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KMID : 1036820130180040459
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Communication Sciences & Disorders
2013 Volume.18 No. 4 p.459 ~ p.472
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A Qualitative Study on the Dysphonia in Children: Overview, Evaluation, and Treatment
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Pyo Hwa-Young
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Abstract
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Objectives: The present study is to share and to enlarge the knowledge and concepts of child dysphonia by qualitative study with the experts on voice disorders.
Methods: Five experts on child dysphonia beyond 10 years of professions careers were interviewed and the contents were analyzed through circular comparing analysis.
Results: Child patients with dysphonia who entered voice clinics were about 20% of all the patients, and the boys were 3, or 4 times more than the girls. Most of them were diagnosed as vocal nodules, and the primary etiology was voice abuse and misuse. The acoustic, aerodynamic, auditory-perceptual, and endoscopic evaluations were performed. Experts noted that we should consider the children’s poor motivation and severe symptoms in evaluating them. For the treatment, vocal hygiene and education, modification of vocal behaviors, use of multisensory feedback were emphasized. When the child can successfully produce the voice with ease and can control his or her own voice, the treatment will be terminated. For prevention, various education programs for parents and teachers were advised. If non-experts were visited by child with dysphonia, measuring the maximum phonation time and rating the auditory-perceptual scales were recommended. If the child shows the abnormal signs, referral to laryngologists and voice therapy experts, or treatment on his/her own could be recommended.
Conclusion: We should evaluate and provide a treatment for the children with dysphonia appropriately based on their severity levels and characteristics. Also, we should consider the underlying personality features as well as the voice symptoms itself.
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KEYWORD
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Child dysphonia, Qualitative study, Voice evaluation, Voice therapy
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