Early Speech Development in Romanian Children with Cochlear Implants Assessed Using the LittlEARS<sup>®</sup> Early Speech Production Questionnaire (LEESPQ).

However, this difference did not reach statistical significance (Mann–Whitney U test, p = 0.44), and the effect size was small (rank-biserial correlation = +0.19).

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However, as auditory experience accumulated, their scores showed an apparent trend toward normative trajectories, with no significant differences observed after approximately 18 months of auditory exposure.

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