“…At later follow‐up, these same children (spanning ages 3, 5, 7, 9, and 11) showed persistent deficits in verbal comprehension and expression, speech articulation and reading, but not intelligence (Silva, Chalmers, & Stewart, 1986). Teele et al (1990) also provided data from a prospective cohort study supporting the effects of OME on educational development. On 194 children with OME history in the first 3 years of life, they found reading, mathematics, and IQ scores to be significantly associated with time spent with middle ear effusion in the first 3 years of life, after controlling for socio‐economic group.…”