Treatment of Chronic Frontal Sinusitis by a Simple Technique Using Dilation Balloons (SIBA)
The sinuplasty balloon offers a more physiological first of the sinuses which minimizes risks associated to traditional surgery. Its atraumatic characteristic also helps to reduce the risk of bleeding (so any use of Pack), limit scarring ransom, reduce the post-operative pain, ensure faster return to daily life activities (reduction of the average length of hospitalization). Patient's quality of life would be improved (SNOT-22 questionnaire) and reduction of post-operative pain score seams decrease on EVA.
The economic impact of the sinuplasty balloon appears very favourable and fits into the strategy of development of the ambulatory practice.
|Frontal Sinusitis||Procedure: Functional Endoscopic Sinus Surgery Procedure: Functional Endoscopic Sinus Surgery using rigide instrumentation Device: Sinuplasty balloon Device: Endoscope|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
|Official Title:||Medico-economic Evaluation of the Balloon Sinuplasty as Mini-invasive Treatment of Frontal Sinusitis by a Randomized Multicenter Prospective Trial|
- Cost-utility ratio [ Time Frame: This ratio will be assessed for 12 months post surgery ]
Cost-utility ratio will be assessed with :
- cost difference between sinuplasty balloon and conventional surgery
- utility difference of these two surgery procedures estimated with EQ-5D questionnaire outcomes
- Quality of the patient's life [ Time Frame: This secondary outcome will be assessed for 12 month : at inclusion and at 1 Week , 3 weeks , 3 -6 and 12 months post surgery ]
Patient's quality of life include the following exams :
- EuroQoL EQ-5D Questionnaire
- SNOT-22 questionnaire
- Risks associated with intervention [ Time Frame: This secondary outcome will be assessed for 12 month ]
Risks associated with intervention include the following criteria :
- Occurrence of surgical times
- Occurrence of complications
- Presence of opacification in the visible sinus CT
- Economic impact of the sinuplasty balloon [ Time Frame: economic impact of this inovative technique will be assessed from sinus intervention to month 12 post surgery ]
|Study Start Date:||December 2015|
|Estimated Primary Completion Date:||September 2017 (Final data collection date for primary outcome measure)|
Active Comparator: Sinuplasty balloon
Patients will receive the innovative health technology to treat frontal sinusitis : a balloon sinuplasty
Procedure: Functional Endoscopic Sinus Surgery
Balloon Sinuplasty uses a small, flexible, balloon catheter to open up blocked sinus passageways and facilitate drainage of the mucus that builds up in patients suffering from frontal sinusitis symptoms. When the sinus balloon is inflated, it restructures and widens the walls of the sinus passageway while maintaining the integrity of the sinus lining.Device: Sinuplasty balloon
Active Comparator: Conventional surgical procedure
Patients will be treated with the conventional procedure : a sinus surgery with rigide instrumentation
Procedure: Functional Endoscopic Sinus Surgery using rigide instrumentation
FESS (Functional Endoscopic Sinus Surgery) using rigide instrumentation is conventional therapeutic strategy.
The procedure works by cutting to remove bone and tissue to enlarge the sinus opening.
The primary objective is to estimate the cost-utility ratio of the sinuplasty balloon after frontal sinus surgery, compared to surgery by rigid instrumentation, in a randomized single-blind controlled study.
The secondary objectives is to compare:
- the two types of surgery
- the quality of life
- the feeling of pain in patients but also the occurrence of surgical times or complications between the two proposed techniques.
Please refer to this study by its ClinicalTrials.gov identifier: NCT02509663
|Contact: Christelle Back||+33 3 88 11 60 firstname.lastname@example.org|
|Contact: anatta Razafimanantsoa||+ 33 3 88 11 54 email@example.com|
|ORL and facial surgery department, Hautepierre Hospital, Strasbourg's University Hospitals||Not yet recruiting|
|Strasbourg, France, 67000|
|Contact: Christian Debry +33 3 88 12 76 44 firstname.lastname@example.org|
|Contact: Jean Carvalho +33 3 88 12 76 52 email@example.com|
|Principal Investigator:||Christian Debry||Strasbourg's University Hospitals|