Section: 
Science articles
Science articlesRevisiting early diagnosis of voice disorders in children
M. R. Bogomil’skii (1), E. Yu. Radtsig (1), (2), Ya. E. Bulynko (1), O. S. Orlova (3), (4), (5)
(1) Pirogov Russian NationalResearch Medical University (RNRMU), Moscow, 117997, Russia (2) Morozovskaya City Children’s Clinical Hospital, Moscow, 119049, Russia (3) Moscow Pedagogical State University, Moscow, 119991, Russia (4) Scientific and Clinical Center of Otorhinolaryngology of the Federal Medico-Biological Agency of Russian Federation, Moscow, 123182, Russia (5) Federal Center for Brain and Neurotechnologies of the Federal Medico-Biological Agency of Russian Federation, Moscow, 117513, Russia
UDK: УДК 616.22-008.5-073.43-053.2
DOI: https://doi.org/10.18692/1810-4800-2022-3-25-31
ABSTRACT
The purpose of this work was to assess the time interval necessary to clarify the diagnosis and start treatment in a patient with various voice disorders (VD). Based on the data of a survey of 243 patients aged from 1 month to 17 years inclusive, it was found that various NCs most often occurred in patients 2–5 years old (36,2%), 5–9 years old (24,7%). Hoarseness is the most frequent complaint (48.6%), but in 15.6% it was regarded as an individual feature of the voice, in 10.7% it was ignored, and in 20.2% the examination of the larynx was postponed until an older (5–7 years) age, which lengthened the start time before diagnosis and treatment (from several weeks to 2 years). Insufficient attention to the quality of voice at the primary medical appointment is confirmed by the fact that in 60,9% of cases patients applied for endoscopic admission independently, and only in 39.1%, by referral of various specialists, as well as cases (15,2%) of detection of VD by us at endoscopic admission in patients who applied without complaints about its quality. Focusing on the sound quality of the voice at the initial admission by a doctor of any specialty and informing about the possibilities of endoscopic examination of the larynx in any period of childhood will help reduce the time from the moment of identification of the problem to the diagnosis and the beginning of treatment and rehabilitation measures that contribute to its normalization.
Publication date:
27.06.2022
Keywords:
voice disorders, dysphonia, hyponasality, early diagnosis, endoscopy/endolaryngoscopy, children. For citation:
Bogomil’skii M. R., Radtsig E. Yu., Bulynko Ya. E., Orlova O. S. Revisiting early diagnosis of voice disorders in children. Rossiiskaya otorinolaringologiya. 2022;21(3):25-31. https://doi.org/10.18692/1810-4800-2022-3-25-31