In some cases, OEM can lead to longer term issues such as: Recurrent acute otitis media (AOM) Problems with speech and language development Structural changes to tympanic
[chop.edu]
Chronic fluid collections may not result in obvious symptoms, but do generally cause hearing loss, which may be exhibited by inattention, delayed speech development, or poor
[southlakeent.com]
Hearing loss, especially in children, may impair learning capacity and even delay speech development.
[entsurgicalillinois.com]