Otolaryngology clinic of North America: evidence-based practice: management of hoarseness/dysphonia

Otolaryngol Clin North Am. 2012 Oct;45(5):1109-26. doi: 10.1016/j.otc.2012.06.012.

Abstract

This article reviews the evidence for the evaluation and management for patients with dysphonia. The evidence behind laryngoscopy, laryngostroboscopy, laryngeal imaging, laryngeal electromyography, and disease-specific questionnaires are reviewed. The evidence for management of some of the common conditions leading to dysphonia is also reviewed. This article reviews the evidence for voice therapy for various voice pathologies; medical management of dysphonia, including antibiotics, steroids, and antireflux therapy; and surgical management of glottic insufficiency and some benign laryngeal masses.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Disease Management
  • Dysphonia* / diagnosis
  • Dysphonia* / etiology
  • Dysphonia* / therapy
  • Electromyography / methods
  • Evidence-Based Practice*
  • Gastrointestinal Agents / therapeutic use
  • Glucocorticoids / therapeutic use
  • Hoarseness* / diagnosis
  • Hoarseness* / etiology
  • Hoarseness* / therapy
  • Humans
  • Laryngopharyngeal Reflux / complications
  • Laryngopharyngeal Reflux / drug therapy
  • Laryngoplasty* / adverse effects
  • Laryngoplasty* / methods
  • Laryngoscopy / methods*
  • Neoplasms / complications
  • North America
  • Randomized Controlled Trials as Topic
  • Respiratory Tract Infections / complications
  • Respiratory Tract Infections / drug therapy
  • Treatment Outcome
  • Vocal Cord Paralysis / complications
  • Voice Training*

Substances

  • Anti-Bacterial Agents
  • Gastrointestinal Agents
  • Glucocorticoids