Main theme: paediatric laryngology
Introduction
Voice disorders affect an estimated 6–23% of children and young people (CYP) with a lifetime prevalence of 12% (Carding, Roulstone and Northstone, 2006; Fujiki, et al. 2024), and may significantly impact quality of life, educational attainment, social and classroom participation, confidence and emotional wellbeing (Stojanovic et al., 2023). Multidisciplinary paediatric voice services, integrating otolaryngology and speech and language therapy (SLT), are increasingly recognised as gold standard for assessment and management. This study reviews the activity and outcomes of a joint paediatric voice clinic over a seven-year period.
Methods
A retrospective clinical evaluation of medical records was undertaken for all CYP attending a joint paediatric voice clinic (2019 and 2026). Data extracted included demographics, diagnosis, videostroboscopic findings, surgical interventions, voice outcome measures (including GRBAS, pVHI, Children's Voice Questionnaire), and co-morbidities, including neurodiversity. Clinical outcomes and service development were analysed descriptively.
Results
A diverse paediatric population with a range of voice disorders was identified. Joint assessment facilitated comprehensive and targeted multidisciplinary management. Videostroboscopy significantly enhanced diagnostic accuracy, supporting informed treatment planning and surgical decision-making. Access to specialist nurses and play specialists improved patient engagement, procedural tolerance and family-centred care, particularly among younger children and those with additional needs. Integrated SLT input enabled timely rehabilitation and conservative management where appropriate.
Conclusions
Joint paediatric voice clinics provides an effective model of care, supporting accurate diagnosis, streamlined management and improved patient experience. Videostroboscopy and specialist team involvement are valuable components of service delivery contributing to high-quality, child-centred voice care.
References
Carding PN, Roulstone S, Northstone K; ALSPAC Study Team. The prevalence of childhood dysphonia: a cross-sectional study. J Voice. 2006 Dec;20(4):623-30. doi: 10.1016/j.jvoice.2005.07.004. Epub 2005 Dec 19. PMID: 16360302.
Fujiki RB, Thibeault SL. Voice Disorder Prevalence and Vocal Health Characteristics in Children. JAMA Otolaryngol Head Neck Surg. 2024;150(8):677–687. doi:10.1001/jamaoto.2024.1516
Stojanovic J, Veselinovic M, Jevtic M, Jovanovic M, Nikolic D, Kuzmanovic Pficer J, Zivkovic-Marinkov E, Relic N. Assessment of Life Quality in Children with Dysphonia Using Modified Pediatric Voice-Related Quality of Life Questionnaire in Serbia. Children (Basel). 2023 Jan 6;10(1):125. doi: 10.3390/children10010125. PMID: 36670675; PMCID: PMC9856427.