Many children experience recurrent acute otitis media (RAOM) in early childhood. In a previous study, 2-year-old children with RAOM were shown to have an immature neural patterns for speech sound discrimination. The present study further investigated the consonant inventories of these same children usign natural speech samples. The results showed that 2-year-old children with RAOM (N=19) produced fewer words and had smaller consonant inventories compared to healthy controls (N=21). In partucular, the number of consonants produced in medial positions of words was restricted. For places and manners of articulation, the most notable difference between the groups was observed for fricatives,which were produces less often by children with RAOM than by the controls.These results further support the asdumption that early and recurrent middle ear infections should be considered a risk factor for language development.