Evaluation of dysphonic patients by general otolaryngologists.

Journal Article (Journal Article)

OBJECTIVE: To investigate the instruments used by general otolaryngologists to visualize the larynx, assess the perception of the instruments' capabilities, and understand their comfort diagnosing specific etiologies of dysphonia. STUDY DESIGN: Cross-sectional survey. METHODS: One thousand randomly chosen general otolaryngologists from American Academy of Otolaryngology-Head & Neck Surgery were mailed a survey. RESULTS: The response rate was 27.8%. Mean years in practice were 19.5. Mirror and fiberoptic laryngoscopy were most commonly used. Approximately 84.1% used stroboscopy and 33.7% reported laryngoscopy could assess vibration. Respondents were more comfortable diagnosing conditions with obvious laryngeal structural abnormalities compared with those without, such as central neurologic disorders (P≤0.001). Approximately 46.5% were concerned about overdiagnosing laryngopharyngeal reflux (LPR). CONCLUSIONS: Although 84.1% of general otolaryngologists use stroboscopy, one-third may not appreciate the differences between stroboscopy and laryngoscopy. General otolaryngologists are less comfortable diagnosing voice disorders without obvious laryngeal structural abnormalities, and nearly 50% are concerned that they overdiagnose LPR.

Full Text

Duke Authors

Cited Authors

  • Cohen, SM; Pitman, MJ; Noordzij, JP; Courey, M

Published Date

  • November 2012

Published In

Volume / Issue

  • 26 / 6

Start / End Page

  • 772 - 778

PubMed ID

  • 22285452

Electronic International Standard Serial Number (EISSN)

  • 1873-4588

Digital Object Identifier (DOI)

  • 10.1016/j.jvoice.2011.11.009


  • eng

Conference Location

  • United States