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≥3 episodes/6 months or ≥4 episodes/year). ARRIVE had been diagnosed in 4 (3.0%) of the customers. Twelve (9.0%) patients had tympanostomy pipes at least once, including 3 clients with numerous units of tubes. Having a minumum of one AOM episode wasn't predicted by genetic mutation teams, BMI, age at analysis, or comorbidities, p .05. CONCLUSIONS The time-honored adage of CF protecting against otitis media is not true and pediatric otolaryngologists must today focus on the management