Understanding pediatric cervicofacial non-tuberculous mycobacterial infection.

Cervicofacial non-tuberculous mycobacterial infection should be a part of the differential diagnosis for immunocompetent children ages 1 to 5 years who present with painless submandibular or preauricular lymphadenopathy. Although a benign and self-limiting disease, patients can develop a chronically draining fistula if not diagnosed and treated promptly. The diagnostic process can be managed with a combination of microbiological studies, cytology, laboratory tests, and imaging studies.

The Puck Stops Here: Head and Neck Ice Hockey Lacerations in Adults.

Objective: The goal of this study was to describe lacerations of the head and neck sustained among ice hockey players in the US.

Methods: Data on adult (20-65 years) ice hockey injuries were collected from the 2003-2022 National Electronic Injury Surveillance System (NEISS) database. Injuries of the head, neck, face, mouth, and ears were included, while those sustained as a spectator, coach, or on a non-ice surface were excluded.

Pediatric neck injuries associated with trampoline use.

Objective: Trampolines are popular among children, but trampoline injuries constitute a large number of emergency department visits. The purpose of this study was to determine how often neck injuries occur among children with trampoline-related injuries and to identify the mechanism of injury.

Methods: We analyzed the National Electronic Injury Surveillance System (NEISS) database to characterize patient demographics, injury types, injury subsite, and emergency department disposition status associated with trampoline related neck injuries between 2012 and 2021 in the United States.

Detection of Aberrant Carotid Arteries Prior to an Adenoidectomy: A Case Report.

Aberrant carotid arteries are rare vascular anomalies that can significantly complicate head and neck surgeries, particularly in pediatric patients. These anomalies may be asymptomatic and are often discovered incidentally on imaging studies performed for unrelated conditions. The failure to recognize these anomalies preoperatively can result in life-threatening complications, such as catastrophic hemorrhage.

Quality of Information on Lip Tie in YouTube Videos: A Content Analysis.

Objective "Lip tie" is a term that has become commonly used to refer to a prominent or short maxillary frenulum and is controversially associated with difficulties in breastfeeding. There has been a rise in the popularity of lip tie division without clear expert agreement on the indications and benefits of treatment. Our study aims to determine the quality of information on YouTube about lip ties.

Age-dependent trends in pediatric maxillary frenum classification.

Objective: To describe maxillary frenum Kotlow scores in a pediatric population.

Methods: 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.

Navigating the Discrepancy: How Cost of Living (COL) Adjustments Impact Otolaryngology Residents' Salaries.

Objective: To compare differences in otolaryngology residents' salaries in different cities and states before and after adjusting for the cost of living.

Study Design: Cross-sectional analysis.

Setting: Accreditation Council for Graduate Medical Education (ACGME) otolaryngology residency program websites.

Postoperative Complications in Lingual Versus Palatine Tonsillectomies.

Objective: The aim of this study was to investigate the risks of lingual tonsillectomy (LT) in a large cohort and compare these risks to those of palatine tonsillectomy (PT).

Methods: A retrospective cohort study was conducted using data from the United States collaborative network within TriNetX. The LT group was defined using Current Procedural Terminology (CPT) code 42870 and PT group using CPT codes 42820, 42821, 42825, or 42826.

Children with previous COVID-19 infection are more likely to present with recurrent acute otitis media or tube otorrhea.

Objective: Since December 2021, the number of children with COVID-19 infections has increased. Sequelae in children have not been well-described. Our goal was to determine if children with a history of COVID-19 infection (C19 group) were more likely to present with recurrent acute otitis media (rAOM) or post-ventilation tube otorrhea (VTO) than children who had no history of COVID-19 infection (NoC19 group).

Adverse events related to suction electrocautery devices in adenotonsillectomy: Analysis of the MAUDE database.

Objective: To identify adverse events (AEs) related to suction electrocautery use during adenotonsillectomy.

Methods: The US Food and Drug Administration (FDA) Manufacturer and User Facility Device Experience (MAUDE) database was searched using the terms "suction cautery," "suction electrocautery," "suction Bovie," and "suction coagulator" from January 2014 to December 2023.

