Secretory otitis media and language development: a six-year follow-up study with case-control

Lous, Jørgen; Fiellau-Nikolajsen, M; Jeppesen, Anna Lise

doi:10.1016/0165-5876(88)90071-7

Cited by 35 publications

(16 citation statements)

References 21 publications

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“…As in some other longitudinal studies of broader linguistic and educational outcome measures in OME (Lous, Fiellau-Nikolajsen, & Jeppesen, 1988;Roberts, Burchinal, Davis, Collier, & Henderson, 1991), this relationship was no longer evident at school age (Schilder, van Manen, Zielhuis, Grievink, Peters, & van den Broek, 1993a). These findings support the hypothesis developed by Feagans (1986) that children may recover their basic language skills when otitis media becomes less frequent in later years.…”

Section: Discussionsupporting

confidence: 81%

The Effect of Otitis Media with Effusion at Preschool Age on Some Aspects of Auditory Perception at School Age

et al. 1994

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The relationship between otitis media with effusion (OME) at preschool age and performance on five tests of auditory perception was studied in 89 school-age children who had OME histories well documented from participation in serial screening for OME at 2-4 yr of age. The tests used at 7.5-8 yr of age were: speech-in-noise, filtered speech, binaural fusion, dichotic speech, and auditory memory. A significant effect of OME was found on the speechin-noise test. No additional effects were demonstrated by this particular group of children. (Ear & Hearing 1994;15:224-231)

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Section: Discussionsupporting

confidence: 81%

The Effect of Otitis Media with Effusion at Preschool Age on Some Aspects of Auditory Perception at School Age

et al. 1994

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“…This position changed radically with the publication of population‐based cohort studies with high recruitment and retention rates and excellent ascertainment of both the condition and its postulated outcomes. In general, these studies have not demonstrated significant adverse language or academic outcomes for persistent OME either in the preschool or the elementary school years 19−22 . Acknowledging that OME is a different condition, and therefore may have different impacts from sensorineural losses of similar magnitude, this nonetheless raises a challenge: 100 000 Australian school‐aged children are likely to have slight or mild sensorineural hearing loss 8 , and they deserve research of equal quality.…”

Section: Research Directionsmentioning

confidence: 99%

Slight and mild hearing loss in primary school children

Wake

Poulakis

2004

J Paediatrics Child Health

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Although slight/mild sensorineural hearing loss affects about 3% of the school-aged population, with many more children having such impairments at single frequencies or in only one ear, little is known about its impacts on language, learning, and quality of life. This annotation explores what is known about prevalence and impact of this condition and argues for large-scale research to better address these issues.

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“…Thus, we excluded studies 5,[33][34][35][36][37][38] in meta-analyses that were in an age grouping that would contain data from only 1 or 2 cohorts (eg, only 2 correlation studies examined OME and receptive language in infancy). Eleven age groupings remained with at least 3 studies on a particular outcome and were available for meta-analyses: 1) infancy: receptive language versus hearing loss (correlation studies); 2) infancy: expressive language versus hearing loss (correlation studies); 3) preschool: receptive language versus OME (correlation studies); 4) preschool: receptive language versus OME (group studies); 5) preschool: expressive language versus OME (correlation studies); 6) preschool: expressive language versus OME (group studies); 7) preschool: vocabulary comprehension (Peabody Picture Vocabulary Test [PPVT]) 39 versus OME (correlation studies); 8) preschool: vocabulary comprehension (PPVT) 39 versus OME (group studies); 9) preschool: expressive vocabulary (number of different words [NDW]) versus OME (correlation studies); 10) preschool: expressive syntax (mean length of utterance [MLU]) versus OME (correlation studies); and 11) preschool: speech versus OME (group studies).…”

Section: Study Selectionmentioning

confidence: 99%

Otitis Media and Speech and Language: A Meta-analysis of Prospective Studies

Roberts¹,

Rosenfeld

Zeisel³

2004

Pediatrics

210

153

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ABSTRACT. Objective. Considerable controversy surrounds whether a history of otitis media with effusion (OME) in early childhood causes later speech and language problems. We conducted a meta-analysis of prospective studies to determine: 1) whether a history of OME in early childhood is related to receptive language, expressive language, vocabulary, syntax, or speech development in children 1 to 5 years old and 2) whether hearing loss caused by otitis media in early childhood is related to children's receptive language or expressive language through 2 years of age.Methods. We searched online databases and bibliographies of OME studies and reviews for prospective or randomized clinical trials published between January 1966 and October 2002 that examined the relationship of OME or OME-associated hearing loss in early childhood to children's later speech and language development. The original search identified 38 studies, of which 14 had data suitable for calculating a pooled correlation coefficient (correlational studies) or standard difference between parallel groups (group studies). Random-effects meta-analysis was used to pool data when at least 3 studies had usable data for a particular outcome.Results. We performed 11 meta-analyses. There were no significant findings for the analyses of OME during early childhood versus receptive or expressive language during the preschool years in the correlation studies. Similarly, there were no significant findings for OME versus vocabulary, syntax, or speech during the preschool years. Conversely, there was a significant negative association between OME and preschoolers' receptive and expressive language (lower language) (0.24 and 0.25 standard difference, respectively) in the group studies. Additionally, hearing was also related to receptive and expressive language in infancy (3%-9% of variance).Conclusions. Our results indicate no to very small negative associations of OME and associated hearing loss to children's later speech and language development. These findings may overestimate the impact of OME on outcomes, because most studies did not adjust for known confounding variables (such as socioeconomic status) and excluded data not suitable for statistical pooling, especially from methodologically sound studies. Although some OME language differences were detectable by meta-analysis due to increased statistical power, the clinical relevance for otherwise healthy children is uncertain. Pediatrics 2004;113:e238 -e248. URL: http: //www.pediatrics.org/cgi/content/full/113/3/e238; otitis media, childhood, meta-analysis, speech, language.

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Secretory otitis media and language development: a six-year follow-up study with case-control

Cited by 35 publications

References 21 publications

The Effect of Otitis Media with Effusion at Preschool Age on Some Aspects of Auditory Perception at School Age

The Effect of Otitis Media with Effusion at Preschool Age on Some Aspects of Auditory Perception at School Age

Slight and mild hearing loss in primary school children

Otitis Media and Speech and Language: A Meta-analysis of Prospective Studies

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