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Update on the pediatric adverse vocal behavior voice disorders: a clinical practice review

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Abstract

The main causes of voice disorders in children with adverse vocal behavior include benign lesions of the vocal folds caused by voice abuse or misuses, such as vocal fold nodules, vocal fold polyps, and laryngitis. Long-term voice disorders can affect the physical and mental health of children. Reviewing the literature of the last two decades on “Vocal Fold Nodules,” “Vocal Fold Polyp,” “Voice disorder,” “Voice Abuse,” “Voice Misuse,” “Pediatrics,” and “Children” with the appropriate Boolean operators.

  Conclusion: A total of 315 results were returned on an initial PubMed search. All articles from 2000 to 2022 written in English or Chinese were screened. Duplicate articles, those relating to adults only or concerned with the malignant lesion of the vocal cord, were excluded, resulting in 196 articles of interest. Relevant references and books have also been consulted, and we provide a review of the pathogenesis, diagnosis, and treatment of these maladaptive vocal behavioral voice disorders.

What is Known:

• Hoarseness is the most common voice symptom in children, and there are various causes of hoarseness in children. However, there is a lack of reviews on voice disorders caused by adverse vocal habits in children.

• Voice training is a conservative treatment method for children with voice disorders , and it is important to clarify the factors that influence the effectiveness of voice training for children.

What is New:

• This review of the personality and family characteristics of children with adverse vocal behavioural voice disorders provides a valuable guide to the clinical planning of subsequent treatment.

• This article discusses and summarises some of the factors that may influence the effectiveness of voice training in children and collates some of the scales and questionnaires currently used in children that are important in predicting the effectiveness of voice training.

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Authors and Affiliations

  1. Department of Otolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, 610044, China

    Sixi Yi & Hui Yang

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  1. Sixi Yi
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  2. Hui Yang
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All authors contributed to the study conception and design. Hui Yang and Sixi Yi had the idea for the article. Sixi Yi performed the literature search and data analysis. The first draft of the manuscript was written by Sixi Yi, Hui Yang critically revised the work. And, all authors commented on previous versions of the manuscript.

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Correspondence to Hui Yang.

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Yi, S., Yang, H. Update on the pediatric adverse vocal behavior voice disorders: a clinical practice review. Eur J Pediatr 182, 2485–2497 (2023). https://doi.org/10.1007/s00431-023-04879-4

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