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CTRI Number  CTRI/2024/04/066509 [Registered on: 29/04/2024] Trial Registered Prospectively
Last Modified On: 28/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   To study the outcomes of different surgical techniques in patient undergoing tonsillectomy 
Scientific Title of Study   Comparison of surgical outcomes of cold dissection, coblation and CO2 laser in patients undergoing tonsillectomy. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Lanu Anuta Aimol 
Designation  Junior Resident 
Affiliation  AIIMS Jodhpur 
Address  Room no. 408, ENT Department, 4th floor, Block 4A, OPD building, AIIMS Jodhpur

Jodhpur
RAJASTHAN
342005
India 
Phone  7662008834  
Fax    
Email  lanuanuta95@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bikram Choudhury 
Designation  Professor 
Affiliation  AIIMS Jodhpur 
Address  Room no. 409, ENT department, 4th floor, Block 4A, OPD building, AIIMS Jodhpur

Jodhpur
RAJASTHAN
342005
India 
Phone  7976856497  
Fax    
Email  comatosebuddha@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Bikram Choudhury 
Designation  Professor 
Affiliation  AIIMS Jodhpur 
Address  Room no. 409, ENT department, 4th floor, Block 4A, OPD building, AIIMS Jodhpur

Jodhpur
RAJASTHAN
342005
India 
Phone  7976856497  
Fax    
Email  comatosebuddha@gmail.com  
 
Source of Monetary or Material Support  
AIIMS Jodhpur, Marudhar Industrial Area, 2nd Phase, M.I.A. 1st Phase, Basni, Jodhpur, Rajasthan, India 342005 
 
Primary Sponsor  
Name  Dr Lanu Anuta Aimol 
Address  Room no. 408, ENT Department, 4th floor, Block 4A, OPD building, AIIMS Jodhpur, Rajasthan, India 342005 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Lanu Anuta Aimol  AIIMS Jodhpur  Room no. 408, ENT Department, 4th floor, Block 4A, OPD building, M.I.A. 1st Phase, Basni, AIIMS Jodhpur
Jodhpur
RAJASTHAN 
766008834

lanuanuta95@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee (Clinical Trails) AIIMS Jodhpur   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J351||Hypertrophy of tonsils,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Tonsillectomy  Tonsillectomy by cold dissection, coblation or CO2 laser 
Intervention  Tonsillectomy by CO2 laser  Using CO2 laser for 1 hour 
Intervention  Tonsillectomy by coblation  By MLW wand for 30 minutes 
Intervention  Tonsillectomy by cold dissection  By Cold steel using Eve’s tonsillar snare for 30 minutes 
 
Inclusion Criteria  
Age From  5.00 Month(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Any patients undergoing tonsillectomy 
 
ExclusionCriteria 
Details  Patients with bleeding diathesis, anaemia, Oropharyngeal Squamous Cell Carcinoma and patients not consenting for surgery. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Post-Operative Pain  2 years 
 
Secondary Outcome  
Outcome  TimePoints 
1. Intra-Operative and Post-Operative bleeding
2. Complications 
1. 2 years
2. 2 years 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3/ Phase 4 
Date of First Enrollment (India)   10/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Aims and Objectives: To study and compare the surgical outcomes of Cold Dissection, Coblation and CO2 Laser in patients undergoing tonsillectomy.

Objectives:

1. To assess the outcomes of tonsillectomy by cold dissection, CO2 laser and coblation method.

2.To compare the surgical outcomes for pain, bleeding and complications.


Detailed methodology: 

  • A Randomised Controlled Trial is planned for comparing surgical outcomes of cold dissection, coblation and CO2 laser in patients undergoing tonsillectomy in the Department of Otorhinolaryngology, AIIMS, Jodhpur.
  • Patients will be subjected to surgery as per Pre-op protocol and discussion.
  • Randomisation will be done using envelopes which contain the name of the arm under which the patient will be included (single blinded).
  • Patients undergoing tonsillectomy will be divided into three random groups and different techniques (Cold Dissection, Coblation, CO2 Laser ) will be used.
  • Intra operative bleeding will be noted based on anaesthesiologist’s documentation which includes soakage of gauge pieces and blood collected in suction apparatus as per our form.
  • The surgical outcomes of these techniques will be evaluated postoperatively for pain, bleeding and complications till 3 months.
  • Post operative pain will be assessed on day 1, 3, 7 and 14 with the help of VAS (Visual Analogue Scale, Faces Rating Scale)
  • The patient will be assessed post operatively for status of tonsillar fossa- healthy/unhealthy.

 
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