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CTRI Number  CTRI/2025/12/098476 [Registered on: 04/12/2025] Trial Registered Prospectively
Last Modified On: 04/12/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study comparing two aids(dental putty vs gauze roll) for easier and safer intubation in children with cleft lip and palate. 
Scientific Title of Study   A Prospective Randomised Clinical Trial For Comparison of Dental Putty-Aided Endotracheal Intubation Versus Gauze Roll-Aided Endotracheal Intubation in Children with Left-Sided Complete Cleft Lip, Alveolus, and Palate. 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pavan Dhulkhed  
Designation  Professor  
Affiliation  SDM College of Medical Sciences and Hospital, Dharwad. 
Address  Department of Anaesthesia, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka.

Dharwad
KARNATAKA
580009
India 
Phone  8150885678  
Fax    
Email  pavandhulkhed1984@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Pavan Dhulkhed  
Designation  Professor  
Affiliation  SDM College of Medical Sciences and Hospital, Dharwad. 
Address  Department of Anaesthesia, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka.


KARNATAKA
580009
India 
Phone  8150885678  
Fax    
Email  pavandhulkhed1984@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Pavan Dhulkhed  
Designation  Professor  
Affiliation  SDM College of Medical Sciences and Hospital, Dharwad. 
Address  Department of Anaesthesia, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka.


KARNATAKA
580009
India 
Phone  8150885678  
Fax    
Email  pavandhulkhed1984@gmail.com  
 
Source of Monetary or Material Support  
Operation Theatres at SDM College of Medical Sciences and Hospital, Sattur, Dharwad. Karnataka. India Pin Code: 580009 
 
Primary Sponsor  
Name  Pavan Dhulkhed 
Address  Department of Anaesthesia, SDM College of Medical Sciences and Hospital, Dharwad. Karnataka, India Pin Code : 580009 
Type of Sponsor  Private medical college 
 
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 Pavan Dhulkhed  Operation Theatres, Department of Anaesthesia, SDM College of Medical Sciences and Hospital, Dharwad  Manjushree Nagar, Sattur, Dharwad, Karnataka 580009
Dharwad
KARNATAKA 
8150885678

pavandhulkhed1984@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Q371||Cleft hard palate with unilateralcleft lip,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dental Putty aided endotracheal intubation  Dental Putty aided endotracheal intubation 
Comparator Agent  Gauze Roll aided endotracheal intubation  Gauze Roll aided endotracheal intubation 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  5.00 Year(s)
Gender  Both 
Details  1. Children aged less than 5 years
2. ASA physical status 1 or 2
3. Diagnosed with uncorrected left sided complete
cleft lip, alveolus and palate 
 
ExclusionCriteria 
Details  1. Children with anticipated difficult airway
unrelated to cleft
2. ASA physical status greater than 2  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Primary Outcome is the Time required for successful endotracheal intubation. (Intubation time)  Study parameters are recorded at the end of endotracheal intubation in both groups. 
 
Secondary Outcome  
Outcome  TimePoints 
1. Number of attempts of endotracheal intubation
2. To compare Cormack-Lehane grades of glottic visualisation
3. To assess the need for external laryngeal manipulation
4. To grade the ease of intubation
5. To document complications like failed intubation, desaturation & mucosal injury.  
The secondary outcome parameters are recorded at the end of endotracheal intubation. 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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   N/A 
Date of First Enrollment (India)   05/01/2026 
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   This prospective randomized clinical trial compares dental putty aided versus gauze roll aided endotracheal intubation in children less than 5 years of age and ASA 1,2 with children having left sided complete cleft lip, alveolus and palate.
Sixty patients will be allocated into two groups of 30 each. After standard anaesthetic induction, either dental putty or gauze roll will be placed in the cleft before laryngoscopy.
 
Primary outcome is intubation time in seconds.

Secondary outcomes are number of attempts of intubation, Cormack-Lehane grade of glottic visualisation, need for external laryngeal manipulation, ease of intubation and complications like desaturation, trauma and failed intubation.

Dental putty is expected to provide better glottic visualization, shorter intubation time, lesser attempts of intubation, and fewer complications than the conventional gauze roll technique. 

 
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