Vocal fold nodules in children
| Autor: | Carolyn Noelke, Pamela A. Mudd |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry Vocal Cords Voice production Dysphonia Laryngeal Diseases 030507 speech-language pathology & audiology 03 medical and health sciences 0302 clinical medicine Otorhinolaryngology Quality of Life Medicine Humans Surgery Dysphonia therapy 030223 otorhinolaryngology 0305 other medical science business Child |
| Zdroj: | Current opinion in otolaryngologyhead and neck surgery. 26(6) |
| ISSN: | 1531-6998 |
| Popis: | Purpose of review Vocal nodules are a common presentation in children, representing the most common cause of dysphonia. Recent findings Children with siblings, ADHD, and of male sex are most likely to be affected. Female children, however, tend to have more likely progression into adolescence. Quality-of-life indices can aid in screening for vocal nodules whereas stroboscopy, and possibly, ultrasound are required for definitive diagnosis. Summary Management has not significantly changed over time and should begin with conservative behavioral and environmental modifications along with voice therapy in those more severely impacted. Though immediate outcomes vary somewhat depending on management direction, the overall prognosis seems to be good even with lack of intervention. It is most critical to ensure a definitive diagnosis, and offer management therapies that are appropriate for the level of impact the vocal nodules have on communication and voice production in the child. |
| Databáze: | OpenAIRE |
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