Adenoidectomy With or Without Partial Inferior Turbinectomy for Pediatric Nasal Obstruction

NCT07745868 | Completed DMC

• 1 other identifier: MSCAZASTENT0301424792025
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

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

Turbinate Hypertrophy; Adenoidectomy; Adenoid Hypertrophy; Turbinate Surgery

Outcome Measures

Primary Outcomes (2)

• operative time

  operative duration in mintues

  During the procedure

• nasal obstruction

  pre and post operative difeerence of nasal obstruction using nose score

  preoperative till 2 months after opertaions

Study Arms (2)

patients presneted with adenoid hypertrophy

ACTIVE COMPARATOR

Patients who presented with adenoid hypertrophy and underwent adenoidectomy by curettage assisted by endoscopic suction coagulation

Procedure: adenoidectomy

patients who presnted with adneoid hypereophy assicated with bilateral nferior turbiante hypertrophy

ACTIVE COMPARATOR

Patients who present with adenoid hypertrophy and bilateral inferior turbinate hypertrophy will undergo adenoidectomy by currattage, assisted by endoscopic suction coagulation and bilateral partial inferior turbinectomy

Procedure: Adenodiectomy and bilateral partial infeiror turbienctomy

Interventions

adenoidectomy PROCEDURE

Adenoidectomy by currattage assisted by suction coagulation

patients presneted with adenoid hypertrophy

Adenodiectomy and bilateral partial infeiror turbienctomy PROCEDURE

adenodiectomy by currattage assisted by suction coagulation and bilateral partial inferior turbienctomy

patients who presnted with adneoid hypereophy assicated with bilateral nferior turbiante hypertrophy

Eligibility Criteria

• Age: 6 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Al-Azhar University: lead

Study Sites (1)

Alazhar university Hopital in Assiut

Asyut, Egypt

Location

MeSH Terms

Interventions

Adenoidectomy

Intervention Hierarchy (Ancestors)

Otorhinolaryngologic Surgical Procedures; Surgical Procedures, Operative

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: ENT specialist

Study Record Dates

• First Submitted: July 30, 2026
• First Posted: August 4, 2026
• Study Start: September 1, 2025
• Primary Completion: July 1, 2026
• Study Completion: July 1, 2026
• Last Updated: August 4, 2026

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)