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
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