Article info

Do grommets prevent language delay?


Sudhakar-Krishnan V, Rudolf M
Do grommets prevent language delay?

Publication history

  • First published September 1, 2002.
Online issue publication 
September 01, 2002




    Table 3
    Grommets in OME
    CitationStudy groupStudy type (level of evidence)OutcomeKey resultsComments

    Rach et al (1991)n=52 Age: 2 year olds Children from a larger cohort were screened for OME with tympanograms Randomised to treatmentRandomised controlled trial (level 2b)Improvement in language scores at 6 monthsImprovement in scores in the treatment group, but large overlapping CIFollow up 100%; small numbers in trial and follow up time not sufficient Balanced randomisation Testers not blinded
    Maw et al (1999)n=182 Age: 2–3 year olds Confirmed to have OME and hearing loss with tympanograms; only those with problems in speech, learning, or behaviour were included Randomised to treatment Randomised controlled trial (level 2b)Improvement in language scores at 9 and 18 monthsImprovement in treated group at 9 months Mean difference between groups was not significant 0.31 (-0.03 to 0.66) 95% CI At 18 months smaller differences which were not significant Follow up 83% Large drop out in trial makes results difficult to interpret; by 18 months 85% of watchful waiting group had grommets inserted Data analysed by intention to treat
    Rovers et al (2000)n=187 Age: 16–24 months From a larger cohort that were screened for hearing loss and OME Randomised to treatmentRandomised controlled trial (level 2b)Improvement of language scores at 6 and 12 monthsNo difference between treatment and watchful waiting groupsFollow up 79% Balanced allocation for groups but groups were different for confounding factors; not clear if testers were blinded

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.