Pediatric Surgery International最新文献

{"title":"Parental preferences for pediatric surgical facility centralization: insights from a discrete choice experiment.","authors":"Kengo Hattori, Kentaro Hayashi, Shinsuke Ikeda","doi":"10.1007/s00383-025-06165-w","DOIUrl":"https://doi.org/10.1007/s00383-025-06165-w","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to quantify the trade-off between benefits of pediatric surgical facility centralization and reduced accessibility.</p><p><strong>Methods: </strong>A discrete choice experiment was conducted among parents of neonatal patients at Takatsuki Hospital (January 2021 to March 2024). Hypothetical facilities with varying levels of seven attributes-surgeon numbers and emergency coverage (EC), annual surgical volume, travel time, availability of pediatric specialists, advanced surgical capability, postoperative complication rates, and primary physician system-were presented. Preferences for each attribute and marginal rates of substitution with respect to travel time were estimated.</p><p><strong>Results: </strong>We analyzed 317 sets from 646 responses. Preferences were significantly influenced by surgeon numbers and EC, annual surgical volume, and travel time. Compared to \"one surgeon/no EC,\" \"three surgeons/daytime EC\" and \"seven surgeons/24 h EC\" were valued equivalent to 99 and 249 min travel time increases. \"Medium (≥ 1, < 6 cases/year)\" and \"high (≥ 6 cases/year)\" were preferred over \"low (< 1 case/year)\" surgical volumes, equivalent to 123 and 219 min increases. Availability of other specialists (64 min), advanced surgery (33 min), and lower complications (24 min) were also valued. Team-based care was less preferred (- 26 min).</p><p><strong>Conclusion: </strong>Parents support centralization of pediatric surgical facilities, placing greater emphasis on structural improvements than direct clinical outcomes.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"266"},"PeriodicalIF":1.6,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oesophageal dilatation for the anastomotic stricture post trachea-oesophageal fistula/oesophageal atresia repair.","authors":"Toru Shimizu, Maccalla Fenn, Priscilla Pandji, Alana Price, Celine Hamid, David Croaker","doi":"10.1007/s00383-025-06166-9","DOIUrl":"https://doi.org/10.1007/s00383-025-06166-9","url":null,"abstract":"<p><strong>Aim of the study: </strong>Anastomotic stricture after trachea-oesophageal fistula/oesophageal atresia (TOF/OA) repair is a significant challenge in paediatric surgery. This study investigates the causes, risks, and the need for multiple dilatation procedures.</p><p><strong>Method: </strong>Data were retrospectively collected from a single centre performing surgeries on babies with TOF/OA from 1998 to 2023.</p><p><strong>Results: </strong>A total of 47 patients were grouped into AS (with anastomotic strictures, n = 33) and NS (no strictures, n = 14). The median birth weights were 2535 g and 2630 g, respectively. AS group had more premature infants (< 37 weeks, 52 vs 36%). In AS group, four patients had Gross Type A and 1 had Type D; all of NS group had Type C. A long gap between the proximal and distal oesophagus was observed more in AS group (9 vs 1, p < 0.05). Histopathology showed eosinophilic oesophagitis in nine patients from AS group and one from NS group. All patients in AS group underwent dilatation procedures. There were no statistical differences in outcomes related to the frequency of dilatation.</p><p><strong>Conclusion: </strong>In our study, prematurity, long gap, and oesophagitis increased the possibility of anastomotic stricture. However, these factors did not influence the number of dilatation procedures.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"264"},"PeriodicalIF":1.6,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bladder dysfunction in children with anorectal malformations: identification of risk factors and development of a predictive scoring tool.","authors":"Arka Banerjee, Sukanya Vinchurkar, Adwait S Bendre, Rishabh Jain, Gayatri Munghate, Minnie Bodhanwala, Parag J Karkera","doi":"10.1007/s00383-025-06164-x","DOIUrl":"https://doi.org/10.1007/s00383-025-06164-x","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate lower urinary tract symptoms (LUTS) in toilet-trained children with anorectal malformations (ARM), identify risk factors for neurogenic bladder dysfunction (NBD) and develop a scoring system to predict poor urological outcomes.</p><p><strong>Methods: </strong>This retrospective study reviewed records and conducted interviews for lower urinary tract symptoms (LUTS) and bladder management strategies in ARM patients treated at our center between April 2014 and March 2019. Logistic regression analysis identified risk factors, while a scoring system was developed using the Number Needed to Treat (NNT) metrics.</p><p><strong>Results: </strong>Out of 166 patients, 32.5% (n = 54) exhibited LUTS. High ARM significantly increased the risk of NBD (RR: 2.43; p < 0.0001). Additional risk factors included vertebral anomalies (RR: 1.66; p = 0.0486), prior bladder surgeries (RR: 2.68; p < 0.0001), and abdomino-perineal reconstruction (RR: 2.88; p < 0.0001). The developed scoring system, with a threshold score of ≥ 12, demonstrated a sensitivity of 70.4% and specificity of 76.8% for predicting NBD.