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      Hoarseness in Children

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          ABSTRACT

          Background

          The prevalence of pediatric dysphonia ranges from 6-23%. Chronic dysphonia can negatively affect the lives of children physically, socially, and emotionally. The body of literature continues to grow regarding the pathophysiology and management of dysphonic children.

          Methods

          This article presents a relevant literature review of vocal fold pathology leading to hoarseness and recent advances in diagnosis and management. Articles were retrieved using a selective search in PubMed employing the terms such as “hoarseness in children,” “pediatric dysphonia.”

          Results

          42 articles from the past decade were reviewed that include information regarding the etiology, assessment, and treatment of children with dysphonia.

          Conclusion

          The care of a child with a voice disorder can be complex and requires a multi-disciplinary approach. Current technological, pharmaceutical, and therapeutic advances have improved the treatment of children with dysphonia.

          How to cite this article

          Worthen M, Chandran S. Hoarseness in Children. Int J Head Neck Surg 2016;7(2):130-135.

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          Most cited references42

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          Recurrent respiratory papillomatosis: current and future perspectives

          Marco Carifi, Domenico Napolitano, Morando Morandi … (2015)
          Although recurrent respiratory papillomatosis is a benign disease of the upper aerodigestive tract caused by infection with human papillomavirus, the disease process is unpredictable, ranging from mild disease and spontaneous remission to an aggressive disease with pulmonary spread and requirement for frequent surgical debulking procedures. It can present a protracted clinical course and cause potentially life-threatening compromise of the airways. Over recent decades, a number of alternative medical therapies to standard surgical treatment have been investigated, with modest outcomes overall. Currently, some additional therapies are being explored, together with novel surgical instrumentation that can help to avoid inevitable long-term stenotic complications, ultimately affecting quality of life. Hopefully, clinicians might soon be able to significantly improve the quality of treatment and outcomes for patients affected with recurrent respiratory papillomatosis, with human papillomavirus vaccination having a potentially important role.
          Article 0 comments Cited 42 times – based on 0 reviews     Review now
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            Attitudes of children with dysphonia.

            Nadine P Connor, Stacy Cohen, Shannon M Theis … (2008)
            Because voice disorders in childhood may have a negative impact on communicative effectiveness, social development, and self-esteem, the objective was to determine the impact of voice disorders on lives of children from the perspective of chronically dysphonic children and their parents. This study consisted of focused interviews with chronically dysphonic children and their caregivers. Focused interviews were conducted with 10 children in each of the following age groups: Toddler (2-4 years old), Young Child (5-7 years old), School-Aged Child (8-12 years old), and Adolescent (13-18 years old). Interview questions were formulated to elicit attitudes in the following conceptual domains: emotional, social/functional, and physical. Interviews were transcribed and subjected to systematic qualitative analyses that identified common themes within each age group for each conceptual domain. For Toddlers, interviews relied heavily on parents and the biggest concerns were found in the physical and functional domains. Young Children expressed that their biggest issues related to voice were physical ("run out of air," "sometimes voice does not work"). Ninety percent of Young Children were repeatedly asked to use a quieter voice. Emotional factors and physical factors were prominent in the interviews of School-Aged Children and Adolescents. Children and Adolescents often felt that their dysphonic voice received undue attention and also limited their participation in important events. Anger, sadness, and frustration were also expressed. Chronic dysphonia negatively affects the lives of children. This work will serve as the basis for development of a valid, reliable, and age-appropriate measure of voice-related quality of life in children.
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              Dysphonia in children.

              Regina Martins, Caio Hidalgo Ribeiro, Bruno Marcos Zeponi Fernandes de Mello … (2012)
              Vocal symptoms are common among the pediatric population and are often caused by vocal abuse. Laryngoscopy is essential for their diagnosis because it helps differentiate several laryngeal lesions, leading to a decision for suitable treatments considering each case.
              Article 0 comments Cited 18 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Swapna Chandran: Role: Resident
                Journal
                Journal ID (publisher): IJHNS
                Title: International Journal of Head and Neck Surgery
                Abbreviated Title: IJHNS
                Publisher: Jaypee Brothers Medical Publishers
                ISSN (Print): 0975-7899
                ISSN (Electronic): 0976-0539
                Publication date (Print): April-June 2016
                Volume: 7
                Issue: 2
                Pages: 130-135
                Affiliations
                [1,2 ] Department of Otolaryngology—Head and Neck Surgery and Communicative Disorders, University of Louisville School of Medicine, University of Louisville, Louisville, Kentucky, USA
                Author notes
                Swapna Chandran, Resident Department of Otolaryngology—Head and Neck Surgery and Communicative Disorders, University of Louisville School of Medicine, University of Louisville, Louisville, Kentucky, USA Phone: 15025617268, e-mail: mary.worthen@ 123456louisville.edu
                Article
                DOI: 10.5005/jp-journals-10001-1278
                SO-VID: a6f5ce8d-f5bc-443c-bd9e-591fd0ce4f44
                Copyright © Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.
                License:

                Creative Commons Attribution 4.0

                History
                Categories
                Subject: REVIEW ARTICLE
                Custom metadata
                file-pdf ijhns-2016-7-130.pdf

                ScienceOpen disciplines: General medicine,Pathology,Surgery,Sports medicine,Anatomy & Physiology,Orthopedics
                Keywords: Pediatric dysphonia,Pediatric hoarseness,Hoarseness in children
                Data availability:
                ScienceOpen disciplines: General medicine, Pathology, Surgery, Sports medicine, Anatomy & Physiology, Orthopedics
                Keywords: Pediatric dysphonia, Pediatric hoarseness, Hoarseness in children

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