- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07579364
Outcomes Tracking in Unilateral Vocal Fold Paralysis (UVFP) and Atrophy After Medialization Laryngeal Surgery
The goal of this observational study is to learn about the long-term outcomes of Laryngeal Framework Surgery (LFS) in patients with Unilateral Vocal Fold Paralysis (UVFP) or Vocal Fold Atrophy (VFA). The main questions it aims to answer are:
- Whether LFS technique (implant material, addition of arytenoid adduction) is associated with differences in outcomes such as complication rate, duration of surgery, hospital stay length, and quality of voice post-surgery.
- Whether UVFP or VFA diagnosis is associated with differences in outcomes such as complication rate, duration of surgery, hospital stay length, and quality of voice post-surgery.
Participants who are determined by their clinician to need LFS for their UVFP or VFA will undergo the procedure, attend follow-up appointments, and complete surveys about their voice and swallowing ability as they would as part of their regular medical care.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Kontakter og lokationer
Studiesteder
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California
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La Jolla, California, Forenede Stater, 92093
- University of California, San Diego
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Los Angeles, California, Forenede Stater, 90033
- University of Southern California
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San Francisco, California, Forenede Stater, 94143
- University of California, San Francisco
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Florida
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Miami, Florida, Forenede Stater, 33136
- University of Miami
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02114
- Massachusetts Eye and Ear Infirmary
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Missouri
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St Louis, Missouri, Forenede Stater, 63110
- Washington University in St. Louis
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North Carolina
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Winston-Salem, North Carolina, Forenede Stater, 27101
- Wake Forest University
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Ohio
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Cincinnati, Ohio, Forenede Stater, 45267
- University of Cincinnati
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Columbus, Ohio, Forenede Stater, 43210
- Ohio State University
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South Carolina
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Charleston, South Carolina, Forenede Stater, 29425
- Medical University of South Carolina
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- Over 18 years of age
- Diagnosed UVFP or VFA
- English speaking
- willing and able to follow up for 2 years
Exclusion Criteria:
- under 18
- non-English speaking
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
Intervention / Behandling |
|---|---|
|
Laryngeal Framework Surgery
Participants receive Laryngeal Framework Surgery, defined as medialization thyroplasty with or without arytenoid adduction.
|
All participants will receive laryngeal framework surgery as recommended by their treating surgeon.
This can include medialization thyroplasty with or without arytenoid adduction, under general anesthesia or monitored anesthesia care.
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change from baseline in the mean VHI-10 score at 12-months post operation
Tidsramme: Baseline and 12 months
|
Voice Handicap Index-10 is a 10-item questionnaire used to measure voice handicap.
Scores range from 0-40 with higher scores indicating greater voice handicap.
|
Baseline and 12 months
|
Samarbejdspartnere og efterforskere
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Clark Rosen, MD, University of California, San Francisco
Publikationer og nyttige links
Generelle publikationer
- Isshiki N. Progress in laryngeal framework surgery. Acta Otolaryngol. 2000 Mar;120(2):120-7. doi: 10.1080/000164800750000748.
- Menon JR, Mathew AS, Nath S. Arytenoid asymmetry: Is it the most predictive parameter for arytenoid adduction in unilateral vocal fold paralysis? J Laryngol Otol. 2021 Feb;135(2):159-167. doi: 10.1017/S0022215121000475. Epub 2021 Feb 17.
- Siu J, Tam S, Fung K. A comparison of outcomes in interventions for unilateral vocal fold paralysis: A systematic review. Laryngoscope. 2016 Jul;126(7):1616-24. doi: 10.1002/lary.25739. Epub 2015 Oct 20.
- Stow NW, Lee JW, Cole IE. Novel approach of medialization thyroplasty with arytenoid adduction performed under general anesthesia with a laryngeal mask. Otolaryngol Head Neck Surg. 2012 Feb;146(2):266-71. doi: 10.1177/0194599811427811. Epub 2011 Nov 10.
- Mes SD, van der Jagt MA, Jansen JC, Langeveld APM, Sjogren EV, Heijnen BJ. Voice outcome in medialisation thyroplasty with and without arytenoid adduction: a prospective comparison using intraoperative voice measurements. Eur Arch Otorhinolaryngol. 2024 May;281(5):2499-2505. doi: 10.1007/s00405-024-08494-3. Epub 2024 Feb 17.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Neurologiske manifestationer
- Sygdomme i nervesystemet
- Luftvejssygdomme
- Otorhinolaryngologiske sygdomme
- Sygdomme i kranienerve
- Laryngeale sygdomme
- Lammelse
- Vagus nervesygdomme
- Patologiske tilstande, tegn og symptomer
- Tegn og symptomer
- Stemmebåndslammelse
- Kirurgiske procedurer, operative
- Otorhinolaryngologiske kirurgiske procedurer
- Laryngoplasty
Andre undersøgelses-id-numre
- 25-44455
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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Kliniske forsøg med Laryngeal Framework Surgery
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University of Colorado, DenverAmerican Cancer Society, Inc.Aktiv, ikke rekrutterende
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Franciscus GasthuisChiesi Farmaceutici S.p.A.; Revenio Research; Stichting BeterKetenRekrutteringRygestop | Luftvejsinfektioner | For tidlig fødsel | For tidlig fødsel | Telemedicin | Bronkopulmonal dysplasi | Luftvejssygdom | RSV-infektion | Forurening; Eksponering | Sundhedsrelateret adfærd | e-sundhed | Bronkial hyperreaktivitet | Forureningsrelateret luftvejssygdom | RSV lungebetændelseHolland
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Bispebjerg HospitalRoyal Brompton & Harefield NHS Foundation TrustRekrutteringKronisk ildfast hosteDanmark
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University of HuddersfieldAfsluttetAttention Deficit Hyperactivity DisorderDet Forenede Kongerige
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Zonguldak Bulent Ecevit UniversityAfsluttetIntrakraniel trykforøgelse | Supraglottic Airway Device | Diameter af optisk nerveskedeKalkun
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Vanderbilt University Medical CenterNational Institute on Deafness and Other Communication Disorders (NIDCD)Aktiv, ikke rekrutterendeBilateral stemmefoldslammelse (BVFP)Forenede Stater
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Bnai Zion Medical CenterAfsluttetUønsket anæstesiresultatIsrael
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Bnai Zion Medical CenterHospital Italiano de Buenos AiresAfsluttetUønsket anæstesiresultat
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Clinique Victor PauchetRekruttering
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Diakonessenhuis, UtrechtRekrutteringLivskvalitet | Søvnapnø, obstruktivHolland