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Prevalence and risk factors for Eustachian tube dysfunction in children with sleep-disordered breathing undergoing

Wenting Deng1, Wenwei Luo2, Zihui Zhang1

  • 1Department of Otolaryngology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.

The Journal of Laryngology and Otology
|December 11, 2025
PubMed

Insights

Eustachian tube dysfunction (ETD) is common in children with sleep-disordered breathing undergoing adenotonsillectomy. Younger age, allergies, sinusitis, and adenoid issues are linked risk factors for ETD in this population.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Epidemiology

Background:

  • Sleep-disordered breathing (SDB) is a common condition in children.
  • Adenotonsillectomy is a primary surgical intervention for pediatric SDB.
  • Eustachian tube dysfunction (ETD) can impact middle ear health and SDB management.

Purpose of the Study:

  • To determine the prevalence of ETD in children with SDB undergoing adenotonsillectomy.
  • To identify demographic and clinical risk factors associated with ETD in this cohort.

Main Methods:

  • Retrospective cohort study design.
  • Inclusion of 1,044 children aged 3-14 years undergoing adenotonsillectomy for SDB.
  • Assessment of ETD via tympanometry and analysis of clinical data for risk factors.

Main Results:

  • The prevalence of ETD was 35.92% (375/1,044 children).
  • Identified risk factors for ETD included younger age (≤6 years), allergic rhinitis, sinusitis, adenoid hypertrophy, and hypoxemia.
  • No significant association was found with gender, disease duration, tonsillar hypertrophy, obesity, or obstructive sleep apnea.

Conclusions:

  • Eustachian tube dysfunction is highly prevalent in children with SDB requiring adenotonsillectomy.
  • Early identification and intervention for ETD may be crucial in this pediatric population.
  • Further research into the clinical implications and management of ETD in SDB is warranted.
Abstract

Keywords:
Eustachian tubeallergic rhinitischildrenrisk factorssleep apnoea

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