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Conductive hearing loss also may be due to otosclerosis, in which the tiny bones of the middle ear do not vibrate normally because of soft, spongy growth on them. A child with such a loss has marked difficulty learning speech sounds. Congenital sensorineural loss usually has marked effects on the learning of oral speech and language skills. Sensorineural hearing loss tends to be more severe than conductive hearing loss and, consequently, causes more serious problems of communication. Sensorineural hearing loss tens to be more severe than conductive hearing loss and, consequently, causes more serious problems of communication. Significant delay in speech and language acquisition has been linked to chronic conductive hearing loss. Even a mild conductive hearing loss in early childhood can retard the process of speech and language acquisition. Regardless of the type of loss, the magnitude of its effect on communication depends on the degree of loss. The type of hearing loss is known as presbycusis and tends to be greater for higher frequency sounds than for lower frequency sounds. Children who have normal hearing and communication also may acquire sensorineural hearing loss. The reduced hearing sensitivity associated with aging also may be sensorineural. If the delivery of a baby is prolonged and distressed, the baby may suffer from anoxia, which can damage the hearing mechanism and cause sensorineural hearing loss. In sensorineural hearing loss, the inner ear, the auditory nerve that transmits sound to the brain, or both may be affected. However, in many respects, the language disorders found in children are different from those found in adults who have had normal communicative behaviors. People who stutter may have long silent intervals in the middle utterances. Because most academic skills are language based, children with language disorders experience reading and writing problems. The child with a language disorder tends to shy away from social situations and is less likely to use whatever language he or she has mastered. A frequent cause of conductive hearing loss in children is otitis media, or middle ear infection, due to cold, allergy, and other reasons. In conductive hearing loss, the sound transmission from the outer or middle ear to the inner ear is impaired. Therefore, hearing loss is a frequent cause of a variety of oral communicative disorders. Normal hearing is essential for the typical acquisition of speech and language behavior. People who stutter tend to withdraw from social situations, avoid certain words that typically give them trouble, select occupations that do not require much talking, and are unhappy about about all of these actions. Stuttering typically starts in early childhood and tends to run in families. Stuttering is a disorder of fluency with excessive amounts or excessively long durations of dysfluency, which often are combined with tension, struggle, and related behaviors. Cluttering involves impaired fluency and rapid but disordered articulation, possibly combined with disorganized thought. The person who has a fluency disorder knows exactly what to say and how to put it but cannot say it fluently. A person's voice, articulation, and language may be within the normal limits but still may be vulnerable to problems of communication known as fluency disorders. A general term used to describe some of the progressive diseases of the nervous system in elderly people is dementia. A general term used to describe some of the progressive diseases of the nervous system elderly people is dementia. Many children who have language problems early in life can be expected to have academic difficulties when they enter grade school. Many children with language disorder are otherwise healthy and normal, although some researchers have suggested the presence of subtle neurological problems.
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