Produced | Sohu Health
Author | Hu Hong, People’s Hospital of Wuhan University
Edit | Jiang Li
After yelling and crying for a long time, he went hoarse. The 5-year-old boy Jiejie became a “duck voice” and was diagnosed with vocal cord nodules. April 16th is World Voice Day. Dr. Wang Yan, head of the Voice Clinic of Wuhan University People’s Hospital (Hubei Provincial People’s Hospital) and deputy director of the Department of Otorhinolaryngology-Head and Neck Surgery III, reminded that the voice is called the “second business card” of people, and the health of the child’s voice is more worthy of attention. Parents Both the teacher and the teacher should provide correct guidance and good demonstration for children’s language habits.
Children often yelling can damage the vocal cords
On April 15, 5-year-old Jiejie was taken by his parents to the Voice Clinic of Wuhan University People’s Hospital. Doctor Wang Yan found that the child’s vocal cords were congested and edema accompanied by vocal cord nodules. Jiejie’s parents said that the child usually has a loud voice and talks a lot. Hoarseness is already the norm. They thought that drinking more water to “moisturize the throat” would relieve them, but unexpectedly, the “duck voice” lasted for almost a year.
According to Dr. Wang Yan, in this case, Jiejie’s wrong use of his voice led to the formation of a vocal cord summary, commonly known as “screaming summary.” The voice is produced by the vibration of the vocal cords. Most children are noisy and full of energy. In addition, improper use of the sound will cause the vocal cords to hit too hard and friction each time they vibrate, causing mechanical damage to the vocal cords, resulting in hoarseness of the child’s voice. , Difficulty in vocalization, which will directly affect the child’s study, life and physical and mental health.
In recent years, the number of children visiting the Voice Clinic of the People’s Hospital of Wuhan University has continued to increase, and a considerable part of them are preschool children aged 3-6. Dr. Wang Yan reminded that the child’s vocal organs are developing in early childhood and are very delicate and easy to fatigue. At this stage, if you do not pay attention to the protection of the vocal organs, you may become “male duck voice” and affect your life.
Boys are more likely to suffer from “screaming summary”
“Shouting summary” This type of disease occurs mostly in children aged 3-12, especially in boys. Because boys are usually more active than girls and are easily affected by emotional and environmental factors, they like to scream and shout, which are all wrong behaviors of using the voice.
Dr. Wang Yan emphasized that parents should help their children develop good habits and use their voices scientifically. In infancy, parents should be careful not to let the baby cry out loud for a long time; older children should try to avoid shouting loudly, or yelling while running. Teach children to sing, the starting key should not be too high, the range should not be too wide, and do not teach children to sing adult songs. When children suffer from respiratory tract infections and physical fatigue, they should speak as little as possible, and use body language to express their needs.
In addition, repeated respiratory infections, throat reflux, and sinusitis are also causes of “duck throat”. “Generally speaking, when the vocal cord nodules are in a period of edema, the hoarseness of the voice will get better through vocal rest and medication. However, sometimes the vocal cord nodules have not completely disappeared. At this time, it should not be taken lightly, especially the vocal behavior of children. Correct.” Dr. Wang Yan reminded that the treatment of children’s vocal cord nodules should be treated as directed by the doctor.
When the child has the following symptoms, he should go to the voice clinic as soon as possible
Dr. Wang Yan reminded parents that if the child has a hoarse voice for more than two weeks, the hoarse voice cannot be recovered after a cold or crying loudly, the voice suddenly becomes very thick, the crispness of the child’s voice is lost, the speech is laborious, and the voice is prone to fatigue and repetitiveness. If you clear your throat or even suddenly lose your voice, you should go to the Voice Clinic in time.
Judging from the case data collected by the Voice Clinic of the People’s Hospital of Wuhan University, most children’s voice problems are behavioral, mainly caused by hoarseness caused by improper voice methods, and “hoarseness of shouting” caused by vocal cord nodules. However, attention should also be paid to the identification of diseases such as laryngeal papilloma. Therefore, in addition to the examination of voice quality, electronic rhinopharyngoscope, dynamic laryngoscope and other examinations are also required to understand the shape and movement of the vocal cords, and then conduct targeted treatment after comprehensive evaluation.
According to Dr. Wang Yan, non-surgical treatment is currently recommended for such “screaming” children’s voice diseases. In daily life, parents need more care and patience to actively guide their children to use their voice correctly; at the same time, they should also pay attention to creating a peaceful and relaxing environment for their children. As children get older, their self-control ability increases, and they master the correct way of vocalization, the vocal cord summary can fade away after puberty.
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