Voice production with correlation to pediatric anatomy and physiology
is discussed. Causes of hoarseness in the pediatric patient may be lar
yngeal papillomas, congenital glottic webs, gastroesophageal reflux an
d vocal nodules. Neurologic conditions, such as unilateral or bilatera
l vocal fold paralysis, with their associated symptoms are presented.
Management of these disorders is unique in the pediatric population. O
ther speech disorders, such as velopharyngeal inadequacy and stutterin
g, often require speech therapy, and management of these disorders usu
ally is performed in conjunction with other speech professionals.