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KMID : 1195620220150010024
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Clinical and Experimental Otorhinolaryngology
2022 Volume.15 No. 1 p.24 ~ p.48
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Care and Management of Voice Change in Thyroid Surgery: Korean Society of Laryngology, Phoniatrics and Logopedics Clinical Practice Guideline
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Ryu Chang-Hwan
Lee Seung-Jin
Cho Jae-Gu
Choi Ik-Joon
Choi Yoon-Seok
Hong Yong-Tae
Jung Soo-Yeon
Kim Ji-Won
Lee Doh-Young
Lee Dong-Kun
Lee Gil-Joon
Lee Sang-Joon
Lee Young-Chan
Lee Yong-Sang
Nam Inn-Chul
Park Ki-Nam
Park Young-Min
Sung Eui-Suk
Son Hee-Young
Seo In-Hyo
Lee Byung-Joo
Lim Jae-Yol
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Abstract
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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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KEYWORD
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Thyroidectomy, Guideline, Voice, Dysphonia, Thyroid Neoplasms
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