Children's vocal cords more 'fragile'

The laryngeal structure of children is different from that of adults, the larynx is smaller, the position is relatively high, the shape of epiglottis is more curly, the proportion of vocal cord membrane is small, the layered structure of vocal cord is not mature, and the glottis and subglottic mucosa are easy to edema.

The causes of dysphonia in children can be classified as anatomical abnormalities, congenital, inflammation, trauma, tumor, neurological and functional causes. The majority of children's voice problems are behavioral, mainly caused by improper vocal methods and habits.

When people speak, the vocal cords vibrate and make a sound, the number of strikes can reach millions of times a day, and most children are noisy and energetic, coupled with improper use of sound, such as Shouting, learning animal noises, talking and singing "pinching the throat", will cause the vocal cords to be too violent at each impact, and the long-term violent collision of the vocal cords. Friction is prone to congestion, edema, nodules, polyps and so on.

If a child's voice is hoarse, parents should do this

Children's voice hoarseness will affect the quality of communication, and continuous aggravation may have adverse effects on their psychological development. Most of the causes are vocal nodules caused by "Shouting hoarseness", but attention should also be paid to identify vocal cord cysts, laryngeal papilloma, pediatric sinusitis postnasal drip syndrome, throat reflux and other diseases.

Therefore, in addition to voice quality inspection, it is also necessary to conduct fiber nasopharyngoscopy and dynamic laryngoscopy to understand the status of the upper airway, and then conduct targeted treatment after comprehensive evaluation.

At present, there are three clinical treatment methods for children's voice diseases, especially vocal nodules: behavioral therapy, drug therapy and surgical treatment, which should pay attention to behavioral therapy as the main treatment, drug therapy as a supplement, surgical treatment is mainly for vocal cord cyst and papilloma, not the first choice for vocal cord nodules.

Generally, when the vocal nodules are in the edema period, the symptoms of hoarseness will improve through the anti-inflammatory and detumescence effects of drugs. However, the vocal nodules sometimes do not completely disappear, and it will cover up the problem of poor vocal behavior, leading parents to enter the "children's voice hoarseness with some medicine on the line" misunderstanding, ignoring the correction of children's vocal behavior, and then the gradual fibrosis of the vocal nodules causes persistent hoarseness, affecting the child's speech and communication ability.

Children's daily voice protection, these 12 tips to learn

For daily voice care for children and adolescents, experts recommend:

1. Try to avoid talking, Shouting and arguing loudly;

2. Don't talk in a weird voice;

3. Don't whisper (whisper) for a long time;

4. Overcome the bad problem of throat clearing, timely treatment of upper respiratory tract allergies and inflammatory diseases;

5. Speak little or nothing in noisy environments;

6. Avoid loud and loud voices during voice changes

7. Talk less when you have a cold, menstrual period, and physical fatigue;

8. Don't talk for too long; The loudness and speed of reading and speaking should be appropriate;

9. Do not squeeze, clamp or press your throat to talk; Drink plenty of water, at least eight glasses a day; Avoid tobacco and alcohol; Drink less caffeinated beverages such as coffee, tea, cola, etc.

10. Eat less irritating food such as fried, spicy, nucleoli and other foods;

11. Fasting 3 hours before going to bed to avoid reflux of stomach acid, pepsin, bile and other reflux to the throat causing vocal cord edema, pharyngeal foreign body sensation and other discomfort;

12. Try to avoid smoking, pollution, dry, noisy environments.