Dysphonia in Very Preterm Children: A Review of the Evidence

Reynolds, Victoria; Meldrum, Suzanne; Simmer, Karen; Vijayasekaran, Shyan; French, Noel

doi:10.1159/000360841

Cited by 17 publications

(12 citation statements)

References 23 publications

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“…They consistently present with poorer language than their term-born peers, 3 and may also experience difficulties with voice and speech sound production. 4,5 However, to date, research has not reflected a complete picture of communication ability in children born preterm. Reports have typically focused on isolated domains of communication such as receptive vocabulary.…”

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confidence: 99%

“…Likewise, voice has been infrequently studied among children born preterm, with a 2014 review identifying the need for further research with a particular focus on significant risk factors. 4 Current studies of voice are indicated, especially given the evolution of respiratory management in infants born preterm, and the fact that intubation has been highlighted as a predictor of voice outcomes. 4,10 Given that children born preterm appear to have a heightened risk of language, speech, and voice difficulties, establishing relevant predictors is paramount.…”

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confidence: 99%

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Communication in children born very preterm: a prospective cohort study

Sánchez

Boyce

Mei

et al. 2019

Develop Med Child Neuro

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Aim To compare language, speech, and voice of children born preterm and at term, and determine relevant predictors of outcome. Method Three hundred infants (150 males, 150 females; 149 born at <30wks’ gestation, 151 term‐born) were prospectively recruited at birth from the Royal Women's Hospital. We administered the Preschool Language Scales, Fifth Edition, Diagnostic Evaluation of Articulation and Phonology, Grade Roughness Breathiness Asthenia Strain Scale, and Pediatric Voice Handicap Index at 3 years, and compared groups. We examined hypothesized predictors in children born preterm: gestational age at birth, birthweight, sex, chronic lung disease, high social risk, multilingualism, neurodevelopmental diagnosis, and oromotor feeding. Results Children born preterm had poorer language than children born at term (coefficient −5.43). Speech and voice were similar between groups (coefficients −0.70 to 1.63). Chronic lung disease predicted voice (coefficient 6.05); male sex (coefficients 4.54–6.18), high social risk (coefficient −6.02 to −9.30), and neurodevelopmental diagnosis (coefficients −16.42 to −20.61) predicted language. Interpretation Children born before 30 weeks’ gestation had poorer language than children born at term. Children born preterm with neurodevelopmental disabilities or high social risk experience poorer language outcomes, and would benefit from enrichment of their language environment. What this paper adds Speech and voice outcomes were similar between children born preterm and at term. Male sex, high social risk, and neurodevelopmental diagnosis predicted language outcomes.

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mentioning

confidence: 99%

mentioning

confidence: 99%

Communication in children born very preterm: a prospective cohort study

Sánchez

Boyce

Mei

et al. 2019

Develop Med Child Neuro

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“…Another potentially underestimated complication of PDA surgery is injury to the recurrent laryngeal nerve. This condition may result in voicing disorders and impediments to gas flow in the proximal airways with possible persistence of symptoms into adulthood [7]. …”

Section: Introductionmentioning

confidence: 99%

Lung function in very low birth weight infants after pharmacological and surgical treatment of patent ductus arteriosus - a retrospective analysis

et al. 2017

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BackgroundThe indications and strategies for treatment of patent ductus arteriosus (PDA) are controversial, and the safety and long-term benefits of surgical PDA closure remain uncertain. The aim of this study was to compare the lung function of very low birth weight (VLBW) infants after successful PDA treatment with a cyclooxygenase inhibitor or secondary surgical ligation.MethodsA total of 114 VLBW infants (birth weight < 1500 g), including 94 infants (82%) with a birth weight < 1000 g, who received treatment for hemodynamically significant PDA (hsPDA), were examined at a median postmenstrual age of 48 weeks. All infants were initially given pharmacological treatment, and 40 infants (35%) required PDA ligation. Lung function testing (LFT) included tidal breathing measurements, measurement of respiratory mechanics assessed by the occlusion test, whole-body plethysmography, SF6 multiple breath washout, forced expiratory flow (V’maxFRC) by the rapid thoracoabdominal compression technique, exhaled NO (FeNO), and arterialized capillary blood gas analysis.ResultsOn the day of the LFT, the 2 groups had similar postconceptional age and body weight. However, the PDA ligation group was more immature at birth (p < 0.001) and had reduced respiratory compliance (p < 0.001), lower V’maxFRC (p = 0.006), increased airway resistance (Raw) (p < 0.001), and impaired blood gases (p < 0.001). Multivariate analysis showed that PDA surgery was an independent risk factor for increased Raw.ConclusionPDA ligation after failed pharmacological treatment is associated with impaired lung function as compared to successful pharmacological closure in infants at a postmenstrual age of 48 weeks. However, only Raw was independently affected by PDA ligation, while all other differences were merely explained by patient characteristics.

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“…Infants and children who are born very preterm, particularly those who are complicated by major perinatal problems, are often associated with variable degrees of brain injury and adverse neurodevelopmental outcomes [1,2,3,4]. Infants born very preterm are also prone to developing auditory dysfunction and neuropathy [5].…”

Section: Introductionmentioning

confidence: 99%

Brainstem Auditory Response Findings in Very Preterm Babies in the Intensive Care Unit

Wang¹,

Jiang²

2015

Neonatology

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Background: There is a need to increase our understanding of whether there is compromised brainstem auditory function in very preterm babies in intensive care. Objectives: To evaluate brainstem auditory function in preterm babies born at 32 weeks of gestation or earlier in the intensive care unit to detect any abnormality and the prevalence of the abnormality. Methods: We analyzed the brainstem auditory evoked response (BAER) at term in 156 babies born at 32 weeks of gestation or earlier in an intensive care unit. The data were compared to those of normal term babies to detect any differences. Results: The threshold of BAER was elevated in babies born at 32 weeks of gestation or earlier. All BAER wave latencies were significantly increased. The I-V interpeak interval was also increased. The amplitudes of BAER components tended to be reduced. Twenty-five (16.0%) babies in the intensive care unit had a BAER threshold elevation (>20 dB normal hearing level), suggesting peripheral auditory dysfunction. Thirty-three (21.1%) had an increased I-V interval, and 3 (1.9%) had a decreased V/I amplitude ratio, suggesting central or brainstem auditory dysfunction. Some babies had more than one BAER abnormality. As a whole, 51 (32.7%) babies had BAER abnormalities. Conclusion: Very preterm babies in the intensive care unit are at a high risk for auditory dysfunction. At term, 1 in 3 of these babies has peripheral and/or central auditory dysfunction.

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Dysphonia in Very Preterm Children: A Review of the Evidence

Cited by 17 publications

References 23 publications

Communication in children born very preterm: a prospective cohort study

Communication in children born very preterm: a prospective cohort study

Lung function in very low birth weight infants after pharmacological and surgical treatment of patent ductus arteriosus - a retrospective analysis

Brainstem Auditory Response Findings in Very Preterm Babies in the Intensive Care Unit

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