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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vsp</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы современной педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Current Pediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-5527</issn><issn pub-type="epub">1682-5535</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/vsp.v12i5.811</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-294</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>В ПОМОЩЬ  ВРАЧУ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>A DOCTOR’S AID</subject></subj-group></article-categories><title-group><article-title>ДИСФОНИЯ В ПРАКТИКЕ ВРАЧА-ПЕДИАТРА: ПРИЧИНЫ И СПОСОБЫ ЛЕЧЕНИЯ</article-title><trans-title-group xml:lang="en"><trans-title>DYSPHONIA IN PEDIATRIC PRACTICE: CAUSES AND METHODS OF TREATMENT</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Радциг</surname><given-names>Е. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Radtsig</surname><given-names>E. Yu.</given-names></name></name-alternatives><bio xml:lang="en"><p>Radzig Elena Yuryevna, Doctor of Medical Sciences, Professor of the Department of Otolaryngology, Faculty of Pediatrics</p></bio><email xlink:type="simple">Radtsig_e@rsmu.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дегтярёва</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Degtyareva</surname><given-names>D. V.</given-names></name></name-alternatives><email xlink:type="simple">Radtsig_e@rsmu.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ермилова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Ermilova</surname><given-names>N. V.</given-names></name></name-alternatives><email xlink:type="simple">Radtsig_e@rsmu.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.I. Pirogov Russian National Research Medical University, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>19</day><month>09</month><year>2013</year></pub-date><volume>12</volume><issue>5</issue><issue-title>Вопросы современной педиатрии</issue-title><fpage>123</fpage><lpage>127</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Радциг Е.Ю., Дегтярёва Д.В., Ермилова Н.В., 2013</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="ru">Радциг Е.Ю., Дегтярёва Д.В., Ермилова Н.В.</copyright-holder><copyright-holder xml:lang="en">Radtsig E.Y., Degtyareva D.V., Ermilova N.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vsp.spr-journal.ru/jour/article/view/294">https://vsp.spr-journal.ru/jour/article/view/294</self-uri><abstract><p>Причины дисфонии у детей и подростков различны: от генетических синдромов, пороков развития, заболеваний различных органов и систем до несоблюдения гигиены или перенапряжения голоса. Установить их помогает комплексное обследование. Надежным методом остается эндоскопическое исследование гортани, но не менее важными (в особенности для других врачей, не оториноларингологов) и значимыми являются неинвазивные методы (акустический анализ голоса, ААГ, электроглоттография, ЭГГ). Уточнение причины нарушения тембра голоса (органическая или функциональная, а ее наиболее частая причина — психоэмоциональная лабильность) помогает в выборе способа его коррекции. Перспективными в лечении дисфонии различного генеза у детей являются комплексные гомеопатические препараты. Цель исследования: оценить достоверность неинвазивных методов оценки голоса (ААГ и ЭГГ) при лечении функциональной дисфонии у детей. Пациенты и методы: было обследовано 100 пациентов с дисфонией в возрасте от 3 до 15 лет. Всем проводилось эндоскопическое исследование гортани, ААГ и ЭГГ. Результаты: по данным обеих методик получены статистически достоверные различия параметров, оценивающих качество голоса до и после лечения. Выводы: ААГ и ЭГГ отражают изменение качества голоса на фоне проводимого лечения (включающего комплексные гомеопатические препараты) и могут являться объективными критериями оценки эффективности терапии.</p></abstract><trans-abstract xml:lang="en"><p>Causes of dysphonia in children and adolescents vary from genetic syndromes, congenital defects, diseases of various organs and systems and to non-observance of hygiene or voice overstrain. Complex examination can help to reveal such causes. Laryngeal endoscopy remains one of the most reliable methods of investigation, but non-invasive methods (acoustic voice analysis — AVA, electroglottography — EGG) are no less important. The more detailed specification of voice timbre disturbances (organic or functional, with psycho-emotional lability being the most common cause) can help choose the method of its correction. Complex homeopathic drugs are promising in treatment of dysphonia of various etiology in children. Aim: to assess reliability of non-invasive methods of voice examination (AVA and EGG) in treatment of functional dysphonia in children. Patients and methods: 100 patients with dysphonia aged from 3 to 15 years old were examined. All of them were performed laryngeal endoscopy, AVA and EGG. Results: both methods demonstrated reliable differences of characteristics, describing the quality of voice before and after the treatment. Conclusions: AVA and EGG reflect changes in voice quality during and after provided treatment (including complex homeopathic drugs) and can be used as unbiased criteria of treatment efficacy assessment.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>дисфония</kwd><kwd>нарушение голоса</kwd><kwd>диагностика</kwd><kwd>комплексные гомеопатические лекарственные средства</kwd><kwd>ААГ</kwd><kwd>ЭГГ</kwd></kwd-group><kwd-group xml:lang="en"><kwd>children</kwd><kwd>dysphonia</kwd><kwd>voice disturbances</kwd><kwd>diagnostics</kwd><kwd>complex homeopathic drugs</kwd><kwd>AVA</kwd><kwd>EGG</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Stepanova Yu. E. Disfonii u Detey i Podrostkov [Dysphonia in Children and Adolescents]. Rossiyskaya Otorinolaringologiya [Russian Otorhinolaryngology]. 2004; 6: 41–43.</mixed-citation><mixed-citation xml:lang="en">Stepanova Yu. 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