Using the High Resolution Impedance Manometry to Evaluate Swallowing Function After Cervical Spine Surgery

Using the High Resolution Impedance Manometry to Evaluate Swallowing Function After Cervical Spine Surgery: Anterior vs Posterior Approach

Patrocinadores

Patrocinador principal: National Taiwan University Hospital

Fuente National Taiwan University Hospital
Resumen breve

Dysphagia is a well-known complication following cervical spine surgery, including anterior or posterior approach. However, which muscle at oropharyngeal region weakness and the recovery course of these patients are still unknown.

The high resolution impedance manometry (HRIM) could be used to measure the postoperative recovery esophageal function.

Descripción detallada

Dysphagia is a well-known complication following cervical spine surgery, including anterior or posterior approach. However, which muscle at oropharyngeal region weakness and the recovery course of these patients are still unknown.

The high resolution impedance manometry (HRIM) could be used to measure the postoperative recovery esophageal function.

In this study, using the high resolution impedance manometry to determine (1) whether the occurrence of dysphagia in the postoperative 1 or 7 days and 1 month in the patients receiving anterior vs posterior approach of cervical spine surgery (2) which muscle in the pharyngeal region would be destroyed Consecutive patients who will fulfill the criteria of cervical spine surgery patients under general anesthesia and aged >= 20 will be enrolled. The patients would receive the dysphagia questionnaire. All subjects would receive the swallowing function by HRIM before the surgeries. The cough test was also measured. After the surgery, the patient would be followed the swallowing function in the postoperative one day, and 1 week by HRIM and questionnaire.

This study would expect (1) that the posterior cervical spine surgery would result in dysphagia greater than baseline, but less than that of anterior cervical procedures; (2) decreasing upper esophageal sphincter (UES) pressure may be the reason of postoperative dysphagia in the anterior cervical spine surgery, resulted from the intraoperative traction; (3) decreasing hypopharyngeal muscle pressure may be the reason of postoperative dysphagia in the posterior spine surgery, resulted from the prone and flexion positioning.

Estado general Not yet recruiting
Fecha de inicio November 2, 2019
Fecha de Terminación December 31, 2022
Fecha de finalización primaria December 31, 2021
Tipo de estudio Observational
Resultado primario
Medida Periodo de tiempo
mean pharyngeal peak pressure preoperative, postoperative day 1 and 7
Inscripción 24
Condición
Intervención

Tipo de intervención: Procedure

Nombre de intervención: anterior approach

Descripción: anterior approach

Etiqueta de grupo de brazo: anterior cervical spine surgery

Otro nombre: anterior appraoch

Tipo de intervención: Procedure

Nombre de intervención: posterior appraoch

Descripción: posteiror appraoch

Etiqueta de grupo de brazo: posterior cervical spine surgery

Otro nombre: posterior approach

Elegibilidad

Método de muestreo: Non-Probability Sample

Criterios:

Inclusion Criteria:1. Patients who fulfill the criteria of cervical spine surgery under general anesthesia 2. Aged from 20-80 years old -

Exclusion Criteria:

- 1. Major systemic disease, such as congestive heart failure, liver cirrhosis, end stage renal disease and malignancy.

2. Patients who have the risk of difficult ventilation or intubation. 3. pregnant women 4. coagulopathy

Género: All

Edad mínima: 20 Years

Edad máxima: 80 Years

Contacto general

Apellido: Chih-Jun Lai, MD

Teléfono: 23123456

Email: [email protected]

Fecha de verificación

October 2019

Fiesta responsable

Tipo: Sponsor

Tiene acceso ampliado No
Grupo de brazo

Etiqueta: anterior cervical spine surgery

Descripción: The patients will be enrolled for elective anterior cervical spine surgery.

Etiqueta: posterior cervical spine surgery

Descripción: The patients will be enrolled for elective postieor cervical spine surgery

Datos del paciente No
Información de diseño del estudio

Modelo de observación: Case-Control

Perspectiva de tiempo: Prospective

Fuente: ClinicalTrials.gov