[Influence of obstructive sleep apnea-hypopnea syndrome in children on hearing problem]

Shi-Lin Liu1, Wei-Yi Liu, Ya-Mei Zhang

  • 1Influence of obstructive sleep apnea-hypopnea syndrome in children on hearing problem slliu59@yahoo.com.cn

Insights

Obstructive sleep apnea hypopnea syndrome in children can negatively impact middle-ear impedance and hearing. Surgical intervention like adenotonsillectomy may improve hearing outcomes.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Audiology

Context:

  • Obstructive sleep apnea hypopnea syndrome (OSAHS) is prevalent in children.
  • Adenotonsillar hypertrophy is a common cause of upper airway obstruction in pediatric OSAHS.
  • The effects of OSAHS on pediatric hearing are not fully understood.

Purpose:

  • To investigate the relationship between obstructive sleep apnea hypopnea syndrome and hearing function in children.
  • To analyze audiological parameters in children diagnosed with OSAHS.
  • To evaluate the impact of OSAHS on middle-ear impedance and hearing thresholds.

Summary:

  • 143 children with OSAHS underwent polysomnography, audiometry, and impedance testing.
  • A significant portion of children with OSAHS exhibited abnormal tympanograms (Type C or B) and elevated hearing thresholds.
  • While mild hypoxemia showed limited correlation with hearing levels, surgical treatment (adenoidectomy/adenotonsillectomy) demonstrated potential for hearing improvement.

Impact:

  • Findings suggest that upper airway obstruction in pediatric OSAHS can affect middle-ear function.
  • Early identification and management of OSAHS may be crucial for preserving hearing in children.
  • Surgical intervention for adenotonsillar enlargement may lead to positive audiological outcomes in affected children.
Abstract

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