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Care and Management of Voice Change in Thyroid Surgery: Korean Society of Laryngology, Phoniatrics and Logopedics Clinical Practice Guideline

  • 주제(키워드) Thyroidectomy , Guideline , Voice , Dysphonia , Thyroid Neoplasms
  • 주제(기타) Otorhinolaryngology
  • 설명문(일반) [Ryu, Chang Hwan] Natl Canc Ctr, Dept Otorhinolaryngol Head & Neck Surg, Goyang, South Korea; [Lee, Seung Jin] Hallym Univ, Coll Nat Sci, Res Inst Audiol & Speech Pathol, Div Speech Pathol & Audiol, Chunchon, South Korea; [Cho, Jae-Gu] Korea Univ, Dept Otorhinolaryngol Head & Neck Surg, Coll Med, Seoul, South Korea; [Choi, Ik Joon] Korea Inst Radiol & Med Sci, Korea Canc Ctr Hosp, Dept Otorhinolaryngol Head & Neck Surg, Seoul, South Korea; [Choi, Yoon Seok] Yeungnam Univ, Dept Otorhinolaryngol Head & Neck Surg, Coll Med, Daegu, South Korea; [Hong, Yong Tae] Jeonbuk Natl Univ, Jeonbuk Natl Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, Med Sch, Jeonju, South Korea; [Jung, Soo Yeon] Ewha Womans Univ, Dept Otorhinolaryngol Head & Neck Surg, Coll Med, Seoul, South Korea; [Kim, Ji Won] Inha Univ, Dept Otorhinolaryngol Head & Neck Surg, Coll Med, Incheon, South Korea; [Lee, Doh Young] Seoul Natl Univ, Coll Med, Dept Otorhinolaryngol Head & Neck Surg, Boramae Med Ctr, Seoul, South Korea; [Lee, Dong Kun] Dong A Univ, Dept Otorhinolaryngol Head & Neck Surg, Coll Med, Busan, South Korea; [Lee, GIljoon] Kyungpook Natl Univ, Sch Med, Dept Otorhinolaryngol Head & Neck Surg, Daegu, South Korea; [Lee, Sang Joon] Dankook Univ, Dept Otorhinolaryngol Head & Neck Surg, Coll Med, Daegu, South Korea; [Lee, Young Chan] Kyung Hee Univ, Dept Otorhinolaryngol Head & Neck Surg, Sch Med, Seoul, South Korea; [Lee, Yong Sang] Yonsei Univ, Dept Surg, Coll Med, Seoul, South Korea; [Nam, Inn Chul] Catholic Univ Korea, Coll Med, Dept Otorhinolaryngol Head & Neck Surg, Seoul, South Korea; [Park, Ki Nam] Soonchunhyang Univ, Dept Otorhinolaryngol Head & Neck Surg, Coll Med, Bucheon, South Korea; [Park, Young Min; Lim, Jae-Yol] Yonsei Univ, Dept Otorhinolaryngol Head & Neck Surg, Coll Med, Seoul, South Korea; [Sung, Eui-Suk; Lee, Byung-Joo] Pusan Natl Univ, Dept Otorhinolaryngol Head & Neck Surg, Sch Med, 179 Gudeok Ro, Busan 49241, South Korea; [Son, Hee Young] Dongnam Inst Radiol & Med Sci, Dept Otorhinolaryngol Head & Neck Surg, Busan, South Korea; [Seo, In Hyo] Dankook Univ, Dept Otorhinolaryngol Head & Neck Surg, Coll Med, Voice & Speech Clin, Cheonan, South Korea; [Lee, Byung-Joo] Pusan Natl Univ Hosp, Biomed Res Inst, 179 Gudeok Ro, Busan 49241, South Korea
  • 등재 SCIE, SCOPUS, KCI등재
  • OA유형 Green Published, gold
  • 발행기관 KOREAN SOC OTORHINOLARYNGOL
  • 발행년도 2022
  • 총서유형 Journal
  • URI http://www.dcollection.net/handler/ewha/000000190879
  • 본문언어 영어
  • Published As https://doi.org/10.21053/ceo.2021.00633
  • PubMed https://pubmed.ncbi.nlm.nih.gov/34098629

초록/요약

Voice change is a common complaint after thyroid surgery and has a significant impact on quality of life. The Korean Society of Laryngology, Phoniatrics and Logopedics assembled a task force to establish guideline recommendations on education, care, and management related to thyroid surgery. The guideline recommendations encompass preoperative voice education, management of anticipated voice change during surgery, and comprehensive voice care after thyroid surgery, and include in-depth information and up-to-date knowledge based on validated literature. The committee constructed 14 key questions (KQs) in three categories-preoperative (KQ 1-2), intraoperative (KQ 3-8), and postoperative (KQ 9-14) management-and developed 18 evidence-based recommendations. The Delphi survey reached an agreement on each recommendation. A detailed evidence profile is presented for each recommendation. The level of evidence for each recommendation was classified as high-quality, moderate-quality, or low-quality. The strength of each recommendation was designated as strong or weak considering the level of evidence supporting the recommendation. The guidelines are primarily targeted toward physicians who treat thyroid surgery patients and speech-language pathologists participating in patient care. These guidelines will also help primary care physicians, nurses, healthcare policymakers, and patients improve their understanding of voice changes and voice care after thyroid surgery.

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