Monitoring
No long-term monitoring is necessary unless there is persistent hoarseness. In the case of continued hoarseness, the patient should be referred to an otolaryngologist in order to rule out vocal fold pathologies and muscle tension dysphonia. It is important to note that any hoarseness that does not improve or resolve within 4 weeks requires a referral for evaluation by an otolaryngologist for a visual laryngoscopy exam. If a serious underlying cause is suspected, the patient should be referred irrespective of duration.[22]
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