Reading performance in children with otitis media

2005 ◽  
Vol 132 (3) ◽  
pp. 495-499 ◽  
Author(s):  
Avishay Golz ◽  
Aviram Netzer ◽  
S. Thomas Westerman ◽  
Liane M. Westerman ◽  
David A. Gilbert ◽  
...  

OBJECTIVE: To examine whether middle ear diseases and the associated hearing loss in early childhood affect reading performance later at school. STUDY DESIGN AND SETTING: One hundred and sixty children, 6.5 to 8 years of age, were enrolled in this study: 80 children with a history of recurrent infections and/or prolonged periods of effusions of the middle ear before the age of 5 years, and 80 healthy children without any history of middle ear disease. Data were collected from the medical records of the children. Every child underwent a complete otological and audiological evaluation, followed by special reading tests. RESULTS: The study group performed more poorly, in all reading tests, as compared to the controls ( P < 0.001). CONCLUSION: Children with recurrent or prolonged middle ear diseases during the first five years of life tend to be at greater risk for delayed reading than aged-matched controls with no previous middle ear diseases.

2004 ◽  
Vol 41 (4) ◽  
pp. 364-367 ◽  
Author(s):  
Patrick Sheahan ◽  
Ian Miller ◽  
Michael J. Earley ◽  
Jerome N. Sheahan ◽  
Alexander W. Blayney

Objective To examine the incidence and natural history of middle ear disease in children with congenital velopharyngeal insufficiency (VPI) without cleft palate. Setting and Subjects Children with congenital VPI attending the combined cleft clinic at a tertiary cleft center. The diagnosis of congenital VPI in all cases was confirmed be the observation of hypernasality, nasal air escape, or both by a speech and language therapist and the demonstration of incompetence of the velopharyngeal sphincter by means of nasoendoscopy or videofluoroscopy. Children with overt cleft palate or postsurgical VPI were excluded. Design The children's medical records were reviewed, and a questionnaire regarding history of ear problems was sent to all parents. Children were divided into those with Pruzansky type I VPI (showing bifid uvula, midline diastasis of soft palate, or submucous cleft of the hard palate) and Pruzansky type II VPI (no visible stigmata). Main Outcome Measures Incidence of reported ear problems, ear infections, hearing loss, and surgical intervention for middle ear disease in the whole group and in each of the subgroups. Results Seventy-one parents returned completed questionnaires. The overall incidence of middle ear disease was 63%, with 28% reported to have below-normal hearing. There was no significant difference between children with Pruzansky types I and II VPI with respect to incidence of otopathology or hearing loss. Conclusions Irrespective of the presence of any visible palatal abnormalities, children with congenital VPI showed a substantial incidence of otopathology and should thus be closely monitored.


2014 ◽  
Vol 78 (4) ◽  
pp. 593-598 ◽  
Author(s):  
Miriam S. Teixeira ◽  
Juliane Banks ◽  
J. Douglas Swarts ◽  
Cuneyt M. Alper ◽  
William J. Doyle

1976 ◽  
Vol 85 (2_suppl) ◽  
pp. 171-177 ◽  
Author(s):  
Erdem I. Cantekin ◽  
Charles D. Bluestone ◽  
Leon P. Parkin

In order to establish a simple stimulus-response characteristic of Eustachian tube physiology in children, the tubal ventilatory function was studied. The parameters of active and passive opening of the tube were measured for three groups of patients with non-intact tympanic membranes. The group with traumatic perforations of the tympanic membrane without any history of middle ear disease had better active equilibration function than the group with chronic otitis media and perforations of the tympanic membrane and the group with tympanostomy tubes in the tympanic membrane. Quantitatively, this could be expressed in terms of residual positive pressures. In the study of repeated inflation of the middle ear, all groups had lower second opening pressures which are attributed to the effect of surface forces.


2015 ◽  
Vol 154 (3) ◽  
pp. 502-507 ◽  
Author(s):  
Ellen M. Mandel ◽  
Margaretha L. Casselbrant ◽  
Beverly C. Richert ◽  
Miriam S. Teixeira ◽  
J. Douglas Swarts ◽  
...  