</p><p><strong>Conclusions: </strong>This study highlights the significant prevalence of NBD in ARM patients and identifies critical risk factors. The scoring system offers a practical tool for early risk stratification, aiding in timely interventions. Further prospective studies are needed to validate the scoring system and refine management strategies.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"263"},"PeriodicalIF":1.6,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proteome analysis of preserved formalin-fixed and paraffin-embedded specimens to explore the pathogenesis of infantile hypertrophic pyloric stenosis.","authors":"Masaki Shinohara, Masaki Ishikawa, Masahito Yoshihara, Ayako Yamazaki, Kenichiro Konishi, Ryo Konno, Shigemitsu Kojima, Shinya Takazawa, Akira Nishi, Takeshi Yamaguchi, Jun Fujishiro, Osamu Ohara, Yusuke Kawashima, Eiichiro Watanabe","doi":"10.1007/s00383-025-06153-0","DOIUrl":"https://doi.org/10.1007/s00383-025-06153-0","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore the mechanisms underlying the development of infantile hypertrophic pyloric stenosis (IHPS) using formalin-fixed paraffin-embedded (FFPE) samples.</p><p><strong>Methods: </strong>Among 306 patients with IHPS diagnosed at our hospital since 1982, 4 cases (male: female = 3:1, age = 2 ± 1 months) had pyloric muscle samples preserved as FFPE. A control group of three cases (male: female; 1:2, age = 70 ± 96 months) was also included. Proteomic analysis was performed on FFPE samples; statistical analysis was based on p values (< 0.05). Functional analysis was performed by Gene Ontology (GO) enrichment analysis.</p><p><strong>Results: </strong>Proteomic analysis detected 8,704 host-derived proteins. Principal component analysis revealed distinct clustering between the IHPS and control groups. Proteins more abundant in the IHPS group included SERPINE1, HTRA1, SACS, CPXM2, and BMP1, whereas proteins more abundant in the control group included CDH19, MRC1, PCDH1, ACE, and ITGA6. GO enrichment analysis showed that proteins related to the extracellular matrix were more prevalent in the IHPS group, whereas proteins associated with RNA splicing were less frequent.</p><p><strong>Conclusion: </strong>Proteomic analysis of FFPE samples may provide a new avenue for elucidating the pathophysiology of IHPS. Future collaborative studies should increase the sample size, allowing for a more detailed understanding of the underlying mechanisms.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"262"},"PeriodicalIF":1.6,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of the laparoscopic approach for persistent cloaca at a single institution: a retrospective study.","authors":"Keisuke Fukui, Keiichi Morita, Yoshifumi Sugita, Tadashi Hatakeyama","doi":"10.1007/s00383-025-06156-x","DOIUrl":"https://doi.org/10.1007/s00383-025-06156-x","url":null,"abstract":"<p><strong>Purpose: </strong>Our institution introduced a laparoscopic approach based on laparoscopy-assisted anorectoplasty (LAARP) to treat persistent cloaca (PC). This study aimed to describe our technique and evaluate its outcomes in comparison with those of previous approaches.</p><p><strong>Methods: </strong>We retrospectively analyzed 20 pediatric patients with PC who underwent anorectoplasty at our institution between January 2009 and September 2024. Rectal mobilization and anorectoplasty have previously been performed using the conventional transabdominal and/or posterior sagittal approaches. Laparoscopic rectal mobilization and fistula division using LAARP was introduced in 2016. Patients treated using these methods were divided into conventional and laparoscopic groups and analyzed.</p><p><strong>Results: </strong>No significant differences in the clinical data were observed between the two groups, except for body weight. Similarly, no significant differences were observed in the surgical data. The postoperative follow-up duration was insufficient to adequately evaluate fecal incontinence. No intraoperative complications were observed in the laparoscopic group.</p><p><strong>Conclusions: </strong>To the best of our knowledge, this is the first study to compare laparoscopic and conventional approaches for treating PC at a single institution. Despite these limitations, our findings suggest that the laparoscopic approach may be safer than the conventional approach for PC repair with a lower risk of intraoperative vaginal injury.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"261"},"PeriodicalIF":1.6,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prediction models for the optimal timing of surgical intervention for necrotizing enterocolitis: nomogram vs. five machine learning models.","authors":"Xuetian Li, Liting Zhang, Hongjie Gao, Yanping Wang, Fan Huang, Ding Li, Fengyin Sun","doi":"10.1007/s00383-025-06163-y","DOIUrl":"https://doi.org/10.1007/s00383-025-06163-y","url":null,"abstract":"<p><strong>Background: </strong>Necrotizing enterocolitis (NEC) is one of the most common diseases that pose serious threats to the life of newborns. In clinical practice, NEC is typically treated by surgical intervention, but it is still difficult to identify the timing of surgical intervention for this disease. Therefore, this study was conducted to establish a machine learning (ML) model for identifying the optimal timing of surgical intervention for NEC by comparing logistic regression (LR) models with ML models and to visualize important influencing indicators via a nomogram.