Comparison of Sleep Study Results After Partial Intracapsular Tonsillectomy Versus Total Tonsillectomy
Recruitment status was Recruiting
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Purpose
The purpose of this study is to demonstrate similar improvements in sleep-disordered breathing as determined by sleep study with microdebrider-assisted partial intracapsular tonsillectomy and adenoidectomy versus total Bovie electrocautery tonsillectomy and adenoidectomy.
| Condition | Intervention |
|---|---|
|
Sleep-Disordered Breathing Obstructive Sleep Apnea |
Procedure: PITA or Total |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Comparison of Polysomnography Outcomes for Microdebrider-Assisted Partial Intracapsular Tonsillectomy Versus Total Tonsillectomy |
| Estimated Enrollment: | 36 |
| Study Start Date: | August 2006 |
| Estimated Study Completion Date: | December 2009 |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
1
Children who underwent partial intracapsular tonsillectomy and adenoidectomy.
|
Procedure: PITA or Total |
|
2
Children who underwent total intracapsular tonsillectomy and adenoidectomy.
|
Procedure: PITA or Total |
Detailed Description:
Objectives: To demonstrate similar improvement in sleep-disordered breathing as determined by polysomnography (PSG) with microdebrider-assisted partial intracapsular tonsillectomy and adenoidectomy (PITA) versus Bovie electrocautery complete tonsillectomy and adenoidectomy (T&A).
Methods: In a retrospective cohort study children found to have Obstructive Sleep Apnea (OSA) by PSG who have undergone either PITA or T&A as treatment will be evaluated with repeat PSG. The groups will be matched by age, sex, and severity of pre-operative Apnea-Hypopnea Indices (AHI). The investigators performing and evaluating the PSG will be blinded to type of procedure and preoperative AHI. Change scores will be computed for each participant and the change scores of the groups compared.
Eligibility| Ages Eligible for Study: | 6 Months to 14 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 18 of 127 children who underwent partial intracapsular tonsillectomy and adenoidectomy at SUNY Downstate Medical Center will be randomly selected and offered participation in the study.
- Once enrolled, the participants will be matched by age, sex, time since procedure and polysomnography results (Respiratory Disturbance Index within 5) to 18 children who underwent traditional tonsillectomy and adenoidectomy at SUNY Downstate.
Exclusion Criteria:
- Recurrent tonsillitis
- Craniofacial syndromes
- Neuromuscular disorders
- Sickle cell disease
Contacts and Locations| United States, New York | |
| SUNY Downstate Medical Center | Recruiting |
| Brooklyn, New York, United States, 11203 | |
| Contact: Jason R Mangiardi, MD 718-270-1282 jaypgh@hotmail.com | |
| Contact: Nira A Goldstein, MD 718-270-1638 ngoldstein@downstate.edu | |
| Principal Investigator: Nira A Goldstein, MD | |
| Sub-Investigator: Jason R Mangiardi, MD | |
| Sub-Investigator: Madu Rao, MD | |
| Principal Investigator: | Nira A Goldstein, MD | State University of New York - Downstate Medical Center |
| Study Director: | Jason R Mangiardi, MD | State University of New York - Downstate Medical Center |
More Information
No publications provided by State University of New York - Downstate Medical Center
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Robin Nesby, The Research Foundation of the State University of New York |
| ClinicalTrials.gov Identifier: | NCT00887471 History of Changes |
| Other Study ID Numbers: | 06-095 |
| Study First Received: | March 28, 2008 |
| Last Updated: | April 23, 2009 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by State University of New York - Downstate Medical Center:
|
Sleep-disordered breathing Obstructive sleep apnea Polysomnography Tonsillectomy Microdebrider assisted partial intracapsular tonsillectomy |
Additional relevant MeSH terms:
|
Apnea Respiratory Aspiration Sleep Apnea Syndromes Sleep Apnea, Obstructive Respiration Disorders Respiratory Tract Diseases |
Signs and Symptoms, Respiratory Signs and Symptoms Sleep Disorders, Intrinsic Dyssomnias Sleep Disorders Nervous System Diseases |
ClinicalTrials.gov processed this record on May 21, 2013