Identification of children at risk for middle ear effusion problems

A listing of high risk factors for recurrent otitis media would aid in identifying children in need of early medical and educational intervention that would forestall later language dysfunction. Known percentages of risk include those of cleft palate children, Down's syndrome, native American Indians and Kartagener's syndrome. Factors whose percentage of risk should be studied are family history, early first bout, prematurity, malnutrition, child abuse and allergies. It is recommended that infants in any of the high risk groups be given special evaluation and when identified be considered for both medical and educational treatment.