Usefulness and Feasibility of Ultrasound in Office Laryngology Procedures

Weill Cornell Medicine (WCM)

Status: Enrolling

Conditions: Vocal Cord Paresis; Dysphagia; Vocal Cord Paralysis; Cough; Dysphonia; Vocal Cord Atrophy

Treatments: Diagnostic Test: Ultrasound for cough; Diagnostic Test: Ultrasound for vocal fold atrophy or vocal fold paresis/paralysis; Diagnostic Test: Ultrasound for dysphagia; Diagnostic Test: Ultrasound for dysphonia

Study type: Interventional

Funder types: Other

Identifiers

NCT06579989

23-10026663

Details and patient eligibility

About

Investigators will assess the usefulness of using ultrasound in office procedures for laryngology interventions. Participants who qualify will be adults who are undergoing superior laryngeal nerve block, injection laryngoplasty, swallowing evaluation, voice evaluation and voice therapy.

Enrollment: 200 estimated patients

Sex: All

Ages: 18 to 99 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• US-Guided Injection for Neurogenic Cough:

  1. Age over 18 years
  2. Recommended to undergo superior laryngeal nerve block

• US-Assessment of Superior Laryngeal Nerve Anatomy

  1. Age over 18 years
  2. No cough complaints

• US-Assessment of Injectate Volume:

  1. Documentation of unilateral vocal fold paresis/paralysis or atrophy
  2. Age over 18 years
  3. Recommended to undergo injection laryngoplasty

• US-Assessment of Swallow:

  1. Age over 18 years
  2. Presents with swallowing complaints

• US-Assessment of Normal Swallow:

  1. Age over 18 years
  2. Presents without swallowing complaints

• US-Assessment of Voice:

  1. Age over 18 years
  2. Undergoing evaluation of voice problems

Exclusion criteria

1. Age under 18 years and over 99 years
2. Open neck wound including tracheostomy

Trial design

Primary purpose: Diagnostic

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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200 participants in 6 patient groups

Cough

Experimental group

Description:

Adult patients who are seen at the Sean Parker Institute for the Voice and are determined to have neurogenic cough for which superior laryngeal nerve block is recommended will undergo this procedure under ultrasound guidance. Patients without neurogenic cough will also be recruited for ultrasound assessment to establish landmarks and normal variation.

Treatment:

Diagnostic Test: Ultrasound for cough

Vocal Cord Atrophy

Experimental group

Description:

Adult patients with vocal fold atrophy, paresis, or paralysis diagnosed at the Sean Parker Institute for the Voice who are planned to undergo injection laryngoplasty will be invited to take part in the study.

Treatment:

Diagnostic Test: Ultrasound for vocal fold atrophy or vocal fold paresis/paralysis

Vocal Cord Paresis

Experimental group

Description:

Adult patients with vocal fold atrophy, paresis, or paralysis diagnosed at the Sean Parker Institute for the Voice who are planned to undergo injection laryngoplasty will be invited to take part in the study.

Treatment:

Diagnostic Test: Ultrasound for vocal fold atrophy or vocal fold paresis/paralysis

Vocal Cord Paralysis

Experimental group

Description:

Adult patients with vocal fold atrophy, paresis, or paralysis diagnosed at the Sean Parker Institute for the Voice who are planned to undergo injection laryngoplasty will be invited to take part in the study.

Treatment:

Diagnostic Test: Ultrasound for vocal fold atrophy or vocal fold paresis/paralysis

Dysphagia

Experimental group

Description:

Adult patients referred to the Sean Parker Institute for the Voice for swallowing assessment will undergo standard medical history including collection of age, gender, occupation, characteristics of swallowing complaints, and prior evaluation and treatments. Adult patients without swallowing complaints will also be recruited to define normal anatomy and variation.

Treatment:

Diagnostic Test: Ultrasound for dysphagia

Dysphonia

Experimental group

Description:

Adult patients referred to the Sean Parker Institute for the Voice for voice assessment will undergo standard medical history including collection of age, gender, occupation, characteristics of voice complaints, and prior evaluation and treatments. Additionally, patients diagnosed with muscle tension dysphonia will be evaluated by ultrasound for the presence, size, and function of their suprahyoid musculature.

Treatment:

Diagnostic Test: Ultrasound for dysphonia