Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P122
Pediatric
P122
Otolaryngology-Head and Neck Surgery 163(1S)
Presentation schedule is subject to change. The Official Program Abstracts supplement does not reflect changes made after August 10, 2020.
Methods: The Pediatric Health Information System datacompared with 13.9 months for those who chose BCHD.
base was queried from 2009 to 2019 for all patients at a single
However, there was no statistically significant difference
tertiary children's hospital in Indiana who underwent mastoidbetween ages at offer (P = .14).
ectomy for AM. Audiometric data were obtained from audioConclusions: This study demonstrates that BCHD acquisigrams completed less than 1 year and greater than 1 year from
tion and compliance may not be affected by the age patients
initial surgery to assess short-term (ST) and long-term (LT)
are offered or fit. Also, the time span between offer and fitting
hearing, respectively.
is not associated with BCHD usage. BCHDs should be
Results: The study identified 49 patients who underwent
offered to unilateral CAA patients regardless of age. Further
50 mastoidectomy operations from 2009 to 2019. In comparinvestigation in older age groups would help expand these
ing ST and LT hearing for the operative ear (OE), there was a
findings.
statistically significant difference in the speech reception
threshold (ST average, 24.23; LT, 16.96; P = .027) and bone
Comparison of Treatment Modalities for
conduction pure tone average (BC PTA; ST, 14.35; LT, 10.73;
Single-Sided Deafness in Pediatric Patients
P = .032). In patients who had normal tympanometry and air
Matthew Kubina (Presenter); Anita S. Jeyakumar, MD, MS
conduction pure tone average (AC PTA) on the ST audiogram,
Objectives: Treatment of single-sided deafness (SSD) in
89% and 100% continued to be normal on the LT audiogram,
children without delay may protect from the development
respectively. With regard to comparing the OE with the concompromised spatial hearing. Without access to binaural
tralateral ear (CE) for ST hearing, there were statistically sigcues, children with SSD do not develop sound localization.
nificant differences in AC PTA (OE, 29.76; CE, 12.65; P =
Listening in noise becomes more difficult; social interactions
.040), BC PTA (OE, 14.35; CE, 7.55; P = .038), and air-bone
and routine activities, such as crossing a street, can be negagap (OE, 18.78; CE, 5.28; P = .048). In terms of the LT heartively affected. SSD is often trivialized, and frequently,
ing, AC PTA continued to be significantly different (OE,
patients and their families get inconsistent clinical recommen24.75; CE, 16.48; P = .019).
dations. Often, this is because there is no clear best practice in
Conclusions: Postoperative audiograms should be obtained
pediatric patients with SSD.
in pediatric patients who undergo mastoidectomy for AM,
Methods: In this comprehensive literature review from
and those who have normal audiograms less than 1 year
January 1, 2010, to January 1, 2020, we compared the outcomes
from surgery likely do not require further audiometric
of contralateral routing of signal, bone conduction devices, and
surveillance.
cochlear implantation in pediatric patients with SSD.
Results: Seventeen studies were used in the review, providBone Conduction Hearing Device Compliance
ing a heterogeneous look at SSD and different treatment outin Relationship to Age of Fitting in Pediatric
comes; 676 patients were observed. For those studies that
Unilateral Congenital Aural Atresia
included sex information (n = 573), there were 322 (56.2%)
Nicole Leah Alexander (Presenter); Zipei Feng, MD, PhD;
boys and 251 (43.8%) girls. Variables in outcomes, including
Geran Barton; Rodrigo C. Silva, MD; Yi-Chun Carol Liu, MD
both speech reception and bimodal speech reception in quiet
Objectives: Bone-conduction hearing devices (BCHDs) proand in noise, as well as tinnitus, duration and deafness, and
vide more consistent and improved audiologic outcomes than
quality-of-life measures, were recorded and compared. All
atresiaplasty in pediatric congenital aural atresia (CAA), but
modalities had some benefit in speech perception. Cochlear
BCHD placement surgery is not recommended before age 5
implantation showed the most significant improvements in
years. BCHD soft bands provide an alternative to those who
bilateral hearing restoration and sound localization.
are not yet candidates and help predict postoperative benefits.
Conclusions: Because of the serious learning deficits that
A common assumption is that device compliance may decrease
pediatric SSD patients can experience in noisy classrooms,
with age from lack of early acclimatization.
early implementation of more efficient treatments is critical
Methods: A retrospective case series of patients born between
for long-term success.
2014 and 2018 with unilateral CAA at an urban tertiary care
children's hospital collected information on BCHD acquisition
Cost-effectiveness of Pediatric Cervical
and compliance. Those who were either offered (17) or fit (46)
Lymph Node Biopsy
with a BCHD were included. The patient's age at offer and fit
Leighton Reed (Presenter); Samuel H. Smith, MD; Daniel C.
was recorded, along with the time from offer to fitting. Use was
Chelius Jr, MD; Jeffrey C. Rastatter, MD; Anthony Sheyn, MD
indicated through note documentation at <1 year, 1 to 2 years,
Objectives: (1) Interpret the frequency of cervical lymph
and >2 years from fitting by yes, intermittent, no, or unknown.
node biopsy (CLND) in evaluating pediatric cervical lymphResults: No significant association was found between age
adenopathy (LAD). (2) Analyze cost-effectiveness of pediatfit, age offered, or time from offer to fitting and BCHD comric cervical lymph node biopsies. (3) Examine the importance
pliance at <1 year (P = .93, .96, and .27), 1 to 2 years (P =
of clinical suspicion in determining whether to obtain a biopsy.
.17, .24, and .46), or >2 years (P = .053, .11, and .17) from
Methods: Data were extracted from the Kids' Inpatient
fitting. The average age of patients at time of offer was
Database. Data assessed included primary diagnosis of any
20.9 months for those who chose not to acquire a BCHD
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Table of Contents for the Digital Edition of Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Contents
Accreditation Information
2020 President Duane J. Taylor, MD
2020 Annual Meeting Program Committee
2020 Star Reviewers
2020 Distinguished Service Award Recipients
2020 Honor Award Recipients
Honorary Guest Lecturers 2020
Panel Presentations
Oral Presentations
Poster Presentations
Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Intro
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A1
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Contents
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A5
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A6
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Accreditation Information
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 President Duane J. Taylor, MD
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Annual Meeting Program Committee
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P4
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Star Reviewers
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Honor Award Recipients
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P7
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Honorary Guest Lecturers 2020
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P9
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Panel Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Oral Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P267
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P269
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P270
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P271
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P272
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P273
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P274
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P275
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P276
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P277
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P278
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P279
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P280
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P281
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P282
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P283
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P284
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P285
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P286
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P287
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P288
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P289
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P290
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P291
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P292
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P293
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P294
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P295
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P296
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P297
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P298
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P299
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P300
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P301
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P302
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P303
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P304
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P305
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P306
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P307
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P308
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P309
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P310
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P311
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P312
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P316
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P317
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P318
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P319
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P320
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P321
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P322
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P323
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P324
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P325
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P326
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P327
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P328
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P329
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P330
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P331
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P332
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover4
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