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Related Experiment Videos

Voice disorders in children

J Hirschberg1, P H Dejonckere, M Hirano

  • 1Department of Otorhinolaryngology, Madarász Children's Hospital, Budapest, Hungary.

International Journal of Pediatric Otorhinolaryngology
|June 1, 1995
PubMed
Summary

Pediatric otolaryngologists diagnose and treat voice and resonance disorders in children. Treatment approaches vary, with surgery for immediate hoarseness relief and voice therapy for less urgent needs.

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Area of Science:

  • Pediatric Otolaryngology
  • Speech-Language Pathology
  • Voice Disorders

Background:

  • Pediatric otolaryngologists manage voice quality (dysphonia) and resonance (rhinophony) issues.
  • Functional dysphonia often stems from voice misuse, psychosomatic factors, or environmental influences.
  • Identifying organic causes is the crucial first step in diagnosis.

Purpose of the Study:

  • To outline the diagnostic and therapeutic strategies for pediatric voice and resonance disorders.
  • To provide guidance on selecting appropriate treatments for conditions like vocal nodules.
  • To review outcomes of surgical interventions for velopharyngeal insufficiency.

Main Methods:

  • Perceptual voice evaluation.
  • Flexible transnasal endoscopy for morphodynamic changes.

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  • Stroboscopy and phonetography in older children.
  • Trial treatment for therapeutic assessment.

    • Main Results:

    • Surgery is recommended for immediate hoarseness improvement; voice therapy for less urgent needs.
    • Vocal hygiene is advised for unmotivated patients.
    • Most voices improve post-puberty, but 15% show no improvement.
    • Logopedic treatment is key for post-intubation glottic lesions and tracheotomized children's speech development.
    • Velo pharyngoplasty achieves good anatomical results (98%) and resolves hyperrhinophony in 90% of cases.

    Conclusions:

    • Individualized therapy is essential for pediatric voice and resonance disorders.
    • Treatment choice for vocal nodules depends on urgency and patient motivation.
    • Surgical interventions like velo pharyngoplasty are highly effective for hyperrhinophony.
    • Early intervention with logopedic training is vital for speech development in tracheotomized children.