</p><p><strong>Methods: </strong>The basic information, clinical manifestations, laboratory examination results, and radiography imaging results of newborns who were diagnosed with NEC in Qilu Hospital of Shandong University from 2011 to 2024 were collected and processed. Besides, some specific indicators were screened using univariate and multivariate LR analysis and ML analysis methods (including the random forest [RF] algorithm, support vector machine [SVM], decision tree [DT], naive Bayes [NB], and k-nearest Neighbor [KNN]) to construct a clinical model to predict the timing of surgical intervention for NEC. Moreover, a nomogram for predicting the timing of surgical intervention for NEC was constructed based on the independent risk factors selected by the multivariate LR analysis. Finally, the performance of each ML model was evaluated by the receiver operating characteristic (ROC) curve, calibration curve, and decision curve analysis (DCA).</p><p><strong>Results: </strong>A total of four differential indicators related to surgical intervention for NEC were screened by univariate and multivariate LR analyses. The five ML models were evaluated according to these indicators and then compared with a classical LR model. The results demonstrated that the LR model exhibited the best performance. Among the five ML models, the RF model displayed the best overall performance. In addition, a nomogram was plotted according to the LR analysis results to visualize the scores of important indicators. The results revealed that interloop space widening had the highest score.</p><p><strong>Conclusions: </strong>The indicator evaluation results and the analysis results based on ROC curves, DCA curves, and calibration curves corroborate that the LR model as a classical model achieves the best performance. In addition to the LR model, the RF model displays excellent performance among the five ML models. Therefore, it is expected to use this ML model to identify a more suitable surgical timing for newborns with NEC.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"260"},"PeriodicalIF":1.6,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Academic activities of pediatric surgeons in Japan questionnaire survey on the members of the Japanese society of pediatric surgeons.","authors":"Shun Onishi, Yunosuke Kawaguchi, Tomo Kakihara, Keigo Yada, Takahiro Korai, Koichi Deguchi, Satoshi Nakano, Taichi Nakatani, Kotaro Mimori, Takahiro Shimizu, Shohei Yoshimura, Shojiro Hanaki, Kengo Hattori","doi":"10.1007/s00383-025-06160-1","DOIUrl":"10.1007/s00383-025-06160-1","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the current situation by surveying past clinical and basic research experiences of members of the Japanese Society of Pediatric Surgeons (JSPS).</p><p><strong>Material and method: </strong>An online survey was conducted in 2024. Members of the Japanese Society of Pediatric Surgeons were asked to complete an anonymous questionnaire that included 43 items on their research experience, including conference presentations, published manuscripts, research funding, and study abroad experience.</p><p><strong>Results: </strong>In total, 320 participants responded to the survey. Respondents were divided into two groups: a young doctor group (U45, primarily Millennials, N = 195) and an older doctor group (O45, primarily Baby Boomers and Generation X, N = 125). Forty percent (39/195) of the U45s and 16.8% (21/125) of the O45s felt that their supervisors provided insufficient academic guidance. O45s showed greater motivation with regard to academic mentorship than U45s (U45 vs. O45 = 8.7% vs. 21.6%, p < 0.01). Younger generations are starting to write English case reports and original articles at a younger age (U45 vs. O45 = 8.30 ± 2.99 vs. 9.44 ± 4.13 years after graduation, p = 0.02). Both the U45 and O45 groups demonstrated high levels of motivation towards academic activities.</p><p><strong>Conclusion: </strong>Although pediatric surgeons in Japan are highly motivated to engage in academic activities, the academic activity guidance system is not sufficiently conducive.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"255"},"PeriodicalIF":1.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adjuvant steroids following Kasai portoenterostomy for biliary atresia: a single-center 18-year experience comparing different steroid dose regimens.","authors":"Norah E Liang, Enrico Danzer, Jeong S Hyun, Stephanie D Chao, Matias Bruzoni, James C Y Dunn","doi":"10.1007/s00383-025-06162-z","DOIUrl":"10.1007/s00383-025-06162-z","url":null,"abstract":"<p><strong>Purpose: </strong>In 2017, our hospital transitioned to a standardized post-KPE high-dose steroid protocol. We sought to compare outcomes for biliary atresia (BA) for this protocol against historical treatment with no or low-dose steroids.</p><p><strong>Methods: </strong>Between 2006 and 2024, 50 children underwent KPE for BA. Patients were stratified into three groups: no steroids, low-dose steroids (defined by a starting dose of 2-4 mg/kg/day), and high-dose steroids (starting dose of 10 mg/kg/day). After the initial taper, patients in both steroid groups continued with 2 mg/kg/day for 4-6 weeks.