Special Needs

Concern about sound of speech

Hi all,


Does this sound okay?

My daughter is 16 months old, and before last week, really had very few words (said dadada for almost everything).  Then, last week, she started saying about 5 or 6 words!  It was great.  Even yesterday, she said a 2 word phrase for the first time.  Good stuff.

What concerns me (and has for about 6 months since she started babbling) is that she sounds VERY nasal.  She has ear tubes, and is checked by the ENT every month or 6 weeks.  What I assimilate her to is someone who is hearing impaired.  It sounds like she can't hear the words she is saying, because they aren't very clipped, just more sounding like she is underwater, almost.  I don't know if that makes sense, but it is the best I can do.  She gets her hearing checked at the ENT (which, I don't know how much they can actually check at this age, as it took a while for my son at this age to respond to their hearing checks) but her ears aren't blocked anymore. 

Could this be due to not having the tubes till 10 months?  Or, maybe something else going on with ENT that they aren't picking up?  The best way I can explain it is when someone is hearing impaired, then can hear their voice (such as with a cochlear implant) and the words still are foreign.  I know that doesn't make much sense, but it is the best description I can give.

Would her delay in speech be due to this?
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Re: Concern about sound of speech

  • It sounds like you are describing two different things. To me, "deaf" speech is not nasal, it is just produced differently due to the way it is heard and perceived by the person. If her voice has a nasal quality to it, I would wonder about a submucous cle
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  • Thank you! What qualifies as developmental errors? We go to the ENT in 3 weeks, so I will definitely press him more.
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  • I think I understand what you're talking about.  Vowels are similar, consonants are soft... It could be that your LO has some conductive hearing loss, or it could be that the muscles in her mouth and tongue lack muscle tone.  (This is something
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