Predictably, these patients are typically tetraplegic, aphonic
, and anarthric.
Hoarseness is the heralding symptom of laryngeal papillomatosis, although some children do not present until they have become completely aphonic
or have developed a life-threatening airway obstruction.
With anarthric or aphonic
patients, asking yes/no questions, avoiding questions with multiple-choice answers, and using alphabet boards or devices, such as speaking dictionaries, may help with communication.
Physical examination revealed an aphonic
, whispering voice with no evidence of respiratory compromise.
During the more recent URI, he had been aphonic
for 1 day.