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The large number of diseases in which voice change occurs makes a complete examination of the child, both local and systemic, absolutely necessary in order to arrive at a specific diagnosis. The mechanism of voice change is described in each category of the numerous causes of dysphonia.<\/jats:p>","DOI":"10.1177\/000348948309200505","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:35:41Z","timestamp":1412346941000},"page":"437-443","source":"Crossref","is-referenced-by-count":23,"title":["Voice Change in the Pediatric Patient a Differential Diagnosis"],"prefix":"10.1177","volume":"92","author":[{"given":"Seymour R.","family":"Cohen","sequence":"first","affiliation":[{"name":"Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth A.","family":"Geller","sequence":"additional","affiliation":[{"name":"Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerome W.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey W.","family":"Birns","sequence":"additional","affiliation":[{"name":"Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1983,9,1]]},"reference":[{"key":"bibr1-000348948309200505","volume-title":"Comparative anatomy and physiology of the larynx","author":"Negus VE","year":"1949"},{"key":"bibr2-000348948309200505","volume-title":"Laryngeal biomechanics","author":"Fink BR","year":"1978"},{"key":"bibr3-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100053603"},{"key":"bibr4-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1177\/000348945506400310"},{"key":"bibr5-000348948309200505","first-page":"306","volume":"65","author":"Arnold GE","year":"1957","journal-title":"Arch Otolaryngol"},{"key":"bibr6-000348948309200505","first-page":"335","volume-title":"Neonatology","author":"Maisels MJ","year":"1975"},{"key":"bibr7-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.21.4.329-a"},{"key":"bibr8-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1097\/00005072-196901000-00005"},{"key":"bibr9-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(71)80458-4"},{"key":"bibr10-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1974.00490310072012"},{"key":"bibr11-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.bmb.a071401"},{"key":"bibr12-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.28.1.23"},{"key":"bibr13-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/44.4.490"},{"key":"bibr14-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196301000-00007"},{"key":"bibr15-000348948309200505","first-page":"306","volume":"72","author":"Hogan PJ","year":"1963","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"bibr16-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1177\/000348944805700401"},{"key":"bibr17-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1951.03750090044004"},{"key":"bibr18-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1976.00500030031006"},{"key":"bibr19-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197603252941303"},{"key":"bibr20-000348948309200505","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1212\/WNL.20.2.147","volume":"20","author":"Roland NP","year":"1970","journal-title":"Neurology"},{"key":"bibr21-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1038\/268241a0"},{"key":"bibr22-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1177\/000348946707600402"},{"key":"bibr23-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197110000-00004"},{"key":"bibr24-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1177\/000348948209100420"},{"key":"bibr25-000348948309200505","doi-asserted-by":"publisher","DOI":"10.1177\/000348947508400604"},{"key":"bibr26-000348948309200505","volume-title":"Tumors of the head and neck. 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