Epidemiological study of dysphonia in 4-12 year-old children.
Autor: | Tavares EL; Faculdade de Medicina de Botucatu, Universidade de São Paulo, Botucatu, SP, Brasil., Brasolotto A, Santana MF, Padovan CA, Martins RH |
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Jazyk: | English; Portuguese |
Zdroj: | Brazilian journal of otorhinolaryngology [Braz J Otorhinolaryngol] 2011 Nov-Dec; Vol. 77 (6), pp. 736-46. |
Abstrakt: | Unlabelled: Children dysphonia studies have reported an incidence of 4.4 to 30.3%. Goals: To establish the prevalence of dysphonia in children, based on the opinion of the parents, acoustic and vocal-perceptual assessments, associated symptoms, risk factors and videolaryngoscopy findings. Materials and Methods: The parents from 2,000 children answered a questionnaire about the vocal quality of their children, and these children were submitted to perceptual vocal, acoustic and videolaryngoscopy assessments. Results: We had 1,007 boys and 993 girls; sporadic symptoms were reported by 206 parents and permanent symptoms were reported by 123. In the perceptual assessment, the G parameter (degree of dysphonia) had a score of 0 in 694 voices; 1 in 1,065 and 2 in 228. There was f0 reduction with age and the remaining acoustic parameters were high in children with a G score of 2. Nodules, thickening and inflammation were the most common in the videolaryngoscopy exams. Conclusions: Parental judgment indicated a prevalence of dysphonia in 6.15%, and perceptual analysis yielded a value of 11.4%. Vocal symptoms were associated with a phonatory overload. sinonasal disorders, vocal abuse and noise were considered relevant risk factors. The acoustic analysis kept a direct association with the perceptual-auditory. Laryngeal lesions were found in the videolaryngoscopy exams, stressing nodules, thickening and inflammation. |
Databáze: | MEDLINE |
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