Oral Complications of Radiation Therapy, Stage II Laryngeal Cancer, Stage I Laryngeal Cancer
Conditions
Brief summary
This pilot trial studies pulsed dye laser in treating patients with post radiation dysphonia. Dysphonia, or vocal cord scarring, can include trouble with the voice when trying to talk, such as hoarseness, change in voice pitch, and poor voice quality, and it commonly happens after radiation therapy for laryngeal cancer. Pulsed dye laser may improve post radiation dysphonia.
Detailed description
PRIMARY OBJECTIVES: I. To evaluate the use of pulsed dye laser in treatment of the dysphonia that commonly results after radiation therapy for laryngeal carcinoma. OUTLINE: Patients undergo pulsed dye laser monthly for three months. After completion of study treatment, patients are followed up at 1, 3, and 6 months.
Interventions
Undergo pulsed dye laser
Ancillary studies
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients suffering from dysphonia after radiation therapy for glottic carcinoma will be included in the study * Patients will be included if their initial stage was T1 N0 M0 or T2 N0 M0
Exclusion criteria
* Patients having previously undergone large surgical resections of the larynx or hypopharynx will be excluded * Patients fewer than 1 year out from completion of radiation therapy will be excluded * Patients with local disease recurrence would be excluded from the trial * Patients in whom the transnasal endoscope is poorly tolerated or patients in whom transnasal endoscopic laryngoscopy is contraindicated will be excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Videostroboscopy rates | Up to 6 months post-treatment | Forced choice comparisons will be utilized in the pre and post treatment stroboscopy comparisons. |
| Change in Voice Handicap Index (VHI)-10 score | Baseline to 6 months post-treatment | The VHI-10 form will be scored and then those numbers will be compared pre and post treatment for each individual. |
| Change in jitter | Baseline and at 6 months post-treatment | Laboratory based voice analysis will be performed with evaluations of aerodynamics and acoustics. |
| Voice quality using the patient self-assessment questionnaire | Up to 6 months post-treatment | The post treatment questionnaire form will be scored and then comparisons made for each individual question on the form across our study group. These values will be discrete variables. |
| Change in shimmer | Baseline and at 6 months post-treatment | Laboratory based voice analysis will be performed with evaluations of aerodynamics and acoustics. |
| Change in noise to harmonic ratio | Baseline and at 6 months post-treatment | Laboratory based voice analysis will be performed with evaluations of aerodynamics and acoustics. |
| Change in mean phonatory flow | Baseline and at 6 months post-treatment | Laboratory based voice analysis will be performed with evaluations of aerodynamics and acoustics. |
Countries
United States