Otolaryngological-Speech Therapy approach to laryngeal neuropathy in children

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dc.contributor.authorCenteno, Diana
dc.contributor.authorNercelles, Loreto
dc.date.accessioned2024-06-04T15:54:55Z
dc.date.available2024-06-04T15:54:55Z
dc.date.issued2022-06
dc.descriptionIndexación: Scopus.
dc.description.abstractLaryngeal neuropathy (LN) is characterized by hypersensitivity, hyperresponsiveness, and laryngeal hyperfunction secondary to an imbalance between the afferent and efferent components. The individual and exaggerated response to a wide variety of specific triggers can lead to diverse symptoms. Literature in children is limited. Objective: To report a case of laryngeal neuropathy in a 5-year-old girl, to discuss the approach from the otolaryngologist’s and speech therapist’s perspective and the importance of its consideration among the differential diagnoses of chronic cough in pediatrics. Clinical Case: 5-year-old girl referred to otorhinolaryngology due to repeated crises of emetic cough with no specific cause identified. The episodes were associated with colds, choking sensation, and short-term inspiratory stridor. She was evaluated by several specialties. X-rays (nasopharynx, para-nasal sinuses, and chest) and spirometry were performed without finding a cause or treatment that resolved the cough. In the ENT evaluation, possible triggers were identified such as having a sister with a congenital syndrome, exposure to perfumes, and air fresheners. Physical examination was normal. Flexible endoscopy shows incipient vocal fold nodules. After clinical suspicion of LN, she was referred to speech therapy for 5 weekly sessions. The patient received vocal hygiene education, cough suppression techniques, and breathing and relaxation exercises of the extrinsic and intrinsic muscles of the larynx with favorable results at 2 years of follow-up. Conclusions: LN should be considered as a differential diagnosis of chronic cough in childhood when its most well-known causes and treatments do not lead to its resolution. The evaluation and speech therapy are the mainstay in the control of cough secondary to this entity in the pediatric age. © 2022, Sociedad Chilena de Pediatria. All rights reserved.
dc.description.urihttps://www.revistachilenadepediatria.cl/index.php/rchped/article/view/4017
dc.identifier.citationAndes Pediatrica, Volume 93, Issue 3, Pages 423 - 427, May - June 2022
dc.identifier.doi10.32641/andespediatr.v93i3.4017
dc.identifier.issn2452-6053
dc.identifier.urihttps://repositorio.unab.cl/handle/ria/57266
dc.language.isoes
dc.publisherSociedad Chilena de Pediatria
dc.rights.licenseATTRIBUTION 4.0 INTERNATIONAL CC BY 4.0 Deed
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectCough
dc.subjectLaryngeal Diseases
dc.subjectLaryngeal Nerve Injuries
dc.subjectVocal Cord Dysfunction
dc.titleOtolaryngological-Speech Therapy approach to laryngeal neuropathy in children
dc.title.alternativeAbordaje otorrinolaringológico-fonoaudiológico de la neuropatía laríngea en la edad pediátrica
dc.typeArtículo
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