Page 23 - Portuguese Journal - SPORL - Vol 61. Nº1
P. 23
Pediatric voice disorders at Hospital
Dona Estefânica: Casuistic before and
after distal chip videolaryngoscopy
Original Article
Authors Abstract
Objective: To describe the casuistic of the Voice
Marta Mariano Unit at Hospital Dona Estefânia and compare
Serviço de Otorrinolaringologia, Centro Hospitalar the diagnoses obtained with flexible fiberoptic
Universitário de Lisboa Central, Portugal videolaryngoscopy and distal chip flexible
videolaryngoscopy.
Inês Soares da Cunha Study design: Retrospective observational study.
Serviço de Otorrinolaringologia, Centro Hospitalar
Universitário de Lisboa Central, Portugal Material and Methods: Review of clinical records
from patients first evaluated from September
Aníbal Eliseu 2018 to December 2021.
Serviço de Otorrinolaringologia, Centro Hospitalar Results: Videolaryngoscopy was obtained in
Universitário de Lisboa Central, Portugal 78.1% of the 73 studied children. The following
diagnoses were made: vocal fold nodules (42.5%),
Herédio Sousa laryngopharyngeal reflux (12.3%), muscle tension
Serviço de Otorrinolaringologia, Centro Hospitalar dysphonia (9.6%), corditis (2.7%), vocal fold cyst
Universitário de Lisboa Central, Portugal (2.7%) and vocal fold polyp (1.4%). There was no
statistically significant difference in the diagnoses
made using distal chip videolaryngoscopy, but
we noticed a decrease in the proportion of vocal
fold nodules and normal laryngoscopies and an
increase in the proportion of laryngopharyngeal
reflux (p = 0.479).
Conclusion: Distal chip videolaryngoscopy did
not change the diagnoses made in children with
chronic dysphonia.
Keywords: dysphonia, voice disorders, laryngo-
scopes, stroboscopy, pediatrics
Introduction
Dysphonia is a frequent symptom in the
pediatric population, affecting 6%–23% of
children. It is also a frequently overlooked
1,2
symptom, given that its etiology is usually
benign and that the correct diagnostic
assessment and therapeutic approach may
be challenging in this age group. Although
1-3
Correspondência: the etiology of pediatric dysphonia is mostly
Marta Mariano benign, with vocal cord (VC) nodules being
Rua José António Serrano 1500-199 Lisboa
+351 218841883 the cause in more than half of the cases, it is
marta_mariano@live.co.uk rarely caused by potentially severe diseases
such as recurrent laryngeal papillomatosis,
Article received on May 5, 2022. VC paralysis, or neoplastic lesions, whose
Accepted for publication on October 16, 2022. exclusion is mandatory. 2,4,5 Moreover, it has
been demonstrated that chronic dysphonia
Volume 61 . Nº1 . March 2023 23
