{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:36:32Z","timestamp":1777426592036,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2018,7,2]],"date-time":"2018-07-02T00:00:00Z","timestamp":1530489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The prevalence of voice abnormalities in children born prematurely has been reported to be as high as 58%. Few studies have examined these abnormalities with laryngoscopic or videostroboscopic findings and characterized their laryngeal pathologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To review voice abnormalities in patients with a history of prematurity and characterize the etiology of their voice problems. A secondary objective is to see if there is a correlation between the findings and the patient\u2019s intubation and surgical history.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective chart review was conducted of all preterm patients seen in voice clinic at a tertiary pediatric hospital. Demographic data, diagnoses, and office laryngoscopies were reviewed as well as any speech therapy evaluations and\/or medical and surgical treatments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fifty-seven patients were included. Mean age at presentation was 5.1 (\u00b14.3) years. Mean gestational age was 27.8 (\u00b13.7) weeks. Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) perceptual evaluations included a mean overall dysphonia severity of 46.6 (\u00b124.2). Patients who had undergone prolonged intubation (\u2a7e28 days) in the NICU or had prolonged NICU stays (&gt;12 weeks) had significantly higher overall dysphonia severity scores. Thirty-three patients with vocal fold hypo- or immobility had significantly greater voice deviance in breathiness, loudness, and overall severity compared to those without vocal fold immobility. Of all patients, 35% were recommended surgical intervention and 49% voice therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Intubation greater than 28 days and prolonged NICU stays are associated with more severe dysphonia in premature patients. There should be a low threshold for clinical evaluation of dysphonia in this unique patient population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489418776987","type":"journal-article","created":{"date-parts":[[2018,7,2]],"date-time":"2018-07-02T09:25:11Z","timestamp":1530523511000},"page":"508-513","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Voice Abnormalities and Laryngeal Pathology in Preterm Children"],"prefix":"10.1177","volume":"127","author":[{"given":"Anne","family":"Hseu","sequence":"first","affiliation":[{"name":"Boston Children\u2019s Hospital, Department of Otolaryngology and Communication Enhancement, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7173-2485","authenticated-orcid":false,"given":"Nohamin","family":"Ayele","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Department of Otolaryngology and Communication Enhancement, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kosuke","family":"Kawai","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Department of Otolaryngology and Communication Enhancement, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geralyn","family":"Woodnorth","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Department of Otolaryngology and Communication Enhancement, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger","family":"Nuss","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Department of Otolaryngology and Communication Enhancement, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,7,2]]},"reference":[{"key":"bibr1-0003489418776987","doi-asserted-by":"crossref","unstructured":"Blencowe H, Cousens S, Oestergaard MZ, et al. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Lancet. 2012;379(9832):2162-2172.","DOI":"10.1016\/S0140-6736(12)60820-4"},{"key":"bibr2-0003489418776987","unstructured":"Premature Birth. National Center for Chronic Disease Prevention and Health Promotion, November 7, 2016. https:\/\/www.cdc.gov\/features\/prematurebirth\/. 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