Abstract
We reviewed 27 pediatric patients who had vocal nodules removed surgically in a 5-year period. Age of operation, duration of symptoms, indications for operation, and the results of removal are analyzed. The techniques of laryngoscopic assessment with telescopes and of microsurgical removal are described in detail. The 27 children had 53 nodules removed. Almost all had normal or improved voices as judged by the parents' answers to a written questionnaire. From the results of this series, microsurgical removal of vocal nodules in children is justified in selected patients.
Get full access to this article
View all access options for this article.
References
1.
MacKenzie
M
. Diseases of the pharynx, larynx and trachea . William Wood and Company , 1880 : 218 –32
2.
Strong
MS
Vaughan
CW
. Vocal nodules and polyps — The role of surgical treatment . Laryngoscope 1971 ; 81 : 911 –23
3.
Shearer
WM
. Diagnosis and treatment of voice disorders in school children . J Speech Hear Disord 1972 ; 37 : 215 –21
4.
Silverman
E-M
Zimmer
CH
. Incidence of chronic hoarseness among school age children . J Speech Hear Disord 1975 ; 40 : 211 –5
5.
Pont
C
. Hoarseness in children . West Mich Univ J Speech Ther 1965 ; 2 : 6 –8
6.
Baynes
RA
. An incidence study of chronic hoarseness among children . J Speech Hear Disord 1965 ; 13 : 172 –6
7.
Von Leyden
H
. Vocal nodules in children . Ear Nose Throat J 1985 ; 64 : 29 –41
8.
Wilson
DK
. Children with vocal nodules . J Speech Hear Disord 1961 ; 26 : 19 –25
9.
Senturia
BH
Wilson
FB
. Otorhinolaryngic findings in children with voice deviations. Preliminary report . Ann Otol Rhinol Laryngol 1968 ; 77 : 1027 –41
10.
Arnold
GE
. Vocal nodules and polyps: Laryngeal tissue reaction to habitual hyperkinetic dysphonia . J Speech Hear Disord 1962 ; 27 : 205 –17
11.
Benjamin
B
. Anesthesia for laryngoscopy . Ann Otol Rhinol Laryngol 1984 ; 93 : 338 –42
12.
Benjamin
B
. Laryngoscopy . In:
Gans
SL
, ed. Pediatric endoscopy . New York : Grune & Stratton , 1983 : 17 –36
13.
Benjamin
B
. A new pediatric microlaryngoscope . Ann Otol Rhinol Laryngol 1984 ; 93 : 468
14.
Lehmann
W
Pidoux
J-M
Widmann
J-J
. Pseudotumoursnodules . In: Larynx. Microlaryngoscopie et histopathologie . Geneva : Inpharzam Medical Publications : 68 –75
15.
Onslow
M
Ingham
R
. Speech quality measurement and the management of stuttering [Thesis] , Sydney, Australia : Cumberland College of Health Sciences , 1980 .