Auditory brain-stem responses in children with previous otitis media.

The auditory brain-stem responses (ABRs) of 18 children who received tympanostomy tubes due to well-documented history of otitis media with effusion (OME) were compared with a matched control group with little or no history of effusion. The subjects in the OME group had significantly longer ABR latencies for waves III and V, with the most compelling delay for wave III and the III-I interwave interval. Although wave I prolongation in the OME group was not significant, the possible contribution of a peripheral effect on the latencies of waves III and V was investigated. The typical gender effect for the ABR latencies was unaltered in the OME group, and there was no group by gender interaction. We suggest that although the data support increased ABR latencies for children with a history of OME, they do not establish a causal relationship.