It is difficult to determine exactly the effects of chronic otitis media on early language development, in part because we do not know whether hearing loss resulting from otitis media is intermittent or constant, and in part because it is difficult to assess the precise language ability of very young children. This paper focuses on those aspects of language development which one might expect hearing impairment to affect, and presents several hypotheses about the possible effects of mild-to-moderate hearing loss on the earliest stages of language development.
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