Bridging autism spectrum disorder and otolaryngology: A bibliometric analysis of research trends and clinical implications.

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition often accompanied by comorbid ear, nose, and throat (ENT) disorders, including hearing loss, otitis media, auditory processing deficits, and sleep-disordered breathing. These conditions can further impair communication and behavior, yet research at the ASD-ENT intersection remains scattered. This study presents the first bibliometric analysis of ASD-related ENT research to map trends, identify influential contributions, and guide future clinical integration. A systematic PubMed search identified 107 peer-reviewed articles addressing ENT conditions in ASD populations. Citation data and metadata were extracted from Web of Science and analyzed using descriptive statistics and visualization tools. Otology and audiology comprised 40% of publications, followed by cochlear implantation (15%) and speech or communication-focused studies (14%). The United States led in volume and citations, though contributions from China, Egypt, and Europe highlighted growing global interest. Institutional collaboration was common, with 75% of studies involving multiple centers. Thematic growth was observed in areas such as auditory hypersensitivity, vestibular dysfunction, and ENT-related sleep disorders. However, research remains primarily pediatric and observational, with limited focus on adolescent or adult populations. Our findings support routine ENT screening in individuals with ASD, especially for hearing and sleep-related concerns. Interdisciplinary approaches involving audiology, speech therapy, and neurodevelopmental care are essential for improving outcomes. This bibliometric analysis highlights the evolution of ASD-ENT research and underscores the need for expanded lifespan-inclusive studies to address these clinically significant comorbidities.