THE DEVELOPING ROLE OF A PEDIATRIC VOICE CLINIC - A REVIEW OF OUR EXPERIENCE

Objective: We report our experience in developing a paediatric voice c linic within a tertiary otolaryngology department and describe the eme rging role of this specialized clinic. Materials: Currently our referr al base is divided between other otolaryngologists within our departme nt who require voice assessment as part of the pre- or post-operative management of laryngeal disorders (e.g. cysts, webs, vocal fold palsie s, laryngo-tracheal reconstruction) and other professionals within our hospital who require characterisation of voice within the broader tas k of defining medical conditions in which voice abnormalities exist (e .g. mucopolysaccharidoses, functional dysphonias). Methods: The patien t:, were assessed by a team consisting of a paediatric laryngologist a nd a speech and language therapist. Each patient underwent a perceptua l voice assessment and qualitative voice assessment using electrolaryn gography. Direct visualisation was attempted and methods of and suitab ility for, such examination are discussed. Results: Our experience is reviewed and guidelines for the establishment of a paediatric voice cl inic are presented.