Maxillary Sinus Irrigation in the Management of Chronic Rhinosinusitis

NCT ID: NCT00335309

Last Updated: 2013-10-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-10-31

Study Completion Date

2013-08-31

Brief Summary

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The purpose of this study is to evaluate the effectiveness of maxillary sinus saline irrigation in conjunction with systemic antibiotic therapy versus systemic antibiotic therapy alone in the management of chronic rhinosinusitis, a prospective randomized controlled trial.

Detailed Description

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Effectiveness of maxillary sinus saline irrigation in conjunction with systemic antibiotic therapy versus systemic antibiotic therapy alone in the management of chronic rhinosinusitis. A prospective randomized controlled trial is being conducted in Carmel Medical Center, Haifa, Israel. Patients are being randomized into one of two arms. One arm receives sinus irrigation with saline in conjunction with IV antibiotics, the control arm receives the same regimen of IV antibiotics without the sinus irrigation. Quality of life, CT scans and nasal endoscopy parameters are collected before and after treatment.

Conditions

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Sinusitis

Keywords

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chronic rhinosinusitis sinus irrigation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

The Investigational arm is treated with sinus irrigation with normal saline 0.9% and intravenous antibiotics of Augmentin 1 gram 3 times a day for 4 days, and then per os (PO) Augmentin 875mg twice a day (BID) for another 10 days. The treatment is done while the patient is admitted to the otolaryngology - head and neck surgery department.

Group Type EXPERIMENTAL

Maxillary Sinus Irrigation

Intervention Type PROCEDURE

Twice a day irrigation with 100cc saline for 4 days

2

The control arm is treated with the same intravenous antibiotics of Augmentin 1 gram 3 times a day for 4 days, and then per os (PO) Augmentin 875mg twice a day (BID) for another 10 days. There is no sinus irrigation with normal saline for this arm. The treatment is done while the patient is admitted to the otolaryngology - head and neck surgery department.

Group Type ACTIVE_COMPARATOR

IV Amoxicillin and Clavulanate acid

Intervention Type DRUG

IV Amoxycillin and Clavulanate 1 Gram TID for 4 days.

Interventions

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Maxillary Sinus Irrigation

Twice a day irrigation with 100cc saline for 4 days

Intervention Type PROCEDURE

IV Amoxicillin and Clavulanate acid

IV Amoxycillin and Clavulanate 1 Gram TID for 4 days.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Chronic (over 3 months) maxillary and ethmoidal rhinosinusitis (verified by a CT scan)
* Over 18 years of age
* Signed informed consent
* Not participating in another clinical study

Exclusion Criteria

* A previous sinonasal surgery or craniofacial trauma
* Isolated frontal or sphenoidal sinusitis
* Immunosuppressed (diabetes, cancer, etc.)
* Craniofacial deformity
* Allergic fungal sinusitis
* Nasal polyposis
* Rhinosinusitis of dental origin
* Bleeding tendency (e.g., chronic coumadin treatment)
* Patients participating in other clinical study
* Patients with penicillin allergy
* Patients with Augmentin resistant bacteria in cultures
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ohad Ronen

OTHER

Sponsor Role lead

Responsible Party

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Ohad Ronen

ENT Physician

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Ohad Ronen, MD

Role: PRINCIPAL_INVESTIGATOR

ENT Department, Carmel Medical Center, Haifa

Locations

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Carmel MC

Haifa, , Israel

Site Status

Countries

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Israel

References

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Benninger MS, Sedory Holzer SE, Lau J. Diagnosis and treatment of uncomplicated acute bacterial rhinosinusitis: summary of the Agency for Health Care Policy and Research evidence-based report. Otolaryngol Head Neck Surg. 2000 Jan;122(1):1-7. doi: 10.1016/S0194-5998(00)70135-5.

Reference Type BACKGROUND
PMID: 10629474 (View on PubMed)

Gliklich RE, Metson R. The health impact of chronic sinusitis in patients seeking otolaryngologic care. Otolaryngol Head Neck Surg. 1995 Jul;113(1):104-9. doi: 10.1016/S0194-59989570152-4.

Reference Type BACKGROUND
PMID: 7603703 (View on PubMed)

Benninger MS, Appelbaum PC, Denneny JC, Osguthorpe DJ, Stankiewicz JA. Maxillary sinus puncture and culture in the diagnosis of acute rhinosinusitis: the case for pursuing alternative culture methods. Otolaryngol Head Neck Surg. 2002 Jul;127(1):7-12. doi: 10.1067/mhn.2002.124847.

Reference Type BACKGROUND
PMID: 12161724 (View on PubMed)

Other Identifiers

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20051031

Identifier Type: OTHER

Identifier Source: secondary_id

ENT-1/2005

Identifier Type: -

Identifier Source: org_study_id