Early Otitis Media, Auditory Abilities, and Educational Risk

Fourteen children whose first-year otitis media (OM) histories were well documented by prospective pneumatic otoscopy were given formal measures of their academic abilities at 6 years of age using the Woodcock-Johnson Tests of Cognitive Abilities and Tests of Achievement and the Wechsler Intelligence Scale. Parents and teachers of the children completed the appropriate Conners' Rating Scales that queried behavioral and attentional characteristics. In addition, at school age, the children were screened for academic risk using the Screening Instrument for Targeting Educational Risk (SIFTER). At 4 years, these same children's abilities to listen in background competition were assessed using an adaptive competing sentences task. Auditory sensitivity was estimated in the first year of life with the click-ABR. Results suggest that a history of persistent OM and mild conductive hearing loss in the first year of life is associated with poorer academic abilities at school age, particularly in reading skills and those that underlie reading. Teachers' ratings of children's behavior and attention in the academic setting were different between OM groups (first-year OM-free versus OM-positive). Listening in background competition at 4 years of age was associated with teachers' ratings of academic performance at school age. Early OM and mild hearing loss appear detrimental to several auditory-based learning skills.

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Listening and Language at 4 Years of Age

Journal of Speech Language and Hearing Research ◽

10.1044/jshr.3503.588 ◽

1992 ◽

Vol 35 (3) ◽

pp. 588-595 ◽

Cited By ~ 101

Author(s):

Judith S. Gravel ◽

Ina F. Wallace

Keyword(s):

Otitis Media ◽

Cognitive Abilities ◽

Speech Intelligibility ◽

Test Procedure ◽

First Year ◽

Language Abilities ◽

Standardized Measures ◽

Cognitive Measure ◽

Listening Task ◽

First Year Of Life

The effect of early otitis media on preschoolers’ listening and language abilities was examined in a cohort of prospectively followed children. At 4 years of age, children considered otitis negative and otitis positive during the first year of life were examined using a speech-incompetition task and several standardized measures of language and cognitive function. An adaptive test procedure was used, with sentence materials from the Pediatric Speech Intelligibility Test (PSI) (Jerger & Jerger, 1984). Results indicated that children with positive histories of otitis media during the first year required a more advantageous signal-to-competition ratio to perform at 50% sentence intelligibility than did their otitis-negative peers. There was no interaction between birth status (high-risk or full-term) and adaptive PSI listening task outcome. No differences between the groups were found In either receptive or expressive language abilities or in cognitive abilities. Further, there was no relationship between any language or cognitive measure and the adaptive PSI result

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Monitoring of the auditory pathway maturation after early intervention during the first year of life in infants with sensorineural hearing loss

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-020-06498-3 ◽

2020 ◽

Author(s):

F. Matin ◽

S. Haumann ◽

W. Roßberg ◽

D. Mitovska ◽

T. Lenarz ◽

...

Keyword(s):

Hearing Loss ◽

Early Intervention ◽

Hearing Aids ◽

Hearing Threshold ◽

Auditory Pathway ◽

Auditory Brainstem Responses ◽

First Year ◽

Early Therapy ◽

Hearing Thresholds ◽

First Year Of Life

Abstract Purpose The objective of this study was to investigate the auditory pathway maturation monitored by auditory brainstem responses (ABR) in infants with hearing loss during the first year of life. ABR were used to estimate hearing thresholds and the effect of early intervention strategies using hearing aids (HA). Methods Click-evoked ABRs were measured in 102 infants aged from 0 to 12 months to determine their individual auditory threshold. Early therapy intervention was recommended before 12 months of age and analyzed. To evaluate the effect of hearing amplification on auditory maturation, different subgroups of infants with moderate hearing loss were analyzed and the auditory pathway maturation was determined based on IPL I–V shortening. Results Overall, 110 ears (54.0% of 204 ears) with mild to profound HL showed threshold changes of 10 dB up to 60 dB in the follow-up ABR testing. HA were prescribed at the age of 3.8 ± 3.9 months. Cochlear implantation (CI) was performed in cases of repeated profound HL at the age of 9.9 months ± 4.5 months. A significant shortening of IPL I–V in all subgroups of infants (with and without risk factors) who received HA was shown and assumed auditory pathway maturation. Conclusion An early intervention using optimally fitted HA influenced auditory pathway maturation and may lead to improvements of hearing thresholds during the first year of life in infants. This study underscores the importance of not only providing HAs to infants, but also controlling for hearing threshold changes ensuring that HAs provide the optimal level of intervention or CI is indicated.

