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J Korean Soc Laryngol Phoniatr Logop > Volume 17(2); 2006 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2006;17(2): 133-137.
소아 성대결절 : 음성치료 후 음성장애지수를 이용한 장기 추적관찰 결과
이성원, 노종렬, 최승호, 김상윤, 남순열
울산대학교 의과대학 서울아산병원 이비인후과학교실
Pediatric Vocal Fold Nodules : Long-term Follow up with Voice Handicap Index after Voice Therapy
Sung-Won Lee, Jong-Ryeol Roh, Seung-Ho Choi, Sang-Yoon Kim, Soon-Yuhl Nam
Department of Otolaryngolog, Asan Medical Center, University
ABSTRACT
Objectives : The purpose of this paper is to know the efficacy of voice therapy for vocal fold nodules in children.
Materials and Method
s : 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.
KEY WORDS: Vocal fold nodule;Children;Voice therapy;Voice handicap index;
중심 단어: 소아;성대결절;음성치료;음성장애지수;
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