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The purpose of this clinical trial is to evaluate safety and efficacy of TnR mesh for patients who need nasal septoplasty for septal deformity with nasal obstruction.
Nasal obstruction is a nasal disease commonly seen in the area of otolaryngology, and major symptoms include nasal congestion, rhinitis, and etc.
Nasal septoplasty is a surgery performed to improve above symptoms of nasal obstruction and so far, many surgical technique have been studied. All surgical techniques aimed to improve breathing through the nasal cavity by supporting the end of nose using surgical materials such as autologous bone or nonabsorbable material.
In the case of autologous bone transplantation, safety is ensured, but there is a limitation since it causes deficiency of the donor site, and the nasal septum may be altered by a modification of the implanted tissue.
In the case of nonabsorbable materials, there is a high risk of side effects such as hyposmia, septal perforation, and occurrence of boil.
TnR mesh, as a surgical material for nasal septoplasty has a sufficient flexural strength to support the nasal septum and to overcome the force of returning to a deviated state prior to surgery.
Animal tests have shown that TnR mesh well supports the nasal septum after surgery and the surrounding tissue is well fused between the pores without inflammatory responses. Based on above results, a clinical trial was planned to evaluate the efficacy and safety of TnR mesh as a material for nasal septoplasty.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with septal deformity | Experimental | To evaluate the safety and efficacy of surgical material for nasal septoplasty in septal deformity patients with nasal obstruction |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nasal septoplasty | Procedure | Type of surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| NOSE total scores at 12 weeks after the surgery | The change in NOSE total scores of the 12th week after the surgery | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| NOSE total scores | The change in NOSE total scores 4 weeks after the surgery | 4 weeks |
| NOSE score by topic | NOSE score by topic 4, 12 weeks after the surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Deviant-cases | A follow-up will be performed after the surgery until the end of the clinical trial period. Any newly occurred or worsen symptoms will be recorded. Preparation content: Deviant-cases name, expression date, disappearance date, severity, gravity, results, a relationship between a medical device, a treatment, a status(remove or not). All deviant-cases are standardized as System Organ Class (SOC) and Preferred Term (PT) according to Medical Dictionary for regulatory activities (MedDRA). The analysis of deviant-case is based on the Treatment Emergent Adverse Event (TEAE). The percentage and the number of deviant cases and abnormal reactions to the device will be proposed as well as the 95 % of confidence interval of the incidence. |
Inclusion Criteria:
Exclusion Criteria:
Known allergic reaction to medical devices(TnR mesh) of the clinical trial
Pregnancy or lactation
- Before screening
History of surgery in nasal or paranasal sinuses before screening
History of radiation treatment at Head and neck
History of having participated in other clinical trial of a drug/ a medical device within three months
- Screening point
Patients with untreated nasal bone fraction or trauma of nasal
Patients with surgical site infection caused by nasal bone fraction or trauma
Patients with untreated a perforation of septum, a sinusitis, a nasal cavity polyposis, a nasal cavity sarcoidosis, nasal valve collapse or wegener's granulomatosis
Patients with inflammation in a nasal cavity
Patients with sarcoma or carcinoma in a nasal cavity
Patients with asthma
Patients with untreated palate-facial disfigurements or cleft palate
Patients with systemic inflammatory disease
Patients with sepsis
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jiwon Park, Manager | Contact | 02--2014-9566 | park.jiwon@lskglobal.com |
| Name | Affiliation | Role |
|---|---|---|
| Sung-won Kim, professor | The Catholic University of Korea | Study Director |
