Abstract
Introduction: Otitis media with effusion is accompanied with conductive hearing loss. The aim of the study is to find out effect of long term or recurrent conductive hearing loss on speech descrimination. Method: Tonal audiometry timpanometry, speech audiometry (free sound field, head phone for left and right ear respectively) performed in 18 girls (mean age 8 years) and 27 boys (mean age 7 year). All of the children undergo speech/language screening tests. Results: Results of speech recognition showed no ear side effect in girls and right ear advantage in boys. Girls showed earlier in age central auditory processing disorder. Boys showed lower scores in words discrimination while hearing throught the head-phones on left ear. Poorer speech recognition at boys is accompanied with motorical immaturty, undeveloped articulation, poor vocabulary, lack of syntax in sentences, substitution of R and L, unable to focus on school tusk. Conclusion: Children with conductive hearing loss associated to otitis media with effusion are pronounced auditory processing disorder and speech/language discrimination disturbance. Associative thinking and solving of abstract problems are more affected in females than males.
Highlights
Otitis media with effusion is accompanied with conductive hearing loss
Preliminary results of our study showed that characteristics of conductive hearing loss associated with otitis media with effusion according to gender, age and ear side have different damage of speech understanding and different level of developmental development of cognition and fine motor development of hand
Secondary effects and disorders which came out as results of unrecognized conductive hearing loss associated with otitis media with effusion are clinically more complicated for treatment and rehabilitation and can last even for 2 years after peripheral hearing loss which have been restored
Summary
Otitis media with effusion is accompanied with conductive hearing loss. The aim of the study is to find out effect of long term or recurrent conductive hearing loss on speech descrimination. Hearing loss is the most common birth defect and needs emergency audiologic intervention otherwise sequels have implications on speech and language and cognition development delay, and social adaptation, academic skills, behavior, motoric skills, learning problems, communication in noise background is difficult. Hearing loss, during development, leads to central deficit that persists even after the restoration of peripheral function [1]. These effects are severe following long period of auditory deprivation, even the temporary elevation of thresholds can disrupt auditory processing, the most frequent birth defect in humans. It can be difficult to recognize and often goes undetected until the child is older Such children should be tested for hearing impairment as soon after birth as possible
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