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Vocal fold nodules in children: preferable therapy.

K Mori1

  • 1Department of Otolaryngology, Head and Neck Surgery, Kurume University School of Medicine, Japan. kazuyoko@hf.rim.or.jp

International Journal of Pediatric Otorhinolaryngology
|November 30, 1999
PubMed
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The best treatment for childhood vocal fold nodules depends on urgency and patient motivation. Surgery offers immediate results, while voice therapy is effective for non-urgent cases. Vocal hygiene is recommended for unmotivated patients.

Area of Science:

  • Otolaryngology
  • Pediatric Voice Disorders
  • Speech-Language Pathology

Background:

  • Vocal fold nodules are benign growths on the vocal cords, commonly affecting children.
  • Determining the most effective treatment for pediatric vocal fold nodules is crucial for voice restoration.

Purpose of the Study:

  • To identify the most effective treatment modality for vocal fold nodules in pediatric patients.
  • To compare the efficacy of vocal hygiene, voice therapy, and endolaryngeal microsurgery.

Main Methods:

  • Retrospective review of 259 pediatric patients (ages 2-18) diagnosed with vocal fold nodules.
  • Analysis of treatment outcomes including vocal hygiene, voice therapy, and endolaryngeal microsurgery.
  • Inclusion of questionnaire data on patient voice status and pre/post-treatment voice quality.

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Main Results:

  • Endolaryngeal microsurgery demonstrated the highest improvement rate (89%), followed by voice therapy (52%) and vocal hygiene (16%).
  • Surgical treatment was the only effective method for voice improvement in pre-pubertal children.
  • Post-puberty, all treatment modalities showed similar voice improvement rates, with no significant differences.

Conclusions:

  • For immediate voice improvement in children with vocal fold nodules, endolaryngeal microsurgery is the preferred option.
  • Voice therapy is a suitable alternative for non-urgent cases requiring voice improvement.
  • Vocal hygiene advice is recommended for patients lacking motivation for other interventions.