Long-Term Effects of Early-Life Otitis Media on Language Development

Abstract

Purpose The aim of the present study was to examine the long-term consequences of early-life otitis media (OM) and the associated hearing loss (HL) on language skills of school-aged children. Method In a prospective study, the middle-ear status of 65 Dutch healthy-born children was documented every 3 months during their first 2 years of life; language comprehension and production were evaluated at 27 months and again at 7 years. Results The positive relation that was found between OM-related HL and language development at 27 months could no longer be discerned at school age. Accordingly, parent-reported HL between 2 and 7 years had no effect on scores at school age. Conclusion The present study shows that negative consequences of early-life OM or the underlying HL on language comprehension and production appear to be resolved by the age of 7. It also shows that parent-reported HL between 2 and 7 years is not related to language skills at school age.