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The investigators previously demonstrated that voice changes are common in patients with Laryngotracheal Stenosis (LTS), and patients typically report an improvement in voice outcomes following endoscopic dilation. Recently, NIH based programs such as a Bridge to Artificial Intelligence (Bridge2AI) have highlighted the use of artificial intelligence to identify acoustic biomarkers of disease. Therefore, the investigators hypothesize that progression of LTS scar can be quantified using acoustic measurements and machine learning. The goal of this clinical trial is to remotely monitor patient voice quality in an effort to determine if regularly performed voice recordings can be used as a diagnostic tool in order to predict the need for dilation procedures. The investigators feel that successful use of remote voice recording technology with algorithmic analysis will improve patient quality of life.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Voice Biomarker Screening Too | Diagnostic Test | The investigators will develop a screening tool using voice that can predict disease severity in idiopathic subglottic stenosis |
| Measure | Description | Time Frame |
|---|---|---|
| Voice Quality in patients with idiopathic subglottic stenosis | To remotely assess voice quality of patients with idiopathic subglottic stenosis with VoiceLab automated voice analysis software both before and at regular intervals following dilation procedures | Baseline, 14 days, monthly for 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Peak Expiratory flow (L/min) in patients with Laryngotracheal Stenosis | Change in Peak Expiratory flow (L/min) in patients with Laryngotracheal Stenosis will be assessed. | Baseline, 14 days, monthly for 2 years |
| Change in Clinical COPD Questionnaire Quality of Life Score |
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Inclusion Criteria:
Exclusion Criteria:
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Individuals with idiopathic subglottic stenosis
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Samuel L Collins, Ph.D. | Contact | 4107020420 | scollin7@jh.edu |
| Name | Affiliation | Role |
|---|---|---|
| Alexander Hillel, MD | Johns Hopkins School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Johns Hopkins Outpatient Center | Baltimore | Maryland | 21287 | United States |
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| ID | Term |
|---|---|
| C536283 | Idiopathic subglottic tracheal stenosis |
| D014135 | Tracheal Stenosis |
| ID | Term |
|---|---|
| D014133 | Tracheal Diseases |
| D012140 | Respiratory Tract Diseases |
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Clinical COPD Questionnaire Quality of Life Score range of 0-6, with higher score indicating worse outcome |
| Baseline, 14 days, monthly for 2 years |
| Change in Eating Assessment Tool (EAT-10) Swallow Quality of Life Score | Eating Assessment Tool (EAT-10) Swallow Quality of Life Score range of 0-40, with higher score indicating worse outcome | Baseline, 14 days, monthly for 2 years |
| Change in 12-Item Short Form (SF-12) Survey Global Quality of Life Score | 12-Item Short Form (SF-12) Survey Global Quality of Life Score of 0-100, with lower score indicating worse outcome | Baseline, 14 days, monthly for 2 years |
| Change in lumen surface area | CT Neck will be used to assess change in lumen surface area in millimeters squared | 2 years or when surgical intervention is required if before 2 years |