This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on Web of Science (2)  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in this journal  Topic Collections  • Laryngology/ Speech/ Language Pathology  • Pediatric Otolaryngology  • Voice Disorders  • Alert me on articles by topic  Social Bookmarking   What's this?

Arch Otolaryngol Head Neck Surg. 2005;131:68-70.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hypothesis: Pediatric vocal fold nodules are best managed without surgery.

BACKGROUND

Pediatric vocal fold nodules are challenging to diagnose and treat. Making an accurate diagnosis in the office usually requires fiberoptic laryngoscopy in awake patients, which is not tolerated by all patients (or parents!). There is a lack of firm agreement about what constitutes a vocal fold abnormality in a child because a pediatric larynx normally looks different than an adult one.^1-4 Even when accurately identified, there is not a common classification scale for the extent or severity of pediatric vocal fold nodules or their impact on communication. To compound the difficulties of studying this entity, many clinicians believe that vocal fold nodules are self-limiting, resolving at puberty,² so that earlier investigation or intervention is considered "unnecessary." In this article, I describe the basic pathologic features of vocal fold nodules, the options for diagnosis and management, and then discuss the pros . . . [Full Text of this Article]

PATHOLOGY

DIAGNOSIS

PRO: NONSURGICAL TREATMENT

REFLUX DISEASE

REHABILITATIVE INTERVENTION

CON: SURGICAL INTERVENTION

BOTTOM LINE

AUTHOR INFORMATION

Daniel L. Wohl, MD
Author Affiliation: Dr Wohl is in private practice in Jacksonville, Fla.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLES

Medical Treatment of Pediatric Voice Disorders
George H. Zalzal
Arch Otolaryngol Head Neck Surg. 2005;131(1):71.
EXTRACT | FULL TEXT  

Management of Pediatric Voice Disorders
Ralph F. Wetmore
Arch Otolaryngol Head Neck Surg. 2005;131(1):72.
EXTRACT | FULL TEXT