INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY

Holiday letter 2024
Kerschner JE
Impact of COVID-19 on newborn hearing screening (NBHS) and early hearing detection and intervention (EHDI) services: A statewide analysis of differences and policy implications
Kfoury P, Stout JC, McVicar SB, Sidesinger M, Jeon EK, Tonkovich K, Allen CM, Firpo MA and Park AH
This study investigates the pandemic's impact on newborn hearing screening (NBHS) and access to hearing services for children in Utah. Specifically, it explores the differences in NBHS rates, diagnostic hearing testing, early intervention enrollment, and congenital cytomegalovirus (cCMV) screening before and during the pandemic.
Assessing robotic-assisted procedures in pediatric otolaryngology: A systematic review and meta-analysis
Gottman DC, Corbisiero MF, Saeedi A, Bothwell S, Svoboda E, Ai A and Roy S
Robotic-assisted surgery is increasingly used in pediatric otolaryngology, offering potential benefits like improved cosmetic outcomes. However, challenges such as longer operative times, higher costs, and a steep learning curve remain.
Accidental tracheostomy decannulation: Risk factors and complications in pediatric patients using the NSQIP-P database
Heninger J, Ghosh A, Rowland M, Hazkani I, Valika T and Cheon EC
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.
Age-dependent trends in pediatric maxillary frenum classification
Corbin AF, DiNardo LA, Akella DS, Ma AC, Nanu DP, Viola FC and Carr MM
To describe maxillary frenum Kotlow scores in a pediatric population.
Evaluating utility of allergy testing in management of nasal obstruction following inferior turbinate reduction
Lee J, McColl LF, Meeker MO, Satroplus T, Kelly N, Liu K, Onwuka A and Chiang T
Allergic rhinitis (AR) within the pediatric population affects more patients than any other chronic disease. Inferior turbinate hypertrophy (ITH) is a common cause of nasal obstruction in children and is strongly associated with AR. Inferior turbinate reduction (ITR) surgery is used in patients with ITH who have failed medical management. While surgery is curative for most, there remains a subset of patients who continue to have symptoms of nasal obstruction despite ITR, which can cause discomfort and significant impacts on quality of life. Additionally, some patients with persistent disease go on to require revision surgery. The objectives in this study were to assess the impact of allergy testing results in patients undergoing ITR and evaluate if they predict long-term durability of surgical outcome.
Hearing loss and vestibular dysfunction in congenital CMV infection: Could it be due to endolymphatic pressure anomaly? A preliminary study
Kahn L, Poillon G, Elmaleh-Bergès M, Litman-Roventa L, Chebib E, Teissier N and Maudoux A
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.
The impact of endoscopic sinus surgery in pediatric patients with sinogenic intracranial infection: A systematic review and meta-analysis
Grose E, Xiao JB, Fang E, Routhier-Chevrier B, Siu JM and Wolter NE
This review aims to elucidate the role of endoscopic sinus surgery (ESS) on the outcomes of pediatric patients with sinogenic intracranial infections.
Environmental factors and the incidence of pediatric epistaxis: A systematic review with meta-analysis
Sharifi A, Hwang PH, Zojaji M, Ghaedsharaf S, Samadizadeh S, Ghaffari ME and Qian ZJ
A growing body of literature explores environmental risk factors for pediatric epistaxis, yielding variable results. We aim to clarify these associations through a systematic review and meta-analysis.
Tracheostomy in children with mucopolysaccharidosis: A systematic review
Galluzzi F and Garavello W
Children with mucopolysaccharidosis (MPS) with difficult airways may require tracheostomy, and surgery can be challenging. This review aims to study the indications, surgical aspects, postoperative complications and outcomes of tracheostomy in MPS children.
National survey on Congenital Cytomegalovirus Awareness and Screening Practices among Healthcare Professionals
Hamed N, Temsah MH, Sabr Y, Abdelsamad Y, Alghamdi MA, Yaqoub NS, Alhashem MH, Alnuwaybit AF, AlKhashan R, Mawkili A and Hagr A
Congenital cytomegalovirus (CMV) infection, resulting from maternal-fetal transmission of CMV, poses a substantial risk to maternal and child health. It is the most prevalent congenital viral infection, and the prevention and management of this condition rely heavily on the knowledge and awareness of healthcare professionals.
