Saavedra-Mendoza AGM, Akaki-Caballero M

Idioma: Español
Referencias bibliográficas: 39
Paginas: 195-208
Archivo PDF: 383.75 Kb.

RESUMEN

La disfonía se manifiesta con alteraciones en la producción o calidad de la voz, tono o volumen que altera la comunicación y que tiene implicaciones en la calidad de vida. Está presente en múltiples afecciones que pueden ser intrínsecas a la laringe o manifestaciones de enfermedades sistémicas; por tanto, se trata de un síntoma con un amplio espectro de causas que repercute de manera importante en la vida laboral y social del paciente, que amerita el adecuado abordaje sistemático para ofrecer el tratamiento óptimo. En México no existe una guía de práctica clínica que, basada en la evidencia médica mejor sustentada, oriente en las maniobras diagnósticas o terapéuticas a fin de evitar pasos innecesarios, costosos o que impliquen pérdida de tiempo para el tratamiento integral del paciente que la padece, por lo que se plantea esta guía de práctica clínica de disfonía basada en recomendaciones según la calidad de la evidencia de la bibliografía médica tomando en cuenta el sistema GRADE para emitir esas recomendaciones. Se analizan los pasos fundamentales en la historia clínica para lograr la sistematización diagnóstica y terapéutica del paciente con disfonía. En general, al implementar la guía se observa una reducción importante de tiempo desde que el paciente llega a valoración inicial hasta que recibe el tratamiento adecuado y específico al problema de base que le ocasiona la disfonía, se evitan pasos innecesarios diagnósticos y terapéuticos y se reduce la prescripción y abuso de medicación empírica injustificada.

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