MedPath

Turbinate Cauterization in Pediatric Patients With Nasal Obstruction

Not Applicable
Completed
Conditions
Nasal Obstruction
Sleep Apnea
Interventions
Procedure: turbinate cauterization
Registration Number
NCT01695967
Lead Sponsor
Eastern Virginia Medical School
Brief Summary

patients will be placed in 2 groups, with or without turbinate cautery ( a surgical method to reduce the size of the skin covered bones in the nose), at the time of adenoidectomy and tonsillectomy. It will compare the amount of nasal congestion for each group with the idea that it will be less if treated with turbinate cauterization. Assessments from baseline to 6 months post procedure will be compared between the two groups.

Detailed Description

To assess if inferior turbinate cautery improves nasal obstruction in children undergoing adenotonsillectomy.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
110
Inclusion Criteria
  • ages 3-16
  • obstructive sleep apnea warranting adenotonsillectomy
  • history of daytime nasal obstruction and or mouth breathing
  • failed medical treatment with either oral anti-histamine or nasal steroid spray.
  • turbinate hypertrophy on Physical Exam defined by >50% obstruction
Exclusion Criteria
  • <3 or >16
  • unwillingness to comply with study procedures
  • congenital head and neck malformations, genetic syndromes, craniofacial anomalies
  • no evidence of turbinate hypertrophy or symptoms of nasal obstruction
  • pregnancy or breastfeeding
  • bleeding disorders
  • current therapy with coumadin or Pradaxa

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Turbinate Cauterizationturbinate cauterizationTurbinate Cauterization will be completed.
Primary Outcome Measures
NameTimeMethod
# of participants with improved nasal obstruction score from baseline to 6 monthsbaseline and 6 months

Baseline assessment compared to 6 mo post surgery. The SN-5 Nasal Obstruction and Sinonasal Quality of Life instrument tools will be used to record nasal obstruction symptom scores.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Children's Hospital of the King's Daughters

🇺🇸

Norfolk, Virginia, United States

© Copyright 2025. All Rights Reserved by MedPath