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AAO-HNSF Updated Clinical Practice Guideline : Hoarseness (Dysphonia)

AAO-HNSF Updated Clinical Practice Guideline : Hoarseness (Dysphonia)
Dysphonia characterized by altered vocal quality, pitch, loudness, or vocal effort affects nearly one-third of the population at some point in its life.American Academy of Otolaryngology-Head and Neck Surgery Foundation has released its UpdatedClinical Practice Guideline on Hoarseness (Dysphonia).The guideline is intended for all clinicians who are likely to diagnose and treat patients with dysphonia.This guideline applies to all age groups evaluated in a setting where dysphonia would be identified or managed. It has been published in Journal Otolaryngology-Head and Neck Surgery.

The guideline update group made a strong recommendation against following:

  •  Clinicians should not routinely prescribe antibiotics to treat dysphonia.
  •  Clinicians should not obtain the computed tomography (CT) or magnetic resonance imaging (MRI) for patients with a primary voice complaint prior to visualization of the larynx.
  • Clinicians should not prescribe antireflux medications to treat isolated dysphonia, based on symptoms alone attributed to suspected gastroesophageal reflux disease (GERD) or laryngopharyngeal reflux (LPR), without visualization of the larynx.
  •  Clinicians should not routinely prescribe corticosteroids in patients with dysphonia prior to visualization of the larynx.

The policy level for the following recommendation about laryngoscopy at any time was an option: (1) Clinicians may perform diagnostic laryngoscopy at any time in a patient with dysphonia.

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Source: self

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