Clinical Case Study: Pediatric Bilateral Benign Vocal Fold Lesions.

This study describes a clinical case of benign bilateral vocal fold lesions in a 4-year-old boy. Acoustic, aerodynamic, auditory-perceptual, and stroboscopic evaluations are described, and the outcomes of intervention are reported. Methodology for acoustic, aerodynamic, auditory-perceptual, and stroboscopic data collection and analysis are described. This patient presented to the clinic with bilateral vocal fold lesions resulting in moderate dysphonia characterized by breathiness, roughness, and vocal strain. Acoustic measures supported auditory-perceptual assessment indicating that vocal quality was moderately dysphonic, and aerodynamic measures suggested vocal hyperfunction. Stroboscopic evaluation was limited due to patient's age; however, reduced vocal fold oscillation and hourglass glottic closure were observed. Therapeutic probes indicated that the patient was a good candidate for voice therapy, and a course of six sessions was completed. Repeat evaluation indicated improvements in auditory-perceptual and acoustic voice measures.