{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T10:15:30Z","timestamp":1779963330745,"version":"3.53.1"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Zhejiang Traditional Chinese Medicine Science and Technology Project","award":["2023ZF169"],"award-info":[{"award-number":["2023ZF169"]}]},{"name":"The Zhejiang Traditional Chinese Medicine Science and Technology Project","award":["2024ZL1050"],"award-info":[{"award-number":["2024ZL1050"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To explore the correlation between the posterior airway space (PAS) in children with adenoid hypertrophy and the acoustic impedance test indicators, in order to provide a reference for clinical assessment of middle ear dysfunction in these children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on 160 children diagnosed with adenoid hypertrophy in the otolaryngology department of our hospital from January 2024 to January 2025. They were divided into 4 groups based on the PAS value (Grade 1: &gt;12\u2009mm, Grade 2: 8-12\u2009mm, Grade 3: 5-8\u2009mm, Grade 4: \u22645\u2009mm), with 40 cases in each group. All underwent acoustic impedance testing, and the middle ear pressure, compliance, and distribution of the tympanogram were compared. Receiver operating characteristic (ROC) curve analysis was used to evaluate the diagnostic value.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was no significant difference in the general data among the 4 groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05); as the PAS grade increased, the average absolute value of middle ear pressure increased (Grade 1: \u22123.48\u2009\u00b1\u200920.01\u2009daPa, Grade 4: \u2212124.03\u2009\u00b1\u200984.92\u2009daPa,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001), the average compliance decreased (Grade 1: 0.68\u2009\u00b1\u20090.09\u2009mL, Grade 4: 0.23\u2009\u00b1\u20090.04\u2009mL,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001), the proportion of type B and C tympanogram increased (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01); the area under the curve (AUC) of type B and C tympanogram were 0.654 and 0.650 respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>PAS was significantly correlated with the impedance index. The smaller the PAS value (indicating a more severe degree of adenoid hypertrophy), the more obvious the middle ear dysfunction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01455613261442879","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T11:06:53Z","timestamp":1779707213000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Posterior Airway Space in Adenoid Hypertrophy: Link to Acoustic Impedance Test Findings"],"prefix":"10.1177","author":[{"given":"Xiong","family":"Qian","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Jiaxing Hospital of Traditional Chinese Medicine, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Jiaxing Hospital of Traditional Chinese Medicine, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongcai","family":"Weng","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Jiaxing Hospital of Traditional Chinese Medicine, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6663-6564","authenticated-orcid":false,"given":"Shufeng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Jiaxing Hospital of Traditional Chinese Medicine, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2022-001710"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-023-01299-6"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11212812"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000032804"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0145561321989455"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.30985"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.2165"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-024-05657-8"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr.20190205"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.21142\/2523-2754-1004-2022-128"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.2147\/nss.S486432"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1764139"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-023-08188-2"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.62453"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-024-04714-8"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wjorl.2021.04.005"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.20471\/acc.2021.60.03.25"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.24976\/Discov.Med.202335174.1"},{"issue":"4","key":"e_1_3_2_20_2","first-page":"80","article-title":"Clinical study on the sequential therapy of traditional chinese medicine for the treatment of adenoid hypertrophy with middle ear function abnormalities in children","volume":"23","author":"Feida F","year":"2025","unstructured":"Feida F, Ming Y, Qinghua G, Yujie B. Clinical study on the sequential therapy of traditional chinese medicine for the treatment of adenoid hypertrophy with middle ear function abnormalities in children. Chin Prescrip Drug. 2025;23(4):80-83.","journal-title":"Chin Prescrip Drug"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2023.101307"},{"issue":"21","key":"e_1_3_2_22_2","first-page":"2324","article-title":"The influence of endoscopic direct vision low-temperature plasma radiofrequency ablation adenoidectomy on postoperative pain, ventilation function and eustachian tube function in children with OSAHS","volume":"23","author":"Yan Y","year":"2024","unstructured":"Yan Y, Yueming G, Xiaolong Z. The influence of endoscopic direct vision low-temperature plasma radiofrequency ablation adenoidectomy on postoperative pain, ventilation function and eustachian tube function in children with OSAHS. 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