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Thulium Contact Laser of Laryngotracheal Stenosis

Not Applicable
Completed
Conditions
Laryngeal Carcinoma
Subglottic Stenosis
Bilateral Vocal Cord Paresis
Interventions
Procedure: laryngeal carcinoma
Procedure: subglottic stenosis
Procedure: bilateral vocal cord paralysis
Registration Number
NCT02587546
Lead Sponsor
University Hospital Ostrava
Brief Summary

The purpose of the study is to compare results of the treatment of tumorous and non-tumorous laryngotracheal stenosis using thulium contact laser versus carbon dioxide laser used in the past.

Detailed Description

Laryngotracheal stenosis is a serious disease significantly worsening the quality of life. Impaired breathing often leads to tracheotomy, deterioration of the voice leads to communication problems with others and swallowing problems are often present, as well The main causes of laryngotracheal stenosis are post intubation and post tracheostomy conditions, inflammatory process (often autoimmune), tumors (mainly squamous cell carcinoma and chondroma) and trauma. Within the last years there is substantial shift in the treatment strategy from open surgery to endoscopic techniques. However, surgical treatment is often difficult due to demanding exposure of tumor and problematic margins control.

In recent years there has been a development of particular techniques of endoscopic resection of tumors and non-malignant laryngeal glottic and subglottic stenosis using a carbon dioxide (CO2) laser with promising improvement of treatment results.

However, CO2 laser has some limitations, particularly in the treatment of tumors spreading into anterior commissure, because CO2 laser beam cannot get "around the corner". Moreover, subglottic area is also difficult to be reached by CO2 laser beam. Therefore, contact laser with adjustable manipulators with possibility to bend tip of manipulator according to the actual need seems to be of some advantage.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
31
Inclusion Criteria
  1. patients with T1-T2 (some T3) laryngeal carcinoma
  2. patients with bilateral vocal cord paralysis treated with partial arytenoidectomy and laterofixation
  3. patients with subglottic stenosis treated endoscopically
Exclusion Criteria
  • non signing of informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
laryngeal carcinomalaryngeal carcinomapatients with T1-T2 (some T3) laryngeal carcinoma will undergo treatment using thulium contact laser surgery - tumour resection
subglottic stenosissubglottic stenosispatients with subglottic stenosis treated endoscopically (incisions and dilatation) will be treated with thulium laser surgery
bilateral vocal cord paralysisbilateral vocal cord paralysispatients with bilateral vocal cord paralysis treated with partial arytenoidectomy will be treated using thulium laser surgery and laterofixation
Primary Outcome Measures
NameTimeMethod
Percentage of carcinoma recurrence in the patient population36 months

The percentage of carcinoma recurrence will be monitored and evaluated within the study subjects.

Secondary Outcome Measures
NameTimeMethod
Percentage of decannulation in the patient population36 months

The percentage of decannulation will be monitored among the study subjects.

Voice quality (Voice Handicap Index)36 months

Voice quality will be assessed according to the Voice Handicap Index, which is an acknowledged measurement tool providing precise evaluation of the condition.

Swallowing (SWAL-QOL) questionnaire36 months

Swallowing will be assessed in the study group using the SWAL-QOL measurement tool (questionnaire) providing precise evaluation of the condition.

Trial Locations

Locations (1)

University Hospital Ostrava

🇨🇿

Ostrava, Moravian-Silesian Region, Czechia

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