[Clinical analysis of 102 cases of pediatric vocal fold nodules].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 37(12): 943-947, 2023 Dec.
Article
en Zh
| MEDLINE
| ID: mdl-38114308
ABSTRACT
Objective:
To evaluate the impact of vocal fold nodules on the quality of life of children, and to compare the efficacy between conservative managementï¼voice hygiene education, etc.ï¼ and laryngeal microsurgery.Methods:
A retrospective study was performed on 102 children with vocal fold nodules, who received treatment in Children's Hospital of Fudan University during the period from January 2020 to December 2022. According to the regime, the patients were divided into conservative management group and surgical treatment group; Cases are divided into pre-school age group ï¼2-5 years oldï¼ and school-age group ï¼6-12 years oldï¼ based on age. The pediatric voice-related quality of life ï¼pVRQOLï¼ was used to evaluate the impact of vocal fold nodules on the quality of life of children and differences in efficacy between two treatment regimens.Results:
The pVRQOL scores of vocal fold nodule grades 1, 2, and 3 were 91.58±8.17, 78.87±12.49, 72.50±12.08, respectively. There were statistical differences between grade 1 and grade 2, and between grade 2 and grade 3. There were statistical differences between grade 1 grade 2, grade 2 and grade 3 ï¼P<0.001ï¼, suggesting that the higher the rating of vocal cord nodules, the lower the pVRQOL score of patients was. The pVRQOL score of the school-age group was 69.83±11.11, which is lower than that of the preschool groupï¼87.59±8.63ï¼, and the difference was statistically significant ï¼P=0.042ï¼. Vocal fold nodules had a significant impact on the pVRQOL score of school-age children. In the conservative management group, the pVRQOL scores before and after treatment were 83.99±12.66 and 87.26±9.58, respectively, and there was significant difference between the two groupsï¼P=0.046ï¼. Indirect voice therapy such as voice hygiene education could improve children's pVRQOL scores and was more effective for school-age childrenï¼P<0.001ï¼. The microsurgical treatment had a more significant improvement in the pVRQOL score of children.Conclusion:
The higher the rating of vocal fold nodules, the greater the impact on the quality of life of patients. Vocal fold nodules had a greater impact on the quality of life of school-age children than that of preschool children. Voice hygiene education could improve the quality of life of children, which was more evident in the school-age group. Compared with voice hygiene therapy, laryngeal microsurgery had a more significant effect on improving the pVRQOL score of patients. It is recommended to undergo laryngeal microsurgery for the treatment of vocal fold nodules for the requirement of improving the quality of life related to voice. During the 6-month follow-up period after surgery in this study, the short-term efficacy of laryngeal microsurgery in treating vocal cord nodules in children is clear, but the long-term efficacy needs further research.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pólipos
/
Enfermedades de la Laringe
Límite:
Child
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Child, preschool
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Humans
Idioma:
Zh
Revista:
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
Año:
2023
Tipo del documento:
Article