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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
[Voice disorders in childhood]
1Klinische Abteilung Phoniatrie-Logopädie, Univ.-HNO-Klinik, Medizinische Universität Wien, Währinger Gürtel 18-20, Vienna, Austria. berit.schneider@meduniwien.ac.at
Insights
Pediatric voice disorders, often caused by vocal fold nodules from misuse, require early detection. Treatment varies from voice therapy for nodules to phonosurgery for cysts or papilloma.
Area of Science:
- Otolaryngology
- Pediatric Medicine
- Speech-Language Pathology
Context:
- Pediatric voice disorders are common, affecting children's quality of life.
- Increased awareness and early detection are crucial for effective management.
- Understanding the diverse etiologies is key to appropriate intervention.
Purpose:
- To outline the common causes of pediatric voice disorders.
- To detail the diagnostic and treatment approaches for childhood dysphonia.
- To emphasize the importance of timely medical evaluation and intervention.
Summary:
- Childhood dysphonia commonly results from vocal fold nodules due to vocal abuse/misuse.
- Other causes include congenital laryngeal dysplasia, vocal fold cysts, and laryngeal papilloma.
- Medical examination is essential for diagnosis and treatment planning.
Impact:
- Voice therapy is the primary treatment for vocal fold nodules, aiming to modify vocal behaviors.
- Phonosurgery is indicated for vocal fold cysts and laryngeal papilloma.
- Untreated vocal fold nodules can lead to persistent voice problems in adulthood, negatively impacting quality of life.
Abstract:
Voice disorders in the pediatric population are relatively common. The education of families, teachers and clinical staff on etiology and treatment of pediatric voice disorders have led to greater attention being paid to hoarseness in childhood and improving early detection of pediatric voice disorders. Pediatric voice problems can have a number of causes. Most commonly, childhood dysphonia is caused by vocal fold nodules due vocal ab- and misuse. Other reasons might be congenital laryngeal dysplasia, vocal fold cysts and laryngeal papilloma. Medical examination is necessary in order to initiate appropriate treatment. In the case of vocal fold cysts and laryngeal papilloma, phonosurgery is indicated. Vocal fold nodules should be treated by voice therapy in order to change vocal behaviour. If voice therapy fails, phonosurgical intervention is recommended, since vocal fold nodules can persist into adulthood with a negative impact on voice quality.
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