Abstract：
Voice change is a common complaint after thyroid surgery and has significant impacts on quality of life. The Korean Society of Laryngology, Phoniatrics, and Logopedics set up a task force team to establish guideline recommendations on education, care, and management related to thyroid surgery. The guideline recommendations include preoperative voice education, management of anticipated voice change during surgery, and comprehensive voice care after thyroid surgery, including in-depth information and up-to-date knowledge based on validated literature. The committee constructed 14 key questions (KQ) in three categories: preoperative (KQ1-2), intraoperative (KQ 3-8), and postoperative (KQ 9-14) management and developed 18 evidence-based recommendations. The Delphi survey reached an agreement on each recommendation. Detailed evidence profiles are presented for each recommendation. The level of evidence for each recommendation is classified into high, moderate, and low-quality. The recommendation\'s strengths are adjusted to consider the level of evidence resulting in the recommendation and are divided into strong and weak. The guidelines are primarily targeted toward physicians who treat thyroid surgery patients and speech-language pathologists participating in patient care. These guidelines will also help primary care physicians, nurses, healthcare policymakers, and patients improve their understanding of voice changes and voice care after thyroid surgery.
摘要：
语音改变是甲状腺手术后常见的主诉，对生活质量有显著影响。韩国喉科学会,Phoniatrics,和Logopeducs成立了一个专责小组，以建立有关教育的指导方针建议，care,与甲状腺手术相关的管理。指南建议包括术前语音教育，手术过程中预期的语音变化的管理，甲状腺手术后的全面语音护理，包括基于验证文献的深入信息和最新知识。委员会构建了14个关键问题（KQ），分为三类：术前（KQ1-2），术中（KQ3-8），和术后（KQ9-14）管理，并制定了18个循证建议。德尔福调查就每项建议达成了一致。每个建议都提供了详细的证据概况。每个建议的证据级别被分类为高，中度,和低质量。建议的强度进行调整，以考虑导致建议的证据水平，并分为强和弱。该指南主要针对治疗甲状腺手术患者的医生和参与患者护理的语言病理学家。这些指南还将帮助初级保健医生，护士,医疗保健政策制定者，提高患者对甲状腺手术后语音变化的认识和语音护理。
