Canonical Babbling And Early Consonant Development Related To Hearing In Children With Otitis Media With Effusion With Or Without Cleft Palate

Objective:To investigate and compare babbling, early consonant production and proficiency from 10 to 36 months of age and its relationship with hearing in children with otitis media with effusion (OME) with or without cleft palate.Design:Prospective, longitudinal group comparison study.Setting:University hospital.Participants:Fifteen children born with nonsyndromic cleft palate with or without cleft lip (CP +/- L) and 15 age-matched children with hearing loss (HL) associated with OME but without cleft palate (noncleft group).Main Outcome Measures:Canonical babbling (CB) and early consonant variables (presence of oral stops, anterior stops, dental/alveolar stops, number of different true consonants) at 10 and 18 months, and percentage of consonants correct proficiency (PCC) at 36 months.Results:A total of 54% of the CP +/- L group and 77% of the noncleft group had CB. The noncleft group had a significantly higher prevalence of all consonant variables. Percentage of consonants correct was 61.9% in the CP +/- L group and 81.6% in the noncleft group. All early consonant variables except CB were significantly related to PCC. Hearing sensitivity at 18 and 30 months correlated with PCC and explained 40% of the variation.Conclusions:Mild HL impacted presence of CB at 10 months and was related to consonant proficiency at 36 months in children with HL associated with OME and children with cleft palate. The noncleft group showed results at 36 months similar to children with normal hearing; however, the CP +/- L group did not. Although the cleft palate may have a bigger impact on the speech development, management of hearing sensitivity would also be beneficial.