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Pediatric Vocal Fold Nodule Etiology: What Are Its Usual Causes in Children?

Summary Objectives In this study, the relation between phonotrauma and presence of siblings and social activities was investigated, and the incidence of voice disorders in the mothers of children with vocal fold nodules was studied with objective (clinical voice analysis) and subjective (laryngostro...

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Published in:Journal of voice 2017-07, Vol.31 (4), p.506.e19-506.e23
Main Authors: Tuzuner, Arzu, Demirci, Sule, Oguz, Haldun, Ozcan, Kursat Murat
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container_title Journal of voice
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creator Tuzuner, Arzu
Demirci, Sule
Oguz, Haldun
Ozcan, Kursat Murat
description Summary Objectives In this study, the relation between phonotrauma and presence of siblings and social activities was investigated, and the incidence of voice disorders in the mothers of children with vocal fold nodules was studied with objective (clinical voice analysis) and subjective (laryngostroboscopy, Voice Handicap Index) methods. Methods Twenty-nine children with vocal fold nodules (age range 5–14 years), 45 age-matched children without any voice disorders as a control group, and their mothers were included in the study. All patients had laryngostroboscopy and clinical voice analysis, and their mothers filled out the Pediatric Voice Handicap Index. We noted the most common place or situation where children used their voice in excessively high volume according to their mothers, including home, school, sportive activities, and singing or reciting poem activities, to recognize the major cause of phonotrauma. In addition, presence of siblings was recorded. Results It was found that 15 patients (51.7%) had younger siblings, seven patients (24.1%) had older siblings, five patients (17.2%) had both younger and older siblings, and two patients (6.8%) did not have any siblings. It was seen that excessive usage of high-volume voice at home had a correlation with presence of only younger siblings, and both younger and older siblings tended to cause phonotrauma at home (86.7%). Additionally, eight boys (44.4%) reported presence of sportive activities, whereas none of the girls had such an activity ( P  = 0.012). Conclusion Presence of siblings seems to be an important factor for vocal nodule formation. Maternal relationship does not seem to be a major factor for vocal misuse.
doi_str_mv 10.1016/j.jvoice.2016.10.007
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Methods Twenty-nine children with vocal fold nodules (age range 5–14 years), 45 age-matched children without any voice disorders as a control group, and their mothers were included in the study. All patients had laryngostroboscopy and clinical voice analysis, and their mothers filled out the Pediatric Voice Handicap Index. We noted the most common place or situation where children used their voice in excessively high volume according to their mothers, including home, school, sportive activities, and singing or reciting poem activities, to recognize the major cause of phonotrauma. In addition, presence of siblings was recorded. Results It was found that 15 patients (51.7%) had younger siblings, seven patients (24.1%) had older siblings, five patients (17.2%) had both younger and older siblings, and two patients (6.8%) did not have any siblings. It was seen that excessive usage of high-volume voice at home had a correlation with presence of only younger siblings, and both younger and older siblings tended to cause phonotrauma at home (86.7%). Additionally, eight boys (44.4%) reported presence of sportive activities, whereas none of the girls had such an activity ( P  = 0.012). Conclusion Presence of siblings seems to be an important factor for vocal nodule formation. Maternal relationship does not seem to be a major factor for vocal misuse.</description><identifier>ISSN: 0892-1997</identifier><identifier>EISSN: 1873-4588</identifier><identifier>DOI: 10.1016/j.jvoice.2016.10.007</identifier><identifier>PMID: 27993498</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Case-Control Studies ; Child ; Child, Preschool ; Children ; Dysphonia ; Family Characteristics ; Female ; Humans ; Laryngoscopy ; Male ; Mothers - statistics &amp; numerical data ; Otolaryngology ; Stroboscopy ; Turkey - epidemiology ; Vocal abuse ; Vocal Cord Dysfunction - diagnosis ; Vocal Cord Dysfunction - epidemiology ; Vocal Cord Dysfunction - etiology ; Voice analysis</subject><ispartof>Journal of voice, 2017-07, Vol.31 (4), p.506.e19-506.e23</ispartof><rights>The Voice Foundation</rights><rights>2017 The Voice Foundation</rights><rights>Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. 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Methods Twenty-nine children with vocal fold nodules (age range 5–14 years), 45 age-matched children without any voice disorders as a control group, and their mothers were included in the study. All patients had laryngostroboscopy and clinical voice analysis, and their mothers filled out the Pediatric Voice Handicap Index. We noted the most common place or situation where children used their voice in excessively high volume according to their mothers, including home, school, sportive activities, and singing or reciting poem activities, to recognize the major cause of phonotrauma. In addition, presence of siblings was recorded. Results It was found that 15 patients (51.7%) had younger siblings, seven patients (24.1%) had older siblings, five patients (17.2%) had both younger and older siblings, and two patients (6.8%) did not have any siblings. It was seen that excessive usage of high-volume voice at home had a correlation with presence of only younger siblings, and both younger and older siblings tended to cause phonotrauma at home (86.7%). Additionally, eight boys (44.4%) reported presence of sportive activities, whereas none of the girls had such an activity ( P  = 0.012). Conclusion Presence of siblings seems to be an important factor for vocal nodule formation. 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Methods Twenty-nine children with vocal fold nodules (age range 5–14 years), 45 age-matched children without any voice disorders as a control group, and their mothers were included in the study. All patients had laryngostroboscopy and clinical voice analysis, and their mothers filled out the Pediatric Voice Handicap Index. We noted the most common place or situation where children used their voice in excessively high volume according to their mothers, including home, school, sportive activities, and singing or reciting poem activities, to recognize the major cause of phonotrauma. In addition, presence of siblings was recorded. Results It was found that 15 patients (51.7%) had younger siblings, seven patients (24.1%) had older siblings, five patients (17.2%) had both younger and older siblings, and two patients (6.8%) did not have any siblings. It was seen that excessive usage of high-volume voice at home had a correlation with presence of only younger siblings, and both younger and older siblings tended to cause phonotrauma at home (86.7%). Additionally, eight boys (44.4%) reported presence of sportive activities, whereas none of the girls had such an activity ( P  = 0.012). Conclusion Presence of siblings seems to be an important factor for vocal nodule formation. Maternal relationship does not seem to be a major factor for vocal misuse.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27993498</pmid><doi>10.1016/j.jvoice.2016.10.007</doi></addata></record>
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source ScienceDirect Freedom Collection 2022-2024
subjects Adolescent
Case-Control Studies
Child
Child, Preschool
Children
Dysphonia
Family Characteristics
Female
Humans
Laryngoscopy
Male
Mothers - statistics & numerical data
Otolaryngology
Stroboscopy
Turkey - epidemiology
Vocal abuse
Vocal Cord Dysfunction - diagnosis
Vocal Cord Dysfunction - epidemiology
Vocal Cord Dysfunction - etiology
Voice analysis
title Pediatric Vocal Fold Nodule Etiology: What Are Its Usual Causes in Children?
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