Department of Otolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, 610044, China.
Eur J Pediatr. 2023 Jun;182(6):2485-2497. doi: 10.1007/s00431-023-04879-4. Epub 2023 Mar 28.
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.
儿童不良发声行为所致嗓音障碍的主要病因包括因发声滥用或误用导致的声带良性病变，如声带小结、声带息肉、喉炎等。长期嗓音障碍可影响儿童身心健康。通过适当的布尔运算符，对“声带小结”、“声带息肉”、“嗓音障碍”、“发声滥用”、“发声误用”、“儿科学”和“儿童”近 20 年的文献进行回顾。结论：初步 PubMed 检索返回 315 项结果。筛选了 2000 年至 2022 年发表的所有英文或中文文章。排除了重复文章、仅涉及成人或涉及声带恶性病变的文章，共纳入 196 篇有意义的文章。还查阅了相关参考文献和书籍，并对这些适应不良的发声行为性嗓音障碍的发病机制、诊断和治疗进行了综述。已知情况：• 儿童最常见的嗓音症状是声音嘶哑，儿童声音嘶哑的病因多种多样。然而，对于儿童因不良发声习惯引起的嗓音障碍，缺乏相关综述。• 嗓音训练是儿童嗓音障碍的保守治疗方法，明确影响儿童嗓音训练效果的因素非常重要。新发现：• 本综述对患有不良发声行为性嗓音障碍儿童的人格和家庭特征进行了分析，为后续治疗的临床规划提供了有价值的指导。• 本文讨论并总结了一些可能影响儿童嗓音训练效果的因素，并整理了一些目前用于儿童嗓音训练效果预测的重要量表和问卷。
