Ultrasound Usefulness in Office Laryngology Procedures
This study is looking at how useful and practical it is to use ultrasound during common office procedures for voice and swallowing problems. Researchers will use ultrasound for different conditions, including cough (specifically for a superior laryngeal nerve block), vocal cord weakness or paralysis (for injection laryngoplasty), and swallowing difficulties (dysphagia). They will also use it for voice problems like muscle tension dysphonia. The study aims to see how easy ultrasound is for doctors to use and how comfortable patients are during these procedures. You might be able to join if you are an adult (18-99 years old) and are already scheduled for one of these procedures at the Sean Parker Institute for the Voice. The study plans to enroll 200 participants, but its current recruitment status is unclear.
- Study design
- This is an interventional study, meaning participants will receive a specific intervention (ultrasound guidance) as part of their care. It plans to enroll 200 adult participants.
- What's involved
- You would undergo laryngeal ultrasound as part of your scheduled procedure, such as a superior laryngeal nerve block or injection laryngoplasty. Patient comfort will be measured on Day 1.
- Compensation
- Not stated in the trial record.
- Follow-up
- Patient comfort measures are taken on Day 1 after the procedure.
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Usefulness and Feasibility of Ultrasound in Office Laryngology Procedures
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Anaïs Rameau, MD · PRINCIPAL_INVESTIGATOR · Weill Medical College of Cornell University
Who to contact
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Do you actually qualify for this trial?
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Inclusion
What this trial measures
- Quantitative clinician-reported usability measure of ultrasound during injection of the internal branch of superior laryngeal nerve for neurogenic cough.Immediately post-intervention
The clinician will use the Likert scale and rate a series of statements on a scale of 1 (strongly disagree) to 5 (strongly agree). The lowest possible total score is 12 (overall clinician disagreement), and the highest possible total score is 60 (overall clinician agreement).
- Qualitative clinician-reported usability measure of ultrasound during injection of the internal branch of superior laryngeal nerve for neurogenic cough.Immediately post-intervention
The clinician will respond to the following open-ended questions: * What are the benefits with performing the procedure with ultrasound? * What are the limitations with performing this procedure with ultrasound?
- Patient comfort measures during ultrasound-guided injection of the internal branch of superior laryngeal nerve for neurogenic cough.Day 1
Number of patients that fall into the below categories as determined by the provider care team: * No discomfort: talking/comfortable throughout * Minimal discomfort: 1 or 2 episodes of mild discomfort with no distress * Mild discomfort: More than 2 episodes of discomfort without distress * Moderate discomfort: significant discomfort experienced several times with some distress * Severe discomfort: frequent discomfort with significant distress
- Time to complete superior laryngeal nerve injection under ultrasound.Day 1
The amount of time will be recorded in minutes.
- Images and descriptors of internal branch of superior laryngeal nerve anatomy and normal variation.Day 1
This is a qualitative outcome measure. Providers will provide a description of the internal branch of superior laryngeal nerve anatomy with accompanying images from the strobe.
- Change in volume of injectate in injection laryngoplasty measured by ultrasound compared to amount injected after procedure and at follow-up.Immediately post-intervention and at 4 week follow-up visit
The volume will be recorded in mL.
- Presence, bulk, and function of tongue, suprahyoid, and infrahyoid musculature on ultrasound for patients with and without swallowing complaints.Day 1
This is a qualitative outcome measure. Providers will provide a description of the tongue, suprahyoid, and infrahyoid musculature on ultrasound for patients with and without swallowing complaints.
- Evaluation of suprahyoid musculature on ultrasound for patients with muscle tension dysphonia.Day 1
This is a qualitative outcome measure. Providers will provide a description of the suprahyoid musculature on ultrasound for patients with muscle tension dysphonia.