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Trial registered on ANZCTR
Registration number
ACTRN12608000560392
Ethics application status
Approved
Date submitted
30/08/2008
Date registered
7/11/2008
Date last updated
7/11/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
effect of turbinoplasty in concha bullosa induced rhinogenic headaches
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Scientific title
effects of turbinoplasty on the headaches of patients with concha bullosa induced rhinogenic headaches in comparison with medical treatment
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
concha bullosa induced rhinogenic headaches
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concha bullosa induced rhinogenic headaches
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Condition category
Condition code
Anaesthesiology
3788
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
nasal surgery :turbinoplasty
patients sedated with phentanyl 1.5 microgram/kg and midazolam 50 microgram/kg then with nasal endoscopy a sagital incision is made along anterior face of middle turbinate then straight forceps are used to remove the contents within the middle turbinate including internal mucosa.in the next step lateral and medial surfaces of middle concha approximate together so in addition to releive contact points,the middle concha becomes smaller.this is a simple endoscopic procedure estimated one hour to complete.
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Intervention code [1]
3337
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Treatment: Surgery
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Comparator / control treatment
medical treatment with drugs:
fluticazone nasal spray(50mg,50microgm/puff) 2 puffs every 24 hours
pseudoephedrine tablet 30mg every 8 hours
both for 1.5 months
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Control group
Active
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Outcomes
Primary outcome [1]
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headaches severity measured by visual analoge score (VAS)
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Assessment method [1]
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Timepoint [1]
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0,1.5, 3, 6 months
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Secondary outcome [1]
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headaches duration measured by questionnaire as length of each headache in hours per attack
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Assessment method [1]
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Timepoint [1]
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0,1.5,3,6 months
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Eligibility
Key inclusion criteria
normal ophtalmologic,neurologic physical exam
no history of ophtalmologic and neurologic disease
no sinus disease in examination and x-ray and computerized tumography (CT)-Scan imaging
relieving of pain 5 minutes after application of anesthetics on contact points
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Minimum age
25
Years
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Maximum age
57
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
known sinus,opthalmologic ,neurological disease
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/12/2001
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
44
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Iran, Islamic Republic Of
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State/province [1]
1174
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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mohammad ebrahim yarmohammadi
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Address [1]
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mostafa khomeini hospital
italia street
Tehran,Iran
postcode : 14166
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Country [1]
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Iran, Islamic Republic Of
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Primary sponsor type
Individual
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Name
mohammad ebrahim yarmohammadi
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Address
mostafa khomeini hospital
italia street
Tehran,Iran
postcode : 14166
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Country
Iran, Islamic Republic Of
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
3531
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Country [1]
3531
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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ethics commitee of shahed university faculty of medicine
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Ethics committee address [1]
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shahed faculty of medicine dehkadeh st. keshavarz blvd. tehran,Iran postcode: 14166
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Ethics committee country [1]
6002
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Iran, Islamic Republic Of
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Date submitted for ethics approval [1]
6002
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Approval date [1]
6002
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01/11/2001
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Ethics approval number [1]
6002
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Summary
Brief summary
Headaches is extremely common and the etiologic factors are quite varied. Rhinogenic headache has recognized for many years. Contact points headaches are one of the subgroups of rhinogenic headaches. Any pneumatization of the hanging portion of the middle turbinate is classified as concha bullosa and has seen in 34% of patients with sinusitis and 15.9% of normal people. Prevalence of bilateral middle turbinate bullosa is reported in 16_45% of people. Middle turbinate bullosa can contact to the septum or the lateral nasal wall in the osteomeatal complex region so it may cause rhinogenic headache. This study has done to evaluate the efficacy of turbinoplasty in the treatment of rhinogenic headaches which caused by concha bullosa of middle turbinate. The study was conducted between the years 2001 to 2006 on 44 patients with periorbital or frontal headaches caused by concha bullosa who divided into two equal groups at random. One group was treated by surgical therapy and other group was treated by medical therapy and efficacy of two methods compared by visual analog scale in 1.5,3,6 months after operation.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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shahryar pourfarzam
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Address
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mostafa khomeini hospital
italia street
Tehran,Iran
postcode:14166
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Country
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Iran, Islamic Republic Of
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Phone
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+982188963122
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Fax
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+982188963122
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Email
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[email protected]
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Contact person for scientific queries
Name
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mohammad ebrahim yarmohammadi
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Address
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mostafa khomeini hospital
italia street
Tehran,Iran
post code 14166
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Country
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Iran, Islamic Republic Of
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Phone
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+982188963122
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Fax
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+982188963122
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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