About this trial
This research is to understand more about the forces that are involved on the tongue and other oropharyngeal structures during laryngeal surgery. This information will be used to determine if these forces can affect outcomes (pain, numbness, taste, etc) and whether factors such as procedure type, surgeon experience (i.e. resident, fellow, attending), and choice of surgical equipment affect these forces. This information may be used to reduce these forces and prevent these issues from happening during certain laryngeal surgeries.
For the first 50 patients, force measurements will be taken and correlated to outcome measures . Surgeons will be blinded to the force measurements intra-operatively.
For the next 50 patients, surgeons will be given force measurements in real-time intra-operatively allowing adjustments to be made. The impact of this adjustment on outcomes will be determined.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
>18 years old with
undergoing laryngeal surgery with direct laryngoscopy
Disqualifiers
Prior history of tongue dysfunction such as glossectomy (hemi or total) or hypoglossal nerve injury
Patient inability to follow up after initial procedure
Trial design
Factorial
Treatments tested in this trial
Direct laryngoscopy force modulation
Procedure/SurgeryModification of applied force during direct laryngoscopy using real-time force sensor measurements.
Direct laryngoscopy without force modulation
Procedure/SurgeryPatients will undergo direct laryngoscopy as is done in standard of care without active modulation of applied force
Treatment groups
Trial outcomes
Primary outcomes
Short Form McGill Pain Questionnaire (SF-MPQ)
The SF-MPQ includes the following components: 15 descriptors: * 11 sensory, each rated 0=none, 1=mild, 2=moderate, 3=severe * 4 affective , each rated 0=none, 1=mild, 2=moderate, 3=severe. A Present Pain Intensity (PPI) scale (0=No Pain, 1=Mild, 2=Discomforting, 3=Distressing, 4=Horrible, 5=Excruciating) Visual Analogue Scale of average pain (VAS, 0-10 cm) - higher score is worse pain
Secondary outcomes
Tongue mobility
Assessment of changes in tongue mobility post-operatively. My physician report Tongue deviation is: 0 - absent 1 - present
Tongue sensation
Assessment of changes in tongue sensation post-operatively, according to patient report: My tongue numbness is: 0 - absent 1. \- minimal 2. \- mild 3. \- moderatre 4. \- severe
Change in taste
Assessment of changes in taste post-operatively, according to patient report: My tongue numbness is: 0 - absent 1 - minimal 2 - mild 3 - moderatre 4 - severe
Sponsors and contacts
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