Explore this issue:July 2013
What’s the best way to evaluate dysphonia? That question has been the subject of much discussion and research in otolaryngology since the American Academy of Otolaryngology – Head and Neck Surgery released the first and only clinical practice guideline for hoarseness (dysphonia) in 2009 (Otolaryngol Head Neck Surg. 2009;141:S1-S31).
While the guideline states that a “clinician may perform laryngoscopy at any time in a patient with hoarseness,” it also includes a strong recommendation that states that “the clinician should visualize the patient’s larynx, or refer the patient to a clinician who can visualize the larynx, when hoarseness fails to resolve by a maximum of three months after onset, or irrespective of duration if serious underlying cause is suspected.”