Anda di halaman 1dari 16

Long-Term Effects of Early-Life

Otitis Media on Language


Development
Anthy Wahyuni Fitria
Dokter Pembimbing : Dr. Denny P. Machmud, Sp.THT

Anne Zumach Ellen Gerris Michelene Chenault Lucien Anteunis
Maasrticht University Medical Centre, Maastricht, the
Netherlands
Journal of Speech, Language, and Hearing Research. Vol. 53. 34-
43. February 2010. American Speech-Language-Hearing
Associasion
P e n d a h u l u a n
Perkembangan bahasa mempunyai periode

sensitif pada masa anak-anak, terutama

2 tahun pertama kehidupan, ketika

kemampuan dasar bahasa diperoleh.
2

Penelitian ini membahas efek jangka

panjang dari otitis media pada awal

kehidupan dan akibatnya
T u j u a n
Mengetahui efek jangka panjang

dari otitis media pada anak &

(hubungannya dengan gangguan

pendengaran)kemampuan berbahasa

pada usia anak sekolah
M e t o d e
5
250 anak
Oktober 1989
s/d April 1995
65 anak
Kontrol setiap
3 bulan s/d
usia 27bulan +
7 tahun
University Hospital Maastricht
(Belanda MaastrichtPays)
Dievaluasi
0-27 bulan
0-24 bulan
Setiap 3 bulan
dilakukan otoskopi
dan timpanometri
27 bulan
Hanya dilakukan
timpanometri

Dievaluasi sampai
usia
7 tahun
Untuk mendapat data pada usia 27
bulan7 tahun dilakukan kuesioner
kepada orang tua.


Kuesioner mencakup tentang konsultasi
THT , terapi bicara, masalah
pendengaran sejak usia 0-2 tahun, 2-
4 tahun, 4-6 tahun dan 6 tahun.
7
A n a l i s a S t a t i s t i k a
SPSS 15.0
Untuk melihat efek dari otitis media
yang didasari hilang pendengaran
pada perkembangan bahasa dibagi 2
fase
MLUL dan MLU
WFP dan CM

9
`

10
D I S K U S I

Penelitian ini tidak dapat
menunjukkan pengaruh OM / HL dalam 2
tahun pertama kehidupan terhadap
keterampilan membaca & bahasa pada
usia sekolah

Efek negatif, itu hanya sedikit yang
signifikan.
H a s i l

Hubungan otitis media pada awal
kehidupan dengan gangguan
pendengaran dan perkembangan bahasa
tidak ditemukan pada usia sekolah

Orang tua melaporkan kehilangan
pendengaran usia 2 dan 7 tahun tidak
memiliki efek pada nilai di sekolah
Diskusi
Pada penelitian tidak

