Hoarseness in Children: Is It Related to Enlarged Lymph Nodes?

Hoarseness

Dear Dr.
Lee, I would like to ask about my 6-year-old son.
He has had lymph nodes on both sides of his neck that have remained the same size for a long time.
However, in the past month or two, his voice has become hoarse.
Could the hoarseness be related to the lymph nodes?

Chen, 40~49 year old female. Ask Date: 2018/10/31

Dr. Li Jiaxuan reply Otolaryngology

Typically, a throat infection can cause lymphadenitis and hoarseness, but since your child's lymph nodes have been swollen for some time, it may be due to other causes.
It is recommended to visit an otolaryngology clinic.
Wishing you well.

Reply Date: 2018/10/31

More Info

Hoarseness in children can indeed be related to various factors, including enlarged lymph nodes, but it is essential to consider the broader context of your child's health. In your case, the persistent enlarged lymph nodes in your son's neck, combined with the recent onset of hoarseness, warrant a thorough evaluation.

Enlarged lymph nodes, particularly in the cervical region, can occur due to several reasons, including infections (such as viral or bacterial), inflammatory conditions, or even malignancies. In children, common causes of lymphadenopathy include viral infections like the common cold, strep throat, or mononucleosis. These infections can lead to inflammation of the surrounding tissues, which may affect the voice box (larynx) and result in hoarseness.

Hoarseness itself can arise from various conditions affecting the larynx, including:
1. Laryngitis: Inflammation of the larynx, often due to viral infections, can cause hoarseness. If your child has had a recent upper respiratory infection, this could be a contributing factor.

2. Vocal Cord Nodules or Polyps: Overuse or misuse of the voice can lead to nodules or polyps on the vocal cords, resulting in hoarseness.

3. Allergies or Irritants: Allergic reactions or exposure to irritants (like smoke or pollution) can also lead to inflammation of the larynx and hoarseness.

4. Structural Abnormalities: In some cases, structural issues in the larynx or surrounding areas can lead to voice changes.

Given that your son's lymph nodes have been enlarged for an extended period without change, it is crucial to monitor them closely. While stable lymphadenopathy is often benign, any new symptoms, such as hoarseness, should be evaluated by a healthcare professional.
It is advisable to consult a pediatrician or an otolaryngologist (ENT specialist) for a comprehensive examination. They may perform a physical examination, take a detailed history, and possibly recommend imaging studies (like an ultrasound of the neck) or a laryngoscopy to visualize the vocal cords and larynx directly.
In summary, while there may be a connection between the enlarged lymph nodes and your child's hoarseness, it is essential to investigate further to rule out any underlying conditions. Early evaluation and intervention can help address any potential issues and provide peace of mind for you and your family.

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