Dysphonia in Children. Descriptive Analysis of the Factors Involved, Clinical Parameters and Impact on Quality of Life

Almero, María Antón; Mañez, Iván Doménech; Ramı́rez, Marı́a José; Solavera, Raquel; Montaner, Esteban Reig; Serra, Marta Faubel

doi:10.1016/j.otoeng.2020.01.004

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Vocal fold nodules (VFNs) continue to represent the highest proportion of retrospectively reviewed diagnosed cases in Turkey (64.2%, [57 ▪ ], Spain (45.9% [20 ▪ ]) and Chile (40%, [45 ▪▪ ]). In a survey of paediatricians ( n = 368) [41 ▪ ], while 74.6% would refer for otolaryngological evaluation, some (22.1%) had access to voice evaluation equipment.…”

Section: Clinical Experiences In a Specific Locationmentioning

confidence: 99%

“…The importance of measuring quality of life is outlined in a Spanish population [20 ▪ ], which routinely captures all elements of the multiparametric evaluation protocol. An additional translation of the PVRQOL [60] to Serbian is now available [49 ▪ ] who also report that there remains a proportion of unreferred children whose parents identify voice-related quality of health impact when asked.…”

Section: Assessmentmentioning

confidence: 99%

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Paediatric voice disorder: who to refer and how to assess? A summary of recent literature

Cohen,

Wynne

2024

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review The purpose of this review is to update the reader with recent advances and current opinion on the assessment and management of paediatric voice disorders. Recent findings Access to advanced multidisciplinary paediatric voice clinics has increased over the last decade. Often the assessment is combined between speech therapy/pathology and ENT surgery. Vocal fold nodules remain the most prevalent diagnosis at a paediatric voice clinic, but significant diseases will also present, for example laryngeal papilloma. Recently, more consideration of the psychosocial aspect of voice disorders and evaluation of auditory processing disorders have shown how these can have a negative impact. There also appears to be a lack of parental and teacher awareness of paediatric voice disorders and their significance. Summary We would recommend multiparametric assessment and analysis of all children with a voice disorder. Most paediatric voice conditions will respond to skilled voice therapy. However, the exact techniques and dosage requires further evaluation and research. Paediatric voice conditions are common and should not be dismissed, as they may represent significant disease, for example papilloma, vagal palsy or have a significant psychosocial impact on the child.

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Section: Clinical Experiences In a Specific Locationmentioning

confidence: 99%

Section: Assessmentmentioning

confidence: 99%

Paediatric voice disorder: who to refer and how to assess? A summary of recent literature

Cohen,

Wynne

2024

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Assessment of Life Quality in Children with Dysphonia Using Modified Pediatric Voice-Related Quality of Life Questionnaire in Serbia

et al. 2023

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(1) Background: Hoarseness is not uncommon in children, especially at school age, as communication with peers is intensified. It is caused by improper use or overuse of the vocal apparatus. (2) Methods: The study included 85 hoarse children aged 6–12 (study group) and 240 healthy children (control group) of the same age. The study group underwent a detailed medical history, phoniatric examination, larynx fiber endoscopy, allergy treatment and the Pediatric Voice-Related Quality of Life questionnaire, modified by Jasmina Stojanovic. (3) Results: Our modified questionnaire revealed the significance of parental perception of a voice disorder in a child after organized activities. Using our modified questionnaire, we were able to determine the most frequent form of a voice disorder in children—speaking too loudly—is often neglected by the environment and can lead to an overall lower life quality. (4) Conclusions: As the presence of hoarseness impairs the quality of life in the pediatric population, awareness of a voice disorder must be recognized and treated on time to overcome the possible side effects on a child’s psychological and emotional development.

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Prevalence, etiology and treatment of psychogenic aphonia in children: A case report

Petrović-Lazić¹,

Ilić-Savić²

2021

Praxis medica

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Introduction. Emotions are one of the most important psychological processes, with a decisive influence on a person's voice. Faced with the great challenges and changes that primary and secondary socialization agents impose in the process of growing up, children consequently experience a spectrum of various unpleasant feelings: anxiety, fear, anger, frustration and sadness. Due to the fast-paced lifestyle, it often happens that the child ignores unpleasant feelings, which further worsens the condition in which he finds himself. Among other conditions, psychogenic aphonia in children has become more frequent in recent years. The current case report aims to determine the frequency of psychogenic aphonia in children, to identify the most common causes that lead to psychogenic aphonia and highlight the methods of vocal treatment that give the best results during rehabilitation. Case report. The current paper presents the results collected in a two-year period at the Clinic for Ear, Throat and Nose of the Clinical Hospital Center "Zvezdara". In the period from March 2017 to May 2019, psychogenic aphonia was diagnosed in 31 patients, which is an evident increase compared to the previous ten-year period in which psychogenic aphonia was diagnosed in 38 younger patients. Analyzing heteroanamnestic data obtained from parents, the most common answer about the cause of psychogenic aphonia is dissatisfaction with school success. After successful diagnostics by an otorhinolaryngologist, psychiatrist and vocal pathologist, in the process of rehabilitation of psychogenic aphonia, methods of digital manipulation of the larynx, methods of restoring the voice with cough reflex and methods of turning out the feedback system were applied. In this particular case, the method of digital manipulation of the larynx gave the best results. Conclusion. Optimal evaluation of patients with voice disorders requires the joint efforts of experts from different disciplines. Having in mind the tendency of recurrence of psychogenic aphonia, these findings suggest that the integration of the interventions of a vocal pathologist and a psychiatrist could give effective results in the process of rehabilitation voice.

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Dysphonia in Children. Descriptive Analysis of the Factors Involved, Clinical Parameters and Impact on Quality of Life

Cited by 3 publications

References 12 publications

Paediatric voice disorder: who to refer and how to assess? A summary of recent literature

Paediatric voice disorder: who to refer and how to assess? A summary of recent literature

Assessment of Life Quality in Children with Dysphonia Using Modified Pediatric Voice-Related Quality of Life Questionnaire in Serbia

Prevalence, etiology and treatment of psychogenic aphonia in children: A case report

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