Permanent hearing loss independent of otitis media with effusion Suspected or confirmed speech and language delay or disorder Autism spectrum disorder and other pervasive developmental disorders Syndromes (eg, Down) or craniofacial disorders that include cognitive, speech, or language delays Blindness or uncorrectable visual impairment Cleft palate, with or without the associated syndrome Developmental delay |
Table 4: Sensory, physical, cognitive, or behavioral factors that place children who have otitis media with effusion at increased risk for developmental difficulties (delay or disorder).
Figure 1: Algorithm showing the relationship of guideline key action statements. OME, otitis media with effusion; QOL, quality of life.