T Braun1, A Dreher, F Dirr, O Reichel, M Patscheider. 1. Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Interdisziplinäres Schlaflabor, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland. thomas.braun@med.uni-muenchen.de
Abstract
BACKGROUND: Adenotonsillar hyperplasia is considered as a possible cause for two frequent ENT disorders in children: pediatric obstructive sleep apnea syndrome (OSAS) and otitis media with effusion (OME). The present study analyzes whether a link between pediatric OSAS and OME can also be presumed. METHODS: Polysomnographic data of 186 children with suspected OSAS were correlated to middle ear ventilation assessed by tympanometry. Tympanograms were classified according to Jerger. RESULTS: In a Kruskal Wallis test, children with an apnea-hypopnea index < 1 (exclusion of OSA by tight criteria), 1-5 or > 5 (definitively pathological value) did not statistically significantly differ in the prevalence of normally ventilated ears and OME. Accordingly, the Mann-Whitney U test showed that children with normally ventilated ears did not have a statistically different apnea-hypopnea, apnea, hypopnea or snoring index or varying minimal oxygen saturation to children suffering from OME. CONCLUSIONS: In the present study, no link was detected between pediatric OSAS and OME.
BACKGROUND:Adenotonsillar hyperplasia is considered as a possible cause for two frequent ENT disorders in children: pediatric obstructive sleep apnea syndrome (OSAS) and otitis media with effusion (OME). The present study analyzes whether a link between pediatric OSAS and OME can also be presumed. METHODS: Polysomnographic data of 186 children with suspected OSAS were correlated to middle ear ventilation assessed by tympanometry. Tympanograms were classified according to Jerger. RESULTS: In a Kruskal Wallis test, children with an apnea-hypopnea index < 1 (exclusion of OSA by tight criteria), 1-5 or > 5 (definitively pathological value) did not statistically significantly differ in the prevalence of normally ventilated ears and OME. Accordingly, the Mann-Whitney U test showed that children with normally ventilated ears did not have a statistically different apnea-hypopnea, apnea, hypopnea or snoring index or varying minimal oxygen saturation to children suffering from OME. CONCLUSIONS: In the present study, no link was detected between pediatric OSAS and OME.
Authors: R Arens; J M McDonough; A T Costarino; S Mahboubi; C E Tayag-Kier; G Maislin; R J Schwab; A I Pack Journal: Am J Respir Crit Care Med Date: 2001-08-15 Impact factor: 21.405
Authors: Christian Guilleminault; Kasey K Li; Andrei Khramtsov; Rafael Pelayo; Sandra Martinez Journal: Laryngoscope Date: 2004-01 Impact factor: 3.325