What causes hoarseness in children? Often several contributors combine to cause hoarseness, but the common causes are vocal abuse; reflux; infections; growths on the vocal cords such as nodules, papillomas, or growths of blood vessels called hemangiomas; and weakness or paralysis of the vocal cords.
How is it evaluated? Usually the diagnosis is made on the basis of the history of the problem as well as a physical examination. This examination may include the use of a tiny endoscope which can be used in the office to view the vocal cords directly.
How is it treated? This depends greatly on the cause. If it is due to vocal cord nodules or vocal abuse, speech therapy is usually very helpful. If reflux is a contributor, medications can be helpful. If it is due to a growth in or around the voice box, surgery may be needed.