Voice problems in children: pathogenesis and diagnosis

Dejonckere, P.H.O.

doi:10.1016/s0165-5876(99)00230-x

Cited by 56 publications

(35 citation statements)

References 1 publication

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“…Other differences studied as likely explanations are the physical and social activities for boys that require excessive vocal use (1,7,9,10) , but there is still no consensus, and studies are needed to confirm or refute these differences in personality and behavior between genders in childhood that may justify their association with childhood dysphonia (11) . Childhood dysphonia has a diverse and multicausal etiology, and may be organic, behavioral or related to emotional factors (12) . Among these causes, the most common one is functional, related to voice abuse and misuse behaviors, with vocal nodules being the most frequent laryngeal lesion (2,7,8,13,14) .…”

Section: Introductionmentioning

confidence: 99%

Behavioral characteristics of dysphonic children: integrative literature review

Maia

Gama

Kümmer

2014

CoDAS

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PURPOSE: Integrative review of the scientific literature about the behavioral characteristics of dysphonic children discussing profiled and their etiologic relationship with the voice disorder, seeking to define recommendations on the importance of analyzing the behavior of children in voice assessment. RESEARCH STRATEGY: Integrative review of articles published in the last 12 years, the Virtual Health Library. SELECTION CRITERIA: Set up the theme of "behavioral characteristics of dysphonic children" was selected the databases LILACS, IBECS, MEDLINE, Cochrane Library, SciELO and ISI Web of Science and the following inclusion criteria: original articles, publication year from 2000 and 2012, Portuguese, English and Spanish. DATA ANALYSIS: Among the 528 articles published childish voice and dysphonia, seven covered the topic researched and were included in the results. RESULTS: Observed that four papers studied the behavior of children with vocal nodules, one addressed the behavioral characteristics of children with various types of dysphonic vocal fold lesion and three correlated Attention Deficit Disorder / Hyperactivity and dysphonia. CONCLUSION: Not established a behavioral profile of children with vocal disorders, but the results were consistent recommendation for the importance of this analysis in the evaluation of dysphonia in children.

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Section: Introductionmentioning

confidence: 99%

Behavioral characteristics of dysphonic children: integrative literature review

Maia

Gama

Kümmer

2014

CoDAS

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“…Then, it is clear the importance of a detailed critical analysis of epidemiological studies for the proper interpretation of the results, as well as the use of other assessment tools, not being restricted only to the content of the questionnaires. Having said that, many studies on dysphonia have utilized the GRBASI 3,14,15 scale for the auditory-perceptual analysis, which is considered an excellent method for vocal assessment, especially when employed by experienced professionals. Computerized vocal acoustic analysis has been included in the studies in order to provide complementary quantitative registers to the assessments and the video-endoscopies help clear up laryngeal diagnoses.…”

Section: Introductionmentioning

confidence: 99%

Estudo epidemiológico de disfonias em crianças de 4 a 12 anos

Tavares¹,

Brasolotto²,

Santana³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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Chi ldren dysphonia studies have reported an incidence of 4.4 to 30.3%. Goals:To establish the prevalence of dysphonia in children, based on the opinion of the parents, acoustic and vocal-perceptual assessments, associated symptoms, risk factors and videolaryngoscopy findings. Materials and Methods:The parents from 2,000 children answered a questionnaire about the vocal quality of their children, and these children were submitted to perceptual vocal, acoustic and videolaryngoscopy assessments. Results:We had 1,007 boys and 993 girls; sporadic symptoms were reported by 206 parents and permanent symptoms were reported by 123. In the perceptual assessment, the G parameter (degree of dysphonia) had a score of 0 in 694 voices; 1 in 1,065 and 2 in 228. There was f0 reduction with age and the remaining acoustic parameters were high in children with a G score of 2. Nodules, thickening and inflammation were the most common in the videolaryngoscopy exams. Conclusions:Parental judgment indicated a prevalence of dysphonia in 6.15%, and perceptual analysis yielded a value of 11.4%. Vocal symptoms were associated with a phonatory overload. sinonasal disorders, vocal abuse and noise were considered relevant risk factors. The acoustic analysis kept a direct association with the perceptual-auditory. Laryngeal lesions were found in the videolaryngoscopy exams, stressing nodules, thickening and inflammation. Braz J Otorhinolaryngol. 2011;77(6):736-46. BJORL ORIGINAL ARTICLE

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“…Dysphonia may arise as a primary condition, or secondary to disease, illness or structural abnormality [1]. Aetiology of dysphonia may be: (i) organic, resulting from structural anomalies in the respiratory and phonatory systems attributable to a known disease, disorder or injury; (ii) functional, resulting from the way in which the structures are used and cared for by the voice user, or (iii) psychogenic, meaning the absence of any identifiable physiological cause for the voice disorder, with individuals having a normally-appearing larynx [2]. However, such causes are not exclusive and likely to be co-morbid and complex.…”

Section: Introductionmentioning

confidence: 99%

“…However, such causes are not exclusive and likely to be co-morbid and complex. For example, early changes in the structures of the larynx can occur with dysfunctional voice production, while hyperfunctional strategies to initiate and sustain phonation occur when individuals attempt to produce a more perceptually acceptable voice to compensate for structural abnormalities [2]. Iatrogenic causes of dysphonia, such as from endotracheal intubation, are also reported.…”

Section: Introductionmentioning

confidence: 99%

Dysphonia in Very Preterm Children: A Review of the Evidence

et al. 2014

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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.

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Voice problems in children: pathogenesis and diagnosis

Cited by 56 publications

References 1 publication

Behavioral characteristics of dysphonic children: integrative literature review

Behavioral characteristics of dysphonic children: integrative literature review

Estudo epidemiológico de disfonias em crianças de 4 a 12 anos

Dysphonia in Very Preterm Children: A Review of the Evidence

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