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CTRI Number  CTRI/2024/02/062987 [Registered on: 21/02/2024] Trial Registered Prospectively
Last Modified On: 25/04/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   comparing insertion of tracheal tube through two different routes , one being through nose and the other one through oral route in cases of adenotonsillectomy surgeries 
Scientific Title of Study   Nasotracheal vs Orotracheal intubation using RAE tubes for adenotonsillectomy surgeries – A clinical Comparative study 
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 Priyanka S  
Designation  Associate Professor 
Affiliation  KIMS, Bangalore 
Address  A block, 4th floor , major ot complex , Department of anaestheisa, emale staff room,Kims hospital, vv puram, shankarapura, Bangalore

Bangalore
KARNATAKA
560002
India 
Phone  9844828926  
Fax    
Email  priya1685@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Priyanka S  
Designation  Associate Professor 
Affiliation  KIMS, Bangalore 
Address  A block, 4th floor, major ot complex ,Department of anaesthesia,female staff room, Kims hospital, vv puram, shankarapura, Bangalore

Bangalore
KARNATAKA
560002
India 
Phone  9844828926  
Fax    
Email  priya1685@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Priyanka S  
Designation  Associate Professor 
Affiliation  KIMS, Bangalore 
Address  A block, 4th floor, major ot complex ,Department of anaesthesia,female staff room, Kims hospital, vv puram, shankarapura, Bangalore


KARNATAKA
560002
India 
Phone  9844828926  
Fax    
Email  priya1685@gmail.com  
 
Source of Monetary or Material Support  
Kempegowda institute of medical science , bangalore 
 
Primary Sponsor  
Name  kempegowda institute of medical science 
Address  KR road, parvathipuram, vishveshwarapura, bengaluru, karnataka 
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 Priyanka S   Kempegowda institute of medical science, bangalore  A block, 4th floor, Department of Anaesthesia,Major OT complex,Kempegowda Institute Of Medical Science Bangalore KARNATAKA
Bangalore
KARNATAKA 
9844828926

priya1685@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KIMS Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J350||Chronic tonsillitis and adenoiditis, (2) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  nasotracheal intubation  endotracheal tube will be inserted nasally and the effect will be assesed at the end of surgery 
Intervention  orotracheal intubation  endotracheal tube will be inserted orally and the effect will be assessed at the end of surgery 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  8.00 Day(s)
Gender  Both 
Details  Paediatric patient less than 8 years of age

Posted for elective adenotonsillectomy 
 
ExclusionCriteria 
Details  Exclusion criteria

Patients with oro-pharyngeal injuries.

Patients with Cleft lip and palate.

Patients with any other congenital abnormalities of face, nasal cavities and oropharynx.

Patients with Deviated nasal septum.

ASA physical status III-IV,

Limited mouth opening ( 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Comparison of advantages and disadvantages of NTT’s and Oral RAE tubes in adenotonsillectomy surgeries  at the end of surgery 
 
Secondary Outcome  
Outcome  TimePoints 
To quantify the advantages & disadvantages of NTT over Oral RAE tubes in adenotonsillectomy surgeries.

To estimate quality of operative field by surgeon using VAS  
at the end of surgery 
 
Target Sample Size   Total Sample Size="72"
Sample Size from India="72" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="72" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/03/2024 
Date of Study Completion (India) 25/07/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 25/07/2024 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
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  
The potential for trauma is inherently greater with Naso Tracheal Intubation  than with orotracheal intubation because the tube passes through the narrow nasal passages. 
It is hypothesized that passage of the nasotracheal tube (NTT) can traumatize nasal passages, causing bleeding, bacteremia, avulsion of a turbinate, or even retropharyngeal dissection. 
However NTT’s are still the major tubes  used in Adenotonsillectomies considering the wider surgical field they assure.
With the introduction of oral Ring, Adair and Elwyn  tubes and the advantages they offer  over NTT’s  and equally providing a better surgical view , oral RAE tubes became popular especially in oral surgeries 
 However there are very few studies which compare NTT’s and oral RAE tubes in adenotonsilectomy surgeries.
This study is designed to fulfil the above lacunae.

 
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