</p><p><strong>Results: </strong>8 patients received no steroids, 21 received low-dose steroids, and 21 received high-dose steroids. Patients treated with high-dose steroids had significantly greater readmission rates compared to the no or low-dose steroid cohorts. There was an overall trend towards improved native liver survival for the high-dose steroid cohort at 1 and 5 years after KPE. There was no significant difference in rates of cholangitis, though the high-dose cohort tended to present with cholangitis within 30 days of discharge.</p><p><strong>Conclusions: </strong>We describe the 18-year experience of adjuvant steroid use in BA patients at a single institution. We show improved early postoperative biliary drainage with high-dose steroid use and identify a trend towards improved native liver survival with high-dose steroids.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"258"},"PeriodicalIF":1.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144883453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for surgical difficulty in interval appendectomy for perforated appendicitis with abscess in children.","authors":"Keisuke Suzuki, Chizuka Seki, Tsubasa Goshima, Mina Yoshida, Yuta Nakashima, Yuki Shiko, Maiko Osawa, Yohei Kawasaki, Yujiro Tanaka","doi":"10.1007/s00383-025-06157-w","DOIUrl":"10.1007/s00383-025-06157-w","url":null,"abstract":"<p><strong>Purpose: </strong>To predict surgical difficulty during interval appendectomy for perforated appendicitis with abscess.</p><p><strong>Methods: </strong>The records of children diagnosed with appendiceal abscess who underwent interval appendectomy from 2012 to 2024 were reviewed. The clinical data associated with difficult surgeries (operative time > 2 h or addition of trocars) and uncomplicated surgeries were compared.</p><p><strong>Results: </strong>Among the 61 children who underwent interval appendectomy, 42 had uncomplicated surgery, whereas 19 children had difficult surgery. Children who underwent difficult surgery were older (11.5 ± 3 vs. 8.8 ± 3 years, p = 0.001), taller (p = 0.009), and weighed more (p = 0.011) compared to those who had uncomplicated surgery. In addition, difficult surgery was associated with larger abscesses (p = 0.003) and longer initial hospital stay (p = 0.046). Multivariate analysis identified older age (OR = 1.36; 95% CI = 1.08-1.8; p = 0.017), longer abscess diameter (OR = 1.36; 95% CI = 0.96-2.02; p = 0.097), and longer initial hospital stay (OR = 1.03; 95% CI = 1-1.07; p = 0.097) as possible risk factors for difficult surgery. According to ROC analysis, the cut-off values of age, abscess diameter, and length of hospital stay for predicting complicated appendectomy were 10.4 years, 5.8 cm, and 16.5 days, respectively.</p><p><strong>Conclusion: </strong>Older age, larger abscesses, and longer hospital stay for non-operative treatment may contribute to increased surgical difficulty during interval appendectomy.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"259"},"PeriodicalIF":1.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12364958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144883454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of frenuloplasty and post-operative speech rehabilitation in patients with ankyloglossia and dysarthria.","authors":"Yasuo Ito, Kazuaki Miyaguni, Tetsuro Sugihara, Go Kosugi, Nene Tookaichi, Myu Kaneko","doi":"10.1007/s00383-025-06149-w","DOIUrl":"10.1007/s00383-025-06149-w","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the effectiveness of frenuloplasty and post-operative rehabilitation as remedies for speech disorders in children with ankyloglossia.</p><p><strong>Methods: </strong>Articulation testing was done before and after surgery in 74 patients with ankyloglossia and dysarthria who underwent frenuloplasties. Overall evaluations included disease classification, Tongue-tie Assessment Score status, correctly pronounced word counts (word accuracy test), abnormal articulation profiling (omission, substitution, and distortion), speech intelligibility rating, and range of tongue mobility. Articulation testing took place at pre-operative baseline and post-operatively at 1, 3, and 6 months, as well as at 1 year and on final days of any training required beyond 1 year. Test results were appraised in phases, examining patient groups at 6 months (n = 39), 1 year (n = 19), and > 1 year (n = 8) of rehabilitation.</p><p><strong>Results: </strong>Rehabilitation ≥ 6 months was necessary in 89.2% (66/74) of patients. Counts of correctly pronounced words gradually rose as a result. Both speech intelligibility and range of tongue mobility also steadily improved. In terms of abnormal articulation, omission and substitution increasingly declined after surgery, whereas distortion showed a slowing or heightened tendency at ~ 3-6 months.</p><p><strong>Conclusion: </strong>Long-term rehabilitation is required to correct dysarthria, once acquired. Ankyloglossia should be corrected before patients learn to speak.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"256"},"PeriodicalIF":1.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}