. Stapes preservation and appropriate reconstruction technique selection are essential for optimal results.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"196 ","pages":"Article 112473"},"PeriodicalIF":1.2,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579917","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":"Digital versus traditional otoscopy in the diagnosis of acute otitis media in the pediatric primary care clinic","authors":"Henry Zheng ,&nbsp;Jun Chen ,&nbsp;Jing MacKenzie ,&nbsp;Stanley Mui ,&nbsp;Nancy Jiang","doi":"10.1016/j.ijporl.2025.112453","DOIUrl":"10.1016/j.ijporl.2025.112453","url":null,"abstract":"<div><h3>Objectives</h3><div>Our objective was to assess whether the use of digital otoscopy versus traditional otoscopy in a pediatric clinic setting leads to decreased rates of antibiotic prescriptions and follow-up visits. Secondary outcomes included photo viability and both patient and provider satisfaction.</div></div><div><h3>Methods</h3><div>This was a prospective study in which both digital otoscopes and traditional otoscopes were deployed at two different pediatric offices during an eight-week pilot period. The treatment group consisted of 35 patients who received ear exams with digital otoscopy while the control group consisted of 586 patients who received ear exams with traditional otoscopy. Measured outcomes included rates of antibiotic prescription and follow-up visits, photo viability, and both patient and provider satisfaction.</div></div><div><h3>Results</h3><div>Comparing the treatment group with the control group, the average number of visits per patient decreased by 0.14 from 1.14 to 1.0, (p = 0.007). The number of antibiotic prescriptions per patient decreased by 0.31 from 0.88 to 0.57 (p = 0.0008). The overall experience with digital otoscopy was rated as good or excellent in 94 % (16/17) of patients. Seventy-three percent (8/11) of providers rated the digital otoscope as excellent or good compared to traditional otoscopes, and 82 % (9/11) stated that they were extremely likely or likely to continue using the digital otoscope in their practice.</div></div><div><h3>Conclusion</h3><div>The use of digital otoscopy versus traditional otoscopy in a pediatric clinic setting was associated with significant decreases in follow-up visit volumes as well antibiotic prescriptions. Implementing digital otoscopy more widely may contribute to decreased healthcare utilization costs and improved antibiotic stewardship for acute otitis media.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"196 ","pages":"Article 112453"},"PeriodicalIF":1.2,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144569854","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":"Risk factors associated with postoperative complications in pediatric thyroidectomy: A single-center Vietnamese experience","authors":"Quy Xuan Ngo ,&nbsp;Duong The Le ,&nbsp;Duy Quoc Ngo","doi":"10.1016/j.ijporl.2025.112471","DOIUrl":"10.1016/j.ijporl.2025.112471","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric thyroid carcinoma presents unique surgical challenges, with potentially significant postoperative complications affecting long-term developmental outcomes. This investigation aimed to evaluate postoperative complications following thyroidectomy in pediatric patients and identify associated prognostic factors within a high-volume Vietnamese surgical center.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on 112 pediatric patients (≤18 years) who underwent thyroidectomy for differentiated thyroid carcinoma between January 2014 and January 2023. Primary outcomes included the incidence and characteristics of postoperative complications, particularly focusing on recurrent laryngeal nerve injury and hypoparathyroidism. Risk factors were evaluated using univariate and multivariate analyses.</div></div><div><h3>Results</h3><div>The cohort predominantly comprised female patients (68.8 %), with a mean age of 15.2 ± 2.7 years. Papillary thyroid carcinoma constituted 96.4 % of cases. Total thyroidectomy was performed in 70.5 % of patients, with central compartment lymph node dissection in 83.0 %. Transient recurrent laryngeal nerve dysfunction occurred in 16.1 % of cases, while transient hypocalcemia affected 24.1 % of patients. No permanent complications were observed. Multivariate analysis identified total thyroidectomy as an independent predictor of both complications (p &lt; 0.05). Central compartment nodal metastatic burden (&gt;5 nodes) significantly correlated with transient recurrent laryngeal nerve dysfunction (p &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Low complication rates espicially the absence of permanent complications support the safety of thyroidectomy in pediatric single-center in Vietnam. The study underscores the importance of expertise in managing pediatric thyroid carcinoma, while identifying specific risk factors that may inform surgical decision-making and patient counseling.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"196 ","pages":"Article 112471"},"PeriodicalIF":1.2,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144611770","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":"Developing age-specific protocols for pediatric voice databases in artificial intelligence research","authors":"Laurie Russell ,&nbsp;Yael Bensoussan ,&nbsp;Evan Ng ,&nbsp;Allistair Johnson ,&nbsp;Siyu Miao ,&nbsp;Nikolaus E. Wolter ,&nbsp;Evan J. Propst ,&nbsp;Jennifer M. Siu","doi":"10.1016/j.ijporl.2025.112455","DOIUrl":"10.1016/j.ijporl.2025.112455","url":null,"abstract":"<div><h3>Introduction</h3><div>Children's voice and communication abilities evolve with age, necessitating tailored protocols for accurate analysis. Distinct vocal properties and communication styles across developmental stages require specific tasks. The absence of standardized pediatric protocols impedes reliable voice data collection, limits robust acoustic measurements, and hinders AI-driven voice research. This study aims to develop age-specific voice data collection protocols, creating a pediatric voice database to advance research and enhance AI applications.</div></div><div><h3>Methods</h3><div>Protocols were developed iteratively over six months through a multidisciplinary, multi-institutional team involving speech-language pathologists and otolaryngologists. A comprehensive literature review was completed. Emphasis was placed on designing protocols capable of generating high-quality, consistent data for AI modeling while minimizing measurement variability.</div></div><div><h3>Results</h3><div>Four developmentally appropriate protocols were created for children aged 2 to &lt;4 years, 4 to &lt;6 years, 6 to &lt;10 years, and 10+ years respectively. Each protocol targeted key acoustic parameters while aligning with the linguistic and cognitive abilities of the respective age group. The iterative design incorporated tasks that engaged children while ensuring clinically robust data collection. Standardized protocols were deployed via a user-friendly iPad application, using child-sized headset microphones at fixed distances from the mouth. The protocols were administered to 100 pediatric patients in an otolaryngology clinic between the ages of 2–18.</div></div><div><h3>Conclusions</h3><div>The development of age specific protocols aims to standardize the collection of pediatric voice and acoustic sound data, which will serve as a valuable resource for advancing artificial intelligence applications within clinical sciences. Future validation will ensure feasibility, adherence, and reliability of data collection to support AI-driven innovations.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"196 ","pages":"Article 112455"},"PeriodicalIF":1.2,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653357","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}