1983 ◽  
Vol 92 (3) ◽  
pp. 249-253 ◽  
Author(s):  
Richard C. Folsom ◽  
Bruce A. Weber ◽  
Gary Thompson

Auditory brainstem responses were recorded from an experimental group of 15 children with early histories of recurrent middle ear disease for the purpose of examining the effects of reduced auditory input on auditory brainstem function. The responses from these children were analyzed in terms of absolute latencies, interwave latencies and latency shifts across sensation level. Comparisons were made to a control group of children with no history of middle ear disease. Results indicated significant differences between the groups. The experimental group demonstrated greater absolute latencies for waves III and V as well as greater interwave latencies. These findings support the interpretation of an association between early recurrent middle ear disease and brainstem function.


1983 ◽  
Vol 92 (3) ◽  
pp. 300-304 ◽  
Author(s):  
Britt Carlsson

As it is not known whether individuals with α1-antitrypsin deficiency show increased sequelae following otitis media, 52 patients with α1-antitrypsin deficiency were studied with respect to history of middle ear disease, presence of irreversible pathologic changes of the tympanic membranes, and hearing ability. The middle ear status was determined on otomicroscopy, tympanometry, and pure-tone audiometry. The frequency of individuals with a history of otitis media was 50%. The frequency of individuals with pathologic tympanic membrane changes was no different from that shown in the results obtained in a Swedish normal population study. Minor conductive hearing losses were found in three patients of which only one was related to a history of middle ear disease. However, the history of acute severe complications from otitis media revealed a higher frequency in those individuals with α1-antitrypsin deficiency as compared to normals.


1999 ◽  
Vol 42 (6) ◽  
pp. 1311-1322 ◽  
Author(s):  
Jan Allison Moore

The purpose of the study was to investigate the relative contributions of age, gender, ethnic background, and a history of middle ear disease on the amount of conductive hearing impairment among native and non-native audiology patients in the Canadian North. A second goal of the study was to determine risk factors for conductive hearing loss in the patients studied. Three ethnic groups were represented among the 3,094 patients: Inuit, American Indian, and non-native. Loglinear and logit statistical models were applied, and these data were best explained by a 3-way interaction of history of middle ear disease, ethnic group, and hearing loss, and the 2-way interaction of age and hearing loss. The Inuit appear to be at higher risk for conductive hearing impairment than the other ethnic groups. Conductive hearing loss also appears to increase as age increases through the teenage years for all the patients regardless of ethnic group membership. Preschoolers were at the lowest risk for conductive hearing loss. The trend for the amount of hearing impairment to increase throughout childhood suggests that children living in the Arctic may manifest a unique and more serious form of the disease not often observed in audiology patients who are Caucasian in southern Canada or the United States or that they may be exposed to additional risk factors.


2008 ◽  
Vol 193 (3) ◽  
pp. 192-196 ◽  
Author(s):  
Peter Mason ◽  
Michael Rimmer ◽  
Anna Richman ◽  
Gagan Garg ◽  
Joe Johnson ◽  
...  

BackgroundOne hundred years ago psychiatrists thought that ear disease could cause insanity by irritation of the brain. Current understanding of the role of the temporal lobes in schizophrenia and their proximity to the middle ear supports this hypothesis.AimsTo establish the rate of middle-ear disease pre-dating the onset of schizophrenia.MethodEighty-four patients with schizophrenia were each matched to four non-psychiatric controls by age, gender and season of birth. History of ear disease was obtained from general practice records. Additional information on symptoms was collected for participants in the case group, who also had audiometry.ResultsThe odds ratio of recorded middle-ear disease pre-dating schizophrenia was 3.68 (95% CI 1.86–7.28). This excess was particularly marked on the left (OR=4.15, 95% CI 2.08–8.29). Auditory hallucinations were associated with middle-ear disease but not with hearing loss.ConclusionsThere is an association between middle-ear disease and schizophrenia which may have aetiological significance.


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