Effect of Persistent Otitis Media on Language Development

1980 ◽  
Vol 89 (3_suppl) ◽  
pp. 257-263 ◽  
Author(s):  
Paula Menyuk

This paper suggests methods for systematically studying the short-term and long-term effects of persistent otitis media with effusion (OME) on language development and educational achievement. First, some suggestions are made about which aspects of language processing should be examined in detail during different periods of development given the nature of the hearing losses usually suffered by children with persistent OME. These aspects are phonological (speech-sound) categorization and rules and lexical (word) retrieval. Second, the factors which can interact with persistent OME to bring about long-term effects (developmental time, duration and degree of hearing loss, socioeconomic status and cognitive competence) are discussed and suggestions made for the design of studies which can examine the effects of interaction of these factors. Finally, a proposal is presented for cross-lag design, regional studies which can provide us with information needed in planning educational intervention.

1999 ◽  
Vol 113 (4) ◽  
pp. 314-317 ◽  
Author(s):  
A. H. Jardine ◽  
M. V. Griffiths ◽  
E. Midgley

AbstractConservative treatment for otitis media with effusion (OME) led us to consider the use of hearing aids as a way of managing the associated hearing loss. This study aimed to assess the compliance of patients and acceptance of hearing aids for the management of children with OME.Thirty-nine children who had been given binaural hearing aids to manage OME were assessed at routine follow-up after six months. A clinician who did not prescribe the aid administered a questionnaire to assess compliance, change in symptoms and acceptance of the aids.Thirty-eight parents thought the aids were easy to use and 25 (66 per cent) were completely satisfied with the management. Aided hearing improved by a mean of 17 dB (Range 10–30) over three frequencies, 0.5, 1.0, 2.0 Khz and all parents reported subjective hearing improvement in their children. The stigma of an aid was reported as minimal under the age of seven.Hearing aids provide a non-invasive way of managing the problems associated with OME which is acceptable to certain parents and children. Long-term effects of using aids need to be evaluated before they can be recommended.


2010 ◽  
Vol 53 (1) ◽  
pp. 34-43 ◽  
Author(s):  
Anne Zumach ◽  
Ellen Gerrits ◽  
Michelene Chenault ◽  
Lucien Anteunis

1996 ◽  
Vol 39 (1) ◽  
pp. 43-54 ◽  
Author(s):  
Paul Groenen ◽  
Thom Crul ◽  
Ben Maassen ◽  
Wim van Bon

Research on the relationship between early otitis media with effusion (OME), language impairment, and central auditory processing has been equivocal. Identification and discrimination tasks provide us with a sensitive method of assessing speech perception on both an auditory and a phonetic level. The present study examined identification and discrimination of initial bilabial stop consonants differing in voicing by 9-year-old children with a history of severe OME. The groups studied were controlled for language impairment. The ability of these children to perceive major and minor voicing cues was examined using multiple voicing cues. Long-term effects of OME were found for both identification and discrimination performance. Children with OME produced an overall inconsistency in categorization, which suggests poorer phonetic processing. Discrimination was measured by means of “just noticeable differences” (JND). Children with early OME experience demonstrated a greater mean JND than children without early OME experience. Finally, in cases of language impairment with early OME, there was no additional deterioration of auditory or phonetic processing. It appears that either early OME or language impairment can lead to poorer perception.


2007 ◽  
Vol 18 (3) ◽  
pp. 234-241 ◽  
Author(s):  
ANNE G.M. SCHILDER ◽  
JEANNETTE G. MANEN ◽  
GERHARD A. ZIELHUIS ◽  
EEFJE H. GRIEVINK ◽  
SYLVIA A.F. PETERS ◽  
...  

1997 ◽  
Vol 22 (5) ◽  
pp. 423-429 ◽  
Author(s):  
A.G.M. SCHILDER ◽  
E. HAK ◽  
H. STRAATMAN ◽  
G.A. ZIELHUIS ◽  
W.H.J.VAN BON ◽  
...  

PEDIATRICS ◽  
1973 ◽  
Vol 52 (4) ◽  
pp. 577-585 ◽  
Author(s):  
Gary J. Kaplan ◽  
J. Kenneth Fleshman ◽  
Thomas R. Bender ◽  
Carol Baum ◽  
Paul S. Clark

Histories of ear disease, otoscopic examinations, and audiologic, intelligence, and achievement tests were obtained from a cohort of 489 Alaskan Eskimo children who have been followed through the first ten years of life. Seventy-six per cent had experienced one or more episodes of otitis media since birth. Of these, 78% had their first attack during their first two years of life. Perforations and scars were present in 41%. A hearing loss of 26 decibels or greater was present in 16%, and an additional 25% were in the normal range but had a measurable air-bone gap. Children with a history of otitis media prior to 2 years of age and a hearing loss of 26 decibels or greater had a statistically significant loss of verbal ability and were behind in total reading, total math, and language. In addition, children who had an early onset of otitis media but now had normal hearing with a conductive component were also adversely affected in verbal areas. The number of otitis media episodes was related to tympanic membrane abnormalities, hearing loss, and low verbal and achievement scores. These findings indicate that otitis media has been a significant cause of morbidity in Alaskan Eskimo children, and its onset during the critical years of language development as well as the number of episodes play an important role in impairing verbal development.


2017 ◽  
Vol 131 (7) ◽  
pp. 645-649
Author(s):  
L Otruba ◽  
P Schalek ◽  
Z Hornáčková

AbstractBackground:A significant percentage of children with cleft palate suffer from otitis media with effusion and its consequences, such as deafness, chronic adhesive otitis and cholesteatoma. This study aimed to determine whether these effects can be minimised by selecting pharyngofixation as the surgical technique for cleft palate correction.Methods:A retrospective study was performed of 155 patients (308 ears) who underwent surgery from age 5 months to 8 years and were followed up for 36–84 months.Results:In all, 125 ears (41 per cent) had epitympanic retraction, 45 ears (14 per cent) had sinus tympani retraction and 5 patients (3 per cent) had cholesteatoma. Use of the pharyngofixation technique did not significantly correlate with (1) the severity of otological findings or (2) the incidence of retraction pockets in the epitympanum and sinus tympani (p = 0.53).Conclusion:Pharyngofixation did not significantly alter the severity of long-term otological findings.


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