Vocal Cord Movement Assessment Using Airway Ultrasound.

NCT ID: NCT02847819

Last Updated: 2020-06-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

104 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-07-02

Study Completion Date

2017-08-25

Brief Summary

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Total of 100 patients are included in this is a prospective observational study to evaluate the role of airway ultrasound (USG) in assessing vocal cord mobility in patients undergoing thyroid surgery. patients will be scanned preoperatively by airway ultrasound which will be compared to post operative ultrasound scans.

Detailed Description

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All 100 patients between age groups of 15-70 years, will be scanned pre-operatively to see vocal cord mobility as a reference value. A proper acoustic window is mandatory for optimal visualization of laryngeal structures. Visibility of false vocal cords, true vocal cords and arytenoids will be given one point each for one side, maximal score will be 6. According to points the acoustic window scoring for glottis aperture will be graded as fair, when both false vocal cords are visible (score1-2), along with false cord when both arytenoids are visible scored good (score3-4) and if single or both true vocal cords are visible then scored as very good(score5-6). After the surgery the same patient will be scanned again for vocal cord mobility at 4hours of extubation . Any change in mobility will be recorded. If any change will be observed, direct laryngoscopy (DL) will be done to confirm the diagnosis. Any complication in the post-operative period will be recorded.

Conditions

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Vocal Cord Movement Assessment by Airway Ultrasound

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Vocal cords movement assessment by airway USG.

Preoperatively patients undergoing thyroid surgery will be scanned by airway ultrasound and graded for vocal cord movement, the same group of patients will be again scanned and graded by airway ultrasound at 4th post operative hours.

airway ultrasound for vocal cords movement assessment.

Intervention Type DEVICE

Glottic aperture will be scanned using 7.5 megahertz (MHz) linear transducer portable ultrasound machine. after getting the best acoustic window, true, false vocal cords arytenoid movements will be visualized. Individual cord will be focused and doppler velocity will be measured for both the cords.

Interventions

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airway ultrasound for vocal cords movement assessment.

Glottic aperture will be scanned using 7.5 megahertz (MHz) linear transducer portable ultrasound machine. after getting the best acoustic window, true, false vocal cords arytenoid movements will be visualized. Individual cord will be focused and doppler velocity will be measured for both the cords.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* patients undergoing thyroid surgery between specified age limits.

Exclusion Criteria

* Retro sternal goiters.
Minimum Eligible Age

17 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rajiv Gandhi Cancer Institute & Research Center, India

OTHER

Sponsor Role lead

Responsible Party

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Amit Kumar Mittal

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mamta Dubey, M.D

Role: PRINCIPAL_INVESTIGATOR

Rajiv Gandhi Cancer Institute & Research Centre, Rohini; New Delhi: India 110085.

Locations

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Rajiv Gandhi Cancer Institute & Research center

Delhi, New Delhi, India

Site Status

Countries

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India

References

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Dubey M, Mittal AK, Jaipuria J, Arora M, Dewan AK, Pahade A. Functional analysis of vocal folds by transcutaneous laryngeal ultrasonography in patients undergoing thyroidectomy. Acta Anaesthesiol Scand. 2019 Feb;63(2):178-186. doi: 10.1111/aas.13234. Epub 2018 Aug 5.

Reference Type DERIVED
PMID: 30079464 (View on PubMed)

Other Identifiers

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RGCI ID: 506/AN/AKM-04

Identifier Type: -

Identifier Source: org_study_id

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