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Study on the correlation between OSAS and thoracic deformity in children: A retrospective single-center study in

Ying-Ge Wang1, Chang Lin1, Sheng-Nan Ye1

  • 1Department of Otorhinolaryngology, The First Affiliated Hospital of Fujian Medical University, Fujian Otorhinolaryngology Institute, Fuzhou, 350000, Fujian, China.

International Journal of Pediatric Otorhinolaryngology
|July 14, 2020
PubMed

Insights

Obstructive sleep apnea syndrome (OSAS) in children is linked to thoracic deformities. Factors like BMI, apnea/hypopnea index (AHI), and low oxygen saturation are key risks. Pediatricians should monitor for OSAS in children with chest deformities.

Area of Science:

  • Pediatric Pulmonology
  • Thoracic Surgery
  • Sleep Medicine

Background:

  • Obstructive sleep apnea syndrome (OSAS) is a common condition in children.
  • Thoracic deformities can impact respiratory function and overall health.
  • The relationship between pediatric OSAS and thoracic deformity requires further investigation.

Purpose of the Study:

  • To investigate the correlation between obstructive sleep apnea syndrome (OSAS) and the development of thoracic deformity in children.
  • To identify risk factors associated with thoracic deformity in pediatric OSAS patients.

Main Methods:

  • Retrospective analysis of 39 pediatric OSAS patients with thoracic deformity and 39 controls.
  • Comparison of demographic data, BMI, apnea/hypopnea index (AHI), lowest oxyhemoglobin saturation (loSpO2), tonsil/adenoid size, ALP, and trace elements.
  • Statistical analysis to determine risk factors for thoracic deformity.

Main Results:

  • Body mass index (BMI), apnea/hypopnea index (AHI), lowest SpO2, Phosphorus, and Zinc were identified as significant risk factors for thoracic deformity.
  • No significant differences were observed in age, gender, disease history, tonsil/adenoid size, ALP, or other trace elements between the groups.
  • These findings suggest a specific link between OSAS severity and thoracic deformity.

Conclusions:

  • Pediatric OSAS, characterized by apnea and hypoxia due to upper airway narrowing, may contribute to thoracic deformity development.
  • Clinicians should consider OSAS as a potential contributing factor in children diagnosed with thoracic deformities.
  • Collaboration between pediatricians, thoracic surgeons, and otolaryngologists is crucial for timely diagnosis and management.
Abstract

Keywords:
Obstructive sleep apnea syndromePectus carinatumPectus excavatumThoracic deformity

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