Question
A four-year-old boy has had hoarseness and difficulty speaking since childhood, with the problem seemingly worsening with age, manifesting as prominent and swollen neck veins when trying to increase his volume. What could be the possible causes of this symptom?
Answer
The child’s symptoms may be related to congenital abnormalities of the vocal cords, and it is recommended to consult an otorhinolaryngology specialist for further examination. If diagnosed with congenital vocal cord issues, surgery may be considered. Additionally, due to the narrow larynx, narrower glottis, soft cartilage, and rich vascular and lymphatic tissue in the mucosa of children, if a child has an upper respiratory tract infection, they are more prone to hoarseness. Parents should be attentive to any signs of upper respiratory tract infection in their child and seek timely treatment if present.