menunjukkan efek dari otitis media

pada usia 2 tahun pertama kehidupan

mengganggu dalam berbahasa di

sekolah
K e s i m p u l a n
Tidak ada efek jangka panjang dari

otitis media terhadap kehilangan

pendengaran dan perkembangan bahasa
R E F E R E N S I
References
Anteunis, L. J. C., & Engel, J. A. M. (2000). Maastricht
Otitis Media With Effusion Study: A prospective longitudinal
study in infants from 0 to 2 years. Maastricht, the Netherlands:
Datawyse.
Anteunis, L. J. C.,Engel,J.A.M., Chenault,M.N.,&Manni,
J. J. (2000). Language outcome at the age of 27 months
and the influence of early life otitis media with effusion. In
L. J. C. Anteunis & J. A. M. Engel (Eds.), Maastricht Otitis
Media with Effusion Study: A prospective longitudinal study
in infants from 0 to 2 years (pp. 157177). Maastricht, the
Netherlands: Datawyse.
Anteunis, L. J. C., Engel, J. A. M., Chenault, M. N., et al.
(2000). Maturational changes of behavioural auditory threshold
levels in healthy-born and in high-risk-born infants. In
L. J. C. Anteunis & J. A. M. Engel (Eds.), Maastricht Otitis
Media with Effusion StudyA prospective longitudinal study
in infants from 0 to 2 years (pp. 141154). Maastricht, the
Netherlands: Datawyse.
Anteunis, L. J. C., Engel, J. A. M., Hendriks, J. J. T., &
Manni, J. J. (1999). A longitudinal study of the validity of
parental reporting in the detection of otitis media and related
hearing impairment in infancy. Audiology, 38, 7582.
Bailey, D. B., Bruer, J. T., Symons, F. J., &Lichtman, J.W.
(2001). Critical thinking about critical periods. Baltimore:
Brookes.
Bayley, N. (1969). Bayley Scales of Infant Development.
San Antonio, TX: Pearson.
Biesalski, P. (1971). Technique et jugement de laudiometrie
du nourrisson: La surdit du premier ge [Technique and
assessment
of audiometry in infants: Congenital deafness].
Besan0on, France: Campanov.
Bol, G., & Kuiken, F. (1989). Handleiding GRAMAT. Een
methode voor het diagnosticeren en kwalificeren van
taalontwikkelingsstoornissen [Manual GRAMAT: A method
to diagnose and quantify language development disorders].
Nijmegen, the Netherlands: Berkhout.
Bomers, A. J. A. M., & Mugge, A. M. (1982). Reynell
taalontwikkelingstest [Reynell Developmental Language
Scales]. Nijmegen, the Netherlands: Berkhout.
Cantekin, E. I. (1983). Algorithm for diagnosis of otitis media
with effusion. Annals of Otology, Rhinology and Laryngology,
92, 6.
Central Office for Statistics. (1999). Standaard Onderwijs
Indeling van het Centraal Bureau voor de Statistiek [Standard
Educational Classification of the Central Office for
Statistics]. Voorburg/Heerlen, the Netherlands: CBS.
Crystal, D., Fletcher, P., & Garmen, M. (1976). The grammatical
analysis of language disorders: A procedure for
assessment and remediation. New York: Elsevier-North
Holland.
Daly, K. A., Lindgren, B., & Gieblink, G. S. (1994). Validity
of parental report of a childs medical history in otitis media
research. American Journal of Epidemiology, 139, 11161121.
Engel, J.A. M.,Anteunis, L. J.C.,Chenault, M. N.,&Marres,
E. (2000). Otoscopic findings in relation to tympanometry
during infancy. European Archives of Oto-Rhino-Laryngology,
257(7), 366371.
Engel, J. A. M., Anteunis, L. J. C., Volovics, A., Hendriks,
J. J. T., & Marres, E. H. M. A. (1999). Prevalence rates of
otitis media with effusion from 0 to 2 years of age: Healthyborn
versus high-risk born infants. International Journal
of Pediatric Otorhinolaryngology, 47, 243251.
Friel-Patti, S., & Finitzo, T. (1990). Language learning in a
prospective study of otitis media with effusion in the first
two years of life. Journal of Speech, Language, and Hearing
Research, 33, 188194.
Gravel, J. S. (2003). OME and hearing loss. In R. Rosenfeld &
C. Bluestone ( Eds.), Evidence-based otitis media (2nd ed.,
pp. 342359). Hamilton, Ontario, Canada: BC Decker.
Grievink, E. H., Peters, S. A., Van Bon, W. H., & Schilder,
A. G. (1993). The effects of early bilateral otitis media with
effusion on language ability: A prospective cohort study.
Journal of Speech and Hearing Research, 36, 10041012.
Groenen, P., Crul, T., Maassen, B., & Van Bon, W. (1996).
Perception of voicing cues by children with early otitis media
with and without language impairment. Journal of Speech,
Language, and Hearing Research, 39, 4354.
Hartley, D. E. H., & Moore, D. R. (2005). Effects of otitis
media with effusion on auditory temporal resolution. International
Journal of Pediatric Otorhinolaryngology, 69,
757769.
Holm, S. (1979). A simple sequentially rejective multiple test
procedure. Scandinavian Journal of Statistics, 6, 6570.
Jerger, J. (1970). Clinical experience with impedance audiometry.
Archives of OtolaryngologyHead & Neck Surgery,
92, 311324.
Knudsen, E. I. (2004). Sensitive periods in the development of
the brain and behavior. The Journal of Cognitive Neuroscience,
16, 14121425.
van der Meulen, B. F., & Smrkovsk, M. (1984). Bayley
Ontwikkelingsschalen. [Bayley Scales of Infant Development].
Groningen, the Netherlands: University of Groningen.
Mody, M., Schwartz, R. G., Gravel, J. S., & Ruben, R. J.
