Usefulness and Feasibility of Ultrasound in Office Laryngology Procedures: A Pilot Study
Weill Medical College of Cornell University
Summary
Investigators will assess the usefulness of using ultrasound in office procedures for laryngology interventions. Participants who qualify will be adults who are undergoing superior laryngeal nerve block, injection laryngoplasty, swallowing evaluation, voice evaluation and voice therapy.
Eligibility
- Age range
- 18–99 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * US-Guided Injection for Neurogenic Cough: 1. Age over 18 years 2. Recommended to undergo superior laryngeal nerve block * US-Assessment of Superior Laryngeal Nerve Anatomy 1. Age over 18 years 2. No cough complaints * US-Assessment of Injectate Volume: 1. Documentation of unilateral vocal fold paresis/paralysis or atrophy 2. Age over 18 years 3. Recommended to undergo injection laryngoplasty * US-Assessment of Swallow: 1. Age over 18 years 2. Presents with swallowing complaints * US-Assessment of Normal Swallow: 1. Age over 18 years 2. Presents…
Interventions
- Diagnostic TestUltrasound for cough
Adult patients who are seen at the Sean Parker Institute for the Voice and are determined to have neurogenic cough for which superior laryngeal nerve block is recommended will undergo this procedure under ultrasound guidance. Patients without neurogenic cough will also be recruited for ultrasound assessment to establish landmarks and normal variation. Patients will be assessed for their comfort with undergoing the procedure and clinicians will be surveyed on the ease and benefit of performing the procedure under ultrasound guidance.
- Diagnostic TestUltrasound for vocal fold atrophy or vocal fold paresis/paralysis
Adult patients who are seen at the Sean Parker Institute for the Voice and are determined to have vocal fold atrophy or vocal fold paresis/paralysis for whom injection laryngoplasty is recommended will undergo laryngeal ultrasound prior to the procedure to assess baseline anatomy as well as following the procedure (both immediately following the procedure as well as at follow-up visits) in order to assess the amount of injectate.
- Diagnostic TestUltrasound for dysphagia
Patients with and without swallowing complaints will be enrolled to assess their tongue, suprahyoid and infrahyoid musculature, including muscle identification, bulk and function.
- Diagnostic TestUltrasound for dysphonia
Adult patients who are seen at the Sean Parker Institute for the Voice and are determined to have muscle tension dysphonia will undergo ultrasonography during their visit with laryngology or speech language pathology.
Location
- Weill Cornell MedicineNew York, New York