Airway Space Changes in Kids: Surgery vs Medicine for Adenotonsillar Enlargement

A Comparative Cephalometric Evaluation of Upper Airway Space Changes Following Medical Versus Surgical Management in Pediatric Patients with Adenotonsillar Hypertrophy: A Quasi Experimental Study. - nil

Status

Active, not recruiting

Phases

Phase 2

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2026/03/105593

Enrollment

136

Registered

2026-03-09

Start date

Unknown

Completion date

Unknown

Last updated

2026-03-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: J353- Hypertrophy of tonsils with hypertrophy of adenoids Health Condition 2: J352- Hypertrophy of adenoids Health Condition 3: J351- Hypertrophy of tonsils Health Condition 4: J350- Chronic tonsillitis and adenoiditis Health Condition 5: J358- Other chronic diseases of tonsilsand adenoids Health Condition 6: J359- Chronic disease of tonsils and adenoids, unspecified Health Condition 7: J399- Disease of upper respiratory tract, unspecified Health Condition 8: H669- Otitis med

Interventions

Intervention1: surgical management of adenotonsillar hypertrophy: according to AAOHNS guidelines, it will be decided that surgical management of the adenotonsillar hypertrophy in pediatric patients wi

Eligibility

Inclusion criteria

Inclusion criteria: History of URTI, AOM, OSA. Able to undergo lateral cephalometric radiography

Exclusion criteria

Exclusion criteria: Refusal to give consent or lost to follow up Craniofacial anomalies such as cleft palate, down syndrome, Pierre Robin sequence. Airway surgery such as prior adenoidectomy, tonsillectomy, or retrognathic surgery. Chronic cardio respiratory illness, such as uncontrolled asthma, and congenital heart disease.

Design outcomes

Primary

Measure	Time frame
To evaluate and compare the anatomical changes in upper airway dimensions in pediatric patients aged 4 to 15 years diagnosed with adenotonsillar hypertrophy, and assessing the quantifiable structural differences in the nasopharyngeal and oropharyngeal airway space, before and after treatment, to determine the comparative efficacy of medical therapy and surgical intervention in improving airway patency and craniofacial development using reproducible radiographic markers.Timepoint: Cases shall be assessed in the OPD at first contact and then post intervention after 6 months	—

Measure

Time frame

To evaluate and compare the anatomical changes in upper airway dimensions in pediatric patients aged 4 to 15 years diagnosed with adenotonsillar hypertrophy, and assessing the quantifiable structural differences in the nasopharyngeal and oropharyngeal airway space, before and after treatment, to determine the comparative efficacy of medical therapy and surgical intervention in improving airway patency and craniofacial development using reproducible radiographic markers.Timepoint: Cases shall be assessed in the OPD at first contact and then post intervention after 6 months

—

Secondary

Measure	Time frame
To assess specific anatomical changes in cephalometric parameters, including Mandibular and palatal plane lengths, Cranial base flexure angle, Nasopharyngeal triangle angle, Mandibular plane angle, Adenoid Nasopharyngeal Ratio ANR, Oropharyngeal Ratio OPR. Timepoint: Cases shall be assessed in the OPD at first contact and then post intervention after six months;To correlate cephalometric changes with clinical symptom improvement, including: Snoring, Mouth breathing, Sleep disturbance, Recurrent infectionsTimepoint: Cases shall be assessed in the OPD at first contact and then post intervention after six months;To analyse demographic and clinical parameters (age, sex, clinical history) in relation to airway dimensional changes and treatment outcomesTimepoint: Cases shall be assessed in the OPD at first contact and then post intervention after six months	—

Measure

Time frame

To assess specific anatomical changes in cephalometric parameters, including Mandibular and palatal plane lengths, Cranial base flexure angle, Nasopharyngeal triangle angle, Mandibular plane angle, Adenoid Nasopharyngeal Ratio ANR, Oropharyngeal Ratio OPR. Timepoint: Cases shall be assessed in the OPD at first contact and then post intervention after six months;To correlate cephalometric changes with clinical symptom improvement, including: Snoring, Mouth breathing, Sleep disturbance, Recurrent infectionsTimepoint: Cases shall be assessed in the OPD at first contact and then post intervention after six months;To analyse demographic and clinical parameters (age, sex, clinical history) in relation to airway dimensional changes and treatment outcomesTimepoint: Cases shall be assessed in the OPD at first contact and then post intervention after six months

—

Countries

India

Contacts

Public ContactProf Dr Jitendra Pratap Singh Chauhan

UTTAR PRADESH UNIVERSITY OF MEDICAL SCIENCES, SAIFAI

chauhanbhavya36@gmail.com9997634222

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Apr 4, 2026