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Cited by 368Voice and Speech DisordersRespiratory and Cough-Related ResearchTracheal and airway disorders

Clinical Practice Guideline: Hoarseness (Dysphonia) (Update)

Stachler, Robert J., Francis, David O., Schwartz, Seth R., Damask, Cecelia C., Digoy, German P., Krouse, Helene J., McCoy, Scott J., Ouellette, Daniel R. +7 more·2018·Otolaryngology–Head and Neck Surgery
DOI 10.1177/0194599817751030
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Abstract

Objective This guideline provides evidence-based recommendations on treating patients who present with dysphonia, which is characterized by altered vocal quality, pitch, loudness, or vocal effort that impairs communication and/or quality of life. Dysphonia affects nearly one-third of the population at some point in its life. This guideline applies to all age groups evaluated in a setting where dysphonia would be identified or managed. It is intended for all clinicians who are likely to diagnose and treat patients with dysphonia. Purpose The primary purpose of this guideline is to improve the quality of care for patients with dysphonia, based on current best evidence. Expert consensus to fill evidence gaps, when used, is explicitly stated and supported with a detailed evidence profile for transparency. Specific objectives of the guideline are to reduce inappropriate variations in care, produce optimal health outcomes, and minimize harm. For this guideline update, the American Academy of Otolaryngology-Head and Neck Surgery Foundation selected a panel representing the fields of advanced practice nursing, bronchoesophagology, consumer advocacy, family medicine, geriatric medicine, internal medicine, laryngology, neurology, otolaryngology-head and neck surgery, pediatrics, professional voice, pulmonology, and speech-language pathology. Action Statements The guideline update group made strong recommendations for the following key action statements (KASs): (1) Clinicians should ass…

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Crossref · 10.1177/0194599817751030

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Authors
Stachler, R. J., Francis, D. O., Schwartz, S. R., Damask, C. C., Digoy, G. P., Krouse, H. J., McCoy, S. J., Ouellette, D. R., Patel, R. R., Reavis, C. (. W., Smith, L. J., Smith, M., Strode, S. W., Woo, P., & Nnacheta, L. C.
Affiliations
  • Wayne State University (US)
  • University of Wisconsin–Madison (US)
  • Virginia Mason Medical Center (US)
  • Private practice Lake Mary Florida USA
  • Oklahoma State University Oklahoma City (US)
  • The University of Texas Rio Grande Valley (US)
  • The Ohio State University (US)
  • Henry Ford Health (US)
  • Indiana University Bloomington (US)
  • National Spasmodic Dysphonia Association Itasca Illinois USA
  • University of Pittsburgh (US)
  • University of Utah (US)
  • Private practice Sherwood Arkansas USA
  • Icahn School of Medicine at Mount Sinai (US)
  • American Academy of Otolaryngology — Head and Neck Surgery (US)
Corresponding author
Stachler, Robert J.
ORCID
Venue
Otolaryngology–Head and Neck Surgery
Publisher
Wiley
Published
2018-03
Volume
158
Issue
S1
Pages
S1-S42
ISSN
  • 0161-6439 (ISSN-L)
  • 0194-5998
  • 1097-6817
DOI
10.1177/0194599817751030
OpenAlex
W2789416342
Cited by
368
References
7
Citations by year
2026: 21 · 2025: 61 · 2024: 52 · 2023: 60 · 2022: 44 · 2021: 49 · 2020: 43 · 2019: 19 · 2018: 17
FWCI
22.00
Type
journal article
Language
en
Update notices
erratum (2018-03-20)
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Otolaryngology (publishedVersion)
  • PubMed (publishedVersion)
  • ScholarWorks @ UTRGV (The University of Texas Rio Grande Valley) (submittedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Voice and Speech Disorders
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory and Cough-Related Research
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Tracheal and airway disorders
Keywords
dysphonia, hoarseness, voice therapy, laryngoscopy, laryngeal cancer screening, laryngeal cancer, laryngeal stenosis, laryngeal reconstruction, laryngectomy, laryngeal nerve injury, professional voice users, voice quality, quality of life, endotracheal intubation
MeSH terms
Hoarseness, Humans, Dysphonia

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