Unique ID issued by UMIN | UMIN000055047 |
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Receipt number | R000062731 |
Scientific Title | Evaluation of the Efficacy of Topical Steroid Spray Therapy in Recurrent Chronic Rhinosinusitis |
Date of disclosure of the study information | 2024/07/24 |
Last modified on | 2024/07/23 10:01:56 |
Evaluation of the Efficacy of Topical Steroid Spray Therapy in Recurrent Chronic Rhinosinusitis
Efficacy of Topical Steroid Spray in Recurrent Chronic Rhinosinusitis
Evaluation of the Efficacy of Topical Steroid Spray Therapy in Recurrent Chronic Rhinosinusitis
Efficacy of Topical Steroid Spray in Recurrent Chronic Rhinosinusitis
Japan |
Chronic rhinosinusitis with nasal polyps
Oto-rhino-laryngology |
Others
NO
The objective of this study is to compare the steroids spraying technique using a flexible endoscope through a scope channel and using an otolaryngologic catheter under rigid endoscopy for recurrent cases after endoscopic sinus surgery in patients with chronic rhinosinusitis with nasal polyps, including eosinophilic chronic rhinosinusitis.
Safety,Efficacy
Changes in edematous lesions of the sinonasal mucosa according to endoscopic findings before the treatment and one month after the treatment in the spraying of steroids through an otolaryngological catheter under the observation of a rigid endoscope or through a scope channel using a flexible endoscope.
Changes in CT findings before and one month after treatment
Availability of steroid sprays and difficulty of accessing the spray catheter to the treatment area
Changes in scores and percentages on the symptom questionnaire and the patient tolerance questionnaire
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
2
Treatment
Device,equipment |
In drug spraying using a flexible endoscope through a treatment channel group, the doctor inserts the flexible endoscope with a treatment channel into the sinus cavity to be treated, confirms the treatment site, inserts the spraying catheter into the flexible endoscope's treatment channel, and sprays the drug with a syringe attached to the spraying catheter.
In drug spraying using a rigid endoscope through an otorhinolaryngologic catheter group, the doctor inserts the rigid endoscope into the sinus cavity to be treated, confirms the treatment site, inserts the spraying catheter into the otorhinolaryngologic catheter, and sprays the drug with a syringe attached to the spraying catheter.
18 | years-old | <= |
Not applicable |
Male and Female
Patients over 18 years of age.
Patients diagnosed with chronic rhinosinusitis with nasal polyp.
Patients with a history of endoscopic sinus surgery and postoperative recurrence despite saline lavage of the sinuses and continuous nasal steroid spray treatment.
Patients who have received a thorough explanation of their participation in this study and have given written consent of their own free will based on a thorough understanding.
Patients with allergy or intolerance to steroids.
Patients with comorbid conditions require chemotherapy, immunotherapy, or oral steroids.
Patients with clinical evidence of acute bacterial sinusitis, invasive fungal sinusitis, or diabetes mellitus.
Patients with a history or diagnosis of glaucoma, ocular hypertension, or cataracts.
Other patients were deemed inappropriate by the physician.
84
1st name | Shinichi |
Middle name | |
Last name | Haruna |
Dokkyo Medical University Hospital
Otorhinolaryngology and Head & Neck Surgery
321-0293
880 Kitakobayashi, Mibu, Shimotsuga, Tochigi, Japan
0282-87-2164
haruna@dokkyomed.ac.jp
1st name | Tsuguhisa |
Middle name | |
Last name | Nakayama |
Dokkyo Medical University Hospital
Otorhinolaryngology and Head & Neck Surgery
321-0293
880 Kitakobayashi, Mibu, Shimotsuga, Tochigi, Japan
0287-87-2164
t-nakayama855@dokkyomed.ac.jp
Dokkyo Medical University
None
Self funding
KEIHOKAI, Medical Corporation, MATSUWAKI CLINIC Shinagawa
OLYMPUS MEDICAL SYSTEMS CORPORATION
Clinical Research Review Board, Dokkyo Medical Universith Hospital
880 Kitakobayashi, Mibu, Shimotsuga, Tochigi, Japan
0282-87-2275
r-kenkyu@dokkyomed.ac.jp
NO
2024 | Year | 07 | Month | 24 | Day |
Unpublished
Preinitiation
2024 | Year | 07 | Month | 24 | Day |
2024 | Year | 08 | Month | 01 | Day |
2026 | Year | 06 | Month | 30 | Day |
2024 | Year | 07 | Month | 23 | Day |
2024 | Year | 07 | Month | 23 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000062731
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