Voice outcomes following surgical treatment for pediatric vocal fold nodules: A systematic review and meta-analysis

Wu, Shannon S.; Ongkasuwan, Julina; Anne, Samantha; Appachi, Swathi

doi:10.1016/j.ijporl.2023.111461

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…One recent small RCT ( n = 17) [36 ▪ ] provides evidence that a mixture of direct and indirect intervention can lead to significant change in at least one voice evaluation parameter-parent report via the pVHI, though this should be caveated by the potential for parental bias. The third systematic review focused on surgical outcomes for VFN incorporating a meta-analysis [55 ▪▪ ]. While there is evidence of positive surgical outcomes, there is a lack of clarity of whether surgery was offered following voice therapy failure.…”

Section: Interventionmentioning

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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Section: Interventionmentioning

confidence: 99%