Wound Complications in Head and Neck Surgery
NCT03134976 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 51
Last updated 2020-06-01
Summary
This is a prospective observational study evaluating wound complications following head and neck surgery. Patients undergoing major head and neck surgery will be included in the study. Patients meeting eligibility criteria will be identified by members of the University of Michigan Head and Neck Oncology Division of the Department of Otolaryngology. The primary aim of this study is to identify risk factors for poor wound healing as well as biologic markers associated with wound related complications in head and neck surgery. Most specifically, this study evaluates the effects of thyroid hormone on wound healing. This study will also evaluate pre-operative labs and comorbidities as well as reconstructive factors, post-operative labs, and other variables associated with wound healing. All interventions regarding wound healing fall under current standards of care and standard practice. Data regarding post-operative wound complications will be collected in a prospective fashion on the variables under study using study-specific datasheets. Data sheet will be entered into a secure database for analysis.
Conditions
- Hypothyroidism; Surgery
- Head and Neck Cancer
- Wound Heal
- Laryngeal Cancer
- Laryngeal Fistula
Interventions
- DRUG
-
Levothyroxine
Immediately post-operatively, all patients undergoing laryngectomy will be started on established weight-based dosing of levothyroxine administered intravenously due to the variable enteral absorption in post-operative patients including those on continuous tube feed regimens. Standard enteral dose is 1.6 mcg/kg/day. Eighty percent of this dose (1.3 mcg/kg/day) will be given IV to account for the increased bioavailability of IV levothyroxine compared to enteral levothyroxine. The maximum dose will be 200 mcg/day. Patients previously on levothyroxine at doses lower than the above dose will changed to the aforementioned standard dose. Patients on higher doses of levothyroxine pre-operatively will be maintained on on their current dosing.
Sponsors & Collaborators
- lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-05-01
- Primary Completion
- 2020-04-01
- Completion
- 2020-05-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Effectiveness of Intraoperative Neuromonitoring of External Branch of Superior Laryngeal Nerve During Thyroid Surgery
NCT03773120 ·Status: TERMINATED ·Phase: NA
-
Central Neck Dissection in Patients With Clinical Node Negative Thyroid Cancer
NCT02138214 ·Status: COMPLETED ·Phase: PHASE2
-
Effectiveness of Intraoperative Neuromonitoring of External Branch of Superior Laryngeal Nerve in Thyroid Surgery
NCT06002984 ·Status: RECRUITING ·Phase: NA
-
Tracheal Tube and Swallowing After Head and Neck Surgery
NCT05738421 ·Status: RECRUITING
-
Thyroid Cancer in Surgical Treated Multinodular Goiter
NCT06924242 ·Status: COMPLETED
-
Impact of Total Thyroidectomy on Voice and Swallowing
NCT01607242 ·Status: UNKNOWN
-
Active Surveillance and Surgery Outcomes in Low Risk Papillary Thyroid Cancer
NCT04624477 ·Status: ACTIVE_NOT_RECRUITING
-
Parathyroid Reimplantation in Forearm Subcutaneous Tissue During Thyroidectomy: a Simple Way to Avoid Ipoparathyroidism and Evaluate Graft Function
NCT02194920 ·Status: COMPLETED
-
New Intraoperative Nerve Monitoring Device
NCT07071571 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
The Efficacy and Safety of Prophylactic Central Lymph Node Dissection in Papillary Thyroid Carcinoma
NCT02418390 ·Status: COMPLETED ·Phase: NA
-
Complications of Endocrine Surgery: Data From the United HealthSystem Consortium
NCT01539499 ·Status: COMPLETED
-
Effect of Intraoperative Nerve Monitoring on Voice Quality During Thyroid Surgery
NCT02509715 ·Status: UNKNOWN ·Phase: NA
-
Efficacy of Hyperbaric Oxygen Therapy in Laryngectomy Patients
NCT00026975 ·Status: COMPLETED ·Phase: PHASE2
-
Intraoperative Neuromonitoring of the Recurrent Laryngeal Nerve Versus Neurostimulation
NCT01163045 ·Status: COMPLETED ·Phase: PHASE2
-
The Safety and Feasibility of Radiofrequency Ablation to Treat Low-risk Thyroid Cancer
NCT06929650 ·Status: RECRUITING ·Phase: NA
-
ESTIMation of the ABiLity of Prophylactic Central Compartment Neck Dissection to Modify Outcomes in Low-risk Differentiated Thyroid Cancer
NCT03570021 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Medico-economic Evaluation Comparing the Use of Ultrasonic Scissors to the Conventional Techniques of Haemostasis in Thyroid Surgery by Cervicotomy
NCT01551914 ·Status: UNKNOWN ·Phase: PHASE3
-
Visualization Versus Intraoperative Neuromonitoring of the Recurrent Laryngeal Nerves in Thyroid Surgery
NCT00661024 ·Status: COMPLETED ·Phase: NA
-
Effect of Cervical Block on Recurrent Laryngeal Nerve Monitoring During Thyroid Surgery
NCT04585126 ·Status: UNKNOWN ·Phase: NA
-
Comparative Study Between Transcutaneous Ultrasonography and Direct Laryngoscopy for Assessment of Vocal Cord Mobility at the End of Thyroidectomy Operation
NCT06951295 ·Status: COMPLETED ·Phase: NA
-
The Impact of Post-thyroidectomy Neck Stretching Exercises on Improving Short Term Quality of Life
NCT04645056 ·Status: UNKNOWN ·Phase: NA
-
Intraoperative Pathologic Evaluation of Central Lymph Nodes in Papillary Thyroid Carcinoma
NCT07066644 ·Status: COMPLETED
-
A Study of the Efficacy and Safety of Non-ablative Fractional Laser in the Treatment of Thyroidectomy Scars
NCT07037264 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Dysphagia After Thyroidectomy
NCT06296420 ·Status: RECRUITING
-
The Effect of Head Position on the Optik Nerve Sheath Diameter in Patients During Thyroid Surgery
NCT07298187 ·Status: COMPLETED