The effect of OSA on the negative pressure and acoustic compliance of middle ear cavity in children. (February 2023)

• Record Type: Journal Article
• Authors: Zhang, QingQing; Qiang, Yin; Xie, Meng; Liu, XiaoHong; Guo, RuiXin; Shi, Yao; Ma, SiJing; Cheng, Long; Liu, HaiQin; Luo, HuaNan
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 165(2023)
• Publication Date: 2023-02
• Subjects: Obstructive sleep apnea -- Otitis media with effusion -- Polysomnography -- Tympanometry -- Acoustic immittance; OSA obstructive sleep apnea -- OME otitis media with effusion -- PSG polysomnography -- SDB sleep disordered breathing -- AH adenoid hypertrophy -- ETD eustachian tube dysfunction -- ET eustachian tube -- MEE middle ear effusion -- HS habitual snoring -- BMI body mass index -- MEP middle ear pressure -- CPAP continuous positive airway pressure -- A/N ration adenoid thickness and nasopharyngeal width ratio; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2023.111457
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: Objective: To explore the effect of obstructive sleep apnea (OSA) on the negative pressure and acoustic compliance of middle ear cavity in children. Methods: The clinical data of 258 children with suspected OSA, who complained of mouth breathing or snoring at night in the Department of Otolaryngology Head and neck surgery of the Second Affiliated Hospital of Xi'an Jiao Tong University from August 2020 to March 2022, were enrolled and analyzed retrospectively. The OSA and otitis media with effusion (OME) were determined by polysomnography (PSG) and acoustic immittance examination, respectively. Then, the parameters of tympanometry were compared between OSA and non-OSA children or among the children with various severity of OSA. Results: There was no significant difference in the incidence of OME between children with OSA and those with non-OSA (15.80% vs 11.80%, P = 0.422). Compared with non-OSA children, OSA children had lower negative pressure (−56.42 vs −12.38, P < 0.001) and higher acoustic compliance (0.45 vs 0.38, P = 0.030) in middle ear cavity. There were also significant differences in negative pressure and acoustic compliance among children with mild, moderate and severe OSA ( P < 0.001; P = 0.001). However, only the absolute value of negative pressure was markedly decreased after surgical therapy accompanied with transformation from OSA to non-OSA (−156.67 vs −45.67, P < 0.05), while this was not observed for acoustic compliance (0.48 vs 0.40, P > 0.05). Conclusion: OSA may have an adverse influence on the negative pressure and acoustic compliance of middle ear cavity in children.