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Clinical and Experimental Otorhinolaryngology > Accepted Articles
doi: https://doi.org/10.21053/ceo.2021.00633    [Accepted]
Care and Management of Voice Change for Thyroid Surgery: Korean Society of Laryngology, Phoniatrics and Logopedics Clinical Practice Guideline
Korean Society of Laryngology, Phoniatrics and Logopedics Guideline Task Force, Chang Hwan Ryu1, Seung Jin Lee18, Jae-Gu Cho2, Ik Joon Choi3, Yoon Seok Choi4, Yong Tae Hong5, Soo Yeon Jung6, Ji Won Kim7, Doh Young Lee8, Dong Kun Lee9, Sang Joon Lee10, Young Chan Lee11, Yong Sang Lee19, Inn Chul Nam12, Ki Nam Park13, Young Min Park14, Eui-Suk Sung15, Hee Young Son16, In Hyo Seo17, Byung-Joo Lee15, Jae-Yol Lim14
1Department of Otorhinolaryngology Head and Neck Surgery, National Cancer Center, Goyang, Korea
2Department of Otorhinolaryngology Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea
3Department of Otorhinolaryngology Head and Neck Surgery, Korea Cancer Center Hospital, Korea Institute of Radiological Medical Sciences, Seoul, Korea
4Department of Otorhinolaryngology Head and Neck Surgery, Yeungnam University, College of Medicine, Daegu, Korea
5Department of Otorhinolaryngology Head and Neck Surgery, College of Medicine, Jeonbuk National University Hospital, Jeonju, Korea
6Department of Otorhinolaryngology Head and Neck Surgery, Ewha Womans University, College of Medicine, Seoul, Korea
7Department of Otorhinolaryngology Head and Neck Surgery, Inha University, College of Medicine, Incheon, Korea
8Department of Otorhinolaryngology Head and Neck Surgery, Seoul National University, College of Medicine, Seoul, Korea
9Department of Otorhinolaryngology Head and Neck Surgery, College of Medicine, Dong-A University, Busan, Korea
10Department of Otorhinolaryngology Head and Neck Surgery, Dankook University, College of Medicine, Cheonan, Korea
11Department of Otorhinolaryngology Head and Neck Surgery, School of Medicine, Kyung Hee University, Seoul, Korea
12Department of Otorhinolaryngology Head and Neck Surgery, The Catholic University of Korea, College of Medicine, Seoul, Korea
13Department of Otorhinolaryngology Head and Neck Surgery, Soonchunhyang University, College of Medicine, Bucheon, Korea
14Department of Otorhinolaryngology Head and Neck Surgery, Yonsei University College of Medicine, Seoul, Korea
15Department of Otorhinolaryngology Head and Neck Surgery, Pusan National University School of Medicine, Busan, Korea
16Department of Otorhinolaryngology Head and Neck Surgery, Dongnam Institute Of Radiological & Medical Sciences, Busan, Korea
17Voice & Speech Clinic, College of Medicine, Dankook University, Cheonan, Korea
18Division of Speech Pathology and Audiology, Research Institute of Audiology and Speech Pathology, College of Natural Sciences, Hallym University, Chuncheon, Korea
19Department of Surgery, Yonsei University College of Medicine, Seoul, Korea
Correspondence  Byung-Joo Lee ,Tel: +82-51-240-7675, Fax: +82-51-246-8668, Email: voiceleebj@gmail.com
Jae-Yol Lim ,Tel: +82 2-2019-3460, Fax: +82 2-3463-4750, Email: jylimmd@yuhs.ac
Received: March 30, 2021; Revised: May 25, 2021   Accepted: May 31, 2021.  Published online: June 1, 2021.
* and Seung Jin Lee contributed equally to this work.
ABSTRACT
Voice change is a common complaint after thyroid surgery and has significant impacts on quality of life. The Korean Society of Laryngology, Phoniatrics, and Logopedics set up a task force team to establish guideline recommendations on education, care, and management related to thyroid surgery. The guideline recommendations include preoperative voice education, management of anticipated voice change during surgery, and comprehensive voice care after thyroid surgery, including in-depth information and up-to-date knowledge based on validated literature. The committee constructed 14 key questions (KQ) in three categories: preoperative (KQ1–2), 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. Detailed evidence profiles are presented for each recommendation. The level of evidence for each recommendation is classified into high, moderate, and low-quality. The recommendationn’s strengths are adjusted to consider the level of evidence resulting in the recommendation and are divided into strong and weak. 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.
Keywords: Thyroid surgery; guideline; Voice; Dysphonia; Thyroid cancer
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