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Swallowing Motor Function After Cervical Spine Surgery With Anterior Approach

Evaluation of Changes of Swallowing Motor Function After Cervical Spine Surgery With Anterior Approach- the Implication of High Resolution Impedance Manometry

Status
UNKNOWN
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03891940
Enrollment
30
Registered
2019-03-27
Start date
2019-03-26
Completion date
2022-12-31
Last updated
2019-03-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients Receiving Anterior Cervical Spine Surgery

Brief summary

Dysphagia is a well-known complication following anterior cervical spine surgery. However, which muscle at oropharyngeal region weakness and the recovery course of these patients are still unknown. The ultrasonography was used to measure the oropharyngeal swallowing function. The high resolution impedance manometry (HRIM) could be used to measure the postoperative recovery esophageal function. we aimed to observe the changes and recovery course swallowing function parameters during the preoperative and postoperative period in the patients receiving anterior cervical spine surgery by HRIM and ultrasonography.

Detailed description

Dysphagia is a well-known complication following anterior cervical spine surgery. However, which muscle at oropharyngeal region weakness and the recovery course of these patients are still unknown. The ultrasonography was used to measure the oropharyngeal swallowing function. The high resolution impedance manometry (HRIM) could be used to measure the postoperative recovery esophageal function. We aimed to observe the changes and recovery course swallowing function parameters during the preoperative and postoperative period in the patients receiving anterior cervical spine surgery by HRIM and ultrasonography. Consecutive patients who will fulfill the criteria of cervical spine surgery patients under general anesthesia and aged \>= 20 will be enrolled. The patients would receive the dysphagia questionnaire. All subjects would receive the swallowing function by ultrasonography and HRIM before the surgeries. The cough test was also measured. After the surgery, the patient would be followed the swallowing function in the postoperative one day, 1 week, and 1 months, 3 months (If needed) by HRIM and ultrasonography.

Interventions

PROCEDUREpatients recieving anterior cervical spine surgery

Anterior cervical discectomy with fusion, or ACDF, is a surgery designed to relieve spinal cord or nerve root pressure in the neck by removing all or part of a damaged disc

Sponsors

National Taiwan University Hospital
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* 1\. Patients who fulfill the criteria of anterior cervical spine surgery under general anesthesia 2. Aged from 20-80 years old

Exclusion criteria

\- 1. Major systemic disease, such as congestive heart failure, liver cirrhosis, end stage renal disease and malignancy. 2\. Patients who have the risk of difficult ventilation or intubation. 3. pregnant women 4. coagulopathy

Design outcomes

Primary

MeasureTime frameDescription
upper esophageal sphincter pressure changeseverage 1 month in the perioperative periodupper esophageal sphincter pressure changes measured by the HRIM

Secondary

MeasureTime frameDescription
hyoid bone movementeverage 1 month in the perioperative periodthe distance of hyoid bone movement measured by the ultrasonography

Contacts

Primary ContactFon-Yih Tsuang, MD
tsuangfy@gmail.com+886972651124
Backup ContactChih-Jun Lai, MD
littlecherrytw@gmail.com+886965327939

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026