Impact of recurrent otitis media on middle ear function, hearing, and language

Wright, Peter F.; Sell, Sarah H.; McConnell, Kathryn B.; Sitton, Ann B.; Thompson, Juliette; Vaughn, William K.; Bess, Fred H.

doi:10.1016/s0022-3476(88)80659-0

Cited by 59 publications

(26 citation statements)

References 19 publications

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“…The study by Wright and colleagues93 had several methodological weaknesses. Recruitment occurred in the context of a study on vaccinations, leading to possible “volunteer bias.” Follow up of the original sample fell below 50%, and blinding of language assessors to otitis history was not mentioned.…”

Section: Resultsmentioning

confidence: 99%

Does early detection of otitis media with effusion prevent delayed language development?

Butler

MacMillan²

2001

Arch Dis Child

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Objective-To consider whether earlier detection of otitis media with eVusion (OME) in asymptomatic children in the first 4 years of life prevents delayed language development. Methods-MEDLINE and other databases were searched and relevant references from articles reviewed. Critical appraisal and consensus development were in accordance with the methods of the Canadian Task Force on Preventive Health Care. Results-No randomised controlled trials assessing the overall screening for OME and early intervention to prevent delay in acquiring language were identified, although one trial evaluated treatment in a screened population and found no benefit. The "analytic pathway" approach was therefore used, where evidence is evaluated for individual steps in a screening process. The evidence supporting the use of tools for early detection such as tympanometry, microtympanometry, acoustic reflectometry, and pneumatic otoscopy in the first 4 years of life is unclear. Some treatments (mucolytics, antibiotics, steroids) resulted in the short term resolution of eVusions as measured by tympanometry. Ventilation tubes resolved eVusions and improved hearing. Ventilation tubes in children with hearing loss associated with OME benefited children in the short term, but after 18 months there was no diVerence in comparison with those assigned to watchful waiting. Most prospective cohort studies that evaluated the association between OME and language development lacked adequate measurement of exposure or outcome, or suVered from attrition bias. Findings with regard to the association were inconsistent. Conclusions-There is insuYcient evidence to support attempts at early detection of OME in the first 4 years of life in the asymptomatic child to prevent delayed language development. (Arch Dis Child 2001;85:96-103)

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Section: Resultsmentioning

confidence: 99%

Does early detection of otitis media with effusion prevent delayed language development?

Butler

MacMillan²

2001

Arch Dis Child

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“…Wright et al 20 did not find an association between OME and speech and language scores in children 2 years old. Friel-Patti and Finitzo 9 found effects on receptive language in 1-year-old children and effects on expressive language in 1 1 ⁄2-year-old children; however, there were no effects during the other periods, ie, between 1 and 2 years old.…”

mentioning

confidence: 89%

The Effect of Ventilation Tubes on Language Development in Infants With Otitis Media With Effusion: A Randomized Trial

Rovers¹,

Straatman

Ingels³

et al. 2000

Pediatrics

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ABSTRACT. Objective. To study the effectiveness of ventilation tubes on the language development in infants with persistent otitis media with effusion (OME). All existing studies addressed children 3 years of age or older. Currently, OME is detected and treated with ventilation tubes at a younger age. Because of the critical relationship between age, hearing, and language development, we conducted a study of the effects of ventilation tubes on language development in infants 1 to 2 years old with persistent OME.Design. A multicenter, randomized, controlled trial (embedded in a cohort) with 2 treatment arms: 1) treatment with ventilation tubes (VT group; n ‫؍‬ 93); or 2) with a period of watchful waiting (WW group; n ‫؍‬ 94). Hearing loss and expressive and comprehensive language were assessed every 6 months, while tympanometry and otoscopy were performed every 3 months. Other factors with potential influence on language development were also included: adenoidectomy, hospital, attending day care, sex, age at randomization, educational level of the mother, upper respiratory infections, and the native country of the parents and older siblings. The trial was designed to allow for the detection of a mean difference in language development of 3 months or more between children allocated to the VT and WW groups.Results. No relevant differences were found in expressive or comprehensive language between the 2 groups after adjustment for educational level of the mother, IQ of the child, and differences at baseline.A principal component analysis showed that in the VT group, the children with frequent complaints improved 1.6 months more in comprehensive language than those with no or some complaints. The children with favorable language stimulation, however, did not improve more than the children with less favorable stimulation. No differences were found for expressive language among the various clusters. The probability to improve >3 months in comprehensive language was .48 (95% confidence interval [CI]: .29 -.68) for children with highly educated mothers versus .09 (95% CI: .02-.30) for children whose mothers had a low educational level. In the WW group, these changes were .30 (95% CI: .14 -.53) and .14 (95% CI: .04 -.35), respectively. The probability to improve >4 months in expressive language was .52 (95% CI: .32-.71) for children with highly educated mothers versus .06 (95% CI: .01-.31) for children whose mothers had a low educational level. In the WW group these changes were .42 (95% CI: .23-.64) and .11 (95% CI: .03-.35), respectively. In addition, there were delays in expressive language in both groups compared with their age expected values.The comprehensive language of the children who were effusion-free during the follow-up (n ‫؍‬ 54) improved 1.5 months (95% CI: ؊.2-3.2) more than that of the children who had persistent effusion during the entire follow-up (n ‫؍‬ 28). No differences were found for expressive language development.Disregarding the intervention contrast, improvements in hearing seemed to be related...

