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Impact of Otitis Media With Effusion in Early Age on Auditory Processing Abilities in Children: A Systematic Review
Bigyan Raj Gyawali1, Sanjeev Kharel1, Subarna Giri1
1Department of ENT and Head Neck Surgery, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, State-3, Nepal.
Insights
Children with a history of otitis media with effusion (OME) show impaired auditory processing. This review highlights the significant impact of early-onset OME on auditory development and function in children.
Area of Science:
- Pediatric Audiology
- Neurodevelopmental Disorders
- Otolaryngology
Background:
- Early-onset otitis media with effusion (OME) can disrupt auditory nervous system development.
- This can lead to auditory processing abnormalities in children.
- Understanding the long-term effects of OME on auditory skills is crucial.
Purpose of the Study:
- To systematically review the impact of childhood OME on auditory processing abilities.
- To synthesize evidence from behavioral and electrophysiological studies.
Main Methods:
- A systematic literature review was conducted from 1990 to 2022.
- Searches were performed on PubMed, Embase, and Google Scholar.
- Data from 10 selected studies were meta-analyzed.
Main Results:
- Children with a history of OME demonstrated poorer performance on auditory tests.
- Significant differences were observed in gap in noise and frequency pattern tests.
- Auditory brainstem response latencies were also affected in children with OME.
Conclusions:
- Childhood OME significantly impacts auditory processing abilities.
- Early intervention may be necessary to mitigate long-term auditory deficits.
- Further research should explore specific interventions for OME-related auditory dysfunction.
Abstract:
Objective: Early-onset otitis media with effusion (OME) can affect the development of the auditory nervous system and thus lead to auditory processing abnormalities. This study aims to review the effect of childhood OME on auditory processing abilities in children. Methods: A systematic review of the literature, restricted to the English language from 1990 to 2022 was conducted using search engines like PubMed, Embase, and Google Scholar. After selecting the articles following predefined inclusion and exclusion criteria, the data were extracted and meta-analysis was performed. Results: A total of 10 articles met the inclusion criteria. Children with a history of OME had poorer performance in most behavioral and electrophysiological tests. Pooled analysis of various tests such as the gap in noise test, frequency pattern test (verbal and nonverbal), and latencies of auditory brainstem response-I, V, I to III, and I to V showed a difference between the 2 groups. Conclusion: Childhood OME can significantly affect auditory processing abilities in children.
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