Lipid-laden macrophage index as a marker of aspiration in children, is it reliable? A scoping review
Orishchak O, Moise A, Al-Osamey F, Kaspy K and Daniel SJ
A diagnostic pathway to detect aspiration is challenging and usually requires a multidisciplinary approach and a variety of tests. Lipid-laden macrophage index (LLMI) was first described in 1985 by Corwin and Irwin as a promising tool to detect aspiration. Information in the literature as well as physicians' opinions about the clinical value of the LLMI remains controversial.
Airway management in pediatric patients undergoing microvascular free tissue transfer reconstruction after mandibulectomy
Shay EO, Kesani M, Moore MG, Mantravadi AV, Sim MW, Yesensky J, Farlow JL, Campbell D and Chen DW
Microvascular free tissue transfer (MVFTT) for head and neck reconstruction is infrequently performed in pediatric patients. There is a paucity of data on perioperative airway management in pediatric MVFTT, such as the need for tracheostomy, which can pose higher morbidity to young patients due to potential long-term effects on the softer, more pliable laryngotracheal cartilage. Our objective was to report airway outcomes on pediatric patients undergoing MVFTT after segmental mandibulectomy with or without tracheostomy.
Artificial intelligence as an auxiliary tool in pediatric otitis media diagnosis
Zhong Z, Guo X, Jia D, Zheng H, Wu Z and Wang X
In order to promote the use of AI technology as the auxiliary tool in pediatric otitis media diagnosis, we use the convolutional neural networks and deep learning for image classification and disease diagnosis. We also designed a Pediatric Otitis Media Classifier to analyze and classify the images for physicians.
The characteristics of occult foreign body aspiration and predicting factors in children
Zhang Y, Li Y, Zhang R, Zhong L and Chen L
To summarize the clinical characteristics and risk factors of occult foreign body aspiration (FBA) in children, which can help with early diagnosis and timely intervention, potentially preventing further exacerbations.
Temporal cue based categorization and speech perception in noise among pediatric cochlear implant users
Neupane AK and Vanaja CS
Voice onset time (VOT) has been identified as a potential temporal cue for predicting children's performance in speech-in-noise tasks, yet the relationship between these two factors has never been explored among children using CI. Hence, the present study aimed to explore the performance of children using CI on temporal cue-based syllable categorization test and speech perception in noise and examine the relationship between the two.
Impact of demographics and social vulnerability on outcomes in pediatric medullary thyroid cancer
Rahman A, Low C, Huang A, Meister K and Balakrishnan K
To evaluate the impact of social vulnerability and social determinants of health on outcomes in pediatric medullary thyroid cancer.
Comparison of current staging systems for predicting pediatric cholesteatoma outcomes
Todatry S, Newsom R, Wald J and Fina M
This study aims to assess the utility of the European Academy of Otology & Neurotology - Japanese Otologic Society (EAONO-JOS) and Potsic staging systems in predicting recidivism in pediatric patients with congenital (CC), primary acquired (PA), and secondary acquired (SA) cholesteatoma.
Differential sleep subtypes in children with OSA of different ages
Luo C, Chen W and Li Q
The aim of this study was to evaluate the variations in sleep architecture and types of sleep disturbances in preschool and school-age children diagnosed with obstructive sleep apnea (OSA).
An innovative CRISPR/Cas9 mouse model of human isolated microtia indicates the potential contribution of CNVs near HMX1 gene
Xing W, Zhang J, Liu T, Wang Y, Qian J, Wang B, Zhang Y and Zhang Q
Microtia is a prevalent congenital malformation, the precise etiology and pathogenesis of which remain elusive. Mutations in the non-coding region of the HMX1 gene have been implicated in isolated cases of microtia, emerging as a significant focus of contemporary research. Several pathogenic copy number variations (CNVs) proximal to the HMX1 gene have been documented in wild animal populations, whereas only a single large segmental duplication in this region has been identified in humans. However, the absence of a gene-edited animal model has impeded the investigation of the unclear gene function associated with HMX1 mutations in human isolated microtia. In this study, we sought to precisely identify the pathogenic mutation by analyzing three pedigrees alongside population controls. Subsequently, our objective was to develop a CRISPR/Cas9 gene-edited mouse model to elucidate the functional implications of the identified mutation.
Implementation of a nurse-led paediatric epistaxis clinic at a tertiary hospital
Zubair A, Flynn A, Todd H and Khong G
Referrals for recurrent epistaxis constitute a significant proportion of paediatric ENT consultations. In order to improve access to secondary care, a nurse-led paediatric epistaxis clinic (NPEC) was developed in collaboration with ENT specialist nurses. The purpose of this study was to describe the structure of NPEC at our institution and to assess the impact including safety, parental satisfaction and referral-to-clinic times.