Development of Guideline for Rating the Physical Impairment of Otolaryngologic Field.
10.3346/jkms.2009.24.S2.S258
- Author:
Chul Won PARK
1
;
Nam Yong DO
;
Ki Sang RHA
;
Sung Min CHUNG
;
Young Jun KWON
Author Information
1. Department of Otolaryngology, College of Medicine, Hanyang University, Seoul, Korea. cwpark@hanyang.ac.kr
- Publication Type:Original Article ; Practice Guideline
- Keywords:
Hearing;
Vestibule;
Smell;
Respiration;
Voice;
Mastication;
Deglutition
- MeSH:
Articulation Disorders/classification/diagnosis;
*Disability Evaluation;
Humans;
Olfactory Nerve Diseases/classification/diagnosis;
Otorhinolaryngologic Diseases/classification/*diagnosis;
Program Development;
Severity of Illness Index;
Vestibular Diseases/classification/diagnosis
- From:Journal of Korean Medical Science
2009;24(Suppl 2):S258-S266
- CountryRepublic of Korea
- Language:English
-
Abstract:
We develop a guideline for rating the physical impairment of otolaryngologic fields. Assessment of hearing disturbance and tinnitus required physical examination, pure tone audiometry, speech audiometry, impedance audiometry, brainstem evoked response audiometry, Bekesy audiometry, otoacoustic emission test, and imaging examination. History taking, physical examination, and radiological examination for the vestibular organ and brain, righting reflex test, electronystagmography, and caloric test are taken for evaluation of balance disorder. Olfactory function tests include University of Pennsylvania Smell Identification test, Connecticut Chemosensory Clinical Research Center test, T and T olfactometry and Korean Version of Sniffin's Sticks test. Medical history and physical examination is mandatory to evaluatezseverity of respiration difficulty. Examinations include flexible fiberoptic nasopharyngoscope, bronchoscopy, simple soft-tissue radiography films of upper airway and high resolution computed tomography. Evaluation of mastication and swallowing are history taking, physical examination, examination for upper jaw, lower jaw, and temporomandibular joint, dental examination and radiological studies. Endoscopy and esophagography are also needed. Voice disorder is evaluated based on physical examination, oral pharynx and larynx endoscopy, larynx stroboscopy, hearing assessment, laryngeal electromyography, sound analysis test, aerodynamic test, electroglottography, and radiologic examination. Articulation disorder is assessed by picture consonant articulation test. These are position articulation test, Lee-Kim Korean articulation picture and speech intelligibility assessment.
