Abstract
Children with voice problems are encountered by speech-language pathologists working
in schools but not with sufficient frequency to yield a great experience in managing
them. Their evaluation and treatment now are best handled by a team of specialists
in pediatric otolaryngology and speech-language pathology with expertise in voice
and resonance disorders. The voice team uses a variety of assessment tools, including
perceptual, parent- and patient-based, instrumental, and imaging measures. The most
important component of the diagnostic assessment is laryngoscopy in the awake child,
to visualize the vocal folds while the child phonates. This review covers the pediatric
otolaryngologist's approach to dysphonia in children. The common causes of dysphonia
are reviewed, including vocal nodules and other lesions, reflux laryngitis, laryngeal
paralysis, congenital glottic webs, laryngeal papillomatosis, functional voice disorders,
and velopharyngeal incompetence. Current treatment options are continually being modified.
These are discussed by highlighting recently published research.
Keywords
Pediatric voice - dysphonia - voice clinic
