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Conclusions Findings indicate that a carefully designed language intervention can create substantial gains in children's vocabulary understanding. The storyline Friends system is feasible for delivery during the early youth classrooms and efficient in teaching challenging vocabulary to high-risk preschoolers. Supplemental Material https//doi.org/10.23641/asha.13158185. Retrospective analysis. Patients undergoing primary stapes surgery for otosclerosis from 2005 to 2017