Retrospective history of middle ear disease was compared with developmental
diagnosis in 507 consecutively referred school-age children. History of ma
jor ear problems was positively associated with discrepancies between the p
erformance and verbal IQ on the WISC-R. History of major car problems was p
ositively associated with the presence of articulation disorders for childr
en in the low social class, hyperactivity in the middle social class, and l
anguage problems in the high social class, ii history of significant middle
ear disease in early childhood should raise concerns for articulation diff
iculties and possible language problems in children presenting to clinician
s with school problems.