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A computer-based algorithm was used for phonological analysis of Cypriot Greek (CG) word productions elicited from a sample of typically developing (TD) CG-speaking children. Specific focus was on (a) creating a complete CG phonetic and phonological test; (2) implementing a novel computer-based algorithm in the analysis of selected speech stimuli from CG-speaking TD children; and (3) examining independent and relational speech patterns based on the computer-based algorithm. The probe word list consisted of 182 target words and included all CG consonants in all word positions. Normative data were collected on a representative sample of 20 TD CG-speaking children aged 3;0 to 6;0 years. Productions were phonetically transcribed and inserted into the computer algorithm for automatic data reduction of measurable dependent variables including the percentage of consonants correct (PCC), phonetic inventory size (PIS), word-initial onset deletion (IOD), and Regressive Assimilation (RASS). Correlation analyses revealed significant interactions among phonetic and phonological patterns as well as predictive relationships of PCC and segmental word-position. The implementation of this specific probe word list permitted a homogeneous and inclusive sampling analysis. Participants presented specific developmental trajectories of segmental and phonological patterns as a function of age.

Telepractice or teletherapy is defined as the means of service delivery via technology-based platforms that allow long-distance interventions across populations, age spans, and geographical locations. Specifically, telepractice capitalizes on communication technologies such as online modules, videoconferencing, and computerized software programs, in servicing populations with communication challenges. Notably, telepractice has emerged as a potentially effective, low-cost, and promising means of conducting and completing online assessment, diagnosis, and intervention sessions for individuals with autism spectrum disorders (ASD). Moreover, telepractice allows the inclusion of parents, caregivers, and educators as potential facilitators in supporting treatment delivery in populations with ASD. This thematic review article aims to highlight and acquaint practitioners and other stakeholders with relatively recent information regarding the advantages and disadvantages of the telepractice service delivery model in ASD. Furthermore, the emergence of the COVID-19 pandemic has impacted service delivery in the field of Health Sciences including speech and language pathology (SLP). Consequently, the need to avoid face-to-face therapy sessions, recommended to SLPs as to all health practitioners, resulted in the call for adaptation and adjustment of service telepractice. This paper attempts to answer this call by suggesting supplementing traditional diagnostic and therapy resources with training modules consisting of online materials and use of animated and specially designed programs in SLP intervention with individuals with ASD. Lastly, the paper includes a discussion of research findings in the field, a conclusion, and a take-home message.

Kakia Petinou,1 Yvette Hus,2 Osnat Segal3 1Department of Rehabilitation Sciences, Cyprus University of Technology, Limassol, Cyprus; 2Theralab Research, Cyprus University of Technology, Limassol, Cyprus; 3Tel Aviv University, Department of Communication Disorders, Tel-Aviv, IsraelCorrespondence: Yvette Hus, Tel +1 514 487 2763, Email yhus@videotron.ca

Aim: The aim of this investigation was to complete a further analysis of existing data to compare risk factors of voice problems as well as create a hierarchical ranking of risk factors in preschool-kindergarten and 1st- to 6th-grade teachers in order to develop a voice hygiene program and prioritize its goals for each group of teachers. Methods: An online survey was completed by 148 preschool-kindergarten and 301 1st- to 6th-grade public school teachers. Participants were divided into four groups, preschool-kindergarten and 1st- to 6th-grade teachers with no self-perceived voice disorders and preschool-kindergarten and 1st- to 6th-grade teachers with self-perceived voice disorders. A χ2 test and a multivariate logistic regression model were used to examine the differences in answers between the preschool-kindergarten teachers with and without voice disorders and the 1st- to 6th-grade teachers with and without voice disorders and to identify the most important predictors. Results: The significant predictors for preschool-kindergarten teachers are frequently or sometimes continuing to talk after a breath cycle and being exposed to an excessive or a lot of noise generated in the classroom. The significant predictors for 1st- to 6th-grade teachers include having short breaks between classes and continuing to talk frequently after a breath cycle. Conclusions: Job-related risk factors in preschool-kindergarten and in 1st- to 6th-grade teachers may vary. Therefore, a preventative vocal hygiene education program specifically tailored for each population of teachers is suggested.

