scholarly journals Perception of Voicing Cues by Children With Early Otitis Media With and Without Language Impairment

1996 ◽  
Vol 39 (1) ◽  
pp. 43-54 ◽  
Author(s):  
Paul Groenen ◽  
Thom Crul ◽  
Ben Maassen ◽  
Wim van Bon
Keyword(s):  
Otitis Media ◽  
Language Impairment ◽  
Auditory Processing ◽  
Otitis Media With Effusion ◽  
Discrimination Performance ◽  
Central Auditory Processing ◽  
Long Term Effects ◽  
History Of ◽  
The Relationship

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.

The acceptance of hearing aids for children with otitis media with effusion

1999 ◽  
Vol 113 (4) ◽  
pp. 314-317 ◽  
Author(s):  
A. H. Jardine ◽  
M. V. Griffiths ◽  
E. Midgley
Keyword(s):  
Otitis Media ◽  
Hearing Aids ◽  
Otitis Media With Effusion ◽  
Binaural Hearing ◽  
Long Term Effects ◽  
Non Invasive ◽  
Parents And Children ◽  
Binaural Hearing Aids

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.

LONG-TERM EFFECTS OF OTITIS MEDIA A TEN-YEAR COHORT STUDY OF ALASKAN ESKIMO CHILDREN

PEDIATRICS ◽  
1973 ◽  
Vol 52 (4) ◽  
pp. 577-585 ◽  
Author(s):  
Gary J. Kaplan ◽  
J. Kenneth Fleshman ◽  
Thomas R. Bender ◽  
Carol Baum ◽  
Paul S. Clark
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Verbal Ability ◽  
Significant Loss ◽  
Long Term Effects ◽  
Normal Range ◽  
History Of ◽  
Conductive Component ◽  
Verbal Development

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.

Effect of Persistent Otitis Media on Language Development

1980 ◽  
Vol 89 (3_suppl) ◽  
pp. 257-263 ◽  
Author(s):  
Paula Menyuk
Keyword(s):  
Language Development ◽  
Otitis Media ◽  
Language Processing ◽  
Educational Achievement ◽  
Otitis Media With Effusion ◽  
Speech Sound ◽  
Developmental Time ◽  
Long Term Effects ◽  
Time Duration

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.

scholarly journals Early recurrent otitis media, language and central auditory processing in children

1995 ◽  
Vol 42 (1) ◽  
Author(s):  
Nicci Campbell ◽  
René Hugo ◽  
Isabel Uys ◽  
Johan J. Hanekom ◽  
Solly Millard
Keyword(s):  
Otitis Media ◽  
Research Group ◽  
Auditory Processing ◽  
Central Auditory Processing ◽  
Research Groups ◽  
Retrospective Case ◽  
History Of ◽  
Media Research ◽  
Grade One ◽  
Recurrent Otitis Media

The study examines the relationships that exist between early recurrent otitis media, language and central auditory processing in children. A retrospective case-control experimental design was employed and ten subjects were allocated to each of the two research groups, namely children with a history of early recurrent otitis media (research group 1) and children without a history of early recurrent otitis media (research group 2). The children in both research groups were in grade one and turning 7 years old. The language and central auditory processing of the subjects were assessed using the Clinical Evaluation of Language Function (Wiig & Semel, 1980) and the Willeford Battery of Central Auditory Function (Willeford, 1974). The results showed that the language and central auditory processing of the children with a history of early recurrent otitis media were significantly poorer than that of their disease-free peers. The results stress the importance of vigorous identification and management programmes for children with a history of early recurrent otitis media.

