THE RELATIONSHIP BETWEEN MIDDLE EAR IMPAIRMENT AND LANGUAGE DEVELOPMENT IN CHILDREN WITH DOWN SYNDROME Sudrajad HADI1*, Setiamika MADE1, Hendradewi SARWASTUTI1, Primadewi NOVI1, Wijaya Kandhi PUTU1, Pratiwi DEWI1, Permatasari DEFITARIA1, Giri Moelyo ANNANG2
Otorhinolaryngology Department, Sebelas Maret University Surakarta, Indonesia
Pediatric Department, Sebelas Maret University Surakarta, Indonesia
Abstract
Background: Down syndrome (DS) is a trisomy disorder of chromosome 21. Hearing impairment in DS are related to anatomical alterations and general cognitive delays. Otitis media with effusion is one of the most common ear problems in DS. Anatomical abnormalities and incidence of otitis media may also influence the development of their leanguage. People with DS who have intellectual disabilities remain vulnerable to these complications and are at risk for language learning deficits. Objectives: To analyze the relationship between middle ear function and its problem with language development in children with DS. Methods: We measured the develpoment screening, tympanometric and otoaccoustic emissions (OAE) in 17 children with DS. The study was conducted between March-July 2022 at Pediatric and ENT clinic, Dr. Moewardi General Hospital Surakarta, Indonesia. Results: The mean age of subjects was 35.41 +- 18.78 months ranging from 12-73 months and ratio male and female 8 : 9. Development delay were found in all subjects based on Denver II, 6 (35.3%) were late and 11 (65.7) were very late . Mostly subjects had type B for tympanometric in both ears (41.17%) with otoaccoustic emissions result were dominated with refer result in both ears(58.3%). Chi Square Test between Tympanometry and Languange Development was found significant (p = 0.011). Conclusion: There is relationship between middle ear impairment and language development in children with down syndrome
Keywords: Down syndrome, otitis media with effusion, language development, middle ear
Topic: Medical : basic science, clinical, translational research, medical education, and miscellaneous
