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Published on: September 3, 2020
The clinical application of electrolaryngography in a tertiary children's hospital
Lesley Cavalli1, Benjamin E J Hartley
1Department of Speech and Language Therapy, Great Ormond Street Hospital for Children, London, England. cavall@gosh.nhs.uk
Insights
Electrolaryngography aids in diagnosing and managing pediatric voice disorders. This technology provides objective measures and biofeedback for effective voice therapy in children.
Area of Science:
- Pediatric Otolaryngology
- Speech-Language Pathology
- Biomedical Engineering
Background:
- Assessing and managing pediatric voice disorders presents significant clinical challenges.
- Accurate diagnosis and effective treatment necessitate specialized tools for pediatric populations.
- Electrolaryngography (ELG) offers objective laryngeal function measures.
Observation:
- This study describes the application of electrolaryngography in a tertiary children's hospital setting.
- Four case studies illustrate the use of ELG in pediatric voice disorder management.
- Key ELG parameters include fundamental frequency, contact quotient, and irregularity.
Findings:
- Electrolaryngography measures objectively clarify the nature of pediatric vocal impairments.
- Objective data from ELG aids in evaluating the outcomes of voice therapy.
- Real-time ELG displays facilitate biofeedback for skill development during therapy.
Implications:
- Electrolaryngography enhances diagnostic accuracy for children's voice disorders.
- Objective vocal assessment using ELG improves treatment planning and efficacy.
- Biofeedback via electrolaryngography supports targeted voice rehabilitation in pediatric patients.
Abstract:
The assessment and management of children's voice disorders poses clinical challenges at many levels. Accurate diagnosis and treatment requires access to a range of tools and methods appropriate for use with paediatrics. The application of electrolaryngography to the management of children's voice disorders in a tertiary children's hospital is described, with examples drawn from four case studies. Measures of fundamental frequency, contact quotient, and irregularity are used routinely to clarify the nature of the vocal impairment and to evaluate treatment outcome. Real-time displays provide biofeedback to assist the development of new skills within therapy programmes.