Perceptual Voice Characteristics in Pediatric Unilateral Vocal Fold Paralysis
- 1 April 2006
- journal article
- research article
- Published by Wiley in Otolaryngology -- Head and Neck Surgery
- Vol. 134 (4), 618-621
- https://doi.org/10.1016/j.otohns.2005.12.014
Abstract
OBJECTIVE: To describe the voice characteristics of pediatric unilateral vocal fold paralysis (UVFP). STUDY DESIGN AND SETTING: Retrospective series from a children's hospital, 1996 to present. RESULTS: Forty-two patients with a mean age of 7.1 years were diagnosed with UVFP in our voice clinic (prevalence = 5.4%). Paralysis was left sided in 88%, and was most commonly seen after cardiac surgery (28.5%) and prolonged intubation/prematurity (16.7%). Voice analysis showed a moderate degree of breathiness, mild-to-moderate hoarseness and straining, mild muscle tension, and soft loudness. Twenty-six percent of patients required surgical intervention, including injection into the paralyzed fold (7 patients) and medialization thyroplasty (4 patients). Pre-operatively, breathiness was worse (P < .05) in patients undergoing surgical intervention. CONCLUSIONS: Voice characteristics of pediatric UVFP include increased breathiness, hoarseness, straining, muscle tension, and soft loudness. One-fourth of patients underwent surgical intervention; breathiness was the predominant abnormal voice characteristic in the operative cohort. SIGNIFICANCE: The voice characteristics of pediatric patients with UVFP are described. EBM rating: C-4Keywords
This publication has 9 references indexed in Scilit:
- Pediatric unilateral vocal fold immobilityOtolaryngologic Clinics of North America, 2004
- The use of injectable collagen in the management of pediatric vocal unilateral fold paralysisInternational Journal of Pediatric Otorhinolaryngology, 2003
- Pediatric vocal fold medialization with silastic implant: intraoperative airway managementInternational Journal of Pediatric Otorhinolaryngology, 2000
- Pediatric Vocal Fold ParalysisJAMA Otolaryngology–Head & Neck Surgery, 2000
- Pediatric type I thyroplasty: an evolving procedure.Annals of Otology, Rhinology & Laryngology, 1999
- Changing etiology of vocal fold immobilityThe Laryngoscope, 1998
- Vocal Cord Injection in Children With Unilateral Vocal Cord ParalysisJAMA Otolaryngology–Head & Neck Surgery, 1995
- The acoustic characteristics of the cry of an infant with unilateral vocal fold paralysisInternational Journal of Pediatric Otorhinolaryngology, 1987
- Vocal Cord Paralysis in Small Children: Principles in ManagementAnnals of Otology, Rhinology & Laryngology, 1986