The "singing-acting" child: the laryngologist's perspective--1995

Area of Science:

• Otolaryngology
• Pediatric Medicine
• Speech Science

Background:

• Voice disorders are a concern in pediatric populations.
• Understanding the prevalence and causes of childhood voice problems is crucial for effective management.
• Current diagnostic methods may have limitations in fully assessing pediatric vocal function.

Purpose of the Study:

• To survey pediatric otolaryngologists regarding their experience with childhood voice disorders.
• To identify the prevalence, causes, and diagnostic/treatment approaches for pediatric voice problems.
• To assess the utility of current examination methods and explore potential improvements.

Main Methods:

• A survey was distributed to pediatric otolaryngologists.
• The survey collected data on the estimated number of children examined annually, the prevalence of voice disorders, etiological factors, examination methods, and treatment recommendations.
• Direct flexible laryngoscopy was the primary examination technique reported.

Main Results:

• Approximately 1% of examined children presented with voice problems, with only 0.2% linked to professional voice use.
• Direct flexible laryngoscopy was the sole examination method for 80% of cases.
• Voice therapy for six months was recommended in 88% of cases.
• The survey reflected an estimated clinical experience of over 160,000 children annually, with a 40% response rate from pediatric otolaryngologists.

Conclusions:

• Pediatric voice disorders are relatively uncommon and infrequently related to professional voice use.
• Current diagnostic practices rely heavily on direct flexible laryngoscopy.
• The integration of video and stroboscopy in pediatric voice examinations is suggested to improve diagnostic accuracy and treatment planning.