Pediatric Voice

Rickert, Scott; O’Cathain, Eadaoin

doi:10.1016/j.pcl.2022.01.003

Cited by 4 publications

(7 citation statements)

References 16 publications

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“…According to our data, 70% ( n = 14) of the patients were mouth breathers with incorrect oral postures before the intervention. This condition affects the growth of the skull and facial structure, mandible, resting tongue posture, overall posture, and even the laryngeal muscles, which can result in dysphonia [ 1 , 2 , 3 , 21 ]. All these points supported and validated that 85% ( n = 17) of patients experienced significant subjective symptoms during a phonatory activity during the pre-operative phase.…”

Section: Discussionmentioning

confidence: 99%

“…In comparison to normal, 50% ( n = 10) of patients had increased intensity, 80% ( n = 16) had a hoarse timbre, and 80% ( n = 16) had a harsh attack. It was evident that infantile mouth breathing can cause the larynx to stretch upwards and downwards, resulting in the strain at the glottic level and possible dysphonia [ 1 , 2 , 3 ]. In accordance with previously published reports, the observed values of perturbation in the various parameters of voice decreased and returned to normal levels in the subsequent post-operative phase (e.g., E. Hultcrantz et al) [ 18 , 19 , 20 , 21 , 22 , 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…During inspiration, the diaphragm is maintained in a raised position while the larynx is retracted. The vocal tract is elongated to raise the pitch, and the vocal frequency increases, leading to a glottic effort with a harsh vocal attack, decreased amplitude and duration of the pre-phonatory and phonatory phases, compensatory action of the false vocal cords, and relative dysphonia [ 1 , 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Based on the information provided, it can be inferred that upward and downward laryngeal stretching can lead to laryngeal muscle stress and, consequently, dysphonia [ 1 , 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Effects of Adenotonsillectomy on Vocal Function

Mesolella

Motta

Allosso

et al. 2023

JPM

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Introduction: Correct breathing is a fundamental condition for adequate vocal production. Respiratory dynamics are able to modify the growth of facial mass and lingual posture, i.e., of the skull, the mandibular one. For this reason, infant mouth breathing can cause hoarseness. Materials and methods: We evaluated the actual changes in the characteristics of the voice and articulation of language in a group of subjects affected by adenotonsillar hypertrophy (grade 3–4), with frequent episodes of pharyngo-tonsillitis who underwent adenotonsillectomy. Our study included 20 children—10 boys and 10 girls—aged 4 to 11 years who had adenotonsillar hypertrophy and pharyngotonsillitis episodes exceeding 5–6 per year in the previous 2 years. The control group (Group B) included 20 children—10 boys and 10 girls—aged 4 to 11 years (average age of 6.4 years) who had not undergone surgery and shared the same degree of adenotonsillar hypertrophy as those in Group A but who did not experience recurrent pharyngotonsillitis episodes. Discussion: The hypertrophy of adenoids and tonsils significantly impacted breathing, vocal function, and speech articulation. All this is responsible for a state of tension in the neck muscles, which at the level of the vocal tract causes hoarseness. The changes objectively observed in our study in the pre- and post-operative phase demonstrate how adenotonsillar hypertrophy is responsible for an increase in resistance to the passage of air at the glottic level. Conclusions: For this reason, adenotonsillectomy has an impact on recurrent infections and can also lead to an improvement in speech, breathing, and posture.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Based on the information provided, it can be inferred that upward and downward laryngeal stretching can lead to laryngeal muscle stress and, consequently, dysphonia [ 1 , 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of Adenotonsillectomy on Vocal Function

Mesolella

Motta

Allosso

et al. 2023

JPM

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“…We previously recommended that the same approach should be used routinely in the paediatric setting [5,6]. This is further supported by a recent clinical practice review [7], which recommends including a detailed voice history, subjective impact questionnaire, laryngeal imaging, acoustic and aerodynamic tasks alongside perceptual voice evaluation after providing a useful summary of paediatric voice aetiology and presentations.…”

Section: Introductionmentioning

confidence: 97%

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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