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Prevalence and risk factors of otitis media with effusion in children with obstructive sleep apnea

C-B Liu1, Y-H Shi, X-Y Li

  • 1Department of Otorhinolaryngology, Hebei Eye Hospital, Hebei, China. fzht0623@163.com.

European Review for Medical and Pharmacological Sciences
|July 4, 2023
PubMed

Insights

Otitis media with effusion (OME) is common in children with obstructive sleep apnea (OSA). Younger children (2-5 years) with nasal inflammation and passive smoking are at higher risk for OME.

Area of Science:

  • Pediatrics
  • Otolaryngology
  • Sleep Medicine

Background:

  • Obstructive sleep apnea (OSA) is a prevalent condition in children.
  • Otitis media with effusion (OME) is a common pediatric ear condition.
  • The relationship between OSA and OME requires further investigation.

Purpose of the Study:

  • To investigate the correlation between obstructive sleep apnea (OSA) and otitis media with effusion (OME) in Chinese children.
  • To identify risk factors for OME in children with OSA.
  • To support the development of standardized diagnostic and treatment methods for OME.

Main Methods:

  • Clinical data from 1,021 children with OSA were analyzed.
  • Prevalence of OME was assessed by age and adenoid hypertrophy (AH) grade.
  • Multivariate logistic regression identified OME risk factors.

Main Results:

  • OME was diagnosed in 17.43% of children with OSA.
  • Acoustic immittance was superior to otoscopy and audiometry for OME detection.
  • Younger age (2-5 years), AH grade IV, nasal inflammatory disease, and passive smoking were significant risk factors for OME.

Conclusions:

  • OME is highly prevalent in children with OSA.
  • Routine audiological screening for OME is recommended in all children with OSA.
  • Early detection and intervention are crucial, especially in high-risk pediatric populations.
Abstract

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