Inferior Turbinate Reduction in Pediatric Population Failing Tonsillectomy and Adenoidectomy for Sleep Disordered Breathing

The recruitment status of this study is unknown because the information has not been verified recently.
Verified July 2009 by University of Missouri-Columbia.
Recruitment status was  Recruiting
Sponsor:
Information provided by:
University of Missouri-Columbia
ClinicalTrials.gov Identifier:
NCT00936494
First received: July 9, 2009
Last updated: NA
Last verified: July 2009
History: No changes posted

July 9, 2009
July 9, 2009
June 2009
June 2010   (final data collection date for primary outcome measure)
resolution of obstructive sleep apnea symptoms on pediatric sleep questionaire [ Time Frame: 6 months ] [ Designated as safety issue: No ]
Same as current
No Changes Posted
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Inferior Turbinate Reduction in Pediatric Population Failing Tonsillectomy and Adenoidectomy for Sleep Disordered Breathing
Inferior Turbinate Reduction in Pediatric Population Failing Tonsillectomy and Adenoidectomy for Sleep Disordered Breathing (Randomized, Prospective, Controlled Study)

The question proposed by this study is one of treatment: To what extent does treatment of nasal obstruction from enlarged inferior turbinates with cold ablation inferior turbinate reduction in infants, children, and adolescents improve symptoms of obstructive sleep apnea, sleep related breathing disorder, snoring, disturbed sleeping, open mouth breathing, and upper airway resistance syndrome in patients that continue to have symptoms after tonsillectomy and adenoidectomy.

The trial seeks to provide evidence that the treatment of inferior turbinates in patients with continued symptoms of obstructive sleep apnea, sleep related breathing disorder, snoring, disturbed sleeping, open mouth breathing, and upper airway resistance syndrome after tonsillectomy and adenoidectomy will improve these symptoms and should be included in the treatment paradigm for treatment of sleep related breathing disorders in infants, children, and adolescents.

Not Provided
Interventional
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Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Treatment
  • Sleep Related Breathing Disorder
  • Upper Airway Resistance Syndrome
  • Obstructive Sleep Apnea
Procedure: Cold ablation inferior turbinate reduction utilizing radiofrequency ablation surgery (CITR).
The procedure usually takes 30 minutes and involves the surgeon inserting the coblation inferior turbinate reduction wand into the inferior turbinates and allowing for the radiofrequency cold ablation to ablate soft tissues, with a resultant thermal lesion allowing for additional soft tissue attenuation and contracture with time.
  • No Intervention: Control
    No inferior turbinate surgery.
  • Intervention
    Intervention group: Cold ablation inferior turbinate reduction utilizing radiofrequency ablation surgery (CITR).
    Intervention: Procedure: Cold ablation inferior turbinate reduction utilizing radiofrequency ablation surgery (CITR).
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
50
Not Provided
June 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  1. Patients that underwent tonsillectomy and adenoidectomy for obstructive sleep apnea, sleep related breathing disorder, snoring, disturbed sleeping, open mouth breathing, and upper airway resistance syndrome with persistent symptomatology.
  2. Enlarged inferior turbinates with nasal obstruction (>25%).
  3. Age 0-18 years.
  4. Lack of improvement of obstructive sleep apnea symptoms after maximal medical treatment with intranasal steroids in patients with symptoms of ARS and H2 blocker medication in patients with symptoms of LPR.

Exclusion Criteria:

  1. Previous adenotonsillar surgery or placement of tympanostomy tubes for recurrent otitis media, tonsillitis, or sinusitis.
  2. Patients with BMI > 97% for age and sex.
  3. Patients with craniofacial abnormalities.
  4. Patients with previous airway issues, anatomic variance from normal, mallampati class III or IV, septal deviation, choanal stenosis, and nasal stenosis.
Both
up to 18 Years
Yes
Contact: Young S Paik, MD 573-882-8173 paiky@health.missouri.edu
Contact: Eliav Gov-Ari, MD 573-882-8173 govarie@health.missouri.edu
United States
 
NCT00936494
1137500
Yes
Eliav Gov-Ari, M.D., Department of Otolaryngology-Head and Neck Surgery
University of Missouri-Columbia
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University of Missouri-Columbia
July 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP