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KMID : 1195620200130040340
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Clinical and Experimental Otorhinolaryngology
2020 Volume.13 No. 4 p.340 ~ p.360
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Guidelines for the Management of Unilateral Vocal Fold Paralysis From the Korean Society of Laryngology, Phoniatrics and Logopedics
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Ryu Chang-Hwan
Kwon Tack-Kyun
Kim Hee-Jin
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
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Abstract
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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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KEYWORD
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Functional Recovery, Guideline, Laryngeal Framework Surgery, Laryngoplasty, Voice Training, Vocal Fold Paralysis
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