Articles
| Open Access |
https://doi.org/10.55640/
THE IMPORTANCE OF DIAGNOSING VOCAL CORD NODULES IN CHILDREN IN THE EARLY STAGES
Ergasheva Niginabonu Ilxomjon kizi,Maxamadaminova Shoira Abduvaliyevna , PhD student of the ENT Department of Tashkent State Medical University,DSc, Associate Professor of the ENT Department of Tashkent State Medical UniversityAbstract
The diagnosis of vocal fold nodules in children remains a critical issue in pediatric otolaryngology, given that vocal nodules are the predominant cause of dysphonia in the pediatric population with reported prevalence values between 41% and 73%. Traditional diagnostic methods, such as laryngeal visual examinations and auditory-perceptual analyses, are either invasive or subjective, resulting in an increasing reliance on acoustic analysis as a noninvasive and objective diagnostic tool. This article reviews the literature regarding the acoustic measurement parameters and techniques employed in diagnosing vocal fold nodules in children. It emphasizes perturbation measures—including jitter, shimmer, noise-to-harmonic ratio (NHR), fundamental frequency (F0) standard deviation, and cepstral peak prominence (CPP)—and compares these parameters with electroglottographic indices that have been shown to effectively differentiate between children with vocal nodules and healthy controls. The article also examines multiband cepstral analysis and machine learning advancements as promising adjuncts in the diagnostic workup. The discussion synthesizes key findings from relevant studies, addressing methodological strengths, limitations, and the potential for improved prognostic understanding through acoustic techniques. Ultimately, this comprehensive review underscores the importance of standardized acoustic protocols and objective measurements in the early detection, monitoring, and management of pediatric vocal fold nodules.
Keywords
Vocal fold nodules, Acoustic analysis, Diagnosis, Dysphonia, Perturbation measures (jitter, shimmer, NHR).
References
Pépiot E, Arnold A. Percept Mot Skills 2021;128:153-177
Malik P, Yadav S, Sen RD, et al. Indian J Otolaryngol 2017;71:212-220
Unger J, Schuster M, Hecker D, et al. Annu Int Conf IEEE Eng Med Biol Soc 2013;2013:7360-7363
Chawla N, Bowyer K, Hall L, et al. J Artif Intell Res 2002;16:321-357
Hu HC, Chang SY, Wang CH, et al. J Med Internet Res 2021;23:E25247
Pham M, Lin J, Zhang Y. IEEE International Conference on Big Data (Big Data) 2018:5263-5266
Naunheim M, Carroll T. Curr Opin Otolaryngol Head Neck Surg 2017;25:1
Valadez V, Ysunza A, Ocharan-Hernandez E, et al. Pediatr Otorhinolaryngol. (2012) 76:1361–5
Article Statistics
Downloads
Copyright License
This work is licensed under a Creative Commons Attribution 4.0 International License.