Guidelines for the Management of Unilateral Vocal Fold Paralysis From the Korean Society of Laryngology, Phoniatrics and Logopedics
Authors
Ryu, Chang Hwan ; Kwon, Tack-Kyun ; Kim, Heejin ; Kim, Han Su ; Park, Il-Seok ; Woo, Joo Hyun ; Lee, Sang-Hyuk ; Lee, Seung Won ; Lim, Jae-Yol ; Kim, Seong-Tae ; Jin, Sung-Min ; Choi, Seung Ho
Citation
CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY, Vol.13(4) : 340-360, 2020-11
Functional Recovery ; Guideline ; Laryngeal Framework Surgery ; Laryngoplasty ; Voice Training ; Vocal Fold Paralysis
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.