{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:12:27Z","timestamp":1788844347210,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Paediatric voice disorders encompass a broad diagnostic spectrum, but contemporary descriptions of multidisciplinary voice clinic case\u2010mix, assessment and management remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective observational study of routinely collected clinical data from a quaternary multidisciplinary paediatric voice clinic in the United Kingdom. Children and adolescents aged 4\u201317\u2009years who were seen between January 2024 and December 2025 were included. Patient\u2010level variables included demographics, symptom duration, referral\u2010to\u2010first clinic waiting time, and primary diagnosis. Appointment\u2010level variables included documentation of patient\u2010reported outcome measures, endoscopic findings reported in clinic letters, management outcomes, and procedure follow\u2010through.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 111 listed appointments, 96 were attended (74 new and 22 follow\u2010up) and 15 were non\u2010attendances. These attended appointments represented 87 patients; median age at first appointment was 12\u2009years (range 4\u201317\u2009years), and 51\/87 (58.6%) were male. Dysphonia was the main presenting symptom in 83\/87 (95.4%). Median symptom duration at referral was 6.3\u2009years (range 0.12\u201317.0\u2009years), and median referral\u2010to\u2010first clinic waiting time was 154\u2009days (range 16\u20131032\u2009days). The most common diagnoses were vocal cord palsy (19\/87, 21.8%), vocal cord nodules (11\/87, 12.6%), and muscle tension dysphonia (9\/87, 10.3%). In the vocal cord palsy\/paresis subgroup (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920), 15\/20 were left\u2010sided and 13\/20 were secondary to post\u2010cardiac surgery\/patent ductus arteriosus ligation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Children commonly experienced prolonged symptoms before specialist review, with a heterogeneous diagnostic spectrum and frequent vocal fold immobility. Standardised outcome capture and longer follow\u2010up are needed to evaluate interventions and inform referral guidance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.70167","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T04:59:48Z","timestamp":1788843588000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Paediatric Voice Disorders in a Multidisciplinary Voice Clinic: A Retrospective Observational Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3089-3933","authenticated-orcid":false,"given":"Hao Meng","family":"Yip","sequence":"first","affiliation":[{"name":"Department of ENT Great Ormond Street Hospital NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lesley\u2010Ann","family":"Cochrane","sequence":"additional","affiliation":[{"name":"Department of ENT Great Ormond Street Hospital NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lesley","family":"Cavalli","sequence":"additional","affiliation":[{"name":"Department of SLT Great Ormond Street Hospital NHS Trust  London UK"},{"name":"Division of Psychology and Language Sciences, Faculty of Brain Sciences University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Gallagher","sequence":"additional","affiliation":[{"name":"Department of SLT Great Ormond Street Hospital NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Gorb","sequence":"additional","affiliation":[{"name":"Department of SLT Great Ormond Street Hospital NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher G.","family":"Jephson","sequence":"additional","affiliation":[{"name":"Department of ENT Great Ormond Street Hospital NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2005.07.004"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2024.1516"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000533"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004050000299"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2017.12.007"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2006.09.004"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.7.717"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058\u20100360.0603.66"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058\u20100360(2008\/08\u20100017)"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2025.03.041"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749\u20104486.2012.02497.x"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild\u20102013\u2010305683"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.1.21"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.07.028"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2024.1460342"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2011.24"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818813002"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.21037\/tp\u201021\u2010361"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110553"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.11.008"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.109816"},{"key":"e_1_2_12_23_1","unstructured":"S.Noble D.McLennan M.Noble et\u00a0al. \u201cThe English Indices of Deprivation 2019 \u201d(2019)."},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010022\u201013438\u20109"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2017.06.021"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010022\u201007471\u2010y"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.70167","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/coa.70167","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.70167","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T04:59:49Z","timestamp":1788843589000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.70167"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":25,"alternative-id":["10.1111\/coa.70167"],"URL":"https:\/\/doi.org\/10.1111\/coa.70167","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]},"assertion":[{"value":"2026-04-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"coa.70167"}}