The article by Wohl touches on a topic in otolaryngology that has been sorely neglected—pediatric voice disorders. Because most pediatric voice disorders are self-limited and the patients themselves rarely complain of symptoms, most practitioners have had little interest in evaluating the symptom of hoarseness in children. Most children are referred by the school speech therapist or brought to the otolaryngologist by a worried parent to exclude a more serious disorder. In addition, the child with a voice disorder is more difficult to evaluate because of poor cooperation for many of the more sophisticated tools, such as stroboscopy and acoustical analysis, which have been the mainstay of adult laryngology. Within the past few years, Hartnick1 has validated a pediatric voice quality-of-life instrument that will be helpful for future studies of voice disorders in children, and Campisi et al2 have developed a pediatric database for computer-assisted voice analysis. Specifically, they have already described elevated frequency perturbation measurements in children with vocal fold nodules.
Wetmore RF. Management of Pediatric Voice Disorders. Arch Otolaryngol Head Neck Surg. 2005;131(1):72. doi:10.1001/archotol.131.1.72