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Adults and children with altered voice.
Persistently altered voice for more than 3 weeks with a negative CXR: consider referral via Head and Neck Cancer 2ww
Please note that a sinister cause is more likely if:
Trial of lifestyle advice
Follow up in 4 weeks or sooner if worsening
If symptoms resolve, plan to review the patient in primary care if indicated.
Patients with ongoing symptoms should be referred for a consultant opinion in ENT.
e-Referral Service selection
e-Referral service selection
Hoarseness -patient information leaflet (ENT Health website)
This guideline has been developed by Royal Devon and Exeter Healthcare Foundation Trust based on local guidelines.
This guideline has been signed off by the Eastern Locality on behalf of NEW Devon CCG.
Publication date: 02 December 2016
Updated: April 2021
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