Recovery from OME-related phonologic delay following tube placement

Subjects with documented histories of frequent or persistent otitis media with effusion (OME) who were judged to be below age level phonologically prior to placement of pressure equalization (PE) tubes were reassessed at 4-month intervals. Group A (n = 22) subjects caught up with their peers by the age of 4 years; Group B (n = 14) subjects' progress was delayed and phonologic intervention was advised. At initial testing the two groups were found to differ significantly in scores on postvocalic singleton obstruent omission, velar deviation, and stridency deletion. Elapsed time between initial diagnosis of OME and beginning of the first remission of 6 months or more also differed significantly, as did scores on the first phonologic reassessment. Subject scores on initial phonologic adequacy, retest adequacy, and elapsed time from diagnosis to remission appropriately classified all but 2 subjects by group. A formula is provided that appears to make early prediction of eventual need for phonologic intervention a practical possibility.