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Laryngeal surgery in children is different from laryngeal surgery in adults and optimally requires a specialized team or staff dedicated to the treatment of children. The anesthesiological approach is related to the age of the patient and is of decisive importance. Maturation of the vocal folds is a delicate process, and superficial and intermediate layers are well defined with a mature vocal ligament...
Evidence based medicine has not quite reached the field of pre- and post-operative speech therapy. Spontaneous healing of the vocal folds after surgery using standardized microphonosurgical techniques is the key to voice restoration. Pre- and post-operative speech therapy should be tailored to the nature of the vocal fold pathology. Precise, truely objective measures of the quality of speech are warranted...
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