Assessment of auditory processing in childhood dysphonia

Szkiełkowska, Agata; Krasnodębska, Paulina; Miaśkiewicz, Beata

doi:10.1016/j.ijporl.2022.111060

Cited by 5 publications

(2 citation statements)

References 36 publications

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“…The novelty of this study is the characterisation of the voice of Polish children with vocal nodules from within a large group of early school-age children. The research conducted here, and in the literature, demonstrate that diagnosing and treating the voice of a child needs to be done differently than in an adult [15][16][17]. Children have different anatomical structures and environmental factors; they also differ in terms of maturation of the central nervous system and psychological profiles, and one must consider the huge role of emotional and cognitive factors at this age.…”

Section: Discussionmentioning

confidence: 81%

Voice quality in Polish children with vocal fold nodules

Szkiełkowska¹,

Krasnodębska²,

Myszel³

2023

J Hear Sci

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BackgroundVocal fold nodules are a common cause of pediatric dysphonia. The aim of the study was to assess the acoustic structure of the voice in children with vocal fold nodules and investigate the relationship between objective and subjective measures.Material and methodsThe study group consisted of 223 children, aged 7 to 12 years with normal hearing. The control group included 213 children. All children underwent ENT and phoniatric examination including laryngovideostroboscopy (LVS), assessment of voice on the GRBAS perceptual scale, and acoustic analysis (spectrographic analysis using the Multi-Dimensional Voice Profile).ResultsIn children with vocal fold nodules the average perceptual score for their voice was G1R1B0A0S2. No statistically significant effect of the child’s sex or age on the values of the MDVP parameters was found. The acoustic structure of the voice of children with childhood dysphonia and vocal fold nodules differed significantly from the acoustic structure of those in the control group. A relationship between GRBAS features and MDVP analysis was found.ConclusionsVoice acoustic analysis is a valuable tool for assessing voice quality in children. The analysis can identify deviations from normal values that the human ear is unable to pick up.

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Section: Discussionmentioning

confidence: 81%

Voice quality in Polish children with vocal fold nodules

Szkiełkowska¹,

Krasnodębska²,

Myszel³

2023

J Hear Sci

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“…The sourced literature also identifies some aspects of voice evaluation that are not routinely included in paediatric voice clinics. Detailed examination of auditory processing using two methods (Frequency Pattern Test [62] and Duration Pattern Test [63]) yields significantly weaker judgments of pitch and auditory stimuli in dysphonic children ( n = 331) compared to age matched nondysphonic children ( n = 213) [51 ▪ ].…”

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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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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