Hron Tiffiny A, Kavanagh Katherine R, Murray Nicole
Harvard Medical School, Tufts University School of Medicine, Massachusetts General Hospital, Center for Laryngeal Surgery & Voice Rehabilitation, One Bowdoin Sq, 11th Floor, Boston, MA 02114, USA.
Pediatric Otolaryngology, Connecticut Children's Medical Center, 282 Washington, 2L, Hartford, CT 06106, USA; Department of Otolaryngology-Head and Neck Surgery, University of Connecticut Medical School, Farmington, CT, USA.
Otolaryngol Clin North Am. 2019 Aug;52(4):657-668. doi: 10.1016/j.otc.2019.03.010. Epub 2019 May 11.
Dysphonia is common in pediatrics and affects individuals from infancy through their teenage years. Pediatric dysphonia has a variable impact on children, ranging from no impact to a severe social barrier. Although most etiologies are benign, potentially life-threatening causes must be ruled out by direct examination of the larynx. The most common benign lesions of the larynx in pediatrics are vocal nodules, vocal fold polyps, cysts, granulomas, ectasias, sulcus vocalis, and vascular lesions, including hemangioma and postcricoid cushion. Treatment of benign vocal lesions should be tailored to the individual patient and the perceived impact.
发声障碍在儿科很常见,影响从婴儿期到青少年期的个体。儿科发声障碍对儿童的影响各不相同,从无影响到严重的社交障碍。虽然大多数病因是良性的,但必须通过直接喉镜检查排除潜在的危及生命的原因。儿科最常见的喉部良性病变是声带小结、声带息肉、囊肿、肉芽肿、扩张、声带沟和血管病变,包括血管瘤和环状软骨后垫。良性声带病变的治疗应根据个体患者和所感知的影响进行调整。