About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

New Guidelines for Treatment of Hoarseness

by Hannah Joy on March 2, 2018 at 1:04 PM
Font : A-A+

New Guidelines for Treatment of Hoarseness

Guidelines for treating patients with hoarseness have been updated. The new guidelines provide physicians with resources and tools to educate patients on how to prevent and manage hoarseness.

The American Academy of Otolaryngology--Head and Neck Surgery Foundation published the Clinical Practice Guideline: Hoarseness (Dysphonia) (Update) in Otolaryngology-Head and Neck Surgery.

Advertisement


The updated guideline provides some substantially revised, evidence-based recommendations for healthcare providers when treating patients with hoarseness, a very common complaint that affects nearly one-third of the population at some point in their life.

Hoarseness is responsible for frequent healthcare visits and several billion dollars in lost productivity annually from work absenteeism.

With such a prevalence of occurrence, there are several important takeaways from the updated guideline that healthcare providers should be aware of when treating patients with hoarseness, including recommendations for escalation of care, the need for persistent hoarseness, and treatment.
Advertisement

The 2018 update provides an algorithm for healthcare providers to determine when acceleration of care is needed. These include but are not limited to recent surgical procedures involving the head, neck, or chest; presence of a neck mass; respiratory distress; history of tobacco use; or whether the patient is a professional voice user.

In addition, the update shortens the timeframe that hoarseness can be managed conservatively, from 90 days to four weeks, before evaluation of the larynx is recommended to determine the underlying cause.

"One of the goals of the update is to provide clarity to healthcare providers on circumstances where early referral to an otolaryngologist for visualization of the larynx is necessary," said David O. Francis, MD, MS, guideline development group assistant chair.

"Hoarseness is often caused by benign conditions, like the common cold, voice overuse, age-related changes, and others; however, it may also be a symptom of a more serious condition, like head and neck cancer. Failure to evaluate the larynx can delay cancer diagnosis, resulting in the need for more aggressive treatment and reduced survival."

Voice problems affect one in 13 adults annually, however, it can affect patients of all ages and sex. There is an increased prevalence in singers, teachers, call-center operators, older adults, and other persons with significant vocal demands.

The guideline also provides recommendations on treating patients presenting with isolated hoarseness.

"An important component of this update are the recommendations that patients with isolated hoarseness should not be empirically treated with anti-reflux, antibiotic, or steroid medications before visualizing the larynx," said Dr. Francis.

"Physicians have an obligation to be good stewards when prescribing medication. There is very little evidence of benefit in treating isolated hoarseness with these medications, and in fact, they can offer more harm than good. The updated guideline provides physicians with the resources and tools to educate patients about prevention of hoarseness and how to manage it conservatively, without the use of unnecessary medication."

An Affirmation of Value for the guideline update was received from the American Academy of Family Physicians (AAFP).



Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Sensory Processing Disorder (SPD)
First Dose of COVID-19 Vaccines May Improve Mental Health
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Laryngitis Hoarseness - Symptom Evaluation 

Recommended Reading
Voice Disorders
Voice is an effective way of communication in human beings, ranging from getting across one's point ...
Vocal Training of Older Rats may Reduce Age Related Voice Problems: Research
Vocal training of older rats reduces some of the voice problems related to their aging, such as the ...
Rapid Evaluation for Swallowing and Voice Problems After Brain Surgery is a Must, Say Experts
Early post-surgical assessment for trouble chewing and swallowing food among patients who have had ....
People With Voice Problems Ignorant of Treatment
Voice problems do not get the medical care and attention it deserves in America, because two-thirds ...
Hoarseness - Symptom Evaluation
Hoarseness or abnormal voice change is not a disease in itself. It is a symptom underlying a group o...
Laryngitis
Laryngitis is due to inflammation of the larynx caused by infections, overuse, or the environment. H...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use