Jack L. Paradise|Heidi M. Feldman|Thomas F. Campbell|Christine A. Dollaghan|Howard E. Rockette|Dayna L. Pitcairn|Clyde G. Smith|D. Kathleen Colborn|Beverly S. Bernard|Marcia Kurs?Lasky|Janine E. Janosky|Diane L. Sabo|Rollanda E. O’Connor|William E. Pelham
Tympanostomy Tubes and Developmental Outcomes at 9 to 11 Years of Age
University of Pittsburgh|Children's Hospital of Pittsburgh|University of Pittsburgh|Stanford University|Children's Hospital of Pittsburgh|University of Dallas|University of Pittsburgh|Children's Hospital of Pittsburgh|University of Pittsburgh|University of Dallas|University of Pittsburgh|Children's Hospital of Pittsburgh|Children's Hospital of Pittsburgh|Children's Hospital of Pittsburgh|Children's Hospital of Pittsburgh|University of Pittsburgh|University of Pittsburgh|University of Pittsburgh|Children's Hospital of Pittsburgh|University of Pittsburgh|University of California, Riverside|SUNY Buffalo State University|University at Buffalo, State University of New York
developmental impairments children attributed persistent middleear effusion early years life previously reported among children younger 3 years age persistent middleear effusion prompt compared delayed insertion tympanostomy tubes result improved cognitive language speech psychosocial development 3 4 6 years age however important components development could assessed children olderwe enrolled 6350 infants soon birth evaluated regularly middleear effusion 3 years age 429 children persistent effusion randomly assigned undergo insertion tympanostomy tubes either promptly 9 months later effusion persisted assessed literacy attention social skills academic achievement 391 children 9 11 years agemean sd scores 48 developmental measures group children assigned undergo early insertion tympanostomy tubes differ significantly scores group assigned undergo delayed insertion measures included passage comprehension subtest woodcock reading mastery tests mean score 9812 earlytreatment group 9912 delayedtreatment group spelling writing samples calculation subtests woodcockjohnson iii tests achievement 9613 9716 10414 10515 9913 9913 respectively inattention ratings visual auditory continuous performance testsin otherwise healthy young children persistent middleear effusion defined study prompt insertion tympanostomy tubes improve developmental outcomes 9 11 years age clinicaltrialsgov number nct00365092 clinicaltrialsgov