Sleep-disordered breathing in pediatric otitis media with ef
A Study was conducted to investigate the sleep quality and the impact of adenoidectomy on improvement of sleep symptoms in children with OME. Given the role of adenoid in the pathogenesis of otitis media with effusion (OME) and sleep-disordered breathing (SDB).

Children with SDB or OME, aged 3–12 years, were prospectively enrolled before undergoing adenoidectomy in a tertiary medical center. The symptom severity of obstructive sleep apnea syndrome (OSAS) was evaluated by OSA-18 questionnaire on the day before and 6 months after surgery.

--In total, 79 pediatric patients including 50 children with SDB and 29 children with OME were enrolled.

--The mean total OSA-18 score was 56.5 ± 15.1 and ten (34.5%) children experienced moderate to severe symptoms of OSAS as indicated by OSA-18 score more than 60 in OME group.

--After surgery, patients in both SDB and OME groups experienced improvement and presented no difference in the scores of OSA-18.

--The proportional change in OSA-18 scores after surgery was related to pre-operative OSA-18 scores and BMI in OME patients and to pre-operative OSA-18 scores in patients with SDB.

Conclusively, Children with OME had substantial OSAS symptoms and a lower quality of life as a result. Adenoidectomy is useful in alleviating these patients' sleep difficulties. A comprehensive assessment of sleep breathing is recommended when contemplating surgery for OME children.