Study to Evaluate Recovery From Postoperative Pain After Sleep Apnea Surgery
Study Details
Study Description
Brief Summary
The purpose of this study is to assess whether tonsillectomy and UPPP performed using the study device to treat Obstructive Sleep Apnea (OSA) symptoms in adults is associated with less postoperative pain during the 21-day postoperative recovery period compared to electrocautery dissection.
Condition or Disease | Intervention/Treatment | Phase |
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|
Phase 4 |
Detailed Description
This prospective clinical study is designed to assess whether tonsillectomy and UPPP performed using the study device to treat OSA symptoms in an adult population is associated with less postoperative pain during the 21-day postoperative recovery period compared to electrocautery dissection. The amount of post-operative pain will be assessed daily over the 21-day post-operative recovery period using two general measures: 1) self-reported pain intensity and 2) self-reported pain medication administration, including frequency of use and dose. Further, timing of self-medication will be analyzed separately.
Study Design
Outcome Measures
Primary Outcome Measures
- Number of days to cessation of narcotic pain medication use during the 21-day post-treatment period. []
Secondary Outcome Measures
- Number of days to pain resolution as measured using a visual analogue scale during the 21-day post-treatment period. []
- Analysis of timing of self-administration of medication during the 21-day post-treatment period []
- Analysis of daily pain intensity using a visual analogue scale during the 21-day post-treatment period. []
Eligibility Criteria
Criteria
Inclusion Criteria:
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Subject is > or = 18 years of age
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Subject has positive diagnosis of Obstructive Sleep Apnea confirmed by polysomnographic study
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Subject is a surgical candidate for UPPP and tonsillectomy with or without tongue base somnoplasty
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Subject signs IRB-approved informed consent form
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Subject is willing and able to complete required follow-up.
Exclusion Criteria:
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Subject has had a previous tonsillectomy
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Subject's RDI >40
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Subject has a history of chronic use of narcotic pain medications
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Subject is unable to take liquid opioid analgesics
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Subject requires additional surgical procedures (such as nasal septoplasty or FESS) within 28 days of enrollment
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Mayo Clinic Rochester | Rochester | Minnesota | United States | 55905 |
Sponsors and Collaborators
- ArthroCare Corporation
- Mayo Clinic
Investigators
- Principal Investigator: John Bitner, MD,
Study Documents (Full-Text)
None provided.More Information
Publications
- Quinn SJ, Daly N, Ellis PD. Observation of the mechanism of snoring using sleep nasendoscopy. Clin Otolaryngol Allied Sci. 1995 Aug;20(4):360-4.
- Sher AE, Schechtman KB, Piccirillo JF. The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome. Sleep. 1996 Feb;19(2):156-77. Review.
- Sher AE. An overview of sleep disordered breathing for the otolaryngologist. Ear Nose Throat J. 1999 Sep;78(9):694-5, 698-700, 703-6 passim. Review.
- Troell RJ, Powell NB, Riley RW, Li KK, Guilleminault C. Comparison of postoperative pain between laser-assisted uvulopalatoplasty, uvulopalatopharyngoplasty, and radiofrequency volumetric tissue reduction of the palate. Otolaryngol Head Neck Surg. 2000 Mar;122(3):402-9.
- Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993 Apr 29;328(17):1230-5.
- E-0406JM