Voice problems occur when the child’s voice has an inappropriate pitch (to high or too low), loudness, or resonance. For some children a voice disorder may be characterized by an unusually low pitch and chronically hoarse voice. Perhaps they became hoarse by cheering at a football game and the hoarse voice did not go away. Some children misuse their voices by talking loudly, making funny sounds and changing their pitch. The most common voice disorders in children resulting from vocal abuse are vocal nodules and polyps.