COMMUNICATION DEVELOPMENT IN CHILDREN WITH OTITIS MEDIA

这项调查的目的是检查中耳炎的影响， 渗出性中耳炎（OME）对儿童听力、言语和语言的影响 能力，并描绘这种无处不在的任何沟通后遗症 儿童疾病 中耳炎的近期和远期影响 对沟通能力的影响仍然存在争议， 原因包括回顾性研究设计、样本量小、 记录的听力史和耳科结果，结果不充分 措施，以及未能对一个以上年龄段的儿童进行评估。 在这项研究中，中耳积液对听觉， 婴幼儿的认知、言语和语言能力 将使用与年龄相适应的措施进行检查，以探索 全球和具体的沟通能力。 一大群孩子 将从学期开始进行前瞻性随访。 我们以往的经验 相似的人口表明， 儿童将发展为复发性OME，而其他儿童将保持无耳炎。 该队列将接受定期的听力障碍、耳镜检查和声学检查。 在生命的前三年进行导抗评估， 前瞻性记录他们的周边听力状态和中耳 功能 其他听觉测量将在指定的时间点进行 为了检查儿童的高阶处理， 能力的 所有的孩子都将接受评估， 语言表达能力、认知能力和行为。 儿童口语的知觉和声学分析 （包括婴儿发声）将定期进行。 我们的目标是 研究OME对新兴市场的直接和长期影响， 并建立了沟通能力， 业绩衡量标准。

The objective of this investigation is to examine the effects of otitis media with effusion (OME) on children's hearing, speech, and language competencies and to delineate any communication sequelae of this ubiquitous childhood illness. The immediate and long-term effects of middle ear effusion on communication abilities remain controversial for a number of reasons including retrospective study designs, small sample sizes, poorly documented hearing histories and otologic findings, inadequate outcome measures, and failure to assess children at more than one age. In this study, the effects of middle ear effusion on the auditory, cognitive, speech and language capabilities of infants and young children will be examined using age-appropriate measures selected to probe both global and specific communication competencies. A large cohort of children will be followed prospectively beginning at term. Our previous experience with a similar population indicates that a significant number of these children will develop recurrent OME, while others will remain otitis free. This cohort will receive periodic audiolobic, otoscopic, and acoustic immittance assessments during the first three years of life, thereby prospectively documenting their peripheral hearing status and middle ear function. Other auditory measures will be administered at specified intervals in order to examine children's higher-order processing capabilities. All children will receive assessments of their receptive and expressive language abilities, cognitive capacities, and behavior. Perceptual and acoustical phonologic analyses of children's spoken language (including infant vocalizations) will be performed regularly. Our aim is to examine the immediate and longer-term consequences of OME on emerging and established communication competencies using specific and global measures of performance.