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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 2020³â 13±Ç 4È£ p.340 ~ 360
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·ùâȯ ( Ryu Chang-Hwan ) - National Cancer Center Department of Otorhinolaryngology-Head and Neck Surgery
±ÇÅñՠ( Kwon Tack-Kyun ) - Seoul National University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
±èÈñÁø ( Kim Hee-Jin ) - Hallym University College of Medicine Dongtan Sacred Heart Hospital Department of Otorhinolaryngology-Head and Neck Surgery
±èÇѼö ( Kim Han-Su ) - Ewha Womans University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
¹ÚÀϼ® ( Park Il-Seok ) - Hallym University College of Medicine Dongtan Sacred Heart Hospital Department of Otorhinolaryngology-Head and Neck Surgery
¿ìÁÖÇö ( Woo Joo-Hyun ) - Gachon University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
ÀÌ»óÇõ ( Lee Sang-Hyuk ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Otorhinolaryngology-Head and Neck Surgery
À̽¿ø ( Lee Seung-Won ) - Soonchunhyang University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
ÀÓÀç¿­ ( Lim Jae-Yol ) - Yonsei University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
±è¼ºÅ ( Kim Seong-Tae ) - Dongshin University Department of Speech-Language Pathology
Áø¼º¹Î ( Jin Sung-Min ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Otorhinolaryngology-Head and Neck Surgery
ÃÖ½ÂÈ£ ( 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.

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

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