MedDRA version: 20.0 Level: LLT Classification code 10038130 Term: Recurrent laryngeal nerve palsy System Organ Class: 100000004852
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients undergoing total or partial thyroidectomy (no lymphe node dissection) Age = 18 yo Informed consent, and signed Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 300 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 100
Exclusion criteria
Exclusion criteria: Patients undergoing thyroid cancer surgery (with lymphe node dissection) Patients with pre operative recurrent laryngeal nerve palsy Patients with bilateral recurrent laryngeal nerve palsy Patients with allergy to Prednisolone Patients with ongoing infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Study the effectiveness of oral corticosteroids in vocal fold remobilization (at Day 7) for patients with unilateral recurrent laryngeal nerve palsy after thyroidectomy;Secondary Objective: Study the incidence of unilateral recurrent laryngeal nerve palsy Study the rate of complete remobilization at M1 and M3 between placebo and corticosteroids group Study the rate of partial remobilization between at D7, M1 and M3 between placebo and corticosteroids group Observance and tolerance of oral corticosteroids ;Primary end point(s): Complete remobilization of laryngeal palsy, evaluated by naso fibroscope inspection at Day 7 after thyroidectomy Complete response is definied by optimal contact of paralysed vocal fold with controlateral vocal fold ;Timepoint(s) of evaluation of this end point: day 7 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Percentage of recurrent laryngeal nerve palsy in studied population Complete remobilization of laryngeal palsy at M1 and M3 between placebo and corticosteroids group Partial remobilization of laryngeal palsy at D7, M1 and M3 between placebo and corticosteroids group (partial remobilization is definied by non optimal vocal fold movement) Observance and tolerance of oral corticosteroids evaluated by interrogation ;Timepoint(s) of evaluation of this end point: Day 7, Month 1 and 3 | — |
Countries
France