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Karen Wyn Kaslon, MS; Diane E. Grabo, MS; Robert J. Ruben, MD

Arch Otolaryngol. 1978;104(12):737-739.

Abstract
• We discuss aphonia in children, secondary to laryngeal obstruction, with regard to the development of a voice, speech, and language system that can be an effective and efficient means of communication while obstruction persists and a precursor to good voice and speech habits if and when the laryngeal function is reestablished. Several methods were considered. A technique of esophageal voice training for children was developed and implemented, which combined the aspects of normal language learning with the mechanical aspects of esophageal voice production. Results showed rapid learning in a 2-year-old child with severe juvenile laryngeal papillomatosis and normal speech and language at the age of 4 years when laryngeal function returned. A second technique, a communication board, was used with a 4-year-old child with total subglottic stenosis and brain damage.

(Arch Otolaryngol 104:737-739, 1978)

Author Affiliations
From the Departments of Otorhinolaryngology (Dr Ruben) and Rehabilitation Medicine (Mss Kaslon and Grabo), Albert Einstein College of Medicine, Yeshiva University, New York.

Footnotes
Accepted for publication May 23, 1978.

Presented at the fifth annual meeting of the Society for Ear, Nose, and Throat Advances in Children, Chicago, Oct 29, 1977.

Reprint requests to Department of Otorhinolaryngology, Albert Einstein College of Medicine, Yeshiva University, 1300 Morris Park Ave, Bronx, NY 10461 (Dr Ruben).

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