PEDIATRICS Vol. 74 No. 2 August 1984, pp. 282-287
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Otitis Media with Effusion During the First Three Years of Life and Development of Speech and Language

David W. Teele MD1, Jerome O. Klein MD1, Bernard A. Rosner PhD1, and The Greater Boston Otitis Media Study Group

1 From the Departments of Pediatrics, Boston University School of Medicine and Boston City Hospital; Maxwell Finland Laboratory for Infectious Diseases, Boston City Hospital; and Department of Preventive Medicine and Channing Laboratory, Harvard Medical School, Boston

To determine the association between time spent with middle ear effusion and development of speech and language, 205 three-year-old children were studied. Each child had been followed prospectively from birth to record the number of episodes of middle ear disease and to document time spent with middle ear effusion. Standardized tests of speech and language were administered at age 3 years to children who had spent much time with middle ear effusion and to children who had spent little or no time with middle ear effusion. Children who had spent prolonged periods of time with middle ear effusion had significantly lower scores when compared with those who had spent little time with middle ear disease. The correlation was strongest in children from higher socio-economic strata. Time spent with middle ear effusion in the first 6 to 12 months of life was most strongly associated with poor scores.

Key Words: otitis media • speech and language

Submitted on November 10, 1983
Accepted on January 17, 1984




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