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Pediatric Otolaryngology

(014) Acute Otitis Media in Children with Obstructive Sleep Apnea

Monday, October 2, 2023
2:45 PM – 3:45 PM East Coast USA Time

    Presenting Author(s)

  • Chloe J. Cottone, BA

    Medical Student
    Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo
    Bufalo, NY, United States

    • Co-Author(s)

  • EI

    Eunice Im, BS

    Medical Student
    Michigan State University College of Human Medicine, United States

    • Senior Author(s)

  • Michele M. Carr, DDS MD PhD

    Professor
    Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo
    Williamsville, NY, United States

Disclosure(s):
Chloe J. Cottone, BA: No relevant relationships to disclose.


Introduction: There is suspicion that children with Obstructive Sleep Apnea (OSA) experience Acute Otitis Media (OAM) at higher rates than the general pediatric population. Our goal was to investigate the verity of this claim using a large-scale global network database.

Methods: A retrospective cohort study was conducted using TriNetX, a global EHR database. A search for patients 18 and younger within the US Collaborative Network identified 15,648,542 subjects. Within this group, ICD-10 code G47.33 was used to define the OSA group and yielded 218,666 patients. Prevalence of AOM (ICD-10 codes H65.0, H65.1, and H66.0), ventilation tube insertion (CPT codes 69433 and 69436), adenoidectomy (CPT codes 42830 and 42831), adenotonsillectomy (CPT codes 42820 and 42821 ), and allergic rhinitis (ICD-10 J30.9) were compared in this cohort.

Results: The non-OSA group’s mean age was 10 years and contained 8,207,512 males (52.4%). Mean age of the OSA group was 11 years, with 126,826 males (58%). AOM occurred in 35,203 (16.1%) of OSA cases and 1,039,304 (6.7%) of non-OSA cases (p <.0001). Ventilation tubes were placed in 192,637 (11.9%) of children with OSA and in 15,317,995 (1.4%) of patients without OSA (p <.0001). 47,256 (21.6%) of children with OSA and 688,862 (4.4%) of non-OSA children were diagnosed with allergic rhinitis (P <.0001). Adenoidectomy and adenotonsillectomy occurred in 11,013 (5.0%) and 76,459 (35.0%) of OSA children compared to 66,588 (0.4%) and 172,722(1.1%) of non-OSA children (P <.0001).

Conclusions: Children with OSA appear to experience AOM and require related surgical intervention more than children without OSA. Since allergic rhinitis and adenoid hypertrophy are contributors to both OSA and AOM, their increased prevalence in children with OSA may explain their increased frequency of AOM.