In addition, young children learn to pronounce words by hearing them spoken. Children with fluid in both ears can show significant delay in their use of language. Children begin to speak some words by 18 months. Fluid often produces few symptoms, but can have significant consequences if not recognized.īecause children need hearing to learn speech, hearing loss from fluid in the middle ear can result in speech delay. Fluid can be present for months in children, only to be detected by a routine visit to the pediatrician’s office. This is especially true when a child is less than 2 years old. In many children, there may be no noticeable complaints. Parents may notice that their child has the sound on the television turned up too loud they might notice their child often asking, “What?” in response to a question. ![]() Sound transmission is slowed by the fluid and hearing is diminished. Fluid which has accumulated in the middle ear space often remains blocked. The Eustachian tube does not drain well in children. Once the cold clears, the fluid will generally drain out of the ear through a tube that connects the middle ear to the nose: the Eustachian tube. This space can become filled with fluid during colds or upper respiratory infections. This allows the normal transmission of sound. Normally, the space behind the eardrum which contains the bones of hearing is filled with air. ![]() Serous otitis media, better known as middle ear fluid, is the most common condition causing hearing loss in children.
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