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Indirect vs direct voice therapy for children with vocal nodules: A randomized clinical trial

JAMA Otolaryngology—Head & Neck Surgery Jan 05, 2018

Hartnick C, et al. - Researchers intended to figure out the consequence of voice therapy in children with vocal fold nodules according to pretherapy and posttherapy scores on the Pediatric Voice-Related Quality of Life (PVRQOL) survey; secondary objectives included changes in phonatory parameters. An improvement was reported in the voice-related quality of life due to both direct and indirect voice therapy, in children with vocal fold nodules. However, no notable variation was found between the approaches. In order to determine which voice therapy was effective in treating age-defined populations, additional exploration was warranted.
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