Aim The aims of this study is to explore the correlation between the Voice Disorder Index (VDI) score and acoustic and phonatory respiratory voice parameters in speech language pathology (SLP) students with and without self-perceived voice disorders. Methods The Voice Disorder Index (VDI) and the Lingwaves 3 “Voice Protocol” were administered to each participant in order to assess his/her self-perceived severity of his/her voice problem, as well as, acoustic and phonatory respiratory measurements. The correlation coefficients were used to evaluate and quantify the degree of a linear relationship between VDI scores and acoustic and phonatory respiratory voice measures in students with and without self-perceived voice disorders. Results Relatively strong, strong and strong positive correlations were revealed when comparing the VDI physical subscale with the Dysphonia Severity Index (r(11) = 0.56, P = 0.048), mean loudness when reading in English (r(11) = 0.70, P = 0.008) and mean loudness when reading in Greek (r(11) =0.69, P = 0.009) respectively. Conclusions SLP students may be more aware of the impact of their laryngeal discomfort and voice output characteristics on their daily activities that can predict certain acoustic parameters than the emotional and functional impact on their daily activities.

The term developmental language disorder (DLD) refers to the condition in which a child fails to achieve the speech and language milestones that are expected for his/her chronological age. The disorder is often linked to a series of add-on effects such as learning difficulties, trouble with socializing, problematic behaviour and low self-esteem. According to the international literature, DLD affects approximately 7% of school children in mainstream education. This paper reports on research conducted in Cyprus aiming to map the services provided by speech and language therapists (SLTs) to children with DLD. A questionnaire containing key areas of enquiry was developed and distributed to professionals working with DLD in Cyprus. A total of 44 responses were submitted by SLTs who provide services to individuals with DLD. The findings showed that the majority of children with DLD are diagnosed with a mixed receptive/expressive language disorder and are, on average, 7 years of age. The speech therapy interventions provided by professionals were twice a week and were most often on an individual basis. The maximum number of sessions was not pre-determined. Findings underscored the need for further research in defining service provision issues for children with DLD in Cyprus. Refereed/Peer-reviewed

Objectives: The aim of this research study is to determine the risk factors for voice disorders in SLP students in order to help us develop specific goals for a vocal hygiene education program specifically for SLP students. Methods: An online questionnaire was completed by 121 undergraduate SLP students. Participants were divided into two groups, students with no self-perceived voice disorders (NVD group) and students with self-perceived voice disorders (VD group). The Fisher Exact test (FET) was used to explore the differences in responses for each voice risk factor and the academic and occupational consequences between students with and without self-perceived voice disorders. Results: Students in the VD group were more likely to experience vocal fold problems, hearing problems and throat clearing than in the NVD group. More students in the VD group reported to “sometimes’ and “often” take medications that impact their voice, hear a “moderate” amount of noise generated from the passage of planes and the road and hear a “moderate” and “large” amount of noise generated within and outside the building than in the NVD group. Moreover, students in the VD group were more likely to limit their ability to perform certain tasks at school (eg, participating in lectures) and clinical practicum (eg, administering therapy sessions) and reduce their interactions annually due to voice problems. Conclusions: Health, voice use, lifestyle, and environmental factors are risk factors for voice disorders that were presented more frequently in SLP students with self-perceived voice disorders.

This investigation examined the existence of interconnectedness between developing linguistic subsystems. Spontaneous speech samples were collected from 31 typically-developing Greek-speaking toddlers across two age levels, at 28 and 36 months. Correlational analyses were performed synchronically and predictively, revealing significant positive relationships among all language skills within ages. Phonetic and grammatical skills also showed predictive value for later skills. In addition, a cluster analysis on the basis of performance on each individual skill revealed variable linguistic profiles: Low performers showed multiple interactions within and across ages, while High performers showed minimal such interactions. The current results revealed complex interdependencies among the different language skills with children exhibiting variable linguistic profiles, as supported by dynamic systems theory approaches to language acquisition.