Hearing Screening in Preschool Children of a Rural Community in Portugal - A 10-year Experience

2020 ◽  
Vol 30 (Supplement_2) ◽  
Author(s):  
S Fonseca ◽  
C Reis ◽  
L Monteiro ◽  
C Monteiro ◽  
M Serrano
Keyword(s):  
Hearing Loss ◽  
Preschool Children ◽  
Otitis Media ◽  
Rural Community ◽  
Auditory Processing ◽  
Otitis Media With Effusion ◽  
Hearing Screening ◽  
Central Auditory Processing ◽  
Second Stage ◽  
Age Range

Abstract Introduction Preschool hearing screening programmes would identify later onset or progressive hearing losses and conductive hearing loss, due to the high prevalence of otitis media with effusion in childhood. Hearing loss associated with otitis media with effusion can have a great impact on reading, writing, central auditory processing and balance. Objectives The present study aims at characterising the audiological alterations found in preschool children screened in a rural community in Portugal, and the correlation between audiological findings and otoscopy. Methodology This is an observational study using the results obtained in a ten year audiological and otological screening of preschool children. Otoscopy, Tympanometry and Audiometry (1, 2 and 4 KHz presented at 40 and 20 dB intensity) were performed at the first stage of the screening and the results were classified as “pass” or “refer”. Every non-normal result of any category would imply a second stage consisting of observation by an ENT specialist at the site and the establishing of a follow-up plan. Written Informed Consent was obtained from the parents prior to initiating the study. Results 595 children aged 5 and 6 years were screened between 2007 and 2017, of whom 192 (32.3%) required referral to the second stage. The most frequent alteration was found in the tympanogram. The tympanograms showed a significant correlation with the otoscopy performed by the ENT doctor, mainly type B tympanograms. The pass/refer audiometry also showed a statistically significant correlation with the medical otoscopy, although weak in all frequencies studied. Conclusion It’s extremely important to perform a hearing screening in the age range of 5-6 years (with a high predisposition to middle ear problems), with the main objective of identifying and referring for treatment children who present alterations in order to reduce the consequences of the hearing impairment.

Long-term effects of otitis media with effusion on language, reading and spelling

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 ◽  
...  
Keyword(s):  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Long Term Effects ◽  
Reading And Spelling

scholarly journals Clinical Factors Associated With the Outcomes of Long-Term Middle Ear Ventilation Tube Insertion in Pediatric Patients

2021 ◽  
pp. 014556132110264
Author(s):  
Shunsuke Takai ◽  
Kazuhiro Nomura ◽  
Kiyoshi Oda ◽  
Daiki Ozawa ◽  
Mihoko Irimada ◽  
...  
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Acute Otitis Media ◽  
Ventilation Tube ◽  
Rate Of Increase ◽  
Effective Option ◽  
Middle Ear Ventilation ◽  
History Of

Background: Ventilation tube (VT) insertion is the most common treatment for otitis media with effusion (OME). However, OME recurrence and persistent tympanic membrane (TM) perforation after VT removal are encountered in a certain percentage of such children. Methods: This study was performed to determine the outcomes of children who underwent long-term VT insertion. A total of 326 ears from 192 patients were analyzed. The associations among the patient age, sex, history of OME, history of repeated acute otitis media, placement duration, whether the VT had been removed intentionally or spontaneously, and the outcome (persistent TM perforation or OME recurrence) were analyzed. The outcomes of multiple VT tube insertions were also reviewed. We also analyzed whether or not local or general anesthesia was associated with the early spontaneous extrusion of the VT. Result: The OME recurrence and TM perforation rates were 29% (96/326 sides) and 17% (57/326 sides), respectively, for first insertions. In addition, 96 (29%) sides underwent ≥2 insertions. The shorter the duration for which the VT was retained in the middle ear, the more significant the rate of increase in OME recurrence. The OME recurrence was observed more often when VT was spontaneously removed than when intentionally removed. The rate of persistent TM perforation was significantly associated with male sex. Persistent TM perforation was not observed in patients who underwent 4 or 5 insertions. The anesthesia method did not significantly influence the timing of spontaneous extrusion of VT. Conclusion: The retention period of VT should be at least 2 years, and VT removal at the age of 7 might be a viable strategy. Multiple VT insertions are recommended for patients with recurrent OME. Ventilation tube under local anesthesia is an effective option for tolerable children.

scholarly journals Longstanding effect of recurrent Otitis Media with effusion on central auditory processing in Children

2019 ◽  
Author(s):  
Iman Bahader
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Auditory Processing ◽  
Auditory Brainstem Response ◽  
Speech Intelligibility ◽  
Otitis Media With Effusion ◽  
Auditory Brainstem ◽  
Central Auditory Processing ◽  
Brainstem Response ◽  
Conductive Hearing

