C10
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Diagnosis of oropharyngeal carcinoma (OPSCC) -Radiotherapy as part of the treatment -Adequate hearing function prior to the start of treatment
Exclusion criteria
Exclusion criteria: -Pre-existing severe hearing loss -Previous radiotherapy to the head and neck region -Concomitant medical conditions or medications that affect hearing -Patients are unable to participate in audiological procedures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hearing loss (HL), measured as the average hearing threshold (PTA4: Pure Tone Average across four frequencies: 0.5, 1, 2 and 4 kHz), in patients with oropharyngeal cancer prior to radiotherapy vs. 12-month follow-up (after completion of treatment). | — |
Secondary
| Measure | Time frame |
|---|---|
| -Changes in hearing thresholds across different frequency ranges (high- and low-frequency audiometry). -Function of the eardrum and middle ear, assessed by tympanometry. -Hair cell function, measured using otoacoustic emissions (OAE). - Speech intelligibility, assessed using the Freiburg Monosyllable Test at 55 and 65 dB. - Comparison of audiological parameters between irradiated OPSCC patients and the control group (patients with laryngeal cancer without radiotherapy). - Calculated effective radiation dose to the inner ear and its correlation with audiological changes. - Temporal progression of hearing function at the assessment time points prior to therapy, 6–8 weeks, 6 months and 12 months after completion of radiotherapy. - Identification of dose thresholds at which significant hearing loss occurs. - Influence of other covariates such as age, gender, concomitant chemotherapy and pre-existing conditions on hearing function. | — |
Countries
Germany
Contacts
Klinik für Hals-, Nasen- und Ohrenheilkunde, Universitätsmedizin