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“…Despite the fact that the PLS had some psychometric limitations, it had been commonly used in other investigations of OME (e.g. Teele et al 1984, Wright et al 1988. We wanted to compare our data to the ndings from those studies.…”

Section: Participantsmentioning

confidence: 99%

“…Several studies have reported comprehension and production problems in children with histories of OME (Holm and Kunze 1969, Teele et al 1984, Friel-Patti and Finitzo 1990. Others have reported no signi cant de cits on language comprehension or language production skills (Bishop and Edmudson 1986, Wright et al 1988, Roberts et al 1991, Grievink et al 1993, Scheilder 1993. More puzzling are reports of production de cits, but not comprehension problems (Menyuk 1986, Wallace et al 1988).…”

Section: Introductionmentioning

confidence: 99%

A preliminary account of phonological and morphophonological perception in young children with and without otitis media

Petinou¹,

Schwartz²,

Gravel³

et al. 2001

Int. J. Lang. Comm. Dis.

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This investigation examined the effects of otitis media with effusion (OME) and its associated fluctuating conductive hearing loss on the perception of phonological and morphophonological /s/ and /z/ in young children. We predicted that children free of OME (OME-) would perform better than children with histories of OME (OME+). We also predicted that for the OME+ group morphological perception would be harder than phonological perception, because the former category carries an additional linguistic load (i.e., plurality). Sixteen children, ages 26 to 28 months (M = 26.5, SD = 0.6) were divided into two groups, the OME- (n = 8) and OME+ (n = 8) based on OME history during the first year of life. Subjects in the OME- group were free of the disease for 4/5 visits and pure tone average (PTA) was 12.6 dB HL (SD = 4.8). Subjects in the OME+ group had the disease on 3/5 visits and PTA was 23 dB HL (SD = 2.7). Experimental stimuli were six monosyllabic novel word-pairs. Members of each word-pair differed only in the presence of final voiced or voiceless fricative, marking the targets phonologically (e.g., [g [symbol: see text]]/[g [symbol: see text] s] as in 'law', 'loss') or morphophonologically (e.g., [daep]/[daeps] as in 'map' 'maps'). Subjects were taught the unfamiliar word pairs using a fast mapping procedure. Perception was tested with the bimodal preferential looking paradigm. Children in the OME- group performed significantly better than their OME+ counterparts. Individual word-pair analyses showed that OME+ group performed more poorly than the OME- group on one phonological and on two morphological targets, all ending with [s]. For the OME+ group, targets with final [s] posed greater difficulty than those with final [z], especially on morphophonological plural-(s) targets. The results suggested that the fluctuating hearing loss associated with OME might have a negative impact on speech perception.

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Impact of recurrent otitis media on middle ear function, hearing, and language

Cited by 59 publications

References 19 publications

Does early detection of otitis media with effusion prevent delayed language development?

Does early detection of otitis media with effusion prevent delayed language development?

The Effect of Ventilation Tubes on Language Development in Infants With Otitis Media With Effusion: A Randomized Trial

A preliminary account of phonological and morphophonological perception in young children with and without otitis media

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