Teachers' Perceptions of Adolescent Females With Voice Disorders

Zacharias, Stephanie; Kelchner, Lisa; Creaghead, Nancy A.

doi:10.1044/0161-1461(2012/11-0097)

Cited by 39 publications

(17 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[1][2][3][4][5][6] This impediment may lead to psychosocial problems that affect them over their lifetime. 7,8 It may also affect their long-term quality of life, and ultimately, career choices. Despite our knowledge of dysphonia in children following airway reconstruction and intubation injury, the development of new surgical techniques to address these problems has been hindered by multiple factors related both to patients and the experience of surgeons.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic posterior cricoid reduction: A surgical method to improve posterior glottic diastasis

et al. 2019

View full text Add to dashboard Cite

Objectives/Hypothesis Describe the preoperative evaluation of patients with glottic diastasis who are candidates for endoscopic posterior cricoid reduction (EPCR) and their perioperative and postoperative surgical and voice outcomes, and validate the aerodynamic benefit of EPCR using computation fluid dynamics (CFD)‐based modeling from computed tomography (CT) scans. Study Design Retrospective case series. Methods Thirteen patients who underwent EPCR were followed from 2013 to 2017. They received a preoperative voice evaluation, microlaryngoscopy and bronchoscopy, dynamic voice CT (performed on patients seen from 2014 to study completion), and postoperative voice evaluation (n = 12). Postoperative inpatient days, complications, and postoperative endoscopic intervention were collected. To validate the aerodynamic benefit of EPCR, CFD modeling was carried out on one patient. Results Thirteen patients (nine females, nine with intubation injury, and four with post–airway reconstruction dysphonia) underwent EPCR at a mean age of 11.0 years. The mean preoperative and postoperative Pediatric Voice handicap Index scores were 53.8 and 33.8, respectively (P = .006). Mean maximum phonation time preoperatively and postoperatively was 5.3 and 6.7, respectively (P = .04). Of eight patients who underwent preoperative CT imaging, all demonstrated a posterior gap. Modeling demonstrated a change in flow and pressure. The mean hospital stay was 2.4 days. Nine patients underwent postoperative endoscopic intervention, and one experienced a complication that resolved with intervention. Conclusions Patients who underwent EPCR for dysphonia following intubation or airway reconstruction showed improvements in vocal efficiency, loudness, and perceived voice handicapping. Their hospital stay was brief, with few complications. CFD modeling corroborated these clinical findings. EPCR thus warrants consideration in the management of patients with posterior glottic diastasis. Level of Evidence 4 Laryngoscope, 129:S1–S9, 2019

show abstract

Section: Introductionmentioning

confidence: 99%

Endoscopic posterior cricoid reduction: A surgical method to improve posterior glottic diastasis

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Historically, the main measure of success for airway reconstruction has been decannulation, but in the past 15 years the importance of postoperative voice quality was realized . Childhood dysphonia is associated with social withdrawal and depression, as well as having negative influence on emotional, educational, and occupational outcomes . Moreover, it has been reported that teachers have a negative bias toward adolescents who have a voice disorder .…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3]5,7,[9][10][11] Childhood dysphonia is associated with social withdrawal and depression, as well as having negative influence on emotional, educational, and occupational outcomes. 12,13 Moreover, it has been reported that teachers have a negative bias toward adolescents who have a voice disorder. 13 Given the negative impact of poor voice quality, assessing and treating children who are at high risk for dysphonia should be a priority.…”

Section: Introductionmentioning

confidence: 99%

“…12,13 Moreover, it has been reported that teachers have a negative bias toward adolescents who have a voice disorder. 13 Given the negative impact of poor voice quality, assessing and treating children who are at high risk for dysphonia should be a priority. Once a patient has a stable airway, medical, surgical, and behavioral voice care should be pursued.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Influence of preoperative voice assessment on treatment plan prior to airway surgery

Bergeron¹,

Kelchner

Weinrich

et al. 2018

The Laryngoscope

View full text Add to dashboard Cite

show abstract

“…Reports of emotional difficulties increase in adolescence, as do complaints of limitations in activities requiring vocal participation [6]. Listeners, including children, adolescents, teachers and speech-language pathology students, make adverse judgements about children with dysphonia [8,9]. These judgements extend to non-voice-related personality traits, suggesting that societal prejudices against children with dysphonia are pervasive.…”

Section: Introductionmentioning

confidence: 99%

Dysphonia in Very Preterm Children: A Review of the Evidence

et al. 2014

View full text Add to dashboard Cite

Introduction: Intubation is a known risk factor for dysphonia yet is essential in the perinatal care of many very preterm infants. Children born preterm, who are frequently resuscitated with endotracheal intubation, may be at risk of dysphonia at school age and beyond. Objectives: To identify and describe the evidence pertaining to long-term voice outcomes and risk factors for developing dysphonia in preterm children. Results: In addition to case studies and series, three larger-scale studies have reported on dysphonia and voice outcomes in preterm children. Studies reporting treatment outcomes were not available. Factors associated with poor voice outcomes included female gender, birth weight <1,000 g, birth at <27 weeks' gestation, surgical closure of patent ductus arteriosus, emergency versus elective intubations and multiple intubations. Adverse voice outcomes were associated with laryngeal pathology and compensatory supraglottic compression. Conclusions: Dysphonia is a newly reported, long-term complication of preterm birth, yet the number of relevant studies remains limited. Further research is required to confirm the risk factors for developing dysphonia, which will inform future voice treatment studies.

show abstract

Teachers' Perceptions of Adolescent Females With Voice Disorders

Cited by 39 publications

References 23 publications

Endoscopic posterior cricoid reduction: A surgical method to improve posterior glottic diastasis

Endoscopic posterior cricoid reduction: A surgical method to improve posterior glottic diastasis

Influence of preoperative voice assessment on treatment plan prior to airway surgery

Dysphonia in Very Preterm Children: A Review of the Evidence

Contact Info

Product

Resources

About