Nemours offers a pediatric voice program, specifically designed for children whose voice quality is affected by medical or behavioral problems. We take a team approach to provide special diagnostic testing that can assess voice box and vocal cord function and determine the cause of your child’s voice problem.
The most common symptom we see is chronic hoarseness, typically the result of calluses (called nodules) on the vocal cords. These nodules may be caused by misuse or overuse of the vocal cords (screaming, speaking in a strained voice, repetitive coughing or throat clearing), or by an underlying medical problem (such as vocal cord paralysis, GERD, sinusitis, or allergies).
For Appointments: (302) 651-4200
- photo ID
- medical and pharmacy insurance cards
- preferred pharmacy name and phone number
- names and dosage of all medications, including over-the-counter medication, your child is currently taking
- guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
- Patient Presents Without Legal Guardian (PDF)
English | Spanish
Note: A parent or legal guardian must be with a child for a first visit.
Resources for Patients & Families
Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, offers a pediatric voice program, specifically designed for children whose voice quality is affected by medical or behavioral problems.
Your Child's Care Team
Our clinic team is comprised of members from:
Together, we offer special diagnostic testing that can assess voice box and vocal cord function and determine the cause of your child’s voice problem. One of the tests we frequently perform in our voice lab is a functional endoscopic evaluation of swallowing (FEES). This test is done to fully evaluate the structure and function of the upper throat during swallowing.
Treating Your Child's Voice Problems
Once we understand the nature and cause of your child’s voice problem, we will create a plan for treatment. This plan will address any underlying medical concerns, as well as focus on behavioral changes that will decrease distress to the vocal cords.
Speech therapists will work one-on-one with your child to promote good "vocal hygiene." This may include helping your child become aware of and manage unconscious habits, like throat clearing, and emphasizing proper breathing and speaking techniques that allow the vocal cords to heal.