Submitted for Publication: March 25, 2014; final revision received May 30, 2014; accepted June 11, 2014.
Published Online: July 31, 2014. doi:10.1001/jamaoto.2014.1325.
Study concept and design: Adil, McGill, Rahbar, Cunningham.
Acquisition, analysis, or interpretation of data: Adil, Xiao, Cunningham.
Drafting of the manuscript: Adil, Xiao, Rahbar.
Critical revision of the manuscript for important intellectual content: Adil, Xiao, McGill, Cunningham.
Statistical analysis: Adil, Xiao.
Administrative, technical, or material support: Adil, Xiao.
Study supervision: Adil, McGill, Rahbar, Cunningham.
Conflict of Interest Disclosures: None reported.
Previous Presentation: This study was presented at the American Society of Pediatric Otolaryngology Annual Meeting; May 17, 2014; Las Vegas, Nevada.
Additional Contributions: We acknowledge Gerald Healy, MD, for instituting the BCH COS system and the entire BCH otolaryngology physician staff for ensuring its success. There was no financial compensation for their participation.