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OBJECTIVES: The aim of this review was to assess evidence from
randomised controlled trials about the effect, on language and behavioural
outcomes, of screening and treating children with clinically important OME in the
first four years of their life. The focus was on the first four years of life
because this is the time of most rapid language development. The consequences of
hearing loss are likely to be most serious during this time. In addition,
children of this age are least likely to be able to report or seek help for
impaired hearing, particularly if these problems have a slow onset and are
subtle.