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Guidelines for the Management of Unilateral Vocal Fold Paralysis From the Korean Society of Laryngology, Phoniatrics and Logopedics

Clinical and Experimental Otorhinolaryngology 2020년 13권 4호 p.340 ~ 360
류창환, 권택균, 김희진, 김한수, 박일석, 우주현, 이상혁, 이승원, 임재열, 김성태, 진성민, 최승호,
소속 상세정보
류창환 ( Ryu Chang-Hwan ) - National Cancer Center Department of Otorhinolaryngology-Head and Neck Surgery
권택균 ( Kwon Tack-Kyun ) - Seoul National University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
김희진 ( Kim Hee-Jin ) - Hallym University College of Medicine Dongtan Sacred Heart Hospital Department of Otorhinolaryngology-Head and Neck Surgery
김한수 ( Kim Han-Su ) - Ewha Womans University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
박일석 ( Park Il-Seok ) - Hallym University College of Medicine Dongtan Sacred Heart Hospital Department of Otorhinolaryngology-Head and Neck Surgery
우주현 ( Woo Joo-Hyun ) - Gachon University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
이상혁 ( Lee Sang-Hyuk ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Otorhinolaryngology-Head and Neck Surgery
이승원 ( Lee Seung-Won ) - Soonchunhyang University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
임재열 ( Lim Jae-Yol ) - Yonsei University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
김성태 ( Kim Seong-Tae ) - Dongshin University Department of Speech-Language Pathology
진성민 ( Jin Sung-Min ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Otorhinolaryngology-Head and Neck Surgery
최승호 ( Choi Seung-Ho ) - University of Ulsan College of Medicine Asan Medical Center

Abstract


The Korean Society of Laryngology, Phoniatrics and Logopedics appointed a task force to establish clinical practice guidelines for the management of unilateral vocal fold paralysis (UVFP). These guidelines cover a comprehensive range of management-related factors, including the diagnosis and treatment of UVFP, and provide in-depth information based on current, up-to-date knowledge. Detailed evidence profiles are provided for each recommendation. The CORE databases, including OVID Medline, Embase, the Cochrane Library, and KoreaMed, were searched to identify all relevant papers, using a predefined search strategy. When insufficient evidence existed, expert opinions and Delphi questionnaires were used to fill the evidence gap. The committee developed 16 evidence-based recommendations in six categories: initial evaluation (R1?4), spontaneous recovery (R5), medical treatment (R6), surgical treatment (R7?14), voice therapy (R15), and aspiration prevention (R16). The goal of these guidelines is to assist general otolaryngologists and speech-language pathologists who are primarily responsible for treating patients with UVFP. These guidelines are also intended to facilitate understanding of the condition among other health-care providers, including primary care physicians, nurses, and policy-makers.

키워드

Functional Recovery; Guideline; Laryngeal Framework Surgery; Laryngoplasty; Voice Training; Vocal Fold Paralysis

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