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Study of Effects of Sutures on Results of Palate Surgery for Obstructive Sleep Apnea

This study is ongoing, but not recruiting participants.
Information provided by Virginia Commonwealth University

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Descriptive Information Fields
Brief Title  Study of Effects of Sutures on Results of Palate Surgery for Obstructive Sleep Apnea
Official Title  Role of Suture Closure in Post-Operative Uvulopalatopharyngoplasty Outcomes
Brief Summary

In this study we will examine whether suture repair of the palate, or roof of mouth, has any effect on results of palate surgery performed for treatment of obstructive sleep apnea.

Detailed Description

Uvulopalatopharyngoplasty, or UPPP, is the most common surgical procedure performed for the treatment of obstructive sleep apnea. The procedure involves removal of redundant tissue from the lower palate (roof of mouth), including the uvula, and then suturing the cut edges of the remaining tissue together. However it is frequently noted by surgeons that sutures placed in the roof of the mouth do not stay intact. Also, in standard tonsillectomy, which involves removal of the tonsils and thus creation of a wound near the palate, no suturing is used, which does not seem to affect how the area heals. Previous studies have shown no significant differences in complication rates, post-operative pain, or symptom outcomes in patients undergoing tonsillectomy either with or without suture repair of the tonsillectomy wound. In this study we will examine whether suture repair following UPPP has any effect on post-operative pain, healing, or treatment success in terms of symptom resolution or post-operative sleep study results.

Study Phase
Study Type  Interventional
Study Design  Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Primary Outcome Measure  sleep study result at 3-6 months; symptom changes at 3-6 months; pain at 0-3 weeks; post-operative complications at any time; post-operative anatomic result/appearance at 3-6 months [ Time Frame: 6-12mo ] [ Designated as safety issue: No ]
Secondary Outcome Measure  Operative time [ Time Frame: immediate ] [ Designated as safety issue: No ]
Procedure cost [ Time Frame: immediate ] [ Designated as safety issue: No ]
Condition  Obstructive Sleep Apnea
Intervention  Procedure: uvulopalatopharyngoplasty with or without sutures
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Active, not recruiting
Enrollment  30
Start Date  July 2004
Completion Date December 2008
Eligibility Criteria 

Inclusion Criteria:

  • sleep-study documented obstructive sleep apnea
  • sleep apnea refractory to non-surgical treatments including continuous positive airway pressure (CPAP)
  • age > 21

Exclusion Criteria:

  • previous palate surgery
Gender Both
Ages 21 Years and older
Accepts Healthy Volunteers No
Contacts ††
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00205543
Organization ID 03802
Secondary IDs ††
Study Sponsor  Virginia Commonwealth University
Collaborators ††
Investigators 
Principal Investigator:     Evan R Reiter, MD     Virginia Commonwealth University    
Information Provided By Virginia Commonwealth University
Verification Date July 2008
First Received Date  September 15, 2005
Last Updated Date July 9, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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