Clinical Case Study: Pediatric Bilateral Benign Vocal Fold Lesions.

Abstract

Purpose: This study describes a clinical case of benign bilateral vocal fold lesions in a 4-year-old boy. Acoustic, aerodynamic, auditory-perceptual, and stroboscopic evaluations are described, and the outcomes of intervention are reported.

Method: Methodology for acoustic, aerodynamic, auditory-perceptual, and stroboscopic data collection and analysis are described.

Results/conclusions: This patient presented to the clinic with bilateral vocal fold lesions resulting in moderate dysphonia characterized by breathiness, roughness, and vocal strain. Acoustic measures supported auditory-perceptual assessment indicating that vocal quality was moderately dysphonic, and aerodynamic measures suggested vocal hyperfunction. Stroboscopic evaluation was limited due to patient's age; however, reduced vocal fold oscillation and hourglass glottic closure were observed. Therapeutic probes indicated that the patient was a good candidate for voice therapy, and a course of six sessions was completed. Repeat evaluation indicated improvements in auditory-perceptual and acoustic voice measures.