Retrospective studies carried out in the 1950s, 1960s, and 1970ssuggested an association between otitis media early in lifeand subsequent developmental impairments in children. Althoughthese studies were not designed to establish a cause-and-effectrelationship, many prominent physicians, audiologists, and speechpathologists thought that a cause-and-effect relationship didexist, because severe, bilateral sensorineural hearing losswas known to cause irreversible developmental impairments. Therefore,aggressive intervention to restore normal hearing became thestandard of care, and the placement of tympanostomy tubes becamethe second most frequent surgical procedure performed in theUnited States (after neonatal circumcision). In July 1994, the. . . [Full Text of this Article]
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From the University of Colorado School of Medicine, the Children's Outcomes Research Program, and Children's Hospital, Denver.
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