The Department of Otolaryngology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, West Yangjiang Rd. #107, Guangzhou 510120, People's Republic of China.
Eur J Pediatr. 2013 Aug;172(8):1085-8. doi: 10.1007/s00431-013-2009-4. Epub 2013 May 1.
Jugular vein phlebectasia (JVP) may often be overlooked in clinical practice and the management for JVP include surgery and a conservative approach. We have studied the relationship between JVP and vocal fold nodules in paediatric patients as well as the effects of treatment. Twenty-three cases of paediatric vocal fold nodules with JVP were studied. All patients received voice therapy. After 6 months of treatment, hoarseness, neck appearance (subjective evaluation) and the degree of dilation of the jugular vein detected by Doppler ultrasonography were analysed. The follow-up period was 6 to 84 months. The hoarseness disappeared or lessened noticeably after treatment for 1-4 months. The neck masses also lessened (pre vs. post: 2.58 ± 0.40 vs. 1.60 ± 0.19) after treatment for 1-4 months. The visual analogue score of the post-treatment symptoms decreased significantly compared with pre-treatment (p <0.05). The degree of dilation of the post-treatment jugular vein also decreased significantly (p <0.05).
Paediatric vocal fold nodules may be related to JVP. Voice changes may also be observed in cases of paediatric JVP. Voice therapy may offer another conservative treatment option for JVP accompanied by vocal fold nodules, and it may offer better results than simple observation of JVP.
研究颈静脉球扩张（JVP）与儿童声带小结之间的关系及其治疗效果。
对 23 例伴有 JVP 的声带小结患儿进行研究。所有患者均接受嗓音治疗。6 个月后，采用嗓音障碍指数（GRBAS）评估嗓音嘶哑程度，多普勒超声评估颈静脉扩张程度，观察颈部外观（主观评估）。随访 6-84 个月。
治疗 1-4 个月后，所有患者的嗓音嘶哑均明显减轻或消失，颈静脉扩张减轻（治疗前：2.58 ± 0.40，治疗后：1.60 ± 0.19），治疗后症状的视觉模拟评分明显低于治疗前（p <0.05）。
儿童声带小结可能与 JVP 有关。JVP 患儿也可能出现嗓音改变。嗓音治疗可能为伴有声带小结的 JVP 提供另一种保守治疗选择，其疗效优于单纯观察 JVP。
