title: Otolaryngology clinic of North America: evidence-based practice: management of hoarseness/dysphonia.
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.
authors.affiliation: Otolaryngology-Head and Neck Surgery, Virginia Mason Medical Center, Seattle, WA, USA.
authors.forename: Jaime I
authors.initials: JI
authors.lastname: Chang
authors.forename: Scott E
authors.initials: SE
authors.lastname: Bevans
authors.forename: Seth R
authors.initials: SR
authors.lastname: Schwartz
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019468:Disease Management; D055154:Dysphonia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D004576:Electromyography / Q000379:methods; D055317:Evidence-Based Practice; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D005938:Glucocorticoids / Q000627:therapeutic use; D006685:Hoarseness / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D057045:Laryngopharyngeal Reflux / Q000150:complications / Q000188:drug therapy; D058753:Laryngoplasty / Q000009:adverse effects / Q000379:methods; D007828:Laryngoscopy / Q000379:methods*; D009369:Neoplasms / Q000150:complications; D009656:North America; D016032:Randomized Controlled Trials as Topic; D012141:Respiratory Tract Infections / Q000150:complications / Q000188:drug therapy; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000150:complications; D014834:Voice Training
chemical_list: D000900:Anti-Bacterial Agents; D005765:Gastrointestinal Agents; D005938:Glucocorticoids