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Update on the pediatric adverse vocal behavior voice disorders: a clinical practice review

Sixi Yi1, Hui Yang2

  • 1Department of Otolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, 610044, China.

European Journal of Pediatrics
|March 27, 2023
PubMed

Insights

Voice disorders in children, often caused by vocal abuse, can lead to vocal fold nodules and polyps. This review examines their causes, diagnosis, and treatment, offering insights into effective voice training for pediatric patients.

Area of Science:

  • Pediatric Otolaryngology
  • Speech-Language Pathology
  • Child Psychology

Background:

  • Adverse vocal behaviors in children frequently lead to benign vocal fold lesions like nodules and polyps, impacting physical and mental health.
  • Hoarseness is a common symptom in children, with diverse etiologies, yet reviews focusing on adverse vocal habits are scarce.
  • Voice training is a primary conservative treatment, but factors influencing its efficacy in children require further clarification.

Purpose of the Study:

  • To conduct a comprehensive literature review on pediatric voice disorders stemming from adverse vocal behaviors.
  • To synthesize current knowledge on the pathogenesis, diagnosis, and treatment of these conditions.
  • To identify factors influencing voice training effectiveness and relevant assessment tools for children.

Main Methods:

  • Systematic literature search of PubMed using keywords: "Vocal Fold Nodules," "Vocal Fold Polyp," "Voice disorder," "Voice Abuse," "Voice Misuse," "Pediatrics," and "Children."
  • Screening of articles published in English or Chinese from 2000 to 2022, excluding adult-only or malignant lesion-related studies.
  • Inclusion of relevant references and books to supplement the review.

Main Results:

  • An initial search yielded 315 results, reduced to 196 relevant articles after screening and exclusion criteria application.
  • The review consolidates information on the pathogenesis, diagnosis, and treatment of voice disorders linked to maladaptive vocal behaviors in children.
  • Key findings highlight personality and family characteristics relevant to clinical treatment planning and factors influencing voice training efficacy.

Conclusions:

  • Understanding personality and family dynamics is crucial for tailoring treatment strategies for children with adverse vocal behavioral voice disorders.
  • Identifying factors that influence voice training effectiveness is essential for optimizing therapeutic outcomes in pediatric populations.
  • This review provides a valuable summary of current knowledge and predictive tools for voice training in children.

Keywords:
Benign lesion of vocal cordPediatric voice disordersVoice therapy

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