Dysphonia in very preterm children: a review of the evidence

INTRODUCTION: Intubation is a known risk factor for dysphonia yet is essential in the perinatal care of many very preterm infants. Children born preterm, who are frequently resuscitated with endotracheal intubation, may be at risk of dysphonia at school age and beyond. OBJECTIVES: To identify and de...

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Main Authors: Reynolds, Mary, Meldrum, S., Simmer, K., Vijayasekaran, S., French, N.
Format: Journal Article
Published: 2014
Online Access:http://hdl.handle.net/20.500.11937/59555
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author Reynolds, Mary
Meldrum, S.
Simmer, K.
Vijayasekaran, S.
French, N.
author_facet Reynolds, Mary
Meldrum, S.
Simmer, K.
Vijayasekaran, S.
French, N.
author_sort Reynolds, Mary
building Curtin Institutional Repository
collection Online Access
description INTRODUCTION: Intubation is a known risk factor for dysphonia yet is essential in the perinatal care of many very preterm infants. Children born preterm, who are frequently resuscitated with endotracheal intubation, may be at risk of dysphonia at school age and beyond. OBJECTIVES: To identify and describe the evidence pertaining to long-term voice outcomes and risk factors for developing dysphonia in preterm children. RESULTS: In addition to case studies and series, three larger-scale studies have reported on dysphonia and voice outcomes in preterm children. Studies reporting treatment outcomes were not available. Factors associated with poor voice outcomes included female gender, birth weight <1,000 g, birth at <27 weeks' gestation, surgical closure of patent ductus arteriosus, emergency versus elective intubations and multiple intubations. Adverse voice outcomes were associated with laryngeal pathology and compensatory supraglottic compression. CONCLUSIONS: Dysphonia is a newly reported, long-term complication of preterm birth, yet the number of relevant studies remains limited. Further research is required to confirm the risk factors for developing dysphonia, which will inform future voice treatment studies.
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spelling curtin-20.500.11937-595552017-12-10T12:40:48Z Dysphonia in very preterm children: a review of the evidence Reynolds, Mary Meldrum, S. Simmer, K. Vijayasekaran, S. French, N. INTRODUCTION: Intubation is a known risk factor for dysphonia yet is essential in the perinatal care of many very preterm infants. Children born preterm, who are frequently resuscitated with endotracheal intubation, may be at risk of dysphonia at school age and beyond. OBJECTIVES: To identify and describe the evidence pertaining to long-term voice outcomes and risk factors for developing dysphonia in preterm children. RESULTS: In addition to case studies and series, three larger-scale studies have reported on dysphonia and voice outcomes in preterm children. Studies reporting treatment outcomes were not available. Factors associated with poor voice outcomes included female gender, birth weight <1,000 g, birth at <27 weeks' gestation, surgical closure of patent ductus arteriosus, emergency versus elective intubations and multiple intubations. Adverse voice outcomes were associated with laryngeal pathology and compensatory supraglottic compression. CONCLUSIONS: Dysphonia is a newly reported, long-term complication of preterm birth, yet the number of relevant studies remains limited. Further research is required to confirm the risk factors for developing dysphonia, which will inform future voice treatment studies. 2014 Journal Article http://hdl.handle.net/20.500.11937/59555 10.1159/000360841 restricted
spellingShingle Reynolds, Mary
Meldrum, S.
Simmer, K.
Vijayasekaran, S.
French, N.
Dysphonia in very preterm children: a review of the evidence
title Dysphonia in very preterm children: a review of the evidence
title_full Dysphonia in very preterm children: a review of the evidence
title_fullStr Dysphonia in very preterm children: a review of the evidence
title_full_unstemmed Dysphonia in very preterm children: a review of the evidence
title_short Dysphonia in very preterm children: a review of the evidence
title_sort dysphonia in very preterm children: a review of the evidence
url http://hdl.handle.net/20.500.11937/59555