The current study investigates the role of the morphophonological realisation of grammatical features as a compensatory mechanism for morphosyntactic deficits in specific language impairment (SLI). The phenomenon examined is past tense formation in Standard Modern Greek (SMG) and Cypriot Greek (CG) as it manifests a distinction in morphophonological salience realisation in the two linguistic varieties via differential use of a stress shift and stressed syllabic augment [é] required for past tense rule formation. Participants were pre-schoolers with typical language development (TD) and children with SLI. Subjects produced real verb (RV) and pseudo-verb stimuli (PV) in sentence completion tasks. Results indicated that morphophonological properties of past tense formation affected SLI but not TD performance. We attribute the results to the difference in the status of the augment in each variety and the effects it has on its realisation at the phonetic interface. Furthermore, verb contractibility appeared to pose particular difficulties in the performance of all groups.

Objectives: The study focused on promoting expressive phonological skills in 1 Greek-speaking child with autism spectrum disorder (ASD) and comorbid speech sound disorder (SSD). Based on the phonological neighborhood density framework, it was hypothesized that the experimental manipulation through clinical implementation of phonologically overlapping stimuli would yield positive expressive phonology gains relevant to ASD. Participant and Methods: A multiple-baseline single-subject design was implemented. Three baseline sessions measured expressive phonology variables. Sixteen biweekly 30-min intervention sessions were carried out for a period of 2 months. Dependent variables included phonetic inventory size, proportion of consonants correct, occurrences of phonological processes, and percentage of whole word matches elicited via specific word probe stimuli. The Intelligibility in Context Scale was completed by the child’s teacher prior to the initiation of intervention and at a follow-up session. Experimental stimuli were grouped together in phonologically dense cohorts. Results: Comparison between pre-test and post-test measures revealed expressive phonology gains across all measured variables. Follow-up session results showed generalization of expressive phonology gains on untreated targets. Conclusions: Significant expressive phonology gains were achieved through the implementation of phonologically similar word stimuli within a systematic intervention protocol with the implementation of specific word-level variables. The findings supported this treatment approach for a child with ASD and SSD, while providing evidence for the phonological density advantage from a cross-linguistic perspective.

The sociolinguistic situation in the Greek-speaking Republic of Cyprus is described as ‘diglossia’ (reviewed in Rowe & Grohmann, 2013). That is, the ‘high’ variety is Standard Modern Greek, whereas the ‘low’ variety is the vernacular, Cypriot Greek. The differences between the two varieties go beyond vocabulary, pronunciation and prosody components. Distinct differences between Cypriot Greek and Standard Modern Greek are lexical, phonetic and (morpho)phonological properties of the languages (e.g. Newton, 1972; Arvaniti, 2001; Petinou & Okalidou, 2006; Okalidou, et al., 2010). Given the complex linguistic situation in Cyprus, the language status of Greek Cypriot children is referred to as bilectalism (Rowe & Grohmann, 2013). This is the term used by language researchers for typical and atypical language acquisition (e.g. Kambanaros, et al., 2013; Antoniou, et al., 2016; Theodorou, et al., 2016; Theodorou, et al., 2017). Accordingly, children from Cypriot Greek-speaking environments, grow up with the dialect from birth and are exposed to Standard Modern Greek as a second language or ‘lect’ from an early age. Exposure to the latter comes mainly through children’s exposure to TV broadcasts, followed by formal educational instruction in school settings. Crucial to the study of developmental language disorder (DLD) in Cyprus is the need for appropriate identification using appropriate language assessment tools. In this context where the availability of norm-referenced language tools is sparse (Kambanaros & Grohmann, 2013) and the state does not clearly define access to services (Kambanaros & Grohmann, 2011; Theodorou, et al., 2016) there is a high risk of misdiagnosis.

