Nearly half of children with 22qDS exhibited ICA medialization on imaging, with one in five needing a change in the surgical plan. Despite many authors advocating for routine imaging, its universal use is uncertain due to high study heterogeneity and limited outcome data.

Resident Pearls: Pediatric Otolaryngologists Share Tips for Safer, Smarter Tonsillectomies
Tonsillectomy is a common yet potentially risky pediatric surgery, often performed early in otolaryngology training. Global pediatric ENT surgeons shared practical advice to help residents perform safer, smarter tonsillectomies, emphasizing safety, patient selection, innovation, and teamwork.
Composition and Priorities of Multidisciplinary Pediatric Thyroid Programs: A Consensus Statement
What are the essential components and priorities of multidisciplinary pediatric thyroid programs to ensure optimal care and outcomes?
Reducing Surgery for Pediatric Post- Tonsillectomy Hemorrhage Using Tranexamic Acid: A Quality Improvement Initiative
Can standardized administration of TXA reduce the need for operative intervention in children presenting with post-tonsillectomy hemorrhage?

Exploring Controversies and Clinical Practices Surrounding Ankyloglossia
Ankyloglossia, or tongue tie, remains a controversial condition regarding its diagnosis and treatment, particularly frenotomy, with ongoing debates about its impact on breastfeeding, speech, and sleep apnea. Recent research and clinical guidelines emphasize the need for careful assessment and multidisciplinary approaches to care.
How to: Pediatric Endoscopic Transsphenoidal Skull Base Approach and Closure: Technique and Technical Tips
The authors review their pediatric EESS technique in patients with intra-operative high flow cerebrospinal fluid leak, with a focus on details that differ from adult transsphenoidal surgery technique.
Remote Programming a Viable Option for the Adult and Pediatric CI Populations
What are the effects and outcomes of remote cochlear implant (CI) programming in terms of burden and costs, feasibility and satisfaction, and comparability to traditional in-person CI management, for patients and families within the adult and pediatric CI populations?

Management of Pediatric Tracheocutaneous Fistulae
Tracheocutaneous fistulae (TCF) involve a remnant skin tract that connects the external cervical skin with the anterior trachea following decannulation of a tracheostomy tube (TT). Due to the young age at insertion, length of TT dependence, and propensity for removal with aging, persistent pediatric TCF (PPTCF) are more frequent than in adults. Methods of management are varied, and ideal approaches to management are debated.

BREATHE-ing New Life into the Care of Pediatric Tracheostomy Patients
The BREATHE (Boosting REsources And caregiver empowerment for Tracheostomy care at HomE) study is a five-year, six-hospital trial that will advance understanding of how hospitals can better support caregivers of children with tracheostomies as they resume life, work, and family activities after discharge.
Topical Beta-Blocker Effective First-Line Treatment for Infantile Hemangioma
The topical beta-blocker timolol can be an effective first-line treatment for controlling symptoms of ulcerated IHs; however, its use should be carefully monitored.
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