Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
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Predictive Factors for the Efficacy of Voice Therapy for Pediatric Vocal Fold Nodule

소아 성대결절의 음성치료 효과에 미치는 예후 인자

  • Yun, Chang Bin (Department of Otolaryngology-Head and Neck Surgery, Inha University College of Medicine) ;
  • Kim, Young-Mo (Department of Otolaryngology-Head and Neck Surgery, Inha University College of Medicine) ;
  • Choi, Jeong-Seok (Department of Otolaryngology-Head and Neck Surgery, Inha University College of Medicine) ;
  • Kim, Ji Won (Department of Otolaryngology-Head and Neck Surgery, Inha University College of Medicine)
  • 윤창빈 (인하대학교 의과대학 이비인후과학교실) ;
  • 김영모 (인하대학교 의과대학 이비인후과학교실) ;
  • 최정석 (인하대학교 의과대학 이비인후과학교실) ;
  • 김지원 (인하대학교 의과대학 이비인후과학교실)
  • Received : 2021.08.13
  • Accepted : 2021.10.12
  • Published : 2021.12.31
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Abstract

Background and Objectives Voice therapy (VT) is considered to be the gold standard of treatment of vocal fold nodule in children. This study was designed to analyze the success rate of pediatric VT and investigate the predictive factors for good response of periatic VT for vocal fold nodule. Materials and Method This was a retrospective cohort study of 23 patients under 18 years old who were diagnosed with vocal fold nodule and received pediatric VT. We divided the patients into responding and non-responding groups. We analyzed clinical and voice parameters related to the voice results. Results Twelve patients showed improved findings after VT. By univariate analysis, female patients (85.7%) and adolescence children (100%) showed a good response to VT. In multivariate analysis, female sex (p<0.05) and adolescence children (p<0.05) were significantly related to a successful voice response. Proton pump inhibitor or antihistamine, mucolytics treatment and pre-VT voice parameters did not significantly influence voice outcomes. Conclusion Pediatric VT is more effective in female and adolescence children.

Keywords

Acknowledgement

This work was supported by Inha University Hospital Research Grant.

References

  1. Akif Kilic M, Okur E, Yildirim I, Guzelsoy S. The prevalence of vocal fold nodules in school age children. Int J Pediatr Otorhinolaryngol 2004;68(4):409-12. https://doi.org/10.1016/j.ijporl.2003.11.005
  2. Morrison M, Rammage L, Nichol H, Pullan B, May P, Salkeld L. Pediatric voice disorders: special considerations. In: Morrison M, Rammage L, Nichol H, Pullan B, May P, Salkeld L, editors. The Management of Voice Disorders. Boston: Springer;1994. p.120-40.
  3. Kim HT, Cho SH, Park HJ, You WJ, Kim MS. Histopathological characteristics in benign lesions of the vocal folds by expression of collagen type IV in the basement membrane zone. Korean J Otorhinolaryngol-Head Neck Surg 1996;39(9):1477-84.
  4. Dobres R, Lee L, Stemple JC, Kummer AW, Kretschmer LW. Description of laryngeal pathologies in children evaluated by otolaryngologists. J Speech Hear Disord 1990;55(3):526-32. https://doi.org/10.1044/jshd.5503.526
  5. Verduyckt I, Rheault C, Remacle M, Morsomme D. Personality traits of children with vocal fold nodules. J Voice 2019;33(5):801.e1-6. https://doi.org/10.1016/j.jvoice.2018.05.001
  6. Tuzuner A, Demirci S, Oguz H, Ozcan KM. Pediatric vocal fold nodule etiology: What are its usual causes in children? J Voice 2017;31(4):506.e19-23. https://doi.org/10.1016/j.jvoice.2016.10.007
  7. Lee JM, Roy N, Dietrich M. Personality, psychological factors, and behavioral tendencies in children with vocal nodules: A systematic review. J Voice 2019;33(6):945.e1-18. https://doi.org/10.1016/j.jvoice.2018.07.016
  8. Hooper CR. Treatment of voice disorders in children. Lang Speech Hear Serv Sch 2004;35(4):320-6. https://doi.org/10.1044/0161-1461(2004/031)
  9. Mori K. Vocal fold nodules in children: Preferable therapy. Int J Pediatr Otorhinolaryngol 1999;49 Suppl 1:S303-6. https://doi.org/10.1016/S0165-5876(99)00181-0
  10. Shah RK, Woodnorth GH, Glynn A, Nuss RC. Pediatric vocal nodules: Correlation with perceptual voice analysis. Int J Pediatr Otorhinolaryngol 2005;69(7):903-9. https://doi.org/10.1016/j.ijporl.2005.01.029
  11. Allen MS, Pettit JM, Sherblom JC. Management of vocal nodules: A regional survey of otolaryngologists and speech-language pathologists. J Speech Hear Res 1991;34(2):229-35. https://doi.org/10.1044/jshr.3402.229
  12. So YK. Efficacy of voice therapy for children with vocal nodules. J Clinical Otolaryngol 2018;29(2):229-34.
  13. Hartnick C, Ballif C, De Guzman V, Sataloff R, Campisi P, Kerschner J, et al. Indirect vs direct voice therapy for children with vocal nodules: a randomized clinical trial. JAMA Otolaryngol Head Neck Surg 2018;144(2):156-63. https://doi.org/10.1001/jamaoto.2017.2618
  14. Nardone HC, Recko T, Huang L, Nuss RC. A retrospective review of the progression of pediatric vocal fold nodules. JAMA Otolaryngol Head Neck Surg 2014;140(3):233-6. https://doi.org/10.1001/jamaoto.2013.6378
  15. Lee YS, Lee DH, Jeong GE, Kim JW, Roh JL, Choi SH, et al. Treatment efficacy of voice therapy for vocal fold polyps and factors predictive of its efficacy. J Voice 2017;31(1):120.e9-13. https://doi.org/10.1016/j.jvoice.2016.02.014
  16. Choi N, Kim DG, Lee GJ. Analysis for risk factors and effect of vocal hygiene education in patients of vocal polyp. J Korean Soc Laryngol Phoniatr Logop 2021;32(1):24-8. https://doi.org/10.22469/jkslp.2021.32.1.24
  17. Kuhn J, Toohill RJ, Ulualp SO, Kulpa J, Hofmann C, Arndorfer R, et al. Pharyngeal acid reflux events in patients with vocal cord nodules. Laryngoscope 1998;108(8 Pt 1):1146-9. https://doi.org/10.1097/00005537-199808000-00008