This multiple baseline single-case study focused on the implementation of two theoretically motivated models relevant to speech sound disorders (SSD): (1) complexity approach and (2) phonological density neighborhood variable. The complexity approach perspective predicted that complex intervention target stimuli would yield greater phonological gains on more complex targets after systematic phonological intervention. Furthermore, phonologically dense targets would promote speech intelligibility as these stimuli 'tax' productive outputs demand on par with complexity approach. A 4; 6 year-old Greek-speaking male diagnosed with a SSD received phonological intervention for 6 months. Therapy goals included: (1) the reduction of phonological process use and (2) the improvement of output intelligibility. Phonological gains were revealed in cluster reduction leading in increases in the proportion of consonant correct use and improvements in the use of correct whole word matches. Phonological gains were observed for untreated word stimuli. Our findings support the synergistic relationship of Complexity Approach and Phonological Density variable in promoting positive speech outcomes and effectiveness of phonological intervention in the child examined.

Objectives: To better understand the pathogenesis of autism spectrum disorder (ASD) and implications for intervention, the current paper reports on research related to the neurobiological underpinnings of ASD and the implication for early intervention with a focus on the importance of joint attention and eye gaze behaviors. Participants and Methods: An overview is provided on the available research findings from the fields of social neuroscience and experimental psychology specific to brain development, brain pathology, eye gaze, and joint attention behaviors. Results: The results of the review converge towards the existence of aberrant brain connections and atypical brain morphology areas, which in complex and dynamic ways hinder the prioritization of social information. Consequently, the atypical social interaction skills exhibited by infants at risk for developing ASD are traced in the malformation of respective brain connections. Conclusions: Given the importance of neurobiological findings and their mapping onto early social pragmatic skills, early intervention goals need to focus on increasing appropriate eye gaze skills and joint attention. Such goals could potentially improve intervention outcomes in terms of improving social communication skills in youngsters with ASD.

Objective: Autism spectrum disorder (ASD) is a complex neurodevelopmental impairment. To better understand the role of speech-language pathologists (SLPs) in different countries in supporting children with ASD, the International Association of Logopedics and Phoniatrics (IALP) Child Language Committee developed a survey for SLPs working with children or adolescents with ASD. Method and Participants: The survey comprised 58 questions about background information of respondents, characteristics of children with ASD, and the role of SLPs in diagnosis, assessment, and intervention practices. The survey was available in English, French, Russian, and Portuguese, and distributed online. Results: This paper provides a descriptive summary of the main findings from the quantitative data from the 1,114 SLPs (representing 35 countries) who were supporting children with ASD. Most of the respondents (91%) were experienced in working with children with ASD, and the majority (75%) worked in schools or early childhood settings. SLPs reported that the children’s typical age at diagnosis of ASD on their caseload was 3–4 years, completed mostly by a professional team. Conclusions: The results support positive global trends for SLPs using effective practices in assessment and intervention for children with ASD. Two areas where SLPs may need further support are involving parents in assessment practices, and supporting literacy development in children with ASD.

Whilst augmentative and alternative communication has been used for over sixty years across many countries, in Cyprus it remains underdeveloped. The current study seeks to investigate the current AAC practices in Cyprus. Data were collected through electronically distributed questionnaires to all registered speech and language therapists ( n = 330), contacted by the Cyprus Speech Therapy Association. The questionnaire comprised 12 questions, which were categorized into three sections: background information (educational level and clinical experience), training undergone (during or after completion of tertiary education) and participants’ AAC practices (caseload, assessment and intervention). The findings from the analysis of the returned data ( n = 59) reveal that training provision on augmentative and alternative communication has positively influenced practice. Most of the participants received training in the specific field during their bachelor’s degree, rather than during later education. Life-long training on different language systems (including different assistive technology tools, such as symbols and talking products as well as methods such as the Picture Exchange Communication System) also played a pivotal role in their work. Regarding the assessment process, the findings show that whilst there are a number of standardized language assessment tools, the participants relied heavily on non-standardized tools and/or their clinical judgment. Regarding intervention, they reported using different language systems and a variety of Assistive Technology equipment. Several recommendations are made aimed at raising the profile of AAC services in Cyprus, especially with regards to training and assessment, as the findings show that these areas have not been addressed systemically thus far.

