Force Modulation for Laryngeal Surgery
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to understand how forces applied to the tongue and throat during laryngeal surgery might affect outcomes like pain, numbness, or taste changes. Researchers will examine how factors such as the type of surgery and the surgeon's experience level may influence these forces. Candidates for this study include those undergoing laryngeal surgery with direct laryngoscopy, a procedure where doctors examine the throat. The trial will compare surgeries where the surgeon knows the force measurements in real-time and can adjust them (Direct Laryngoscopy Force Modulation) against those where the surgeon does not have this information (Direct Laryngoscopy without Force Modulation). As an unphased trial, this study offers a unique opportunity to contribute to understanding surgical outcomes and improving future procedures.
Do I need to stop my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that this force modulation technique is safe for laryngeal surgery?
Research shows that direct laryngoscopy, the procedure under study in this clinical trial, is generally safe. Previous studies found that serious airway problems occur in fewer than 3 out of every 1,000 cases, indicating that most people can expect to handle the procedure well.
Evidence also suggests that the tools used during direct laryngoscopy can affect the amount of pressure applied to the throat. Less pressure might lower the risk of injury. The trial explores how measuring this pressure could help reduce it, potentially making the procedure even safer.
Overall, past studies suggest that direct laryngoscopy is safe for most participants.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it explores a novel approach to laryngeal surgery by modulating the force applied during direct laryngoscopy. Unlike traditional methods where surgeons may apply varying amounts of force without real-time feedback, this technique allows for precise force measurements. In the "Surgeon unblinded" group, real-time force data enables surgeons to adjust pressure during the procedure, potentially reducing tissue damage and improving recovery outcomes. This could lead to safer surgeries with better post-operative results, setting it apart from standard practices where such adjustments are not possible.
What evidence suggests that force modulation is effective for improving outcomes in laryngeal surgery?
Research has shown that controlling pressure during direct laryngoscopy might improve surgical outcomes. Excessive pressure in these procedures can lead to pain, numbness, and altered taste post-surgery. While specific data on pressure control in throat surgeries is limited, studies on similar operations suggest that reducing pressure can lower the risk of complications. In this trial, participants will be divided into two groups: one where surgeons remain unaware of force measurements and another where surgeons receive real-time feedback on pressure. The trial aims to determine if real-time feedback can help surgeons adjust pressure and potentially enhance patient outcomes. The goal is to make throat surgeries safer and more comfortable for patients.13456
Who Is on the Research Team?
Tyler Crosby, MD
Principal Investigator
University of California, San Francisco
Are You a Good Fit for This Trial?
This trial is for adults over 18 who are having laryngeal surgery using direct laryngoscopy. People under 18 or not undergoing this type of surgery cannot participate.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment - Surgeon Blinded
Force measurements are taken intra-operatively with surgeons blinded to the measurements. Post-operative outcome measures are collected.
Treatment - Surgeon Unblinded
Force measurements are taken intra-operatively with surgeons aware of the measurements, allowing for adjustments. Post-operative outcome measures are collected.
Follow-up
Participants are monitored for safety and effectiveness after treatment, with assessments of pain, tongue mobility, sensation, and taste.
What Are the Treatments Tested in This Trial?
Interventions
- Direct Laryngoscopy Force Modulation
- Direct Laryngoscopy without Force Modulation
Trial Overview
The study compares two approaches during laryngeal surgery: one where surgeons get real-time feedback on the force applied to the tongue and throat, and one without this feedback. The goal is to see if adjusting force can reduce pain or injury after surgery.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Patients will undergo direct laryngoscopy with force measurements taken intra-operatively. The surgeon will be aware of force measurements in real-time, allowing for adjustments to reduce applied force during direct laryngoscopy. Post-operative outcome measures will be collected.
Patients will undergo direct laryngoscopy with force measurements taken intra-operatively. Post-operative outcome measures will be collected.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of California, San Francisco
Lead Sponsor
Citations
Force Modulation for Laryngeal Surgery
This research is to understand more about the forces that are involved on the tongue and other oropharyngeal structures during laryngeal surgery.
Effectiveness of indirect versus direct laryngoscopes for ...
The primary outcome was intubation time. The secondary outcomes were first-attempt success rate, glottic visualization, use of Magill forceps, ...
Success rates of video vs. direct laryngoscopy for ... - PMC
A study conducted at our clinic, published in 2012, reported a first-pass success (FPS) rate of 85% for residents performing direct laryngoscopy ...
Video versus Direct Laryngoscopy for Tracheal Intubation ...
Successful intubation on the first attempt without the occurrence of a severe complication was achieved in 484 patients (68.7%) in the video- ...
5.
associationofanaesthetists-publications.onlinelibrary.wiley.com
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.15865Impact of direct laryngoscopy vs. videolaryngoscopy on signal ...
The first-pass tracheal intubation success rate among consultants was 23/35 (66%) with direct laryngoscopy vs. 40/42 (95%) with the C-MAC (p < ...
Safety of Adult Ambulatory Direct Laryngoscopy: Revisits ...
Adult ambulatory direct laryngoscopy has a favorable safety profile. Serious airway complications occur in fewer than 3 patients per 1000 cases.
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