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Trigeminal Endonasal Perception: A Predictor for Septoplasty Outcome

Not Applicable
Completed
Conditions
Empty Nose Syndrome
Interventions
Procedure: Nasal surgery
Registration Number
NCT02230423
Lead Sponsor
University of Zurich
Brief Summary

This study investigates wether patients with increased trigeminal perception threshold and low expression of TRP channels have more often nasal blockage despite functionally successful nasal surgery (TRP channel = transient receptor potential channel).

Detailed Description

The aim of this study is to find out wether patients with high trigeminal perception threshold (=decreased intranasal sensibility) and low expression of TRP channels of the mucosa suffer more often from impaired nasal breathing after surgery. This could lead to the identification of prognostic factors and therefore prevention of nasal surgery with bad outcome.

Further, differences between patients with empty nose syndrome and asymptomatic patients after extended intranasal surgery, concerning trigeminal perception and TRP channel expression will be investigated.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
140
Inclusion Criteria
  • Patients undergoing a primary septoplasty and/or turbinoplasty
  • Patients suffering from empty nose syndrome after measurably successful nasal surgery
  • Patients with removed turbinates and/or septum, not suffering from ENS (i.e. tumor patients)
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Exclusion Criteria
  • Patients with known neurologic disorders that could compromise perception threshold measurements
  • Patients with known allergies/intolerance to test agents that are used to measure perception thresholds (Cineol=Eucalypt; Menthol, CO2= Carbon Dioxide)
  • Inability to judge or understand the testing or the informed consent
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Patients receiving nose surgeryNasal surgeryPatients in need of nose surgery, before and after surgery; or only after successful surgery, then with or without "Empty Nose Syndrome".
Primary Outcome Measures
NameTimeMethod
Measurement of subjective nasal breathing impairment after surgery depending on trigeminal perception threshold and TRP channel expressionUp to 1 year post-surgery
Secondary Outcome Measures
NameTimeMethod
Differences between trigeminal perception threshold as as well as TRP expression levels in patients with postoperative empty nose syndrome and patients with subjectively unimpaired nasal breathing after extended intranasal surgeryUp to 1 year post-op

Trial Locations

Locations (1)

Zurich University Hospital

🇨🇭

Zurich, Switzerland

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