CPAP to Improve Swallow Function Post Total Laryngectomy
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 11/21/2018 |
| Start Date: | June 27, 2016 |
| End Date: | March 2021 |
| Contact: | Ahmed Bayoumi, MB BCh |
| Email: | hs-oto-study@ou.ad3.ucdavis.edu |
| Phone: | 916-734-2863 |
Utilization of Continuous Positive Airway Pressure to Improve Swallow Function in Patients Post Total Laryngectomy
Investigator initiated prospective study to determine whether use of Continuous Positive
Airway Pressure (CPAP) can improve the swallow function in patients who underwent total
laryngectomy and are experiencing difficulty swallowing
Airway Pressure (CPAP) can improve the swallow function in patients who underwent total
laryngectomy and are experiencing difficulty swallowing
Total laryngectomy is a procedure that involves surgical removal of the larynx and separation
of the digestive and airway tracts. The procedure is typically conducted for cases of
laryngeal cancer and intractable aspiration. Following this procedure, patients are no longer
at risk for aspiration; however some patients continue to experience difficulties in
propulsion of food or drink throughout the pharynx. Previous research has demonstrated a
reduction in pharyngeal contractile pressure and increased pharyngeal transit time in
patients post laryngectomy. Continuous Positive Airway Pressure (CPAP) may assist bolus
propulsion in these patients by increasing pressure in the direction of bolus flow. This
study aims to evaluate the utility of a CPAP mask to improve pharyngeal swallow outcomes
during Video Fluoroscopic Swallowing Exam (VFSE) in patients with dysphagia following total
laryngectomy. This specific population could be well-suited for this application, since the
digestive tract and airway are completely separate and there is no risk of the aspiration
into the airway.
of the digestive and airway tracts. The procedure is typically conducted for cases of
laryngeal cancer and intractable aspiration. Following this procedure, patients are no longer
at risk for aspiration; however some patients continue to experience difficulties in
propulsion of food or drink throughout the pharynx. Previous research has demonstrated a
reduction in pharyngeal contractile pressure and increased pharyngeal transit time in
patients post laryngectomy. Continuous Positive Airway Pressure (CPAP) may assist bolus
propulsion in these patients by increasing pressure in the direction of bolus flow. This
study aims to evaluate the utility of a CPAP mask to improve pharyngeal swallow outcomes
during Video Fluoroscopic Swallowing Exam (VFSE) in patients with dysphagia following total
laryngectomy. This specific population could be well-suited for this application, since the
digestive tract and airway are completely separate and there is no risk of the aspiration
into the airway.
Inclusion Criteria:
- Patients at least 2 months after total laryngectomy
- Undergoing Video Fluoroscopic Swallowing Examination
Exclusion Criteria:
- Patients with 100% neopharyngeal stenosis
- Patients with active cancer within 2 months of the study
- Patients with pharyngocutaneous fistula
- Vulnerable population: Adults unable to consent, Pregnant women, and Prisoners
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