Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P270

P270		
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.
poorly reported in the literature. The aim of this study was
to identify and characterize musculoskeletal symptoms
among otorhinolaryngology-head and neck surgery residents in Riyadh, Saudi Arabia.
Methods: A cross-sectional survey-based study carried out in
multicenter hospitals in Riyadh, Saudi Arabia. Otorhinolaryngologyhead and neck surgery residents enrolled in the Saudi Board
Program were recruited. The Modified Nordic Musculoskeletal
Questionnaire was used to assess musculoskeletal symptoms
alongside demographic factors such as age and sex and occupational factors including operating position and the average
number of operating hours.
Results: Forty-five of the 66 residents completed the survey
(response rate, 68.2%), 33 male (73.3%) and 12 female
(26.7%). Most residents (91.1%) reported at least 1 musculoskeletal symptom. The most commonly reported musculoskeletal symptoms were shoulder complaints (n = 29, 64.4%)
followed by the neck (n = 27, 60%) over the past 12 months.
In the short term (past 7 days), neck complaints were more
common than shoulder complaints (28.9% vs 20%). Lower
back complaints were the most common cause of activity limitation (n = 11, 24.4%) followed by shoulder (n = 6, 13.3%),
whereas those with neck complaints reported it as a cause for
visiting a physician (n = 4, 8.9%). Shoulder complaints were
the most commonly reported concerns by women during the
past 12 months (n = 9, 75%), whereas neck complaints were
reported by men (n = 21, 63.64%).
Conclusions: Musculoskeletal symptoms were common
among otorhinolaryngology residents.

Pediatric Otolaryngology

Pediatric

Airway Endoscopy in Pediatric Patients
With CHARGE Syndrome
Maria C. Carratola, MD (Presenter); Catherine K. Hart, MD;
Alessandro de Alarcon, MD; Daniel Choo, MD
Objectives: CHARGE syndrome presents unique challenges
during procedures requiring anesthesia. An estimated onethird of patients undergoing routine airway endoscopy will
have an adverse airway event or unplanned admission.
Methods: This is a retrospective review of pediatric CHARGE
syndrome patients undergoing microlaryngoscopy with bronchoscopy (MLB) from July 2017 to December 2019. Patients
were divided into groups based on postoperative disposition:
planned admission, planned discharge, and unplanned admission. A number of patient variables are described and were analyzed for association with postoperative disposition and adverse
airway events.
Results: There were 22 patients who underwent 44 anesthetic events, for a total of 186 surgical procedures (4.2 procedures/event). The mean recovery time was 93.8 minutes
(range, 35-301 minutes). The mean American Society of
Anesthesiologists score was 3.2. The most often used anesthetic was propofol and sevoflurane. Preoperative anesthesia

consultation was obtained in 20/22 patients. The most common
otolaryngology comorbidities were tracheotomy dependence
(57%) and sialorrhea (45%). The most common pulmonary
comorbidities were aspiration (82%) and tracheomalacia
(52%). The most common respiratory intervention was supplemental oxygen delivered by flow inflation bag (58%). Only 1
patient had an unplanned admission. There were no unplanned
intubations or failed extubations. We found no association
between the variables listed previously and unplanned admission or adverse airway events.
Conclusions: Only 1 unplanned admission occurred using a
standard protocol for MLB, in which the otolaryngologist and
anesthesiologist coordinate to manage the airway. These data
suggest that adverse airway events and unplanned admissions
can be minimized in CHARGE patients undergoing routine
airway endoscopy.
Analysis of Risk Factors for Fever After
Adenotonsillectomy in Children
Xuexue Guo (Presenter)
Objectives: Clinical information was recorded for 200 patients
who were admitted to the Department of Otolaryngology at the
First Affiliated Hospital, Sun Yat-sen University, from October
2017 to April 2018, and received adenotonsillectomy. The risk
factors of postoperative fever were analyzed to advise the clinical practice in patients after surgery.
Methods: This is retrospective analysis of children with
adenotonsillar hypertrophy receiving adenotonsillectomy. The
outcome measurement was the highest axillary temperature
during postoperative hospitalization when >37°C was defined
as fever, otherwise defined as no fever. Independent variables
were sex, age, body mass index (BMI), severity of adenoid
and tonsillar hypertrophy, allergic rhinitis, secretory otitis
media, rhinosinusitis. Antibiotics were intranasal corticosteroids, antihistamines, and leukotriene receptor antagonist.
Binary logistic regression analysis was used.
Results: The results showed that BMI (P = .047), severity of
tonsillar hypertrophy (P = .003), allergic rhinitis (P = .042),
and classification of surgery (P = .005) were significantly
associated with the risk of fever in patients after adenotonsillectomy. Other included independent variables had no statistical significance.
Conclusions: Lower BMI, severe tonsil hypertrophy, and
combination with allergic rhinitis and tonsillectomy increased
the risk of postoperative fever.
Assessment of Pediatric Middle Ear Effusions
Using Wideband Tympanometry
Michele M. Carr, MD, DDS, PhD (Presenter);
Sarah Callaham; Maxwell D. Newby, MD; Jad Ramadan;
Aniket Saoji
Objectives: To determine if wideband tympanometry (WBT)
can differentiate different types of middle ear effusion (MEE):
serous, mucoid, and purulent.



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
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P11
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P12
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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 - 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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