Vocal Folds Irregular Mucosal Changes: A Clinical, Pathological and Genetic Study
1 other identifier
observational
100
1 country
1
Brief Summary
simple combination of functional investigation, in form of laryngostroboscopy, together with conventional histopathological examination, provides a highly sensitive method in differential diagnosis of undiagnosed vocal folds irregularites
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Mar 2021
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 30, 2019
CompletedFirst Posted
Study publicly available on registry
July 5, 2019
CompletedStudy Start
First participant enrolled
March 1, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2023
CompletedJanuary 6, 2026
January 1, 2026
2.4 years
June 30, 2019
January 2, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Correlation between video-stroboscopic examination and histopathological results
Correlation between video-stroboscopic examination and histopathological groups.
baseline
Secondary Outcomes (1)
to correlate between SOX2 gene expression and histopathological finding
baseline
Interventions
videolaryngoscopy and laryngostroboscoby will be performed .the latter will be pathological in case of highly reduced or abolished amplitudes of vocal fold vibration and if there is reduction of mucosal wave propagation.also direct microlaryngoscopy under general anathesia will be done and excesional biobsy will be taken followed by histopatholpgical examination .the histological finding will be catagorized into the following categories according to (WHO): squamous cell hyperplasia with non dysplasia,mild dysplasia,moderate dysplasia,sever dysplasia,carcinoma in situ and squamous cell carcinoma.
Eligibility Criteria
one hundred patient with localized or diffuse vocal folds irregularites wiii be examined for primary diagnosis at the phoniatric unit of ENT department in Assiut university hospital.main symptom of all patients is dysphonia of varying degree and dauration from afew days to several months .
You may qualify if:
- Age 18-70 years old males
- Unilateral or bilateral localized and diffuse vocal fold irregularities.
- Patients with white (leukoplakia) patches on one or both vocal folds
- No previous microphonosurgery.
- No previous history of radiotherapy .6.No impairment of the vocal fold mobility.
You may not qualify if:
- Subject refusal.
- Patients with large exophytic and/or ulcerated mass.
- Vocal fold cysts or polyps, contact granulomas, or Reinke's edema
- If there is a concern for rapid growth pattern, airway obstruction requiring urgent operative intervention
- Vocal fold immobility
- History of allergies and GERD.
- Unfit for general anesthesia
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Assiut university, faculty of medicine
Asyut, Asyut Governorate, 71515, Egypt
Related Publications (3)
Ferlito A, Devaney KO, Woolgar JA, Slootweg PJ, Paleri V, Takes RP, Strojan P, Bradley PJ, Rinaldo A. Squamous epithelial changes of the larynx: diagnosis and therapy. Head Neck. 2012 Dec;34(12):1810-6. doi: 10.1002/hed.21862. Epub 2011 Oct 3.
PMID: 21971762BACKGROUNDGugatschka M, Kiesler K, Beham A, Rechenmacher J, Friedrich G. Hyperplastic epithelial lesions of the vocal folds: combined use of exfoliative cytology and laryngostroboscopy in differential diagnosis. Eur Arch Otorhinolaryngol. 2008 Jul;265(7):797-801. doi: 10.1007/s00405-007-0549-9. Epub 2007 Dec 4.
PMID: 18057948BACKGROUNDSadri M, McMahon J, Parker A. Management of laryngeal dysplasia: a review. Eur Arch Otorhinolaryngol. 2006 Sep;263(9):843-52. doi: 10.1007/s00405-006-0078-y. Epub 2006 Jul 6.
PMID: 16823559BACKGROUND
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- principal investigator
Study Record Dates
First Submitted
June 30, 2019
First Posted
July 5, 2019
Study Start
March 1, 2021
Primary Completion
August 1, 2023
Study Completion
August 1, 2023
Last Updated
January 6, 2026
Record last verified: 2026-01