Background/Aims: The study examined the phonological development in Cypriot Greek (CG)-speaking, typically developing (TD) toddlers for the purpose of observing occurrences of initial consonant deletion (ICD), regressive assimilation (RAS), and their interactive relationship as a function of time. Participants and Methods: Subjects were 8 CG-speaking TD toddlers assessed longitudinally at ages 24-28 and 32-36 months. Word targets from spontaneously produced utterances via language sample collection were analyzed for the percentage of occurrence of ICD and RAS. Results: Results revealed a significant change of phonological process occurrence as a function of time as well as an antagonistic relationship between ICD and correct onset production. Comparisons between measures showed that trisyllabic (three-syllable) words exhibited higher rates of ICD than disyllabic words. Conclusions: Early patterns of phonological development and phonological assessment should include a hierarchical account of phonological behavior in the form of word structure shapes and a possible interaction among phonological process occurrence.

This paper investigates the difficulties adult second language (L2) users of English encounter with plosive consonants in the L2. It presents the results of a task examining the acquisition of plosive voicing contrasts by college students with Cypriot Greek (CG) linguistic background. The task focused on the types of errors involving plosive consonants indicating that performance was significantly better in the voiceless plosive category. Participants were able to perceive voiced plosives but they treated such instances as a /nasal + voiced plosive/ sequence. Therefore, the question raised concerns different phonological contrasts realised through similar phonetic cues. The patterns observed suggested that this gap between phonetic cues and phonological contrast might explain why CG users have difficulties perceiving voiced English plosives. In this context, voice onset time (VOT) differences between the L1 and L2 are of crucial importance. In English, voiced plosives are characterised by short lag VOT while their voiceless counterparts fall within the long lag VOT continuum. The same phonetic contrast is used in CG to differentiate between single and geminate voiceless plosives. The results are discussed in relation to the frameworks of second language phonology and speech perception suggesting that the difficulties faced by the L2 listeners support the operation of a phonetic-phonological challenge. © 2016 Springer Science+Business Media New York

The current investigation examined longitudinally the emergence of specific linguistic parameters in toddlers with and without late onset of expressive language. The central aim of this investigation was to compare the linguistic skills of typically developing and late-talking toddlers while: (a) observing patterns of linguistic development between the two groups on specific parameters and (b) examining the impact of early language delay on language-specific parameters and comparing these with cross-linguistic data. The subjects were 18 Cypriot-Greek speaking toddlers classified as late-talkers (LTs), and 18 age-matched counterparts with normal course of language development (NLDs). Participants were assessed at 28 months, 32 months, and 36 months, using various linguistic measures such as receptive and expressive vocabulary, mean length of utterance as measured in words (MLU-W), and phonetic production. Overall, the two groups exhibited parallel developmental profiles, with a language lag favoring the LT group as compared to the NLD counterpart. The results of this study highlight the negative effect of early language delay on later language skills, even up to age three years and lend support to the current literature regarding the universal linguistic picture of early and persistent language delay. Finally, the findings are discussed in view of the need for further research with a focus on more language sensitive tools in testing later language outcomes. © 2011 Koninklijke Brill NV, Leiden.

