{"id":15007,"date":"2023-05-03T14:36:02","date_gmt":"2023-05-03T13:36:02","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=15007"},"modified":"2025-01-20T14:26:33","modified_gmt":"2025-01-20T14:26:33","slug":"hoarseness","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/paediatric-ent\/hoarseness\/","title":{"rendered":"Hoarseness"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Hoarseness is quite common in children. It is usually related to the way children use their voices rather than a serious illness.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is common after URTIs.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Common causes include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Infections<\/li>\n\n\n\n<li>Vocal cord nodules (\u201cscreamers nodules\u201d)<\/li>\n\n\n\n<li>Other laryngeal pathology such as cysts\/polyps\/papillomas etc<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Acute onset of hoarseness associated with stridor could be a sign of an inhaled foreign body or more serious infectious disease.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"text-decoration:underline\">Chronic hoarseness<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Refer to community speech and language therapy<\/li>\n\n\n\n<li>Treat any associated bacterial infection (consider antibiotics where appropriate).<\/li>\n\n\n\n<li>Consider possibility of reflux\/silent reflux and treat with PPI<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Voice rest is not recommended. Gentle humming and good hydration should be encouraged.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.M. &amp; G.T. 03-05-23<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\"><strong>When to refer<\/strong>:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"text-decoration:underline\">Urgent to A &amp; E<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Acute hoarseness with respiratory distress or stridor<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"text-decoration:underline\">Routine to SALT<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hoarseness persists for &gt; 3 months marked deterioration in voice quality.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"text-decoration:underline\">Routine to ENT<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Significant hoarseness from birth (? respiratory papillomatosis)<\/li>\n\n\n\n<li>Hoarseness\/weak cry\/aspiration after surgery e.g. cardiac surgery.<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Hoarseness is quite common in children. It is usually related to the way children use their voices rather than a serious illness. It is common after URTIs. Common causes include: Acute onset of hoarseness associated with stridor could be a sign of an inhaled foreign body or more serious infectious disease. Chronic hoarseness Voice rest<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4246,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[922],"class_list":["post-15007","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-hoarseness"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/entpaediatric\/https-apps-nhslothian-scot-refhelp-hoarseness\/\" rel=\"tag\">Hoarseness<\/a>","rttpg_excerpt":"Hoarseness is quite common in children. It is usually related to the way children use their voices rather than a serious illness. It is common after URTIs. Common causes include: Acute onset of hoarseness associated with stridor could be a sign of an inhaled foreign body or more serious infectious disease. Chronic hoarseness Voice rest","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/15007","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=15007"}],"version-history":[{"count":3,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/15007\/revisions"}],"predecessor-version":[{"id":22555,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/15007\/revisions\/22555"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4246"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=15007"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=15007"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}