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Kindliches OSAS und Seromukotympanon

Pediatric OSAS and otitis media with effusion

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Zusammenfassung

Hintergrund

Eine adenotonsilläre Hyperplasie wird für zwei häufige HNO-ärztliche Krankheitsbilder als mögliche Ursache angesehen: für das kindliche obstruktive Schlafapnoe-Syndrom (OSAS) und das Seromukotympanon. Die vorliegende Studie untersucht, ob auch ein Zusammenhang zwischen kindlichem OSAS und Seromukotympanon angenommen werden kann.

Methoden

Polysomnographische Daten von 186 Kindern mit vermutetem OSAS wurden mit den tympanometrischen Befunden korreliert. Die Tympanogramme wurden nach Jerger klassifiziert.

Ergebnisse

Kinder mit einem Apnoe-Hypopnoe-Index von  < 1 (Ausschluss eines OSAS nach strengen Kriterien), 1–5 oder  > 5 (sicher pathologischer Wert) unterschieden sich im Kruskal-Wallis-Test statistisch nicht signifikant in der Prävalenz von regelrecht belüfteten Ohren und Seromukotympana. Analog zeigte der Mann-Whitney-U-Test bei Kindern mit regelrecht belüfteten Ohren keine statistisch signifikant unterschiedlichen Apnoe-Hypopnoe-, Apnoe-, Hypopnoe- oder Schnarch-Indizes oder eine unterschiedliche minimale Sauerstoffsättigung im Vergleich zu Kindern mit einem Seromukotympanon.

Schlussfolgerung

In der vorliegenden Arbeit war kein Zusammenhang zwischen kindlichem OSAS und Seromukotympanon nachweisbar.

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.

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Authors and Affiliations

  1. Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Interdisziplinäres Schlaflabor, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland

    T. Braun, A. Dreher, F. Dirr, O. Reichel & M. Patscheider

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  1. T. Braun
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  2. A. Dreher
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  3. F. Dirr
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  4. O. Reichel
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  5. M. Patscheider
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Correspondence to T. Braun.

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Braun, T., Dreher, A., Dirr, F. et al. Kindliches OSAS und Seromukotympanon. HNO 60, 216–219 (2012). https://doi.org/10.1007/s00106-011-2410-0

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  • DOI: https://doi.org/10.1007/s00106-011-2410-0

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