The Effect of Adenoidectomy With or Without Endoscopic Bilateral Partial Inferior Turbinectomy on Children With Bilateral Nasal Obstruction
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- operative time
研究概览
简要总结
Nasal obstruction is a common problem in children and is frequently caused by adenoid hypertrophy with concomitant inferior turbinate hypertrophy, leading to sleep-disordered breathing and reduced quality of life. Although adenoidectomy is the standard treatment, persistent nasal obstruction may occur in some patients due to inferior turbinate enlargement. Recent evidence suggests that combining inferior turbinate reduction with adenoidectomy may provide superior relief of nasal obstruction and improve postoperative outcomes compared with adenoidectomy alone.
The study aims to compare the effectiveness of adenoidectomy alone versus adenoidectomy combined with endoscopic bilateral partial inferior turbinectomy in relieving nasal obstruction and sleep-disordered breathing in children with adenoid and bilateral inferior turbinate hypertrophy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 6 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age : children (9 - 18 years old ) only.
- •Patients with bilateral nasal obstruction or sleep-disordered breathing, and having adenoid hypertrophy diagnosed by nasal endoscopy, with bilateral inferior turbinate hypertrophy investigated by CT and confirmed by endoscopy despite 3 months of medical treatment with intranasal corticosteroid and oral antihistaminic.
- •Sex : both males and females.
- •Patients were selected from the otorhinolaryngology outpatient clinic of Al-Azhar University hospital in Assiut in a consecutive manner.
- •All patients were generally well and fit for surgery.
排除标准
- •• Patients with recent upper respiratory tract infection.
- •Evidence of any bleeding disorders .
- •Patients with serous otitis media and chronic tonsillitis.
- •patients contraindicated to do adenoidectomy after phoniatric consultation.
- •patients with atrophic rhinitis
- •patients with nasal obstruction due to other causes such as : deviated nasal septum and antrochoanal polyp.
- •Patients with sinonasal pathology like a marked septal deviation or nasal polyposis, and those exhibiting symptoms that could indicate chronic or recurrent rhinosinusitis, such as fever, headaches, facial pain, rhinorrhea, antibiotic requirements, and purulence seen on nasal endoscopy.
结局指标
主要结局
operative time
时间窗: During the procedure
operative duration in mintues
nasal obstruction
时间窗: preoperative till 2 months after opertaions
pre and post operative difeerence of nasal obstruction using nose score
次要结局
未报告次要终点
研究者
Ahmed Nabil Selim
ENT specialist
Al-Azhar University