1. Department of Otolaryngology—Head and Neck Surgery, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
2. This manuscript was presented at the Triological Society Combined Sections Meeting January 23–25, 2020.
3. College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
4. Department of Environmental and Public Health Sciences, University of Cincinnati, Cincinnati, Ohio, USA.
5. Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.