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Arch Otolaryngol Head Neck Surg. 2005;131:71.

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

The "Clinical Challenges in Otolaryngology" article by Wohl is tackling a difficult and controversial issue of pediatric voice disorders. He presents his case that vocal cord nodules in children are best managed without surgery.

At our institution, the workup of these children is similar; however, unlike Wohl, we believe that there are consistent norms^1-2 for pediatric acoustic analysis and we use these norms as the standard end point to be achieved. Acoustic analysis can be used to objectively assess improvement in voice quality during and after voice therapy.

Figure appears in full text version. George H. Zalzal, MD

Management options include speech therapy, surgery, speech therapy plus surgery, and no intervention.^3-7 It is difficult to determine the success of differing modes of management because follow-up of control groups (no management) is rare and the nodules have a benign nature. The fact that vocal nodules in children often resolve spontaneously by puberty may also influence management. The . . . [Full Text of this Article]

AUTHOR INFORMATION

George H. Zalzal, MD

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