Conversely, although differences in tegmen tympani thickness/continuity and mastoid hyperpneumatization were more frequently observed in ACOM patients, these did not reach statistical significance within the subgroups of complications; this may reflect either a less direct role of these variants in promoting complications or the influence of other factors such as host immunity, pathogen virulence, or treatment delay.
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Acute Otomastoiditis in Children: An Observational Study on the Role of Mastoid Morphology in the Development of Intracranial Complications.
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