Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P280

P280		
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.
Conclusions: Sound aversion has a broad differential diagnosis and may require visits to numerous specialists, placing
strain on the patient and the health care system. Furthermore,
misophonia is underdiagnosed in the pediatric population
because it requires the self-reporting of symptoms. We attempt
to spotlight this rarely reported pediatric diagnosis and elaborate on its clinical presentation to increase awareness among
otolaryngologists.
National Surgical Care in Pediatric Microtia
and Atresia Repair
Shabnam Ghazizadeh, MD (Presenter); Brooke Su, MD;
Nina L. Shapiro, MD

Pediatric

Objectives: Congenital malformations of the ear are associated with esthetic and psychosocial concerns, as well as functional hearing impairment, often requiring numerous surgical
procedures. The aim of this study was to evaluate national patterns of surgical care and complications in microtia and atresia
reconstruction in this population.
Methods: A retrospective review was conducted using the
2016 to 2018 American College of Surgeons (ACS) National
Surgical Quality Improvement Program (NSQIP) pediatric
database. Patients with a diagnosis of microtia or atresia
undergoing repair were identified using appropriate diagnosis
codes. Demographics and postoperative complications were
analyzed and compared.
Results: A total of 433 cases were identified. The average
age at operation was 10 years, with 34.4% being female. Most
underwent autologous grafting with skin or cartilage grafts as
the primary procedure (78.9%). In addition, 42.5% of the procedures were performed by head and neck surgeons as opposed
to plastic surgeons; 5.3% (n = 23) underwent concurrent procedures toward hearing restoration, such as atresia repair,
tympanoplasty, bone-anchored hearing aid placement, or
cochlear implant placement. Unplanned 30-day reoperation
and readmission were reported in 3.0% (n = 13) and 2.1% (n =
9) cases, respectively. Postoperative complications were rare,
with 1.8% reporting wound infections (n = 8).
Conclusions: Pediatric congenital auricular malformations
require substantial health care resources to restore quality of
life. Auricular reconstruction is associated with low rates of
postoperative surgical complications. Concurrent procedures
for hearing restoration at the time of microtia reconstruction
may represent an opportunity for improvement and require
further evaluation.
Neonatal Parotid Abscess: A Case Report
Stephen D. Romeo, MD (Presenter); Diane G. Heatley, MD
Objectives: This study describes the evaluation and management of a rare case of neonatal parotid abscess.
Methods: Case report and literature review.
Results: A 4-day-old boy (born at 36 weeks 3 days) admitted
to the neonatal intensive care unit developed fever of unknown

origin. After 36 hours, he began to have edema and erythema
of the left preauricular skin. Initial imaging was ultrasound
followed by computed tomography, both of which were consistent with parotitis. On examination, he had induration overlying his left parotid gland with erythema, although there was
no fluctuance. No purulence could be expressed from the
Stensen duct. The ipsilateral external auditory canal was unremarkable. He worsened over the following 2 days, and repeat
ultrasound was again consistent with parotitis. However,
given his worsening condition, bedside aspiration was performed with return of purulence. Because of continued worsening over the next day, he was brought to the operating room
for formal incision and drainage. Viscous, seropurulent fluid
was drained from a 3- × 2-cm cavity. Culture was obtained
that grew methicillin-resistant Staphylococcus aureus, and he
was treated with a 3-week course of vancomycin with resolution of his symptoms. He was evaluated in the otolaryngology
clinic for an unrelated issue 5 months later without recurrence
of his symptoms.
Conclusions: Neonatal parotid abscess is a rare entity.
Prematurity and local trauma are predisposing factors. Choice
of imaging modality is important. Ultrasound may be consistent with parotitis despite presence of abscess.
Opioid Prescribing Practices for Pediatric
Adenotonsillectomies in a Tertiary Care
Center
Emily A. Commesso, MD (Presenter); Keven Seung Yong Ji;
Eileen M. Raynor, MD
Objectives: We are in an opioid epidemic. Pain control while
minimizing opioid use is a major goal. There is a lack of
research on postoperative courses of steroids and optimal pain
regimen for pediatric tonsillectomy. Understanding current
practices and the relationship between postoperative complications and pain regimens is a first step to developing effective regimens.
Methods: We performed a 3-year retrospective analysis of
pediatric patients who underwent tonsillectomy and adenoidectomy (T&A) in a tertiary care center from 2013 to 2016.
Discharge pain regimens were examined, with main outcomes
being emergency department (ED) visits and reoperation
within 30 days.
Results: A total of 174 patients were analyzed, aged 2.0 to
17.3 years (mean, 6.5; SD, 3.5), with 43.7% female. In addition, 75.3% of patients were prescribed opioids (92% oxycodone), 55% nonopioids, and 1.7% steroids on discharge;
16.7% of patients presented to the ED within 30 days of initial
surgery. The mean number of opioid doses prescribed was
65.5 (SD, 82.5). There was no relationship between ED visits
and opioid or nonopioid prescriptions. There was no relationship between nonsteroidal anti-inflammatory drug prescriptions and postoperative bleeding. Prescribing acetaminophen
had a negative relationship with ED visits, with 8.3% of
patients prescribed acetaminophen presenting to the ED vs



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 - 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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