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UMHS Home/Logo Consult Request Guidelines

for Hoarseness

Suggested Pre-Referral Evaluation and Management Guidelines
1)If associated with a URI, and is less than 4 weeks duration, treat conservatively per primary care physician.
2)If greater than 4 weeks duration, or associated with worrisome symptoms (odynophagia, dysphagia, hemoptysis, DOE, otalgia with normal exam, or weight loss), refer to Oto.
3)If pt is an occupational or professional voice user with significant voice difficulties, and no suspicion for neoplasm, consider referral to Multidisciplinary Clinic for Occupational and Professional Voice Users at the UM Vocal Health Center.
Suggested Additional Test/Management Prior to Specialty Visit
1)Complete narrative of onset.
2)Rule out obvious causes treatable by primary care provider.
Patient Education/Information (includes preps) UMHS Vocal Health Center
Appointment Timeframe
1)High risk patients evaluation in 2-3 weeks.
2)Low risk patients evaluation in 3-6 weeks.
3)Occupational/professional voice users are evaluated on an individual basis.
How to Get Results to Consultant UMHS Patients: See MiChart.
External Patients: Hand carry reports/records/films to visit.
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-936-8051
Clinic Location Sites Taubman Health Center
Vocal Health Center
UM Consulting Physician Norman D. Hogikyan, M.D.
Robbi A. Kupfer, M.D.
General Otolaryngology Faculty - Adult
Revised on: 01/23/2015