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Grand Rounds: Pediatric Hoarseness: When It's Not Just a Frog in the Throat


By Marc Nelson, MD, MS, FAAP , Sports Medicine Physician, Akron Children's Hospital, Akron, OH

Ear, Nose and Throat

More about Marc Nelson, MD, FAAP

Objectives (Educational Content) :

1. Describe and demonstrate the functional anatomy of voice production and the various pathologies that can produce dysphonia. 2. Explain the differential diagnosis for pediatric hoarseness and discuss when further workup or referral should be considered. 3. Explore current controversies in management of voice disorders, as well as identify areas of incomplete understanding.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists and nurses.

Identified Gap:

Pediatric hoarseness occurs at an incidence of 6 to 23%. Recognition that vocal disturbances in children can create life-long communication problems as well as other serious issues, if left untreated, is relatively new and of increasing concern.

Estimated Time to Complete the Educational Activity:

1 hour

Expiration Date for CME Credit:


Method of Physician Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CME credit.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit ™. Physicians should only claim the credit commensurate with the extent of their participation in the activity.