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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
This summary is machine-generated.

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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.

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.

Related Experiment Videos

  • 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.