Endoscopic Frontal Sinus Surgery Draf III in Moderate to Severe Eosinophilic Chronic Rhinosinusitis With Polyps
Clinical Evaluation of Primary Endoscopic Frontal Sinus Surgery Grade 6 (Draf III) in Patients With Moderate to Severe Eosinophilic Chronic Rhinosinusitis With Polyps
1 other identifier
interventional
50
1 country
2
Brief Summary
The aim of this study is to evaluate the effect of the primary endoscopic frontal sinus surgery on the clinical outcome in patients having moderate to severe eosinophilic chronic rhinosinusitis with polyps with primary outcome measures in form of recurrence of polyp using endoscopic polyp score and Secondary outcome measures include Lund MacKay score, SNOT-22 and need for corticosteroid to control polyp postoperatively.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2021
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2021
CompletedFirst Submitted
Initial submission to the registry
July 29, 2023
CompletedFirst Posted
Study publicly available on registry
August 7, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
September 30, 2023
CompletedAugust 7, 2023
July 1, 2023
2.7 years
July 29, 2023
July 29, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Recurrence of polyp using endoscopic polyp score
Polyps were evaluated on each side through nasal endoscopy at each visit and graded based on polyp size, resulting in scores of 0 to 4 9. Zero is no polyp, 1 = small polyps in the middle meatus not reaching below the inferior border of the middle turbinate, 2 = polyps reaching below the lower border of the middle turbinate, 3 = large polyps reaching the lower border of the inferior turbinate or polyps medial to the middle turbinate, and 4 = large polyps causing complete obstruction of the inferior nasal cavity. The sum of the left and right nostril scores is the Nasal Polyp Score
One year postoperatively
Secondary Outcomes (2)
Lund MacKay score
One year postoperatively
Sinonasal Outcome Test- 22
One year postoperatively
Study Arms (2)
Group one
EXPERIMENTALPatients will undergo endoscopic frontal sinus surgery grade 6(Draf III).
Group two
ACTIVE COMPARATORPatients will undergo endoscopic frontal sinus surgery grade 1-3(Draf I or IIa).
Interventions
Patients will receive endoscopic frontal sinus surgery grade 6(Draf III).
Patients will receive endoscopic frontal sinus surgery grade 1-3(Draf I or IIa).
Eligibility Criteria
You may qualify if:
- Patients with moderate or severe eosinophilic chronic rhinosinusitis with polyps who failed appropriate medical treatment in the form of antibiotic, systemic and local corticosteroid for 3 months .
You may not qualify if:
- Narrow anteroposterior diameter of frontal sinus ostium(1cm or less)
- Patients showing less or highest degree of radiological complexity of surgery on studying the Computed Tomography.
- Any contraindication for general anesthesia.
- Patients below age of 18 years.
- Incomplete follow up
- previous sinus surgery
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Tanta University Hospitals
Tanta, El-Gharbia, 31511, Egypt
Tanta University
Tanta, El-Gharbia, 31511, Egypt
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Assistant Lecturer of Otorhinolaryngology
Study Record Dates
First Submitted
July 29, 2023
First Posted
August 7, 2023
Study Start
January 1, 2021
Primary Completion
September 30, 2023
Study Completion
September 30, 2023
Last Updated
August 7, 2023
Record last verified: 2023-07
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL
- Time Frame
- after the end of study for one year.
- Access Criteria
- The data will be available upon a reasonable request from the corresponding autho
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.