Voice disorder or hoarseness is a term used to describe any change in voice quality. For this situation hoarseness, deterioration of sound quality, bifurcation of the voice, weak or excessively constricted voice, voice roughness, low voice, having a deep voice Various definitions can be used, such as The pitch or intensity of the sound may be abnormal, the sound resonance may have changed.
hoarseness in childhood The incidence varies between 4% and 23%. The cause of stenosis can be any structural or functional cause in the larynx.
The majority of childhood hoarseness is due to benign causes. Among them excessive or misuse of the voice takes first place. Misuse or abuse vocal cords nodules, polyps can lead to bleeding foci and hematoma formation. Treatment for this condition is usually sound therapy can be done with ease. In some advanced cases microlaryngosurgeryMicroscopic vocal cord surgeries called
The second largest group that causes childhood hoarseness is the vocal cords and surrounding structures. inflammations is. The most common cause of this is viral or bacterial. infections Although; excessive contraction of the voice, recurrent coughing and throat clearing, exposure to things that will disturb the throat by air and systemic diseases ( underactive thyroid glandetc.) are among the reasons.
Another rare but important cause of hoarseness in childhood congenital diseases is. Among them are the vocal cords curtain (web), vocal cord cystand vocal cord hemangiomas are the most common.
Hormonal causesMay cause hoarseness in childhood and adolescence. Thyroidgland dysfunction ( goiterand other thyroid diseases) and androgen hormone treatmentsare examples of this group.
affecting the vocal cords or larynx traumasIt is also a cause of hoarseness. Inhaling or swallowing flammable or combustible materialsTraumas related to the tube used while putting the patient to sleep during surgeries performed due to other reasons, traumas to the neck with blunt or cutting objects can be evaluated in this group.
Although rare in childhood, benign or malignant tumors It is also a cause of hoarseness. Most common among benign papilloma and hemangiomamost common among malignant rhabdomyosarcomais seen.
vocal cord paralysis, due to the interruption of the nerve impulse that allows the vocal cords to move single or double sided (both right and left) vocal cord does not move. When it is unilateral, the most disturbing symptom is hoarseness, when it is bilateral difficulty breathing becomes more irritating than hoarseness. Vocal cord paralysis is most common after other surgeries. Among these surgeries thyroid (goiter) surgeries, neck surgeries, cardiovascular surgeries countable. Sometimes gratuitous It may occur following an upper respiratory tract infection. Immune system diseases, head and neck tumors, birth traumaCauses such as vocal cord paralysis can lead to.
Throat reflux (laryngopharyngeal reflux, gastroesophagolaryngeal reflux), It is the escaping of the acid-containing contents of the stomach first into the esophagus and then back to the vocal cords area. Contact of this acid content with the vocal cords and its surroundings can lead to long-term edema and deterioration of voice quality.
In some patients with short or long-term hoarseness, it can be seen that the ear, nose, throat, head, neck and vocal tract examinations are completely normal. The human voice is an end product of our psychological and physical well-being. Therefore, in these patients psychogenicIt should not be ignored that some reasons may cause hoarseness. Anxiety disorders (anxiety), depression, personality disorders and conversion reactionsmany different such psychiatricThe condition is also a cause of hoarseness.
The treatment of hoarseness in children is carried out according to the relevant cause presented above. In most cases, some measures to be taken for voice health at home with the family are effective in treatment and prevention of recurrence of distress. In some cases surgical, in some cases drug treatmentsis a necessity for treatment. sound therapyOn the other hand, it is a healing method that is beneficial to use in all cases and constitutes the main or auxiliary treatment according to the diagnosis.