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Vocal fold nodules in children: preferable therapy
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
Summary
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.
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.
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