LANGUAGE IN INDIA

Strength for Today and Bright Hope for Tomorrow

Volume 14:3 March 2014
ISSN 1930-2940

Managing Editor: M. S. Thirumalai, Ph.D.
Editors: B. Mallikarjun, Ph.D.
         Sam Mohanlal, Ph.D.
         B. A. Sharada, Ph.D.
         A. R. Fatihi, Ph.D.
         Lakhan Gusain, Ph.D.
         Jennifer Marie Bayer, Ph.D.
         S. M. Ravichandran, Ph.D.
         G. Baskaran, Ph.D.
         L. Ramamoorthy, Ph.D.
         C. Subburaman, Ph.D. (Economics)
Assistant Managing Editor: Swarna Thirumalai, M.A.

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A Study on the Effects of Early History of Recurrent Ear
Infections on Word Discrimination Abilities in Children

Binoy Shany M.S., M.Sc. Speech, Language & Hearing, Ph.D. Scholar
Dr. T. A. Subbarao, Ph.D.
Kevin Santhan Peris, MASLP
Josey Simon, MASLP
Thushara, M. K., BASLP

Introduction

Hearing is important for speech and language development, communication, and learning. Early history of recurrent conductive type of hearing loss disturbs the hearing mechanism which causes significant reduction in the hearing sensitivity. The reduced auditory input, if in the early years of development may adversely affect the structural as well as functional development of the auditory system. Some possible causes of conductive hearing loss are fluid in the middle ear from colds, Otitis media, poor Eustachian tube functioning, eardrum abnormalities, impacted earwax, infection in the ear canal, absence or malformation of the outer ear, ear canal, or middle ear.

Otitis media (OM) in its all forms is one of the most frequently occurring diseases (Majeed & Harris, 1997). This condition and its various effects, including fluctuating conductive hearing loss may have a long term impact on how the child behaves and learns. It has been well established that many children experience episodes of Otitis media and although they tend to resolve rapidly, a variety of sequelae may develop (Daly, 1997). The sequelae may be medical or non-medical and may exist for a short or long period of time. It has been reported that hearing loss which results from Otitis media would lead to a variety of non-medical sequelae which include “adverse effects in speech, language, development and balance in some children (Casselbrant , Gravel, Margolis, Bellussi,, Dhooge, & Downs, 2002) culminating in learning and behavioral problems (Klein, 2001, as cited in J. S. Stenton , 2003).

Finitzo, Gunnarson & Clark (1990) suggested that not only is the central nervous system sensitive to even minor fluctuation in hearing in early life there is also a basis for a hypothesis if a critical developmental period for auditory abilities that can be disrupted by auditory deprivation from early Otitis media with effusion. This view leads to the suggestion that even minor aberrations in auditory input in the early stages of child development could result in permanent impairment in auditory processing (Vernon- Feagans & Proctor, 1994). According to Benasich & Tallal (2002) it is possible that a history of Otitis media with effusion lead to a delay in the maturation of central auditory path ways in children because of the auditory deprivation resulting from a conductive hearing loss. There is support too for the theory that these abnormal sensory input may be associated with chronic perceptual disability (Hall, Grose, & Drake, 1997) which could lead to delays in child development and learning. Hasenstab in 1992 have attempted to identify various aspects of speech detection, discrimination, and development which may be affected by conductive hearing loss as a result of history of Otitis media. Deficits were found in processing and representing auditory information and immediate recall for sequential patterns were also below the expected level.

This is only the beginning part of the article. PLEASE CLICK HERE TO READ THE ENTIRE ARTICLE IN PRINTER-FRIENDLY VERSION.

Binoy Shany M.S., M.Sc. Speech, Language & Hearing, Ph.D. Scholar
Assistant Professor
Dr. M. V. Shetty College of Speech and Hearing
Malady Court, Kavoor
Mangalore 575015
Karnataka
India
shany003@yahoo.com

Dr. T. A. Subbarao, Ph.D.
Director
Dr. M.V. Shetty College of Speech and Hearing
Malady Court, Kavoor
Mangalore 575015
Karnataka
India
subbaraota@yahoo.com

Kevin Santhan Peris, MASLP
Lecturer
Dr. M.V. Shetty College of Speech and Hearing
Malady Court, Kavoor
Mangalore 575015
Karnataka
India
kevinperis@gmail.com

Josey Simon, MASLP
Dr. M.V. Shetty College of Speech and Hearing
Malady Court, Kavoor
Mangalore 575015
Karnataka
India.
joseysimon@yahoo.com

Thushara, M. K., BASLP
Assistant Lecturer
Dr. M.V. Shetty College of Speech and Hearing
Malady Court, Kavoor
Mangalore 575015
Karnataka
India
thusharabinoy@yahoo.com

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