Background: Auditory deprivation due to otitis media with effusion(OME) has been suggested and could be related to auditory processingproblem. Aim of the work: To assess central auditory processing functions in children having recurrent OME through behavioral and electrophysiological testing, and to correlate between them. Methodology: Sixty children of both genders were enrolled in this study and divided into 30 children with history of recurrent OME and 30 children of age and gender matched control group. All children were subjected to full history taking, basic audiological evaluation, speech intelligibility in noise test (SPIN), click evoked auditory brainstem response (click ABR) and speech evoked auditory brainstem response testing (speech ABR). Results: Comparing both groups revealed statistically significant depressed SPIN scores at different signal to noise ratios in study group even in absence of conductive hearing loss (CHL). Click ABR absolute latencies of wave I, III and V and interpeak latencies I-V and III-V were significantly prolonged due to CHL. Speech ABR showed significant wave V latency shift together with wave A delay, reduced amplitude, prolonged V-A duration and shallower slope even in absence of hearing loss. Conclusion: Children having recurrent OME showed brainstem abnormalities as detected by SPIN, click ABR and speech ABR tests even in absence of hearing loss.Keywords: Otitis media with effusion (OME), conductive hearing loss(CHL), speech auditory brainstem response (speech ABR) and speech intelligibility in noise test (SPIN).

Otitis Media with Effusion: An Approach to the Management of Persistent Symptoms and Signs in the Pediatric Patient

1983 ◽  
Vol 5 (4) ◽  
pp. 108-117
Author(s):  
Phillip H. Kaleida ◽  
Sylvan E. Stool
Keyword(s):  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Public Health Problem ◽  
Modern Medicine ◽  
Major Public Health Problem ◽  
Persistent Symptoms ◽  
Tympanostomy Tubes ◽  
History Of ◽  
Ear Effusion

Otitis media with effusion continues to be a major public health problem because of its prevalence and potential consequences. We know too little regarding its pathogenesis, management, and long-term consequences. These gaps in our knowledge make it difficult to formulate precise plans of management. Research, necessary at both the clinical and basic-science levels, often is especially difficult because of the large number of variables to be considered in this condition. It is important for the pediatrician to be aware of the variable natural history of otitis media, and of the variable hearing loss accompanying the middle-ear effusion. Pneumatic otoscopy is more sensitive in diagnosing OME than mere visualization of the tympanic membrane. Finally, tympanostomy tubes appear to be beneficial in most children for whom they are indicated; but vigilance is required to detect potential complications both of the disease and of the treatment(s). Feigin16 recently summarized the state of the art of otitis media with effusion: "One of the great paradoxes of modern medicine is that our knowledge is often most incomplete with respect to the disorders that afflict mankind with the greatest frequency. Such is the case with otitis media."

Traumatic Brain Injury and Psychopathic Features Among Juvenile Offenders: Does it Matter Which Traits?

2021 ◽  
pp. 0306624X2110492
Author(s):  
Lindamarie Olson ◽  
Michael G. Vaughn
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Juvenile Offenders ◽  
Psychopathic Traits ◽  
Long Term Effects ◽  
Cross Sectional ◽  
Callous Unemotional ◽  
History Of ◽  
The Relationship

Psychopathic traits and a history of traumatic brain injury (TBI) are common among imprisoned individuals. Although previous research has examined correlates of TBI among juvenile offenders, little research has explored the relationship between psychopathic traits and TBI among this population. Study objectives included: (1) examine the association between the history of a TBI and psychopathic traits among juvenile offenders and (2) determine if the history of a TBI predicts the manifestation of different psychopathic factors among juvenile offenders. Cross-sectional data from the Multidimensional Youth Residential Inventory consisted of 226 juvenile offenders. Bivariate and multivariate analyses were conducted. Results of linear regression analyses showed that history of a TBI significantly predicted callous unemotional and impulsive irresponsible traits. Clinical implications suggest early intervention is needed to treat the potential long-term effects of TBIs and the development of psychopathic traits. Recommendations for further research are discussed.

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