COMMUNICATION DEVELOPMENT IN CHILDREN WITH OTITIS MEDIA

这项调查的目的是检查中耳炎的影响。 渗出性媒体(OME)对儿童听力、言语和语言的影响 能力，并描述这种无处不在的通信的后遗症 童年时期的疾病。中耳的即刻和长期影响 对沟通能力的影响在许多方面仍然存在争议 原因包括回溯性研究设计、样本量小、质量差 有记录的听证史和耳科检查结果，预后不佳 措施，以及未能评估超过一个年龄段的儿童。 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，以调查 具有全球和特定的沟通能力。一大群儿童 将从学期开始前瞻性地遵循。我们以前的经验 相似的人口表明，有相当数量的这些 儿童会患上复发性中耳炎，而其他儿童则不会患上中耳炎。 该队列将定期接受隔音、耳镜和声学检查 生命头三年的导纳评估，从而 前瞻性记录他们的外周听力状况和中耳 功能。其他听力措施将在规定的时间内实施 间隔时间，以考察儿童的高阶加工 能力。所有儿童都将接受他们的接受能力和 语言表达能力、认知能力和行为能力。 儿童口语的知觉和听觉音系学分析 (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 和已建立的沟通能力，使用特定和全球 绩效衡量标准。

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.