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Voice, Speech, and Language Habilitation in Young Children Without Laryngeal Function

Voice, Speech, and Language Habilitation in Young Children Without Laryngeal Function Abstract • We discuss aphonia in children, secondary to laryngeal obstruction, with regard to the development of a voice, speech, and language system that can be an effective and efficient means of communication while obstruction persists and a precursor to good voice and speech habits if and when the laryngeal function is reestablished. Several methods were considered. A technique of esophageal voice training for children was developed and implemented, which combined the aspects of normal language learning with the mechanical aspects of esophageal voice production. Results showed rapid learning in a 2½-year-old child with severe juvenile laryngeal papillomatosis and normal speech and language at the age of 4 years when laryngeal function returned. A second technique, a communication board, was used with a 4-year-old child with total subglottic stenosis and brain damage. (Arch Otolaryngol 104:737-739, 1978) References 1. Holinger PH, Johnston KC, Anison GC: Papilloma of the larynx: A review of 109 cases with a preliminary report of Aureomycin therapy . Ann Otol Rhinol Laryngol 59:547-564, 1950. 2. Boyle CF, McCoy EG: Treatment of papilloma of the larynx in children . Laryngoscope 80:1063-1077, 1970.Crossref 3. Gross CW, Crocker TR: Current management of juvenile laryngeal papillomata . Laryngoscope 80:532-537, 1970.Crossref 4. Montgomery W: Posterior and complete laryngeal (glottic) stenosis . Arch Otolaryngol 98:170-175, 1973.Crossref 5. Fearon B, Ellis D: The management of long-term airway problems in infants and children . Ann Otol Rhinol Laryngol 80:669-677, 1971. 6. Cohn AM, Larson DL: Laryngeal injury: A critical review . Arch Otolaryngol 102:166-170, 1976.Crossref 7. Williams JL, Capitanio MA, Turtz MG: Vocal cord paralysis: Radiologic observations in 21 infants and young children . AJR 128:649-651, 1977.Crossref 8. Cowan DL: Laryngeal and tracheal stenosis: An adapted speaking aid tracheostomy tube . J Laryngol Otol 89:531-534, 1975.Crossref 9. Cooper M: Modern Techniques of Vocal Rehabilitation . Springfield, Ill, Charles C Thomas Publisher, 1973. 10. Brodnitz FS: Vocal rehabilitation in benign lesions of vocal cords . J Speech Hear Disord 23:112-117, 1958. 11. Boone D: The Voice and Voice Therapy . Englewood Cliffs, NJ, Prentice-Hall, Inc, 1971. 12. Peterson HA: A case report of speech and language training for a 2-year-old laryngectomized child . J Speech Hear Disord 38:275-278, 1973. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Voice, Speech, and Language Habilitation in Young Children Without Laryngeal Function

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1978.00790120063011
Publisher site
See Article on Publisher Site

Abstract

Abstract • We discuss aphonia in children, secondary to laryngeal obstruction, with regard to the development of a voice, speech, and language system that can be an effective and efficient means of communication while obstruction persists and a precursor to good voice and speech habits if and when the laryngeal function is reestablished. Several methods were considered. A technique of esophageal voice training for children was developed and implemented, which combined the aspects of normal language learning with the mechanical aspects of esophageal voice production. Results showed rapid learning in a 2½-year-old child with severe juvenile laryngeal papillomatosis and normal speech and language at the age of 4 years when laryngeal function returned. A second technique, a communication board, was used with a 4-year-old child with total subglottic stenosis and brain damage. (Arch Otolaryngol 104:737-739, 1978) References 1. Holinger PH, Johnston KC, Anison GC: Papilloma of the larynx: A review of 109 cases with a preliminary report of Aureomycin therapy . Ann Otol Rhinol Laryngol 59:547-564, 1950. 2. Boyle CF, McCoy EG: Treatment of papilloma of the larynx in children . Laryngoscope 80:1063-1077, 1970.Crossref 3. Gross CW, Crocker TR: Current management of juvenile laryngeal papillomata . Laryngoscope 80:532-537, 1970.Crossref 4. Montgomery W: Posterior and complete laryngeal (glottic) stenosis . Arch Otolaryngol 98:170-175, 1973.Crossref 5. Fearon B, Ellis D: The management of long-term airway problems in infants and children . Ann Otol Rhinol Laryngol 80:669-677, 1971. 6. Cohn AM, Larson DL: Laryngeal injury: A critical review . Arch Otolaryngol 102:166-170, 1976.Crossref 7. Williams JL, Capitanio MA, Turtz MG: Vocal cord paralysis: Radiologic observations in 21 infants and young children . AJR 128:649-651, 1977.Crossref 8. Cowan DL: Laryngeal and tracheal stenosis: An adapted speaking aid tracheostomy tube . J Laryngol Otol 89:531-534, 1975.Crossref 9. Cooper M: Modern Techniques of Vocal Rehabilitation . Springfield, Ill, Charles C Thomas Publisher, 1973. 10. Brodnitz FS: Vocal rehabilitation in benign lesions of vocal cords . J Speech Hear Disord 23:112-117, 1958. 11. Boone D: The Voice and Voice Therapy . Englewood Cliffs, NJ, Prentice-Hall, Inc, 1971. 12. Peterson HA: A case report of speech and language training for a 2-year-old laryngectomized child . J Speech Hear Disord 38:275-278, 1973.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Dec 1, 1978

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