ORIGINAL ARTICLE
Voice quality in Polish children with vocal fold nodules
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Audiology and Phoniatrics, Institute of Physiology and Pathology of Hearing, Poland
 
 
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
 
 
Submission date: 2022-12-01
 
 
Final revision date: 2023-02-21
 
 
Acceptance date: 2023-03-10
 
 
Online publication date: 2023-04-28
 
 
Publication date: 2023-04-28
 
 
Corresponding author
Paulina Krasnodębska   

Audiology and Phoniatrics, Institute of Physiology and Pathology of Hearing, Mochnackiego 10, 02-042 Warsaw, Poland
 
 
J Hear Sci 2023;13(1):29-34
 
KEYWORDS
TOPICS
ABSTRACT
Background:
Vocal fold nodules are a common cause of pediatric dysphonia. The aim of the study was to assess the acoustic structure of the voice in children with vocal fold nodules and investigate the relationship between objective and subjective measures.

Material and methods:
The study group consisted of 223 children, aged 7 to 12 years with normal hearing. The control group included 213 children. All children underwent ENT and phoniatric examination including laryngovideostroboscopy (LVS), assessment of voice on the GRBAS perceptual scale, and acoustic analysis (spectrographic analysis using the Multi-Dimensional Voice Profile).

Results:
In children with vocal fold nodules the average perceptual score for their voice was G1R1B0A0S2. No statistically significant effect of the child’s sex or age on the values of the MDVP parameters was found. The acoustic structure of the voice of children with childhood dysphonia and vocal fold nodules differed significantly from the acoustic structure of those in the control group. A relationship between GRBAS features and MDVP analysis was found.

Conclusions:
Voice acoustic analysis is a valuable tool for assessing voice quality in children. The analysis can identify deviations from normal values that the human ear is unable to pick up.

 
REFERENCES (24)
1.
Szkiełkowska A, Miaśkiewicz B. Application of listening and auditory lateralization tests in dysphonic children. Otorynolaryngologia – przegląd kliniczny, 2014; 13(3): 139–46.
 
2.
Krasnodębska P, Szkiełkowska A, Rosińska A, Skarżyński H. The Polish version of the Pediatric Voice Handicap Index (pVHI). J Pediatr ORL, 2020; 138: 110278. https://doi.org/10.1016/j.ijpo....
 
3.
Martins R, Ribeiro C, de Mello B, Branco A, Tavares E. Dysphonia in children. J Voice, 2012; 26(5): 674.e17–674.e20. https://doi.org/10.1016/j.jvoi....
 
4.
Swain S, Nahak B, Sahoo L, Munjal S, Sahu M. Pediatric dysphonia: a review. Indian J Child Health, 2019; 6(1): 1–5. https://doi.org/10.32677/IJCH.....
 
5.
Rojas S, Kefalianos E, Vogel A. How does our voice change as we age? A systematic review and meta-analysis of acoustic and perceptual voice data from healthy adults over 50 years of age. J Speech Lang Hear Res, 2020; 63(2): 533–51. https://doi.org/10.1044/2019_J....
 
6.
Schiff CS. Pediatricians’ proficiency in the care of the dysphonic child. Laryngoscope, 2019; 129(8): 1756–62. https://doi.org/10.1002/lary.2....
 
7.
Al-Kadi M, Alfawaz M, Alotaibi F. Impact of voice therapy on pediatric patients with dysphonia and vocal nodules: a systematic review. Cureus, 2022; 4(4): e24433. https://doi.org/10.7759/cureus....
 
8.
Hoffmann CF, Cielo CA. Characteristics of the voice of dysphonic school children from 4:0 to 7:11 years old. J Voice, 2021; 35(4): 664.e11. https://doi.org/10.1016/j.jvoi....
 
9.
Pribuisiene R, Pasvenskaite A, Pribuisis K, Balsevicius T, Liutkevicius V, Uloza V. Dysphonia screening in vocally trained and untrained children. Int J Pediatr Otorhinolaryngol, 2020; 129: 109776. https://doi.org/10.1016/j.ijpo....
 
