“…Even a mild hearing impairment (16-40 dB) in children may be detrimental to speech development and communication 40,41 . Several studies have identified a higher prevalence of hearing loss in CF patients; this hearing loss is due to not only ototoxic effects that cause sensorineural hearing loss, but also due to conductive conditions that may be linked with otitis media and ET dysfunction 17,18,[42][43][44] . Accumulating evidence supports that individuals with CF have a higher prevalence of developing otologic disorders, including otitis media 16,19,45,46 .…”