| Se-Hwan Hwang, professor | The Catholic University of Korea Bucheon St.Mary's Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Catholic University of Korea | Recruiting | Bucheon-si | Gyeonggi-do | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25883105 | Background | Surowitz J, Lee MK, Most SP. Anterior Septal Reconstruction for Treatment of Severe Caudal Septal Deviation: Clinical Severity and Outcomes. Otolaryngol Head Neck Surg. 2015 Jul;153(1):27-33. doi: 10.1177/0194599815582176. Epub 2015 Apr 16. | |
| 21819753 | Background | Kim JH, Kim DY, Jang YJ. Outcomes after endonasal septoplasty using caudal septal batten grafting. Am J Rhinol Allergy. 2011 Jul-Aug;25(4):e166-70. doi: 10.2500/ajra.2011.25.3648. |
| Label | URL |
|---|---|
| SIDS Initial Assessment Report | View source |
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| ID | Term |
|---|---|
| D015508 | Nasal Obstruction |
| ID | Term |
|---|---|
| D009668 | Nose Diseases |
| D012140 | Respiratory Tract Diseases |
| D000402 | Airway Obstruction |
| D012131 | Respiratory Insufficiency |
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| 4 and 12 weeks |
| Acoustic rhinometry results(cross-sectional sum) | Changes in bilateral nasal cavity cross sectional sum in acoustic rhinometry results 4, 12 weeks after the surgery | 4 and 12 weeks |
| Acoustic rhinometry results(volume sum) | Changes in bilateral nasal cavity volume sum in acoustic rhinometry results 4, 12 weeks after the surgery | 4 and 12 weeks |
| CT images(cross sectional area) | Changes in nasal cavity cross-sectional area in CT images 12 weeks after the surgery | 12 weeks |
| CT images(ratio of convex to concave side) | Changes in nasal cavity raio of convex to concave side of cross-sectional area in CT images 12 weeks after the surgery | 12 weeks |
| CT images(nasal septum angle) | Changes in nasal septum angle in CT images 12 weeks after the surgery | 12 weeks |
| Ratio of improvement regarding symptoms | Ratio of improvement regarding symptoms 12 weeks after surgery | 12 weeks |
| Level of satisfaction of patients | Satisfaction score(used visual analogue scale) of subject 12 weeks after surgery | 12 weeks |
| 12 weeks |
| The Catholic University of Korea, Seoul ST. Mary's hospital | Recruiting | Seoul | Seocho-gu | South Korea |
|
| 22986938 | Background | Rimmer J, Ferguson LM, Saleh HA. Versatile applications of the polydioxanone plate in rhinoplasty and septal surgery. Arch Facial Plast Surg. 2012 Sep-Oct;14(5):323-30. doi: 10.1001/archfacial.2012.147. |
| 20083734 | Background | Boenisch M, Nolst Trenite GJ. Reconstruction of the nasal septum using polydioxanone plate. Arch Facial Plast Surg. 2010 Jan-Feb;12(1):4-10. doi: 10.1001/archfacial.2009.103. |
| 21885221 | Background | Kahveci OK, Miman MC, Yucel A, Yucedag F, Okur E, Altuntas A. The efficiency of Nose Obstruction Symptom Evaluation (NOSE) scale on patients with nasal septal deviation. Auris Nasus Larynx. 2012 Jun;39(3):275-9. doi: 10.1016/j.anl.2011.08.006. Epub 2011 Aug 31. |
| 15054368 | Background | Stewart MG, Smith TL, Weaver EM, Witsell DL, Yueh B, Hannley MT, Johnson JT. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngol Head Neck Surg. 2004 Mar;130(3):283-90. doi: 10.1016/j.otohns.2003.12.004. |
| 23094256 | Background | Kim JN, Choi HG, Kim SH, Park HJ, Shin DH, Jo DI, Kim CK, Uhm KI. The efficacy of bioabsorbable mesh as an internal splint in primary septoplasty. Arch Plast Surg. 2012 Sep;39(5):561-4. doi: 10.5999/aps.2012.39.5.561. Epub 2012 Sep 12. |
| 21537619 | Background | Garcia LB, Oliveira PW, Vidigal Tde A, Suguri Vde M, Santos Rde P, Gregorio LC. Caudal septoplasty: efficacy of a surgical technique-preliminary report. Braz J Otorhinolaryngol. 2011 Mar-Apr;77(2):178-84. doi: 10.1590/s1808-86942011000200007. |
| 26754620 | Background | Erickson B, Hurowitz R, Jeffery C, Ansari K, El Hakim H, Wright ED, Seikaly H, Greig SR, Cote DW. Acoustic rhinometry and video endoscopic scoring to evaluate postoperative outcomes in endonasal spreader graft surgery with septoplasty and turbinoplasty for nasal valve collapse. J Otolaryngol Head Neck Surg. 2016 Jan 12;45:2. doi: 10.1186/s40463-016-0115-9. |
| D012120 |
| Respiration Disorders |
| D010038 | Otorhinolaryngologic Diseases |