Language delay in infants associated with middle ear disease and mild, fluctuating hearing impairment

Friel-Patti, Sandy; Finitzo-Hieber, Terese; Conti, Gina; Brown, Karen Clinton

doi:10.1097/00006454-198203000-00008

Cited by 92 publications

(28 citation statements)

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“…First, the methods to document OME differed among studies (Table 1); most studies used tympanometry, whereas some also used otoscopy. The age of OME documentation also differed and occurred during only the first year of life, 41,47 the first 2 years, 4,9,28,45 the first 3 years, 7,8,12,42,44,46 and after 2 years old. 6,43 Although there were variations in OME documentation, all documentation was prospective and done on multiple occasions.…”

Section: E244mentioning

confidence: 99%

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

Roberts¹,

Rosenfeld

Zeisel³

2004

Pediatrics

211

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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Section: E244mentioning

confidence: 99%

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

Roberts¹,

Rosenfeld

Zeisel³

2004

Pediatrics

211

153

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“…Adverse effects on speech-language development, cognition and behaviour are attributed to the hearing loss accompanying OME (2)(3)(4). Especially during infancy -often quoted as the most sensitive period in life -OME appears to have detrimental effects on speech-language development (5).…”

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confidence: 99%

Predictive value of parent-reported symptoms in the assessment of otitis media with effusion during infancy

Engel

2000

Scandinavian Journal of Primary Health Care

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“…1990;Friel-Patti and Finitzo, 1990;Friel-Patti et al. 1982], OME is ubiquitous in the pediatric popula tion: estimates vary, but between 75 and 95% of all preschool-age children are affected by OME with the peak of first occurrence being between 6 and 18 months of age [Menyuk.…”

Section: Social Cognition and Languagementioning

confidence: 99%

Research in Child Language Disorders: What Do We Know and Where Are We Going?

Friel-Patti

1992

Folia Phoniatr Logop

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Advances in understanding the nature of language impairment in children over the past decade have been abundant. In this paper, several recurring hypotheses about the nature of the clinical disorder of language impairment in children and underlying etiologies are explored and the ways in which we are moving forward in our understanding of them are considered. Specifically, in the first part, the recent thinking on the nature of specific language impairment as a clinical concept is examined. Characteristics of the population are reviewed and the search for causation is considered. Literature on the relations between language and cognition and between language and social cognition is probed for contributions to our understanding of developmental disorders of language. Two areas in which we have seen marked progress and which hold promise for development in the coming decade are the focus of the second part of the paper. The focal areas are: computer-assisted language sample analyses and neurophysiological contribution to understanding language impairment in children. Thoughts about future directions for work in the area of developmental disorders of language are offered in conclusion.

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Language delay in infants associated with middle ear disease and mild, fluctuating hearing impairment

Cited by 92 publications

References 0 publications

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

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

Predictive value of parent-reported symptoms in the assessment of otitis media with effusion during infancy

Research in Child Language Disorders: What Do We Know and Where Are We Going?

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