C32
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Histologically proven squamous cell carcinoma of the supraglottic larynx • T2 and T3 tumor (UICC, 7th edition 2010) • Stage II-IVb (UICC, 7th edition 2010) • Age =18 years • No pregnancy, reliable contraception during time of treatment • Written informed consent • Examination of swallowing function by FEES possible
Exclusion criteria
Exclusion criteria: • Tumor location outside the supraglottic larynx • R0 resection of cervical lymph node metastases not possible • Simultaneous distant metastases • Simultaneous second primary tumor • Previous malignant tumor, except basalioma and spinalioma of the skin and carcinomata in situ. • Malignant tumor in patient’s history with follow-up time less than 5 years. Patients without relapse within 5 years after therapy of a malignant tumor need consultation with the Principal Investigator. • Previous local, regional or systemic tumor therapy. • No suitability for general anesthesia. • Not tumor-related swallowing disorder.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to aspiration-free swallowing after end of treatment, examined with FEES (fiberoptic endoscopic evaluation of swallowing), defined as time after end of treatment until grade <6 at penetration-aspiration-scale (PAS) according to Rosenbeck. | — |
Secondary
| Measure | Time frame |
|---|---|
| • Local control, defined as time from study registration until local recurrence • Larynx preservation • Disease-specific survival, defined as time from study registration to tumor-related death • Overall survival, defined as time from study registration to death of any cause • Dysphagia- and voice-related quality of life, recorded by MD Anderson Dysphagia Inventory (MDADI) and Voice-Handicap-Index (VHI) • Complications of treatment • Severe adverse events • Tracheostomy temporary/permanent • Necessity of PEG-feeding | — |
Countries
Germany
Contacts
Universität zu Kiel/UKSH Campus KielKlinik für HNO-Heilkunde, Kopf- und Halschirurgie