J Korean Med Sci.  2009 May;24(Suppl 2):S258-S266. 10.3346/jkms.2009.24.S2.S258.

Development of Guideline for Rating the Physical Impairment of Otolaryngologic Field

• Park CW
• Do NY
• Rha KS
• Chung SM
• Kwon YJ

• KMID: 1713811
• DOI: http://doi.org/10.3346/jkms.2009.24.S2.S258

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.

Keyword

Hearing; Vestibule; Smell; Respiration; Voice; Mastication; Deglutition

MeSH Terms

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

Reference

1. Korean Society of Otorhinolaryngology-Head and Neck Surgery. Otorhinolaryngology Head and Neck Surgery. 2002. 1st ed. Seoul, Korea: Iljogak;695.

2. Korean Audiological Society. Practical manual of Hearing tests. 2008. 1st ed. Seoul, Korea: Hakjisa;41–54.

3. Korean Society of Otorhinolaryngology-Head and Neck Surgery. Disability evaluation guidebook. 2007. Seoul, Korea: Korean Society of Otorhinolaryngology-Head and Neck Surgery Press;13–33.

4. American Medical Association. Guides to the Evaluation of Permanent Impairment. 2000. 5th ed. Chicago: AMA Press;238–243.

5. McBride ED. Disability evaluation and princilples of treatment of compensable injuries. 1963. 6th ed. Philadelphia: JB Lippincott Co.

6. Kileny PR, Zwolen TA. Cummings CW, Flint PW, Harker LA, Haughey BH, Richardson MA, Robbins KT, Schuller DE, Thomas JR, editors. Diagnostic and rehabilitative audiology. Cummings Otolaryngology Head & Neck Surgery. 2005. 4th ed. Philadelphia: Elsevier Mosby;3483–3502.

7. Hall JW III, Antonelli PJ. Bailey BJ, Johnson JT, Newlands SD, editors. Assessment of peripheral and central auditory function. Head & Neck Surgery-Otolaryngology. 2006. 4th ed. Philadelphia: Lippincott Williams & Wilkins;1927–1942.

8. Korean Society of Otorhinolaryngology-Head and Neck Surgery. Disability evaluation guidebook. 2007. Seoul, Korea: Korean Society of Otorhinolaryngology-Head and Neck Surgery Press;39–43.

9. American Medical Association. Guides to the Evaluation of Permanent Impairment. 2000. 5th ed. USA: American Medical Association Press;244–247.

10. Hullar TE, Minor LB, Zee DS. Cummings CW, Flint PW, Harker LA, Haughey BH, Richardson MA, Robbins KT, Schuller DE, Thomas JR, editors. Evaluation of the patient with dizziness. Cummings Otolaryngology Head & Neck Surgery. 2005. 4th ed. Philadelphia: Elsevier Mosby;3160–3198.

11. Driscoll CL, Green JD Jr. Bailey BJ, Johnson JT, Newlands SD, editors. Balance function test. Head & Neck Surgery-Otolaryngology. 2006. 4th ed. Philadelphia: Lippincott Williams & Wilkins;1917–1926.

12. Korean Society of Otorhinolaryngology-Head and Neck Surgery. Otorhinolaryngology Head and Neck Surgery. 2002. 1st ed. Seoul, Korea: Iljogak;875–879.

13. Leopold DA, Holbrook EH. Cummings CW, Flint PW, Harker LA, Haughey BH, Richardson MA, Robbins KT, Schuller DE, Thomas JR, editors. Physiology of olfaction. Cummings Otolaryngology Head & Neck Surgery. 2005. 4th ed. Philadelphia: Elsevier Mosby;865–897.

14. Doty RL, Bromley SM, Panganiban WD. Bailey BJ, Johnson JT, Newlands SD, editors. Olfactory function and dysfunction. Head & Neck Surgery-Otolaryngology. 2006. 4th ed. Philadelphia: Lippincott Williams & Wilkins;289–306.

15. Korean Society of Otorhinolaryngology-Head and Neck Surgery. Disability evaluation guidebook. 2007. Seoul, Korea: Korean Society of Otorhinolaryngology-Head and Neck Surgery Press;45–49.

16. American Medical Association. Guides to the Evaluation of Permanent Impairment. 2000. 5th ed. USA: American Medical Association Press;254.

17. Zeiders JW, Pallanch JF, McCaffrey TV. Cummings CW, Flint PW, Harker LA, Haughey BH, Richardson MA, Robbins KT, Schuller DE, Thomas JR, editors. Evaluation of nasal breathing function with objuctive airway testing. Cummings Otolaryngology Head & Neck Surgery. 2005. 4th ed. Philadelphia: Elsevier Mosby;898–933.

18. Korean Society of Otorhinolaryngology-Head and Neck Surgery. Disability evaluation guidebook. 2007. Seoul, Korea: Korean Society of Otorhinolaryngology-Head and Neck Surgery Press;45–49.

19. American Medical Association. Guides to the Evaluation of Permanent Impairment. 2000. 5th ed. USA: American Medical Association Press;251–253.

20. American Medical Association. Guides to the Evaluation of Permanent Impairment. 2000. 5th ed. USA: American Medical Association Press;54.

21. American Medical Association. Guides to the Evaluation of Permanent Impairment. 2000. 5th ed. USA: American Medical Association Press;254–263.