The prevalence of pediatric dysphonia ranges from 6-23%. Chronic dysphonia can negatively affect the lives of children physically, socially, and emotionally. The body of literature continues to grow regarding the pathophysiology and management of dysphonic children.
Methods
This article presents a relevant literature review of vocal fold pathology leading to hoarseness and recent advances in diagnosis and management. Articles were retrieved using a selective search in PubMed employing the terms such as “hoarseness in children,” “pediatric dysphonia.”
Results
42 articles from the past decade were reviewed that include information regarding the etiology, assessment, and treatment of children with dysphonia.
Conclusion
The care of a child with a voice disorder can be complex and requires a multi-disciplinary approach. Current technological, pharmaceutical, and therapeutic advances have improved the treatment of children with dysphonia.
How to cite this article
Worthen M, Chandran S. Hoarseness in Children. Int J Head Neck Surg 2016;7(2):130-135.
Consequences of chronic nasal obstruction on the laryngeal mucosa and voice quality of 4- to 12-year-old children. J Voice 2012 Jul;26(4):488-492.
Benefit of acid-suppressive therapy in chronic laryngitis: the devil is in the details. Clin Gastroenterol Hepatol 2010 Sep;8(9):741-742.
J Voice 2007 Mar;21(2):151-156.
Changes after voice therapy in objective and subjective voice measurements of pediatric patients with vocal nodules. Eur Archiv Otorhinolaryngol 2009 Dec;266(12):1923-1927.
Nonsurgical management of pediatric vocal fold nodules. Archiv Otolaryngol Head Neck Surg 2005 Jan;131(1):68-70; discussion 71-72.
Conservative management for vocal fold polyps. JAMA Otolaryngol Head Neck Surg 2014 May;140(5):448-452.
Sulcus vocalis: evidence for autosomal dominant inheritance. Genet Mol Res 2011 Dec;10(4):3163-3168.
Efficacy of treating children with anterior commissure and true vocal fold respiratory papilloma with the 585-nm pulsed-dye laser. Archiv Otolaryngol Head Neck Surg 2007 Feb;133(2):127-130.
Recurrent respiratory papillomatosis by HPV: review of the literature and update on the use of cidofovir. Acta Otorhinolaryngol Ital 2014 Dec;34(6):375-381.
Diagnosis and management of recurrent respiratory papillomatosis. Pediatr Infect Dis J 2014 Dec;33(12):1283-1284.
Adjuvant antiviral therapy for recurrent respiratory papillomatosis. Cochrane Database Syst Rev 2012 Dec 12;12:CD005053.
High-dose sublesional bevacizumab (avastin) for pediatric recurrent respiratory papillomatosis. Ann Otol Rhinol Laryngol 2014 Mar;123(3):214-221.
Recurrent respiratory papillomatosis: current and future perspectives. Ther Clin Risk Manag 2015 May 5;11:731-738.
Laryngopharyngeal reflux disease in children. Pediatr Clin North Am 2013 Aug;60(4):865-878.
Extraesophageal acid reflux and recurrent respiratory papilloma in children. Int J Pediatr Otorhinolaryngol 2005 May;69(5):597-605.
Laryngotracheal consequences of pediatric cardiac surgery. Archiv Otolaryngol Head Neck Surg 2005 Apr;131(4):336-339.
Laryngeal abnormalities are frequent in the 22q11 deletion syndrome. Int J Pediatr Otorhinolaryngol 2012 Jan;76(1):36-40.