Summary Aims The purpose of this study was to investigate risk factors for voice pathologies in university professors to determine the need for a preventative vocal hygiene education program that could improve the quality of life of university faculty. Methods An online questionnaire was completed by 196 professors from 12 universities in Cyprus. The questionnaire elicited data regarding risk factors that may lead to voice disorders on parameters including general health, voice use, lifestyle, and environment and the self-perceived severity of a subject's voice problem. Subjects were divided into two groups based on their Voice Disorder Index (VDI) score: professors with VDI ≤5 and professors with VDI >5. The chi-square test was used to examine the differences in responses for each voice risk factor between the VDI ≤5 and the VDI >5 groups. Results The VDI >5 group was more likely to frequently or sometimes experience respiratory infections, coughing, throat clearing, and stress, teach above students talking, and speak over their natural breath cycle than the VDI ≤5 group. Professors in the VDI >5 category were also more likely to have taught in very or moderately noisy environments than the VDI ≤5 group. Conclusions Health, voice use, lifestyle, and environmental factors may contribute to the development of voice disorders in university professors in Cyprus. Therefore, a preventative vocal hygiene education program is recommended.

The current investigation examined the development of voice onset time (VOT) in Standard-Greek (SG) and Cypriot-Greek (CG)-speaking children at age levels 2;0-2;5, 2;6-2;11, 3;0-3;5, and 3;6-4;0 years. SG presents with a two-way voicing contrast (voiced and voiceless unaspirated stops) whereas CG is a three-way contrast dialect containing voiceless unaspirated, voiceless aspirated, and pre-voiced stops. A cross-sectional design was used. The main goals were: (1) to determine the age at which Greek and Cypriot Greek children acquire voicing contrasts, and (2) to examine the mechanism used during the process of acquisition. Stimuli included pseudo words in minimal pair contrasts differing in stop voicing (e.g. ['gaga] vs ['kaka]). Children were taught the target words using fast mapping procedures. Each member within a word pair referred to an unfamiliar object. Audio-recorded samples were analysed from wide-band spectrograms. Results indicated a greater overall variation of voicing patterns for children than adults, in both Greek and Cypriot VOT contrasts. Greek children acquired consistent pre-voicing and short lag aspiration patterns very early on, achieving adult values for VOT contrasts for alveolar and for velar places of articulation as early as 2;0-2;5 years old. On the contrary, a developmental lag in the acquisition of voicing contrasts was noted for Cypriot children as compared to the Greek counterparts. Accounts about the developmental differences among Greek and Cypriot children with respect to the adult VOT contrasts are discussed.

Objective: There are very few measures of language development in spoken Greek that can be used with young deaf children. This study investigated the use of Cyprus Lexical List (CYLEX), a receptive and expressive vocabulary assessment based on parent report that has recently been adapted to Standard Greek, to measure the vocabulary development of deaf Greek-speaking children with cochlear implants. \ud \ud Design: A Standard Greek version of CYLEX was used to collect data on receptive and expressive vocabulary development from parents of thirteen deaf children with cochlear implants aged between 21 and 71 months. These data were compared with data collected previously from typically developing hearing Greek-speaking children. \ud \ud Results: Use of the test by parents of deaf children was found to be reliable. No correlation was found between children's vocabulary scores and chronological age. A positive correlation was however found between children's post-implant age and expressive vocabulary. The vocabulary skills of implanted children with a mean post-implant age of 20 months were not significantly different from those of typically developing hearing children of similar chronological age. \ud \ud Conclusion: CYLEX is a reliable and useful tool for exploring vocabulary development with this clinical group. Findings confirm the results of other studies in indicating that the vocabulary size of implanted pre-school-aged deaf children is related to the amount of time that children have used their implant, rather than chronological age.

The investigation longitudinally examined the phonetic skills of Cypriot-Greek children with late onset of expressive vocabulary. The rate of phonological development within short time increments and the identification of possible speech constraints motivating slow development of expressive language were examined. Participants were seven Cypriot-Greek children identified as late talkers, and seven age-matched normally developing counterparts. Phonetic skills were examined at ages 30, 33, and 36 months for both groups based on spontaneous language samples. Phonological analyses focused on the construction of all subjects' phonetic inventories over time. Both groups exhibited an increase of specific phoneme use over time. Late talkers had significantly poorer phonetic inventories when compared to the control group. Within the experimental group the analysis revealed the persistent omission of word-initial consonants. Results are discussed in terms of language-specific phonological constraints and their relation to slow development of speech.

