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Assessment of sleep-disordered breathing in pediatric otitis media with effusion
Chien-Chia Huang1, Pei-Wen Wu2, Cheng-Hsun Chiu3
1Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Insights
Adenoidectomy significantly improves sleep symptoms in children with otitis media with effusion (OME) and sleep-disordered breathing (SDB). The surgery effectively reduces obstructive sleep apnea syndrome (OSAS) severity, enhancing quality of life for affected children.
Area of Science:
- Pediatric Otolaryngology
- Sleep Medicine
- Respiratory Health
Background:
- Adenoids play a role in otitis media with effusion (OME) and sleep-disordered breathing (SDB).
- Investigating sleep quality in children with OME is crucial.
- Understanding the impact of adenoidectomy on sleep symptoms is needed.
Purpose of the Study:
- To investigate sleep quality in children with OME.
- To evaluate the impact of adenoidectomy on sleep symptoms in children with OME and SDB.
- To assess the effectiveness of adenoidectomy in improving obstructive sleep apnea syndrome (OSAS) symptoms.
Main Methods:
- Prospective enrollment of children aged 3-12 years with SDB or OME undergoing adenoidectomy.
- Evaluation of OSAS symptom severity using the OSA-18 questionnaire before and 6 months after surgery.
- Analysis of pre-operative and post-operative OSA-18 scores and their correlation with BMI and pre-operative scores.
Main Results:
- 79 pediatric patients (50 with SDB, 29 with OME) were included.
- Children with OME showed significant OSAS symptoms (34.5% with OSA-18 ≥ 60).
- Adenoidectomy led to significant improvement in sleep symptoms (p < 0.001) for both SDB and OME groups, with no post-operative difference between groups.
Conclusions:
- Children with OME experience significant OSAS symptoms impacting quality of life.
- Adenoidectomy is an effective treatment for improving sleep symptoms in children with OME.
- Comprehensive sleep breathing assessment is recommended when planning surgery for children with OME.
Background:
Given the role of adenoid in the pathogenesis of otitis media with effusion (OME) and sleep-disordered breathing (SDB), the present study aimed to investigate the sleep quality and the impact of adenoidectomy on improvement of sleep symptoms in children with OME.
Methods:
Children with SDB or OME, aged 3-12 years, were prospectively enrolled before undergoing adenoidectomy in a tertiary medical center. The symptom severity of obstructive sleep apnea syndrome (OSAS) was evaluated by OSA-18 questionnaire on the day before and 6 months after surgery.
Results:
In total, 79 pediatric patients including 50 children with SDB and 29 children with OME were enrolled. The mean total OSA-18 score was 56.5 ± 15.1 and ten (34.5%) children experienced moderate to severe symptoms of OSAS as indicated by OSA-18 score ≥ 60 in OME group. After surgery, patients in both SDB and OME groups experienced improvement (both p < 0.001) and presented no difference in the scores of OSA-18. The proportional change in OSA-18 scores after surgery was related to pre-operative OSA-18 scores and BMI in OME patients (rs = 0.400 and 0.542, p = 0.047 and 0.008), and to pre-operative OSA-18 scores in patients with SDB (rs = 0.393, p = 0.008).
Conclusion:
Children with OME experienced significant symptoms of OSAS and associated impairment of quality of life. Adenoidectomy is effective in the improvement of sleep symptoms in these patients. Comprehensive assessment of sleep breathing as planning surgery for OME children is suggested.
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