Non-phonatory Exercises in Patients with Unilateral Vocal Fold Paralysis Post-thyroidectomy
NCT05963165 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 56
Last updated 2025-03-12
Summary
Thyroidectomy is the most common iatrogenic cause of vocal fold paralysis. Patients complain of hoarseness caused by incomplete glottic closure and have effort to raise vocal intensity with consequent elevation of the larynx and/or involvement of supraglottic structures in phonation. These compensation mechanisms result in a shift of the fundamental frequency towards more serious tones or falsetto voice emissions.
The first choice treatment is speech therapy which aims to obtain better glottic closure, preventing ankylosis of the crico-arytenoid joint. In order to promote better glottic closure without risking the onset or increase of dysfunctional compensation, the idea behind this project is to propose non-phonatory adduction exercises in the first post-operative week.
The primary objective of the study is to compare patients who will perform non-phonatory exercises in parallel with medical therapy for one week and patients who will perform standard medical therapy only during the first week.
Conditions
- Unilateral Vocal Cord Paralysis
Interventions
- BEHAVIORAL
-
Non-phonatory exercises
Muscle exercises that favor glottic adduction without vocal emissions
Sponsors & Collaborators
-
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-07-01
- Primary Completion
- 2023-10-01
- Completion
- 2024-01-01
Countries
- Italy
Study Locations
More Related Trials
-
Post Thyroidectomy Echographic Method for Study of Vocal Fold Motion
NCT03976011 ·Status: UNKNOWN ·Phase: NA
-
Predisection Risk Factors for Vocal Cord Palsy After Total Thyroid Surgery
NCT04986592 ·Status: COMPLETED
-
Efficacy of Oral Corticosteroid Therapy in Recurrent Paralyzes After Thyroidectomy
NCT03553342 ·Status: UNKNOWN ·Phase: PHASE3
-
Visualization Versus Neuromonitoring of the External Branch of the Superior Laryngeal Nerve During Thyroidectomy.
NCT01395134 ·Status: COMPLETED ·Phase: NA
-
Impact of Manual Therapy on Laryngeal Function Following Total Thyroidectomy
NCT06383091 ·Status: RECRUITING ·Phase: NA
-
Intraoperative Neuromonitoring of the Recurrent Laryngeal Nerve Versus Neurostimulation
NCT01163045 ·Status: COMPLETED ·Phase: PHASE2
-
Post-thyroidectomy Vocal Cord Paralysis Along With Hypocalcemia: STROBE - Guided Prospective Cohort
NCT04396912 ·Status: UNKNOWN
-
Impact of Total Thyroidectomy on Voice and Swallowing
NCT01607242 ·Status: UNKNOWN
-
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
-
Goitres Influence on Voice Function - The Impact of Surgery
NCT02468921 ·Status: UNKNOWN
-
GlideScope® Versus Macintosh Laryngoscope for Post-thyroidectomy Assessment of Vocal Cord Mobility
NCT03834597 ·Status: UNKNOWN
-
Post-thyroidectomy Dysphagia: An International Multicentric CONSORT - Compatible RCT
NCT04410601 ·Status: UNKNOWN ·Phase: NA
-
Dysphagia After Thyroidectomy
NCT06296420 ·Status: RECRUITING
-
Comparison of the Vocal Cord Imaging Techniques After Thyroidectomy
NCT02410928 ·Status: COMPLETED ·Phase: NA
-
Intraoperative Neuromuscular Monitoring and Its Impact on Pre- and Postoperative Acoustic Outcomes in Thyroid Surgery
NCT06254859 ·Status: RECRUITING
-
Non-neural Vocal Changes After Thyroidectomy
NCT02136459 ·Status: COMPLETED ·Phase: NA
-
Outcomes of Different Thyroid Resections for Multinodular Non-toxic Goiter
NCT00946894 ·Status: COMPLETED ·Phase: NA
-
Effect of Anti-adhesion Barrier on the Voice Quality After Thyroidectomy.
NCT04853680 ·Status: UNKNOWN ·Phase: NA
-
Quality of Life and Voice Perception in Patients Laryngoctomized Phonatory Wearers
NCT06086119 ·Status: UNKNOWN
-
Feasibility of Neostigmine for Intraoperative Neuromonitoring in Thyroid Surgery
NCT04873531 ·Status: COMPLETED ·Phase: NA
-
Dysphagia in Thoracic Surgical Patients
NCT04487028 ·Status: COMPLETED
-
Effectiveness of Intraoperative Neuromonitoring of External Branch of Superior Laryngeal Nerve During Thyroid Surgery
NCT03773120 ·Status: TERMINATED ·Phase: NA
-
The Incidence and Impact of Vocal Cord Dysfunction In Patients Undergoing Thoracic Surgery
NCT02996526 ·Status: COMPLETED
-
Management of Non-Organic Dysphonia in Adults.
NCT06856785 ·Status: RECRUITING ·Phase: NA
-
Phoniatric Evaluation and Comparison of Patients Who Underwent Sutureless Thyroidectomy With Vessel Closure Devices and Conventional Total Thyroidectomy With Suture
NCT01865006 ·Status: UNKNOWN