Division of Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, U.S.A.
Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.
Laryngoscope. 2023 Dec;133(12):3575-3581. doi: 10.1002/lary.30672. Epub 2023 Mar 24.
The objective of this study was to explore diet patterns in children with tympanostomy tube placement (TTP) complicated by postoperative tympanostomy tube otorrhea.
Cross-sectional survey and retrospective cohort study.
Caregivers of children (0-12 years old), at a tertiary-care pediatric hospital who underwent TTP within 6 months to 2 years prior to enrollment were included. Children with a history of Down syndrome, cleft palate, craniofacial syndromes, known immunodeficiency, or a non-English-speaking family were excluded. Our primary outcome variable was the number of otorrhea episodes. The primary predictor was diet patterns, particularly dessert intake, which was captured through a short food questionnaire.
A total of 286 participants were included in this study. The median age was 1.8 years (IQR, 1.3, 2.9). A total of 174 (61%) participants reported at least one episode of otorrhea. Children who consumed dessert at least two times per week had a higher risk of otorrhea compared to children who consumed one time per week or less (odds ratio [OR], 3.22, 95% Confidence Interval [CI]: 1.69, 6.12). The odds ratio increase continued when considering more stringent criteria for otorrhea (multiple episodes or one episode occurring 4 weeks after surgery), with a 2.33 (95% CI: 1.24, 4.39) higher odds of otorrhea in children with dessert intake at least 2 times per week.
Our pilot data suggest that episodes of otorrhea among children with TTP were associated with more frequent dessert intake. Future studies using prospectively administered diet questionnaires are necessary to confirm these findings.
4 Laryngoscope, 133:3575-3581, 2023.
本研究旨在探讨行鼓膜置管术（TTP）后发生术后鼓膜置管耳漏患儿的饮食模式。
横断面调查和回顾性队列研究。
纳入在入组前 6 个月至 2 年内于三级儿科医院行 TTP 的 0-12 岁儿童的照顾者。排除患有唐氏综合征、腭裂、颅面综合征、已知免疫缺陷或非英语家庭的儿童。我们的主要结局变量是耳漏发作次数。主要预测因素是饮食模式，特别是通过简短食物问卷捕捉到的甜点摄入量。
本研究共纳入 286 名参与者。中位年龄为 1.8 岁（IQR，1.3，2.9）。共有 174 名（61%）参与者报告至少有一次耳漏。与每周食用一次或更少甜点的儿童相比，每周至少食用两次甜点的儿童发生耳漏的风险更高（优势比 [OR]，3.22，95%置信区间 [CI]：1.69，6.12）。当考虑更严格的耳漏标准（多次发作或术后 4 周发生一次发作）时，OR 增加持续存在，每周至少食用两次甜点的儿童发生耳漏的风险增加 2.33（95% CI：1.24，4.39）。
我们的初步数据表明，TTP 患儿的耳漏发作与更频繁的甜点摄入有关。需要使用前瞻性管理的饮食问卷进行未来研究来证实这些发现。
4 Laryngoscope, 133:3575-3581, 2023.
