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Guidelines for Elective Pediatric Fiberoptic Intubation
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The paediatric voice clinic.

Ian Smillie1, Kirsy McManus1, Wendy Cohen2

  • 1Department of Paediatric Otolaryngology, Royal Hospital for Sick Children, Glasgow, UK.

Archives of Disease in Childhood
|May 30, 2014
PubMed
Summary
This summary is machine-generated.

Paediatric voice disorders affect 6-9% of school-aged children. Vocal cord nodules are the most common diagnosis, with socioeconomic factors influencing prevalence and type of paediatric voice disorder.

Keywords:
EntVoice disorderssocio-economicvocal cord nodules

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Area of Science:

  • Otolaryngology
  • Pediatrics
  • Speech-Language Pathology

Background:

  • Paediatric voice disorders affect 6-9% of school-aged children.
  • Early diagnosis and management are crucial for educational and psychosocial development.
  • This review examines referral patterns, diagnoses, and management in a UK tertiary paediatric voice clinic.

Purpose of the Study:

  • To review referral patterns, diagnoses, and management of paediatric voice disorders.
  • To investigate socioeconomic variations in paediatric voice disorders.
  • To assess the effectiveness of a dedicated paediatric voice clinic.

Main Methods:

  • Audit of 195 consecutive appointments (154 new patients) from October 2009 to September 2013.
  • Data collected from a monthly paediatric voice clinic at the Royal Hospital for Sick Children in Glasgow.
  • Analysis of patient demographics, referral sources, diagnoses, and socioeconomic status.

Main Results:

  • 86 males and 68 females among 154 new patients.
  • Trimodal age peaks at 5, 8, and 11 years.
  • General practitioners were the primary referral source (46%).
  • Vocal cord nodules were the most frequent diagnosis (52%), with a male predominance.
  • Muscle tension dysphonia was more prevalent in higher socioeconomic groups (4 & 5) and older children (mean age 10.4 years).
  • Clinic attendance was highest in the most deprived (group 1) and least deprived (group 5) socioeconomic areas.

Conclusions:

  • A dedicated paediatric voice clinic provides optimal assessment, diagnosis, and management.
  • Vocal cord nodules are the predominant pathology, managed with speech and language therapy.
  • Socioeconomic status influences the prevalence of specific paediatric voice disorders, including vocal cord nodules and muscle tension dysphonia.