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Dysphonic Children: Performers vs. Non-Performers.
Linda Carroll1, Paula Barson2, Abigail Rosenberg3
1Division of Otolaryngology, Children's Hospital of Philadelphia, The HUB for Clinical Collaboration, 3500 Civic Center Blvd, Philadelphia, Pennsylvania 19104.
Journal of Voice : Official Journal of the Voice Foundation
|February 11, 2026
Summary
Pediatric performers and non-performers with dysphonia present differently, with performers experiencing higher voice disability. Diagnoses varied, highlighting the need for specialized care for young vocalists.
Area of Science:
- Pediatric Otolaryngology
- Voice Science
- Performing Arts Medicine
Background:
- Pediatric dysphonia presents unique challenges.
- Understanding differences between performers and non-performers is crucial for accurate diagnosis and management.
Purpose of the Study:
- To compare presenting complaints, diagnoses, and management of dysphonia in pediatric performers versus non-performers.
- To identify specific needs of pediatric performing artists with voice disorders.
Main Methods:
- Retrospective chart review of 200 children (100 performers, 100 non-performers) presenting with dysphonia.
- Analysis of medical records for history, diagnosis, and treatment plans.
Main Results:
- Non-performers reported significantly higher voice disability (pediatric voice handicap index).
- Common diagnoses for performers included reflux, allergic rhinitis, and muscle tension dysphonia.
- Vocal fold mass was more common in non-performers, while reflux laryngitis was more frequent in singers.
- Non-singers had higher rates of referral for phono-surgery and tonsillectomy.
Conclusions:
- Laryngologists must consider the unique demands on pediatric performers.
- Reflux and vocal fold mass are significant diagnoses in both groups but with differing incidences.
- Tailored management approaches are necessary for pediatric patients with dysphonia, especially those involved in performing arts.
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