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Effect of Sinufoam-Dexamethasone Mixture on Post Endoscopic Sinus Surgery Outcomes

The Adjunctive Use of a Dexamethasone-Sinufoam Mixture on Endoscopic Sinus Surgery Outcomes: A Randomized, Double-Blind, Placebo-controlled Trial

Status
UNKNOWN
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01024075
Enrollment
40
Registered
2009-12-02
Start date
2009-11-30
Completion date
2011-05-31
Last updated
2009-12-02

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

Conditions

Chronic Rhinosinusitis

Keywords

Chronic Rhinosinusitis, Endoscopic sinus surgery, Sinufoam, Dexamethasone, For patients with Chronic Rhinosinusitis without nasal polyps, Focus: Define the postoperative sinonasal mucosal healing status of 2 Sinufoam mixtures

Brief summary

Dexamethasone added to sinufoam, which is placed in the ethmoid cavity at the completion of endoscopic sinus surgery, will improve sinonasal mucosal healing.

Detailed description

Sinufoam is an FDA approved mixture, which is placed in the ethmoid cavity at the completion of an endoscopic sinus surgery procedure. Sinufoam prevents scarring and promotes healing of the sinonasal mucosa. Sinufoam is commonly mixed with saline, which enables it to be liquefied and gently placed into the ethmoid cavity. Recent practice of adding Dexamethasone to the sinufoam mixture has been hypothesized to promote healing by reducing chronic inflammation associated with CRS. Using topical dexamethasone mixed into the Sinufoam solution may improve patient care by preventing the systemic effects associated with post-operative systemic steroid use.

Interventions

DRUGDexamethasone

4cc of Dexamethasone and 4cc of Saline mixed with Sinufoam

DRUGSaline

8cc of Saline mixed with Sinufoam

Sponsors

University of Calgary
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Age \>18 years old * Chronic Rhinosinusitis without nasal polyps --- defined according to the AAO guidelines * Elective Bilateral sinus surgery requiring at a minimum of an Uncinectomy, Maxillary Antrostomy, and Anterior Ethmoidectomy.

Exclusion criteria

* Uncorrectable coagulopathy * Emergency procedure * Unavailable for standard post operative follow-up * Sinonasal neoplasm resections * Excessive intra-operative bleeding requiring nasal packing

Design outcomes

Primary

MeasureTime frame
Sinonasal mucosal healing1 month

Secondary

MeasureTime frame
Sinonasal quality of life (SNOT-22)1 month

Countries

Canada

Contacts

Primary ContactLuke Rudmik, MD
Lukerudmik@hotmail.com403-212-8223

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026