Results: 165 AE reports were gathered from the MAUDE database medical device reports (MDRs).

Decreasing the Size of Bottle Caps: Helping or Hurting Children?

Objective: Our study aims to assess if decreasing bottle cap size was associated with more ingestions and injuries nationally. STUDY DESIGN: Retrospective chart review.

Setting: The National Electronic Injury Surveillance System (NEISS) database.

Laryngeal Foreign Body Aspiration in Infancy: A Diagnostic Challenge.

Foreign body aspiration (FBA) is a significant cause of accidental death among children, with laryngeal FBA being relatively rare but potentially fatal due to airway obstruction. This report highlights a case of laryngeal FBA in an 11-month-old child, initially misdiagnosed as viral croup. Otolaryngological evaluation, particularly in the case of laryngeal FBA, may facilitate management.

Feeding Issues in Infants Referred for Frenotomy.

Introduction: The diagnosis of ankyloglossia has increased significantly around the world over the last decade. Frenotomy is indicated in infants with ankyloglossia to improve breastfeeding, although there is little scientific evidence of its efficacy. The purpose of this study is to evaluate whether infants being referred for frenotomy had feeding issues prior to the procedure.

Post-Tonsillectomy Bleeding and Analgesic Use Before and After the FDA Boxed Warning Against Codeine.

Objective: The aim of this study was to investigate the trends in post-tonsillectomy analgesic utility and incidence of post-tonsillectomy hemorrhage before and after the 2013 FDA Boxed Warning against codeine use after pediatric tonsillectomy.

Methods: A retrospective study was conducted using TriNetX. A search for patients up to 18 years from 2008 to 2022 within the US Collaborative Network identified 15,648,542 subjects.

White noise use among children undergoing sound field audiometry: A preliminary study.

Objective: To describe the prevalence of routine white noise exposure in children who undergo sound field audiometry.

Methods: A retrospective cohort study was conducted at a pediatric otolaryngology clinic affiliated with an academic tertiary care hospital. The medical records of children who underwent sound field audiometry were reviewed and data was collected regarding demographics and audiogram results.

Second opinions: Do otolaryngologist demographics matter?

Objective: Pediatric patients and their caregivers may receive information from their primary care physician (PCP) that does not match current American Academy of Otolaryngology (AAO) guidelines. The purpose of this study is to evaluate the frequency of parents deciding to seek a second opinion based on the demographics of pediatric otolaryngologists who deliver guideline supported advice, contrary to advice from their child's PCP.

Methods: A survey was distributed to parents in a pediatric otolaryngology clinic between June 2021 and July 2023.

Does resident involvement in tonsillectomy affect outcomes?

Objective: Tonsillectomy is essentially a solo surgery with a well-described complication profile. It may serve as a good benchmark to evaluate the resident-as-surgeon. This study examined complications such as post-tonsillectomy bleeding in children undergoing tonsillectomy by attending surgeons (AS) or pediatric otolaryngologist-supervised residents.

Otolaryngologic sequelae of Ehlers Danlos Syndrome in pediatric patients.

Objective: As outlined by the NIH, Ehlers Danlos Syndrome (EDS) is a group of hereditary connective tissue disorders characterized by skin hyperelasticity, joint hypermobility, atrophic scarring, and blood vessel fragility, with no otolaryngological criteria for diagnosis. We aimed to compare otolaryngological disorders between children with EDS and those not affected by EDS.

Methods: A retrospective chart review was conducted using the US collaborative network within TriNetX.

Gender distribution of Top Doctors in otolaryngology-head and neck surgery.

Introduction: Our study seeks to understand the profiles of otolaryngologists selected by Castle Connolly's Top Doctor list and how this compares to the entire field of otolaryngology.

Methods: Top Doctor lists published in Castle Connolly affiliated magazines were analyzed for Otolaryngology, Otolaryngology/Facial Plastic Surgery, or Pediatric Otolaryngology physicians. Only lists published in 2021 or representing the 2021 Top Doctor lists were analyzed.