الفهرس 
List of Abbreviationsيوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
Key wards: Otitis media- Effusion- auditory skills- preschool children- A
to Z – hearing intervention program.
Background: otitis media is with effusion one of the commonest childhood
diseases, and it gains the attention among phoniatricians and speech and
language pathologists out of its impact on language development, and
phonological awareness.
Objectives: the purpose of the study is to assess the impact of chronic otitis
media with effusion on the auditory skills development in the preschool children
using A to Z program.
Methods: This study was carried on 70 children, divided into 2 groups,
subjected to the designed auditory assessment sheet, including: screening of
language development and phonology, medical history of previous medications,
and previous surgeries, recent audiological assessment, and tympanometry and
auditory skills assessment and scoring using A to Z program.
Results: The main presenting symptom is multiple phonological errors. All of
the auditory skills are affected with variant degrees; the least affected is auditory
detection, and the mostly affected is psychoacoustic features. The phonological
awareness, word discrimination, and identification are also highly affected. The
factor of increasing distance in general, has a great impact on the patients'
performance.
Conclusion: OME during early childhood has a strong impact on auditory skills
development, mainly presenting as phonological awareness disorders, and
learning disabilities. Early diagnosis, intervention and speech rehabilitation is
highly recommended.