Total Laryngectomy
Conditions
Brief summary
The objective of this clinical study is to evaluate the feasibility, safety and efficacy of the ENTegral Artificial Larynx (AL) in patients indicated for total laryngectomy.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age more than or equal to 18 years old * Is indicated for total laryngectomy (first intention) * Must be able to comply with study requirements * Must be able to understand and be willing to provide written informed consent
Exclusion criteria
* Any condition that precludes the implantation of the ENTegral AL * Existing coagulation disorder * Contraindication for general anesthesia * Tumoral extension outside of the larynx invading through extra-laryngeal structures * Previous radiotherapy * Life-expectancy \< 12 months * Be pregnant of breastfeeding or intention to becoming pregnant during study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of device implant procedure | 1 year | Number of patients with adverse event associated with device implantation procedure |
Other
| Measure | Time frame | Description |
|---|---|---|
| Quality of life | 1, 3, 6 months and 1 year | Quality of life using EORTC QLQ-C30 and QLQ-H&N25 questionnaires |
| Number of patients with adverse events | 1 year | Number of patients with adverse events will be assessed at each follow-up during the 1 year patient follow-up |
| Dyspnea evolution | 1,2,3,6,9 months and 1 year | Dyspnea evaluation using the Heyse-Moore scale at 1, 2, 3, 6, 9 months and 1 year |
| Phonation evolution | 1,2,3,6,9 months and 1 year | Patient phonation (able to talk and be understood, whispered voice) will be assessed at 1, 2, 3, 6, 9 months and 1 year |
| Implant use | 1,2,3,6,9 months and 1 year | Implant use (manual closure of the tracheostomy orifice) duration will be assessed at 1, 2, 3, 6, 9 months and 1 year, allowing eventually to surgically close the orifice |
Countries
Belgium, France