Table 1. Summary of Guideline Key Action Statements (KAS)
Identification of Abnormal Voice
Identifying Underlying Cause of Dysphonia
Escalation of Care
Laryngoscopy and Dysphonia
Need for Laryngoscopy in Persistent Dysphonia
Anti-Reflux Medication and Dysphonia
Laryngoscopy Prior to Voice Therapy
Advocating for Voice Therapy
Figure 1. Key Action Statement (KAS) Algorithm
Table 2. Definition of Common Terms
|Dysphonia||Altered vocal quality, pitch, loudness, or vocal effort that impairs communication as assessed by a clinician and/or affects quality of life.|
|Hoarseness||A symptom of altered voice quality reported by patients.|
|Worsened Voice-related Quality of Life (QOL)||Self-perceived decrement in function; or a decline in economic status, as a result of voice-related dysfunction.|
|Dysarthria||A speech disorder due to impaired movement of the structures used for speech production, including the lips, tongue, and complex musculature involved in articulation.|
|Dyspnea||Difficult or labored breathing, shortness of breath.|
|Dysphagia||Disordered or impaired swallowing.|
|Laryngoscopy||Term used to describe visualization of larynx. Unless otherwise specified, its use in this guideline refers to indirect laryngoscopy (visualization of the larynx), which can be done by several methods including mirror examination, rigid rod-lens telescope examination, rigid rod-lens telescope, flexible fiber optic or flexible distal chip scopes. Each laryngoscopy technique has specific diagnostic indications.|
|Stroboscopy||Advanced laryngeal imaging designed to visualize vocal fold vibratory abnormalities that cannot be appreciated using continuous light laryngoscopy. It uses a synchronized flashing light that passes through a laryngoscope.|
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