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KMID : 0384020060170020133
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Journal of the Korean Society of Logopedics and Phoniatrics
2006 Volume.17 No. 2 p.133 ~ p.137
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Pediatric Vocal Fold Nodules : Long-term Follow up with Voice Handicap Index after Voice Therapy
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Lee Sung-Won
Roh Jong-Lyel
Choi Seung-Ho
Kim Sang-Yoon
Nam Soon-Yuhl
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Abstract
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Objectives : The purpose of this paper is to know the efficacy of voice therapy for vocal fold nodules in children.
Materials and Methods : Sixty two patients with vocal nodules(46 boys and 16 girls) were retrospectively reviewed. Age ranged from 4 to 15 years with mean age of 8 years. Questionnaire survey was carried out with voice handicap index, at pretherapy and post-therapy(3 months and 5 years after voice therapy).
Results : Sixty two percent of the patients showed improvement by voice therapy. Twenty five patients continued education at home after voice therapy, but only eight childrens were included this group in pre-school aged children. Voice handicap index was improved in 3 months and 5 years after voice therapy. In contrast, pre-school children group showed slight aggravation in 5 years, especially in emotional subdomain.
Conclusion : Voice therapy is effective primary treatment in children with vocal fold nodules. Different result between preschool aged children and school aged group shows needs for age specific approach of voice therapy.
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KEYWORD
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Vocal fold nodule, Children, Voice therapy, Voice handicap index
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