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Auditory temporal abilities in children with history of recurrent otitis media in the first years of life and persistent in preschool and school ages

CoDAS ◽

10.1590/2317-1782/20142014008 ◽

2014 ◽

Vol 26 (6) ◽

pp. 494-502 ◽

Cited By ~ 2

Author(s):

Priscila Cruvinel Villa ◽

Sthella Zanchetta

Keyword(s):

Otitis Media ◽

Otitis Media With Effusion ◽

Temporal Frequency ◽

Control Group ◽

First Year ◽

Normal Range ◽

Frequency Pattern ◽

History Of ◽

First Year Of Life ◽

Recurrent Otitis Media

PURPOSE: To study the temporal auditory ordering and resolution abilities in children with and without a history of early OME and ROME, as well as to study the responses according to age. METHODS: A total of 59 children were evaluated, and all of them presented pure tone thresholds within the normal range at the time of the conduction of the hearing tests. The children were divided into two groups according to the occurrence of episodes of recurrent otitis media. Then, each group was divided into two subgroups according to age: 7- and 8-year olds, and 9- and 10-year olds. All children were assessed with standard tests of temporal frequency (ordination) and gaps-in-noise (resolution). RESULTS: For the temporal abilities studied, children with a history of otitis media presented significantly lower results compared to the control group. In the frequency pattern test, the correct answers increased with age in both groups. In the identification of silence intervals, the control group showed no change in threshold regarding to age, but this change was present in the group with a history of otitis media. CONCLUSION: Episodes of otitis media with effusion in the first year of life, recurrent and persistent in preschool and school ages, negatively influence the temporal ordering and resolution abilities.

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BILINGUALISM IN CHILDREN HAVING CONGENITAL BILATERAL PROFOUND SENSORI NEURAL HEARING LOSS – CASE REVIEW

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.1.2/004 ◽

2012 ◽

Vol 1 (2) ◽

pp. 11-16

Author(s):

Amina Asif Siddiqui

Keyword(s):

Hearing Loss ◽

Inclusive Education ◽

First Year ◽

Case Review ◽

The Past ◽

Past Half Century ◽

High Intelligence ◽

Mainstream Society ◽

First Year Of Life ◽

Developed World

The age old understanding that an individual with a hearing loss is incapable of acquiring verbal communication skills was readily accepted in the past, which led to the inadvertent but unfortunate coining of phrases “deaf and dumb” or “deaf and mute, " and the development of non-verbal or manual communication methodolgies of Sign language. Further, this caused the segregation and isolation of otherwise physically and intellectually competent individuals from mainstream society, unjustifiably denying them opportunities of education and vocation. Studies have proved that in the absence of any organic or inorganic complication, a child with a hearing loss may not only score a high Intelligence Quotient but can also acquire more than one language fluently. Early Intervention with appropriate amplification of residual hearing is underscored as the fundamental prerequisite for children with bilateral congenital profound sensorineural hearing loss, for subsequent acquisition of good listening and normal speech-language skills and plausible bilingualism; that further equips them with scholastic achievements comparable to their hearing peers. The past half century has witnessed stupendous technological enhancements in amplification devices manufactured for children having hearing loss, complemented by steady success in fostering their Inclusive Education. This paper highlights the urgent need in Pakistan to address this issue as well as the importance of early detection, diagnosis, and (re)habilitation along with parent training initiated within the first year of life. An otherwise anticipated disabling condition may be overcome completely if neonatal screening, which is not only inexpensive but also easy to perform; is made mandatory at all hospitals and maternity homes, as practiced in the developed world. This shall ease the challenges faced by the families of children having hearing loss; and enable the professionals working with them to successfully alleviate their communicative, social, educational and vocational difficulties, and ensure that they become successfully contributing members of our verbal society.

