CompletedNot Applicable

Ultrasound Prediction For Vocal Cord Dysfunction In Patients Scheduled For Anterior Cervical Spine Surgeries

Egypt90 participantsStarted 2019-01-16

Plain-language summary

• Anterior cervical discectomy and fusion (ACDF) is a highly effective and safe method for spinal cord and cervical root decompression. Vocal cord paralysis secondary to recurrent laryngeal nerve injury is a common complication after ACDF. The incidence reported as high as 22%. The standard technique for vocal cord evaluation and the most commonly used tool is direct laryngoscopy. Laryngoscopy causes patients annoyance and could potentially contribute to poor patient compliance. Ultrasonography is a non-invasive technique that is used as an alternative tool.

Who can participate

Age range21 Years – 60 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Patient acceptance. * Both sex * Age (21-60) years old. * American Society of Anesthesiologist I / II * Elective anterior cervical spine surgeries * patient With Body Mass index (25-35 kg/m²) Exclusion Criteria: * Patient refusal. * Altered mental status. * Patients with per-existing neurological or thyroid disease affecting vocal cord function. * Patients with a diagnosis of primary untreated laryngeal/hypopharyngeal cancer. * Patient with a history of thyroidectomy affecting recurrent laryngeal nerve. * Patient with a history of laryngeal trauma. * Pre-operative voice abnormalities.

What they're measuring

Predictive performance associated with the postoperative quantitative trans-cutaneous laryngeal ultrasound: conventional middle approach compared to lateral approach

Timeframe: at the end of the first 48 hours after the surgery

Trial details

NCT IDNCT04140799

SponsorZagazig University

Sponsor typeOTHER_GOV

Study typeOBSERVATIONAL

Primary completion2020-02-01