{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T08:40:12Z","timestamp":1733388012735,"version":"3.30.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Vocal fold immobility (VFI) is a cause of significant morbidity and mortality in the paediatric population. Laryngoscopy is the current first\u2010line investigation for patients with suspected VFI. Laryngeal ultrasound (LUS) has recently emerged as an alternative method of identifying VFI. Compared to laryngoscopy, LUS is less invasive, does not require anaesthesia, and can be performed by non\u2010otolaryngologists. The objectives of this study are to evaluate LUS as a diagnostic method for the identification of VFI in a cohort of paediatric patients in Aotearoa New Zealand (NZ) and to estimate the frequency of use of LUS in the paediatric population by clinicians around the world.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective, single\u2010centre cohort study was performed on all paediatric patients who had undergone laryngoscopy and LUS at Starship Children's Health in Auckland, NZ, between 2020 and 2023. An eight\u2010question survey was also developed and distributed to better understand clinicians' use of LUS in their clinical practice to diagnose paediatric VFI globally.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010nine paediatric patients met the inclusion criteria. LUS demonstrated good sensitivity (80.95%) for detecting VFI and increased to 93.33% for the detection of unilateral VFI. Of the 87 respondents to the survey, 41.38% utilise LUS in their clinical practice in the paediatric population. The main barriers to implementation of LUS as identified by non\u2010users were lack of equipment, expertise, and training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings support the use of LUS as an accurate diagnostic tool for the detection of unilateral VFI. Further studies in non\u2010surgical populations and in patients with bilateral VFI, as well as standardised guidelines for LUS technique and reporting, are required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.14237","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T09:43:58Z","timestamp":1727689438000},"page":"82-87","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Paediatric Laryngeal Ultrasound: A Retrospective Cohort\u00a0Study in Aotearoa New Zealand and an\u00a0International Survey"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8673-490X","authenticated-orcid":false,"given":"Silvia Giovanna","family":"Marinone Lares","sequence":"first","affiliation":[{"name":"Department of Paediatric Otorhinolaryngology Starship Child Health  Auckland New Zealand"},{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Te Toka Tumai Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9466-1461","authenticated-orcid":false,"given":"Georgia","family":"Mackay","sequence":"additional","affiliation":[{"name":"Department of Paediatric Otorhinolaryngology Starship Child Health  Auckland New Zealand"},{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Te Toka Tumai Auckland  Auckland New Zealand"},{"name":"Department of Surgery The University of Auckland  Auckland New\u00a0Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5595-6542","authenticated-orcid":false,"given":"Sita Tarini","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Te Toka Tumai Auckland  Auckland New Zealand"},{"name":"Department of Surgery The University of Auckland  Auckland New\u00a0Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1974-4379","authenticated-orcid":false,"given":"Jeyasakthy","family":"Saniasiaya","sequence":"additional","affiliation":[{"name":"Department of Paediatric Otorhinolaryngology Starship Child Health  Auckland New Zealand"},{"name":"Department of Otorhinolaryngology, Faculty of Medicine Universiti Malaya, Jalan Universiti  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5767-0740","authenticated-orcid":false,"given":"Craig","family":"McCaffer","sequence":"additional","affiliation":[{"name":"Department of Paediatric Otorhinolaryngology Starship Child Health  Auckland New 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