Article record

韩国喉科学、语音学与言语治疗学会指南工作组关于儿童嗓音障碍诊断与管理的临床实践指南

Clinical Practice Guidelines for the Diagnosis and Management of Pediatric Voice Disorders from the Korean Society of Laryngology, Phoniatrics and Logopedics Guideline Task Force.

指南共识咽喉科IF 2.7Q1

文献信息

PMID	42706940
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Yong Tae Hong 查看其他 12 位作者 Younmi Ryu；Ji Won Kim；Sung Joon Park；Seung Jin Lee；Min-Su Kim；Gil Joon Lee；Dong Kun Lee；Myung Jin Ban；Soo-Youn An；Hyung Kwon Byeon；Taek Kyun Kwon；Chang Hwan Ryu
作者单位	Department of Otorhinolaryngology-Head and Neck Surgery, Jeonbuk National University Medical School, Jeonju, Korea. 查看其他 12 条单位信息 Department of Otorhinolaryngology-Head and Neck Surgery, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang 10408, Korea.；Department of Otorhinolaryngology-Head and Neck Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.；Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University College of Medicine, Gwangmyeong-si, Gyeonggi-do, Republic of Korea.；Division of Speech Pathology and Audiology, Research Institute of Audiology and Speech Pathology, College of Natural Sciences, Hallym University, Chuncheon, Korea.；Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Republic of Korea.；Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, Korea.；Department of Otorhinolaryngology-Head and Neck Surgery, Dong-A University School of Medicine, Busan, Korea.；Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea.；Department of Otorhinolaryngology-Head & Neck Surgery, Dongnam Institute of Radiological and Medical Sciences, Busan, Korea.；Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University School of Medicine, Seoul Hospital, Seoul, Korea.；Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Republic of Korea. kwontk@snu.ac.kr.；Department of Otorhinolaryngology-Head and Neck Surgery, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang 10408, Korea. changhwanr@ncc.re.kr.
期刊	Clinical and experimental otorhinolaryngology
SCI 分区	Q1
IF	2.7
研究类型	指南共识 · 临床
所属专科	咽喉科

中文摘要

儿童嗓音障碍是常见疾病，可能显著影响儿童的沟通、心理社会发展和生活质量。尽管具有临床重要性，但由于侵入性检查实施困难以及高质量证据有限，诊断方法和治疗策略存在相当大的差异。为应对这些挑战，韩国喉科学、语音学与言语治疗学会制定了基于证据的儿童嗓音障碍诊断与管理临床实践指南。这些指南通过系统文献综述从头制定，针对与儿童声带黏膜病变和声带麻痹相关的预定义关键临床问题。检索了Medline、Embase、Cochrane图书馆和KoreaMed，纳入截至2025年5月31日发表的研究。根据研究设计使用标准化工具对证据进行严格评价，并使用推荐分级的评估、制定与评价（GRADE）方法评估证据确定性。推荐意见的制定考虑了获益与危害的平衡、证据质量、患者价值观与偏好、临床可行性以及资源影响。共涉及九个关键临床问题，涵盖儿童嗓音障碍的诊断策略、嗓音评估、无创成像、嗓音治疗、手术干预和术后管理。由于证据确定性低或极低，大多数推荐为条件性推荐，反映了当前儿童嗓音研究的局限性。这些指南旨在支持一致、以患者为中心的临床决策，减少不必要的实践差异，并促进儿童嗓音障碍护理的最佳结局。

英文摘要

Pediatric voice disorders are common conditions that may significantly affect communication, psychosocial development, and quality of life in children. Despite their clinical importance, considerable variation exists in diagnostic approaches and treatment strategies, partly due to difficulties in performing invasive examinations and limited high-quality evidence. To address these challenges, the Korean Society of Laryngology, Phoniatrics and Logopedics developed evidence-based clinical practice guidelines for the diagnosis and management of pediatric voice disorders. These guidelines were developed de novo through a systematic literature review addressing predefined key clinical questions related to pediatric vocal fold mucosal lesions and vocal fold paralysis. Searches were conducted in Medline, Embase, the Cochrane Library, and KoreaMed for studies published up to May 31, 2025. Evidence was critically appraised using standardized tools according to study design, and the certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Recommendations were formulated by considering the balance of benefits and harms, quality of evidence, patient values and preferences, clinical feasibility, and resource implications. A total of nine key clinical questions were addressed, covering diagnostic strategies, voice assessment, noninvasive imaging, voice therapy, surgical intervention, and postoperative management in children with voice disorders. Most recommendations were conditional due to low or very low certainty of evidence, reflecting current limitations in pediatric voice research. These guidelines aim to support consistent, patient-centered clinical decision-making, reduce unwarranted practice variation, and promote optimal outcomes in the care of children with voice disorders.