First XXXX : Otologic Manifestations and Treatment Outcomes.

@entity1 @entity154 @entity2972 @entity3540 @entity2419 @entity5816 @entity2346
OBJECTIVE: This study describes the presentation of first @entity5816 and compares outcomes of first @entity2419 with other @entity5816 with attention to otologic findings. STUDY DESIGN: Case series with chart review. SETTING: Pediatric tertiary care facility. METHODS: Surgical databases were queried to identify @entity1 with @entity5816 . Descriptive analysis defined sample characteristics. Risk estimates were calculated using Fisher's exact test. RESULTS: Queries identified 126 subjects: 27 (21.4%) had first @entity5816 , 80 (63.4%) had second, and 19 (15.1%) had third or fourth. @entity1 with first anomalies often presented with otologic complications, including @entity2972 (22.2%), @entity2346 media (25.9%), and @entity3540 (14.8%). Of 80 @entity1 with second @entity5816 , only 3 (3.8%) had @entity2346 . Compared with @entity1 with second anomalies, @entity1 with first anomalies had a greater risk of requiring primary incision and drainage: 16 (59.3%) vs 2 (2.5%) (relative risk [RR], 3.5; 95% confidence interval [CI], 2.4-5; P < .0001). They were more likely to have persistent disease after primary excision: 7 (25.9%) vs 2 (2.5%) (RR, 3; 95% CI, 1.9-5; P = .0025). They were more likely to undergo additional surgery: 8 (29.6%) vs 3 (11.1%) (RR, 2.9; 95% CI, 1.8-4.7; P = .0025). Of 7 persistent first anomalies, 6 (85.7%) were medial to the facial nerve, and 4 (57.1%) required ear-specific surgery for management. CONCLUSIONS: @entity1 with first @entity5816 often present with otologic complaints. They are at increased risk of persistent disease, @entity154 lie medial to the facial nerve. They may require ear-specific surgery such as tympanoplasty.
