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Updated: Jul 1, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Epidemiological study on vocal disorders in paediatric age.
N Angelillo1, B Di Costanzo, M Angelillo
1Division of Phoniatrics and Audiology, Second University of Naples, Italy.
Childhood dysphonia affects 17.2% of patients, with vocal fold lesions common. Vocal abuse is a primary cause, highlighting the need for prevention programs for children.
Area of Science:
- Otolaryngology
- Pediatrics
- Speech-Language Pathology
Background:
- Vocal alterations in children are understudied.
- Dysphonia diagnosis in pediatric patients requires further analysis.
- Understanding risk factors for childhood dysphonia is crucial.
Purpose of the Study:
- To quantify childhood dysphonia cases over five years.
- To evaluate the influence of potential risk factors on pediatric dysphonia.
- To analyze the prevalence and characteristics of dysphonia in children.
Main Methods:
- Retrospective analysis of pediatric patients diagnosed with dysphonia.
- Data collection from January 2002 to December 2006.
- Evaluation of patient demographics, vocal fold lesions, and behavioral characteristics.
Main Results:
- 312 children (17.2%) were diagnosed with dysphonia (ages 2-16).
- Males (57%) were more prevalent than females (43%).
- Vocal fold lesions were present in 82.4%, with 92% classified as functional dysphonia due to vocal abuse.
Conclusions:
- Childhood dysphonia, often functional, is linked to vocal abuse.
- Aggressive and hyperactive behaviors were noted in 83% of cases.
- Preventive information programs on vocal abuse risks in children are recommended.
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