Sinonasal Gas Exchange Dynamics
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Purpose
Sinonasal gas exchange is facilitated by the unique anatomy and topography of the sinonasal interface that represents a collection of airfoils creating an aerodynamic structure. The airflow during respiration generates positive and negative pressures that power the gas exchange between the sinuses and the nose. Major surgical alteration of the interface reduces the rate and velocity of the exchange. Minimally invasive procedures aimed at preserving the natural anatomy, topography and aerodynamic configuration of the interface will have negligible effects on sinonasal gas exchange.
| Condition |
|---|
|
Sinusitis |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | Sinonasal Gas Exchange Dynamics The Aerodynamic Theory of the Sinonasal Interface |
- Sinonasal gas exchange rate [ Time Frame: 2 years ] [ Designated as safety issue: No ]ANALYZE AND DEFINE GAS EXCHANGE PATTERNS IN THE MAXILLARY SINUS DURING NASAL RESPIRATION IN NORMAL SINUSES AND COMPARE WITH SURGICALLY MODIFIED SUBJECTS THAT WILL INCLUDE MAXILLARY SINUSES AFTER ENDOSCOPIC SINUS SURGERY AND BALLOON SINUPLASTY.
- NO production rate [ Time Frame: 2 years ] [ Designated as safety issue: No ]ANALYZE AND DEFINE NITRIC OXIDE PRODUCTION RATE AND VARIABLES IN NORMAL AND SURGICALLY ALTERED MAXILLARY SINUSES
| Estimated Enrollment: | 45 |
| Study Start Date: | August 2013 |
| Estimated Study Completion Date: | August 2015 |
| Estimated Primary Completion Date: | August 2015 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Control
Healthy adults
|
|
Balloon Sinuplasty
Patients who had balloon sinuplasty
|
|
FESS-Uncinectomy
Patients who had FESS-Uncinectomy
|
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Adult patients who had balloon sinuplasty of traditional endoscopic uncinectomy for treatment of chronic maxillary sinusitis
Inclusion Criteria:
Control:
- normal healthy adult volunteers ages 18-65,
- without allergies by history and allergy test,
- non-smoker,
- not using steroids. Study group 1: adult subjects who had maxillary sinus balloon sinuplasty (with intact uncinate and ethmoid complex) Study group 2: adult subjects who had endoscopic maxillary antrostomy and uncinectomy.
Exclusion criteria:
- active acute or chronic infection,
- nasal polyps,
- severe nasal or septal deformity,
- cystic fibrosis,
- systemic illness (diabetes, hypertension etc.),
- vulnerable population (children, pregnant women, institutionalized individuals etc.)
- severe nasal and/or septal deviation,
- hypersensitivity or intolerance to study medications (topical and local anesthetics) any turbinate surgery.
Contacts and Locations| Contact: Anil A Gungor, MD | 3186756262 | agungo@lsuhsc.edu |
| United States, Louisiana | |
| LSU | Not yet recruiting |
| Shreveport, Louisiana, United States, 71130 | |
| Sub-Investigator: Stewart Little, MD | |
| Principal Investigator: | Anil A Gungor, MD | Louisiana State University Health Sciences Center in New Orleans |
More Information
No publications provided
| Responsible Party: | Anil Gungor MD, Associate Professor, Louisiana State University Health Sciences Center Shreveport |
| ClinicalTrials.gov Identifier: | NCT01671098 History of Changes |
| Other Study ID Numbers: | 06301998 |
| Study First Received: | August 20, 2012 |
| Last Updated: | April 29, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Louisiana State University Health Sciences Center Shreveport:
|
nitric oxide sinuplasty |
Additional relevant MeSH terms:
|
Sinusitis Paranasal Sinus Diseases Nose Diseases |
Respiratory Tract Diseases Respiratory Tract Infections Otorhinolaryngologic Diseases |
ClinicalTrials.gov processed this record on June 18, 2013