This study isolates the voice problems of 99 (40 male, 59 female) chil
dren choir singers (age range: 8-14), by applying and validating a sim
ple method for classifying the singing voice. The prevalence of dyspho
nia was 20.2%. A singing range of fewer than 18 semitones is considere
d to suggest dysphonia (sensitivity of 80% and specificity of 95%). Th
e validity of the method and its ease of application are discussed. We
conclude that voice classification is necessary for all children who
sing and that phoniatric examination of dysphonic children is imperati
ve, with special attention given to those whose voices are changing.