Usefulness and Feasibility of Ultrasound in Office Laryngology Procedures
NCT Number: NCT06579989
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Cough|Vocal Cord Atrophy|Vocal Cord Paresis|Vocal Cord Paralysis|Dysphagia|Dysphonia
Interventions: DIAGNOSTIC_TEST: Ultrasound for cough|DIAGNOSTIC_TEST: Ultrasound for vocal fold atrophy or vocal fold paresis/paralysis|DIAGNOSTIC_TEST: Ultrasound for dysphagia|DIAGNOSTIC_TEST: Ultrasound for dysphonia
Sponsor: Weill Medical College of Cornell University
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 200
Study Design: Allocation: NON_RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: DIAGNOSTIC
Start Date: 2024-09
Completion Date: 2026-06
Locations: Weill Cornell Medicine, New York, New York, 10021, United States

Summary:
Investigators will assess the usefulness of using ultrasound in office procedures for laryngology interventions. Participants who qualify will be adults who are undergoing superior laryngeal nerve block, injection laryngoplasty, swallowing evaluation, voice evaluation and voice therapy.

Primary Outcome Measures: Quantitative clinician-reported usability measure of ultrasound during injection of the internal branch of superior laryngeal nerve for neurogenic cough., The clinician will use the Likert scale and rate a series of statements on a scale of 1 (strongly disagree) to 5 (strongly agree). The lowest possible total score is 12 (overall clinician disagreement), and the highest possible total score is 60 (overall clinician agreement)., Immediately post-intervention|Qualitative clinician-reported usability measure of ultrasound during injection of the internal branch of superior laryngeal nerve for neurogenic cough., The clinician will respond to the following open-ended questions:

* What are the benefits with performing the procedure with ultrasound?
* What are the limitations with performing this procedure with ultrasound?, Immediately post-intervention|Patient comfort measures during ultrasound-guided injection of the internal branch of superior laryngeal nerve for neurogenic cough., Number of patients that fall into the below categories as determined by the provider care team:

* No discomfort: talking/comfortable throughout
* Minimal discomfort: 1 or 2 episodes of mild discomfort with no distress
* Mild discomfort: More than 2 episodes of discomfort without distress
* Moderate discomfort: significant discomfort experienced several times with some distress
* Severe discomfort: frequent discomfort with significant distress, Day 1|Time to complete superior laryngeal nerve injection under ultrasound., The amount of time will be recorded in minutes., Day 1|Images and descriptors of internal branch of superior laryngeal nerve anatomy and normal variation., This is a qualitative outcome measure. Providers will provide a description of the internal branch of superior laryngeal nerve anatomy with accompanying images from the strobe., Day 1|Change in volume of injectate in injection laryngoplasty measured by ultrasound compared to amount injected after procedure and at follow-up., The volume will be recorded in mL., Immediately post-intervention and at 4 week follow-up visit|Presence, bulk, and function of tongue, suprahyoid, and infrahyoid musculature on ultrasound for patients with and without swallowing complaints., This is a qualitative outcome measure. Providers will provide a description of the tongue, suprahyoid, and infrahyoid musculature on ultrasound for patients with and without swallowing complaints., Day 1|Evaluation of suprahyoid musculature on ultrasound for patients with muscle tension dysphonia., This is a qualitative outcome measure. Providers will provide a description of the suprahyoid musculature on ultrasound for patients with muscle tension dysphonia., Day 1