Dedhia Kavita, Tindall Alyssa, Karpink Jillian, Williams Ashley, Giordano Terri, Stallings Virginia
Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Division of Pediatric Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Otolaryngol Head Neck Surg. 2025 Mar;172(3):873-879. doi: 10.1002/ohn.1068. Epub 2024 Nov 26.
The objective of this study was to evaluate the role of diet quality in children with tympanostomy tube placement (TTP) complicated by tympanostomy tube otorrhea (TTO).
Three-day 24-hour diet recall.
Tertiary care medical center.
Children between the ages of 2 to 6 years old with TTP performed 6 months to 2 years prior to enrollment were included. Children with a history of Down syndrome, cleft palate, craniofacial syndromes, known immunodeficiency, g-tube dependent, or a non-English speaking family were excluded. The primary outcome variable was TTO. The primary predictor was total caloric intake measured by percent estimated energy rate (%EER).
A total of 120 families completed the 3-day diet recall. The median age was 27 months (interquartile range: 7.9-68.5), with 57% male sex. Most children reported dietary intake within the recommended range percent intake for carbohydrates and fat and less than recommended range for percent vitamin D. Within this cohort 63 (52.5%) participants had >1 TTO episode and 57 (47.5%) 1 TTO episode. Children with an EER% that was average or high were at higher odds of >1 TTO episodes compared to participants with a low EER% with ORs of 4.6 (95% confidence interval [CI]: 1.4, 15.6) and 5.7 (95% CI: 1.5, 22.1) respectively.
Children with a typical or high total daily caloric intake are approximately 5 to 6 times more likely to have multiple TTO episodes compared to those with low intake.
本研究的目的是评估饮食质量在鼓膜置管术（TTP）并发鼓膜置管耳漏（TTO）儿童中的作用。
为期三天的24小时饮食回顾。
三级医疗中心。
纳入入组前6个月至2年接受过TTP的2至6岁儿童。排除有唐氏综合征、腭裂、颅面综合征、已知免疫缺陷、依赖胃造瘘管或家庭不讲英语病史的儿童。主要结局变量是TTO。主要预测因素是通过估计能量率百分比（%EER）测量的总热量摄入。
共有120个家庭完成了为期三天的饮食回顾。中位年龄为27个月（四分位间距：7.9 - 68.5），男性占57%。大多数儿童报告碳水化合物和脂肪的饮食摄入量在推荐范围内，而维生素D的摄入量低于推荐范围。在该队列中，63名（52.5%）参与者有>1次TTO发作，57名（47.5%）有1次TTO发作。与低EER%的参与者相比，EER%处于平均或高水平的儿童发生>1次TTO发作的几率更高，比值比分别为4.6（95%置信区间[CI]：1.4，15.6）和5.7（95%CI：1.5，22.1）。
与热量摄入低的儿童相比，每日总热量摄入正常或高的儿童发生多次TTO发作的可能性大约高5至6倍。