10.
Hegazi M, Neumann K, Rosenfeld J. Prevention of developmental disorders of speech and language. In: Zehnhoff-Dinnesen A, Wiskirska-Woznica B, Neumann K, Nawka T, editors, Phoniatrics I. Berlin: Springer; 2020, 713–24.
 
11.
Szkiełkowska A, Krasnodębska P, Mitas A, Bugdol M, Bugdol M, Romaniszyn-Kania P, et al. Electrophysiological predictors of hyperfunctional dysphonia. Acta Otolaryngol, 2023; 143(1): 56–63. https://doi.org/10.1080/000164....
 
12.
Christmann M, Brancalioni A, Freitas C, Vargas D, Keske-Soares M, Mezzomo C, et al. Use of the program MDVP in different contexts: a literature review. Revista CEFAC, 2015; 17(4): 1341–9. https://doi.org/10.1590/1982-0....
 
13.
Tavares E, Brasolotto A, Santana M, Padovan C, Martins R. Epidemiological study of dysphonia in 4–12-year-old children. Braz J Otorhinolaryngol, 2011; 77: 736–46. https://doi.org/10.1590/S1808-....
 
14.
Szkiełkowska A, Miaśkiewicz B, Gos E, Skarżyński P, Świerniak W. Voice disorders in children starting school education. Otolaryngol Pol, 2020; 74(6): 16–20. https://doi.org/10.5604/01.300....
 
15.
Campisi P. Computer-assisted voice analysis: establishing a pediatric database. Arch Otolaryngol Head Neck Surg, 2002; 128(2): 156–60. https://doi.org/10.1001/archot....
 
16.
Spazzapan EA, Cardoso VM, Fabron EMG, Berti LC, Brasolotto AG, Marino VCC. Acoustic characteristics of healthy voices of adults: from young to middle age. Codas, 2018; 30(5): e20170225. https://doi.org/10.1590/2317-1....
 
17.
Szkiełkowska A, Krasnodębska P, Miaśkiewicz B. Assessment of auditory processing in childhood dysphonia. Int J Pediatr Otorhinolaryngol, 2022; 155: 111060. https://doi.org/10.1016/j.ijpo....
 
18.
Lee Y, Kim G, Sohn K, Lee B, Lee J, Kwon S. The usefulness of auditory perceptual assessment and acoustic analysis as a screening test for voice problems. Folia Phoniatr Logop, 2021; 73(1): 34–41. https://doi.org/10.1159/000504....
 
19.
Li G, Hou Q, Zhang C, Jiang Z, Gong S. Acoustic parameters for the evaluation of voice quality in patients with voice disorders. Ann Palliat Med, 2021; 10(1): 130–6. https://doi.org/10.21037/apm-2....
 
20.
Kent RD, Eichhorn JT, Vorperian HK. Acoustic parameters of voice in typically developing children ages 4–19 years. Int J Pediatr Otorhinolaryngol, 2021; 10; 142: 110614. https://doi.org/10.1016/j.ijpo....
 
21.
Brockmann-Bauser M, Beyer D, Bohlender JE. Reliable acoustic measurements in children between 5;0 and 9;11 years: gender, age, height and weight effects on fundamental frequency, jitter and shimmer in phonations without and with controlled voice SPL. Int J Pediatr Otorhinolaryngol, 2015; 79(12): 2035–42. https://doi.org/10.1016/j.ijpo....
 
22.
Aydinli F, Özcebe E, Incebay Ö. Use of cepstral analysis for differentiating dysphonic from normal voices in children. Int J Pediatr Otorhinolaryngol, 2019; 116: 107–13. https://doi.org/10.1016/j.ijpo....
 
23.
Johnson C, Anderson D, Brigger M. Pediatric dysphonia: a cross-sectional survey of subspecialty and primary care clinics. J Voice, 2020; 34(2): 301.e1–301.e5. https://doi.org/10.1016/j.jvoi....
 
24.
Fujiki R, Thibeault S. The relationship between auditoryperceptual rating scales and objective voice measures in children with voice disorders. Am J Speech Lang Pathol, 2021; 30(1): 228–38. https://doi.org/10.1044/2020_A....
 
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