A Practical Discussion of Current Approaches to Providing Voice Therapy to Children With Dysphonia

Dysphonia in children has the potential to impact social, educational, and occupational outcomes. Although there is a growing body of literature that documents treatment effectiveness of behavioral voice intervention in children with vocal fold lesions such as vocal fold nodules, establishing efficacy through large randomized controlled trials is difficult in this patient population due to ethical considerations, varying age and cognitive levels, and parent involvement/time. Examination of some barriers to care in this population as well as potential solutions for creating greater access to care for children and families is discussed in this article.