Bess F H
Ear Hear. 1985 Jan-Feb;6(1):43-7. doi: 10.1097/00003446-198501000-00012.
This paper reviews evidence which suggests that middle ear disease with effusion and associated hearing loss, unilateral sensorineural hearing impairment, and mild bilateral sensorinural hearing loss in children can result in far more educational and/or communicative difficulty than was previously supposed. The author rejects the notion that a decibel level on an audiogram truly reflects the degree of hardship the child experiences and argues for a more active identification and management program in the early years.
本文回顾了相关证据，这些证据表明，伴有积液的中耳疾病及相关听力损失、单侧感音神经性听力障碍以及儿童轻度双侧感音神经性听力损失所导致的教育和/或交流困难，远比之前认为的要多。作者反对听力图上的分贝水平能真实反映儿童所经历的困难程度这一观点，并主张在早期实施更积极的识别和管理方案。
