MedPath

Dynamic Laryngotracheal Separation for Aspiration

Not Applicable
Withdrawn
Conditions
Aspiration Pneumonia
Interventions
Device: Placement of laryngeal implant
Registration Number
NCT00580346
Lead Sponsor
University Hospitals Cleveland Medical Center
Brief Summary

People who aspirate after neurologic insults such as stroke often develop fatal pneumonia. This study examines the effects of dynamic vocal cord closure on swallowing. Implants placed over the chest wall are connected to electrodes placed around the nerve that closes the vocal cords. The patient triggers closure by flipping the switch of a coil taped over the skin covering the internal stimulator. Vocal cord motion is verified by videotaping through an endoscope, and the status of swallowing is documented radiologically by a modified barium swallow.

Detailed Description

Data pending

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Aspiration pneumonia after neurological insults (e.g. stroke)
  • Ability to understand the purpose of the research
  • Appropriate hand motor control
  • Inability to improve under standard treatments (speech-language pathologists)
  • Acceptance of a tracheostomy
Exclusion Criteria
  • Lack of understanding the research
  • Poor hand motor coordination
  • Uncontrolled seizures
  • Pregnancy
  • Refusal to accept a tracheostomy

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
2Placement of laryngeal implant-
Primary Outcome Measures
NameTimeMethod
Videotaping vocal cords and modified barium swallowsseveral months
Secondary Outcome Measures
NameTimeMethod
comfort in swallowingone year
Tolerance of implanted deviceimmediate to several years

Trial Locations

Locations (1)

University Hospitals Health System

🇺🇸

Cleveland, Ohio, United States

© Copyright 2025. All Rights Reserved by MedPath