In this article, we focus on an exceptional instance of nonadult positioning of clitics in early Cypriot Greek and Cypriot Greek with specific language impairment (SLI). We attribute misplaced clitics to children's incomplete knowledge concerning properties of the inflectional (Infl) particles, which interact in crucial ways with finite V(erb) movement to M(ood). We claim that children perceive Infl particles as phrasal specifi? ers or adjuncts, unable to check the V-features of M, hence perform V-to-M move? ment even in their presence, and clitics emerge in (nonadult) postverbal position, giving the impression that they have been misplaced. We point out that functional heads seem to be perceived as phrasal in other early languages and possibly also in do? mains other than Infl, and we explain why clitics are not found misplaced in standard Greek and standard Romance, with the exception of Portuguese. Finally, the absence of qualitative differences between the early populations and populations with SLI we studied corroborates with views that consider SLI a language delay, but the degree to which quantitative differences were attested raises questions

The acoustic characteristics of stress were examined in young children’s productions of minimal pairs of novel words ~e.g., sofi versus so’fi!. Fourteen 2-year-olds participated as subjects. Their productions were analyzed in terms of vowel duration, syllable duration, peak amplitude, and peak fundamental frequency. The analyses revealed that children produced stressed and unstressed syllables distinctly along each of the dimensions examined. The absolute and relative ~unstressed/ stressed! values of the children’s productions were compared to those of the single adult experimenter, who modeled the novel words, permitting a unique comparison of input to children’s productions. One systematic difference was the relative values; the children’s stressed and unstressed syllables were less distinct than the adults along each of the acoustic correlates. Furthermore, the acoustic features of both stressed and unstressed syllables appear to be subject to developmental change. The results are discussed in terms of their implications for young children’s production capabilities and for the relationship between input and children’s production characteristics. Support was provided by PHS Grant No. R01 DC 00583, input–output relationships in speech and language impairments, from the National Institute on Deafness and Other Communication Disorders to the first author

This investigation examined the effects of otitis media with effusion (OME) and its associated fluctuating conductive hearing loss on the perception of phonological and morphophonological /s/ and /z/ in young children. We predicted that children free of OME (OME-) would perform better than children with histories of OME (OME+). We also predicted that for the OME+ group morphological perception would be harder than phonological perception, because the former category carries an additional linguistic load (i.e., plurality). Sixteen children, ages 26 to 28 months (M = 26.5, SD = 0.6) were divided into two groups, the OME- (n = 8) and OME+ (n = 8) based on OME history during the first year of life. Subjects in the OME- group were free of the disease for 4/5 visits and pure tone average (PTA) was 12.6 dB HL (SD = 4.8). Subjects in the OME+ group had the disease on 3/5 visits and PTA was 23 dB HL (SD = 2.7). Experimental stimuli were six monosyllabic novel word-pairs. Members of each word-pair differed only in the presence of final voiced or voiceless fricative, marking the targets phonologically (e.g., [g [symbol: see text]]/[g [symbol: see text] s] as in 'law', 'loss') or morphophonologically (e.g., [daep]/[daeps] as in 'map' 'maps'). Subjects were taught the unfamiliar word pairs using a fast mapping procedure. Perception was tested with the bimodal preferential looking paradigm. Children in the OME- group performed significantly better than their OME+ counterparts. Individual word-pair analyses showed that OME+ group performed more poorly than the OME- group on one phonological and on two morphological targets, all ending with [s]. For the OME+ group, targets with final [s] posed greater difficulty than those with final [z], especially on morphophonological plural-(s) targets. The results suggested that the fluctuating hearing loss associated with OME might have a negative impact on speech perception.