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Voice Abnormalities and Laryngeal Pathology in Preterm Children

Anne Hseu1, Nohamin Ayele1, Kosuke Kawai1

  • 11 Boston Children's Hospital, Department of Otolaryngology and Communication Enhancement, Boston, Massachusetts, USA.

The Annals of Otology, Rhinology, and Laryngology
|July 3, 2018
PubMed

Insights

Premature infants with prolonged intubation or NICU stays often experience severe voice problems. Early clinical evaluation for dysphonia is recommended for these children.

Area of Science:

  • Pediatric Otolaryngology
  • Speech and Language Pathology
  • Neonatology

Background:

  • Voice abnormalities affect up to 58% of children born prematurely.
  • Limited research exists on laryngeal pathologies and laryngoscopic findings in this population.

Purpose of the Study:

  • To review voice abnormalities in premature patients.
  • To characterize the causes of voice problems and correlate findings with intubation and surgical history.

Main Methods:

  • Retrospective chart review of preterm patients in a pediatric voice clinic.
  • Analysis of demographic data, diagnoses, laryngoscopies, and treatment history.

Main Results:

  • Fifty-seven preterm patients were analyzed (mean gestational age 27.8 weeks).
  • Prolonged intubation (≥28 days) or NICU stay (>12 weeks) correlated with higher dysphonia severity.
  • Vocal fold hypo/immobility was associated with greater voice deviance; 35% recommended surgery, 49% voice therapy.

Conclusions:

  • Prolonged intubation and NICU stays are linked to increased dysphonia severity in premature infants.
  • A low threshold for clinical evaluation of dysphonia is warranted in this high-risk group.
Abstract

Keywords:
intubationlaryngeal physiologymiscellaneouspediatric voicevocal fold immobilityvoice quality

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