(1999). Speech opinion and verbal memory in children with
and without histories of otitis media. Journal of Speech,
Language, and Hearing Research, 42, 10691079.
Paradise, J. L., Dollaghan, C.A.,Campbell, T. F., Feldman,
H. M., Bernard, B. S., Colborn, D. K., et al. (2000). Language,
speech sound production, and cognition in threeyear-
old children in relation to otitis media in their first
three years of life. Pediatrics, 105, 11191130.
Paradise, J. L., & Feldman, H. M. (2007). Tympanostomy
tubes and developmental outcomes at 9 to 11 years of age.
The New England Journal of Medicine, 365, 248261.
Reynell, J. (1977). The Reynell Developmental Language
Scales. London: Windsor nferNelson.
Roberts, J. E., Burchinal, M. R., Davis, B. P., & Collier,
A. M. (1991). Otitis media in early childhood and later language.
Journal of Speech, Language, and Hearing Research,
34, 11581168.
Roberts, J. E., Burchinal, M. R., & Zeisel, S. A. (2002).
Otitis media in early childhood in relation to childrens
school-age language and academic skills. Pediatrics, 110,
696706.
Roberts, J. E., Hunter, L., Gravel, J., Rosenfeld, R.,
Berman, S., Haggard, M., et al. (2004). Otitis media,
hearing loss, and language learning: Controversies and
current research. Journal of Developmental and Behavioral
Pediatrics, 25, 110122.
Roberts, J. E., Rosenfeld, R. M., & Zeisel, S. A. (2004).
Otitis media and speech and language: A meta-analysis
of prospective studies. Pediatrics, 113, 238248.
Rockette, H. E. (2003). Design considerations for clinical
studies. In R.M. Rosenfeld&C. D.Bluestone (Eds.),Evidencebased
otitis media (2nd ed., pp. 2839). Hamilton, Ontario,
Canada: B. C. Decker.
Rovers, M., Schilder, A. G., Zielhuis, G. A., & Rosenfeld,
R. M. (2004). Otitis media. Lancet, 363, 463475.
Rovers, M., Straatman, H., Ingels, K., van der Wilt, G.,
Van den Broek, P., & Zielhuis, G. A. (2000). The effect of
ventilation tubes on language development in infants with
otitis media with effusion: A randomized trial. Pediatrics,
106, E42.
Schaerlaekens, A., Zink, I., & van Ommeslaege, K. (1993).
Reynell taalontwikkelingstest. [Reynell Developmental Language
Scales]. Nijmegen, the Netherlands: Berkhout.
Schilder, A. G. M., Snik, A. F. M., Straatman, H., & Van
den Broek, P. (1994). The effect of otitis media with effusion
at preschool age on some aspects of auditory perception at
school age. Ear and Hearing, 15, 224231.
Schilder, A. G. M., van Manen, J. G., Zielhuis, G. A.,
Grievink, E. H., Peters, S. A. F., & Van den Broek, P.
(1993). Long-term effects of otitis media with effusion on
language, reading, and spelling. Clinical Otolaryngology
and Allied Sciences, 18(3), 234241.
Shriberg, L. D., Flipsen, P., Thielke, H., Kwiatowski, J.,
Kertoy, M. K., Katcher, M. L., et al. (2000). Risk for speech
disorder associated with early recurrent otitis media with
effusion: Two retrospective studies. Journal of Speech,
Language, and Hearing Research, 43, 7999.
Suzuki, T., & Ogiba, Y. (1960). A technique of pure-tone
audiometry for children under three years of age: Conditioned
orientation reflex (COR) audiometry. Revue de
laryngologieotologierhinologie, 81, 3354.
Teele, D.W., Klein, J. O., Chase, C., Menyuk, P.,& Rosner,
B. A. (1990). Otitis media in infancy and intellectual ability,
school achievement, speech, and language at age 7 years.
The Journal of Infectious Diseases, 162, 685694.
Van Bon, W. H. J. (1982). Taaltests voor Kinderen [Language
Test forChildren]. Lisse, the Netherlands: Swets&Zeitlinger.
Vernon-Feagans, L., Emanuel, D. C., & Blood, I. (1997).
The effect of otitis media and quality of daycare on childrens
language development. Journal of Applied Developmental
Psychology, 18, 395409.
Vernon-Feagans, L., Miccio, A. W., & Yont, K. M. (2003).
Speech, language, pragmatics, and attention. In R. M.
Rosenfeld & C. D. Bluestone ( Eds.), Evidence-based otitis
media (2nd ed., pp. 360382). Hamilton, Ontario, Canada:
B. C. Decker.
Werker, J. F., & Tees, R. C. (2005). Speech perception as a
window for understanding plasticity and commitment in
language systems of the brain. Developmental Psychobiology,
46, 233251.
Windsor, J., Scott, C. M., & Street, C. K. (2000). Verb and
noun morphology in the spoken and written language of
children with language learning disabilities. Journal of
Speech, Language, and Hearing Research, 43, 13221336.
Wright, P. F., Sell, S. H., McConnell, K. B., Sitton, A. B.,
Thompson, J., Vaughn, W. K., & Bess, F. H. (1988).
Impact of recurrent otitis media on middle-ear function,
hearing, and language. Journal of Pediatrics, 113, 581587.
Zumach, A., Gerrits, E., Chenault, M. N., & Anteunis, L.
J. C. (2009). Otitis media and speech-in-noise recognition
in school-aged children. Audiology and Neurotology, 14,
121129.


Received December 3, 2008
Revision received April 1, 2009
Accepted July 17, 2009
DOI: 10.1044/1092-4388(2009/08-0250)
Contact author: Anne Zumach, Maastricht University
Medical Center, Department of Otorhinolaryngology and
Head & Neck Surgery, P. Debyelaan 25, Maastricht
6229HX, the Netherlands. E-mail: anne.zumach@mumc.nl.

Anda mungkin juga menyukai