WHAT IS A "VOICE DISORDER?"
Pediatric voice problems involve pathologic laryngeal conditions, including inflammation of the vocal folds, chronic laryngitis, vocal nodules, vocal polyps and contact ulcers, all of which can be identified by the child's Ear, Nose and Throat doctor. These conditions, usually caused by vocal abuse, are normally reversible with the elimination of laryngeal overuse and tension, along with a program of vocal hygiene.
Shouting is the primary way in which children abuse their voices. Typically, children yell from room to room in the house and scream to each other on the playground. At times, they make funny noises or imitations of character voices. Children who are excessive talkers may experience inadequate breath supply and support, causing them to push down harder on the vocal folds to complete lengthy utterances. All of these behaviours — shouting, screaming, yelling, excessive talking — are used by children to get the attention of playmates, siblings, parents and teachers. However, these behaviours can result in serious vocal abuse problems.
Indications for Referral:
- The voice is chronically hoarse, harsh, breathy or of poor quality
- The voice is always too loud or soft
- The pitch is inappropriate for the child's age or sex
- Pitch breaks occur frequently
- The voice is hyponasal or hypernasal