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Long Term Communication Deficiencies in Children with Otitis Media During Their First Year of Life

Acta Oto-Laryngologica ◽

10.3109/00016489709117770 ◽

1997 ◽

Vol 117 (2) ◽

pp. 206-207 ◽

Cited By ~ 11

Author(s):

R. J. Ruben ◽

I. F. Wallace ◽

J. Gravel

Keyword(s):

Otitis Media ◽

First Year ◽

First Year Of Life

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Otitis Media in the First Year of Life

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894900990s718 ◽

1990 ◽

Vol 99 (7_suppl) ◽

pp. 33-34 ◽

Cited By ~ 6

Author(s):

Colin D. Marchant ◽

Paul A. Shurin

Keyword(s):

Otitis Media ◽

First Year ◽

First Year Of Life

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Symptomatic and Asymptomatic Respiratory Viral Infections in the First Year of Life: Association With Acute Otitis Media Development

Clinical Infectious Diseases ◽

10.1093/cid/ciu714 ◽

2014 ◽

Vol 60 (1) ◽

pp. 1-9 ◽

Cited By ~ 61

Author(s):

Tasnee Chonmaitree ◽

Pedro Alvarez-Fernandez ◽

Kristofer Jennings ◽

Rocio Trujillo ◽

Tal Marom ◽

...

Keyword(s):

Otitis Media ◽

Viral Infections ◽

Acute Otitis Media ◽

First Year ◽

Media Development ◽

Respiratory Viral Infections ◽

First Year Of Life

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Pacifier use and the occurrence of otitis media in the first year of life

BDJ ◽

10.1038/sj.bdj.4801412a ◽

2002 ◽

Vol 192 (9) ◽

pp. 511-511

Author(s):

T Watts

Keyword(s):

Otitis Media ◽

First Year ◽

First Year Of Life ◽

Pacifier Use

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Specific probiotics in reducing the risk of acute infections in infancy – a randomised, double-blind, placebo-controlled study

British Journal Of Nutrition ◽

10.1017/s0007114508116282 ◽

2008 ◽

Vol 101 (11) ◽

pp. 1722-1726 ◽

Cited By ~ 128

Author(s):

Samuli Rautava ◽

Seppo Salminen ◽

Erika Isolauri

Keyword(s):

Otitis Media ◽

Respiratory Infections ◽

Acute Otitis Media ◽

Lactobacillus Rhamnosus ◽

Controlled Study ◽

First Year ◽

Double Blind ◽

Double Blind Placebo ◽

Recurrent Respiratory Infections ◽

First Year Of Life

A randomised, double-blind, placebo-controlled study was conducted to determine whether probiotics might be effective in reducing the risk of infections in infancy. Infants requiring formula before the age of 2 months were recruited from community well-baby clinics. Infant formula supplemented with the probioticsLactobacillus rhamnosusGG andBifidobacterium lactisBb-12 or placebo was administered daily until the age of 12 months. Incidence of early infections (before the age of 7 months) and incidence of recurrent (three or more) infections during the first year of life were recorded as the main outcome measures of the study. During the first 7 months of life, seven out of thirty-two (22 %) infants receiving probiotics and twenty out of forty (50 %) infants receiving placebo experienced acute otitis media (risk ratio (RR) 0·44 (95 % CI 0·21, 0·90);P = 0·014) and antibiotics were prescribed for ten out of thirty-two (31 %) infants receiving probiotics and twenty-four out of forty (60 %) infants receiving placebo (RR 0·52 (95 % CI 0·29, 0·92);P = 0·015). During the first year of life, nine out of thirty-two (28 %) infants receiving probiotics and twenty-two out of forty (55 %) infants receiving placebo encountered recurrent respiratory infections (RR 0·51 (95 % CI 0·27, 0·95);P = 0·022). These data suggest that probiotics may offer a safe means of reducing the risk of early acute otitis media and antibiotic use and the risk of recurrent respiratory infections during the first year of life. Further clinical trials are warranted.

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