Adenoidectomy With or Without Partial Inferior Turbinectomy for Pediatric Nasal Obstruction | NCT07745868

NCT07745868

Overview

NCT ID: NCT07745868
Lead Sponsor: Al-Azhar UniversityOTHER
Official Title: The Effect of Adenoidectomy With or Without Endoscopic Bilateral Partial Inferior Turbinectomy on Children With Bilateral Nasal Obstruction
Brief Summary: Nasal obstruction is a common problem in children and is frequently caused by adenoid hypertrophy with concomitant inferior turbinate hypertrophy, leading to sleep-disordered breathing and reduced quality of life. Although adenoidectomy is the standard treatment, persistent nasal obstruction may occur in some patients due to inferior turbinate enlargement. Recent evidence suggests that combining inferior turbinate reduction with adenoidectomy may provide superior relief of nasal obstruction and improve postoperative outcomes compared with adenoidectomy alone.

The study aims to compare the effectiveness of adenoidectomy alone versus adenoidectomy combined with endoscopic bilateral partial inferior turbinectomy in relieving nasal obstruction and sleep-disordered breathing in children with adenoid and bilateral inferior turbinate hypertrophy.
Conditions

Status and Timeline

Status: Completed
Last Update Posted: Aug 4, 2026Actual
Start Date: Sep 1, 2025Actual
Primary Completion Date: Jul 1, 2026Actual
Completion Date

Participation Criteria

Ages Eligible for Study: Child (0-17)Adult (18-64)
Sexes Eligible for Study: All
Accepts Healthy Volunteers?: No
Eligibility Criteria: Inclusion Criteria:

Age : children (9 - 18 years old ) only.

Patients with bilateral nasal obstruction or sleep-disordered breathing, and having adenoid hypertrophy diagnosed by nasal endoscopy, with bilateral inferior turbinate hypertrophy investigated by CT and confirmed by endoscopy despite 3 months of medical treatment with intranasal corticosteroid and oral antihistaminic.

Sex : both males and females.

Patients were selected from the otorhinolaryngology outpatient clinic of Al-Azhar University hospital in Assiut in a consecutive manner.

All patients were generally well and fit for surgery.

Exclusion Criteria:

• Patients with recent upper respiratory tract infection.

Evidence of any bleeding disorders .

Patients with serous otitis media and chronic tonsillitis.

patients contraindicated to do adenoidectomy after phoniatric consultation.

patients with atrophic rhinitis

patients with nasal obstruction due to other causes such as : deviated nasal septum and antrochoanal polyp.

Patients with sinonasal pathology like a marked septal deviation or nasal polyposis, and those exhibiting symptoms that could indicate chronic or recurrent rhinosinusitis, such as fever, headaches, facial pain, rhinorrhea, antibiotic requirements, and purulence seen on nasal endoscopy.

Study Plan

Study Type: Interventional
Phase: Not Applicable
Enrollment: 60Actual
Primary Purpose: Treatment
Allocation: Non-Randomized
Interventional Model: Parallel Assignment
Masking

Contacts and Locations

Central Contacts: No data available
Locations: Alazhar university Hopital in Assiut

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