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Enrolling by invitation Not applicable

Transnasal Sphenopalatine Ganglion Block for Postoperative Pain and Recovery in Tonsillectomy (TONwoPA)

NCT07370129 · tracked via the Priya Life Science Turkey tracker
Phase
Not applicable
Started
2025-06-01
Last updated
2026-01-27

Condition(s) studied

Post Tonsillectomy PainPost Operative AnalgesiaOpioid ConsumptionSphenopalatine Ganglion BlockTonsillar Surgery Complications

Investigational drug(s) / intervention(s)

Transnasal Transmucosal Sphenopalatine Ganglion BlockLidocaine %5Saline (0.9% NaCl)

Transnasal Transmucosal Sphenopalatine Ganglion Block: Before the start of surgery, a preemptive transnasal transmucosal sphenopalatine ganglion block will be performed using cotton-tipped applicators. The assigned solutions will be administered via the applicators according to group allocation.

Lidocaine %5: Transnasal Transmucosal Sphenopalatine Ganglion Block with Lidocaine %5

Saline (0.9% NaCl): Transnasal Transmucosal Sphenopalatine Ganglion Block with Saline (0.9% NaCl)

Study summary

The aim of this clinical trial is to evaluate the effectiveness of transnasal transmucosal sphenopalatine ganglion block in reducing post-tonsillectomy pain. The study also investigates its impact on rescue analgesic requirements and postoperative recovery by comparing 5% lidocaine with placebo.

Participants will receive a transnasal transmucosal sphenopalatine ganglion block with either 5% lidocaine or placebo (saline). Postoperative pain levels and opioid consumption will be monitored during the first 24 hours after surgery. In addition, length of hospital stay, the occurrence of primary and secondary post-tonsillectomy hemorrhage up to 14 days, unplanned hospital readmissions after discharge, and patient satisfaction on postoperative day 14 will be assessed.

Eligibility

Sex
ALL
Min age
12 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Patients aged ≥ 12 years * Patients weighing ≥ 50 kg * Patients without coagulation disorders * ASA physical status I-II patients scheduled for tonsillectomy * Patients who are fully oriented and able to cooperate Exclusion Criteria: * Lack of informed consent * Patients aged \< 12 years * Patients weighing \< 50 kg * Body mass index (BMI) \> 30 kg/m² * History of allergy to local anesthetics * History of facial trauma or infection * Presence of coagulation disorders * Patients who are disoriented and/or unable to cooperate * Patients with comorbidities requiring opioid use * History of neuropathic pain * Patients with chronic pain syndrome

Primary outcome measure(s)

  • Postoperative NRS Score and Opioid Consumption — Postoperative 1. 2. 4. 8. 16. and 24. Hours
    The NRS (Numeric Rating Scale) score will be used to assess the pain during follow ups. Scale: 0 (no pain) to 10 (worst pain). Higher scores on the NRS indicate worse pain.

Trial sites (1)

FacilityCityRegionStatus
Ankara University Ankara Ankara
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07370129 on ClinicalTrials.gov ↗ ← All trials in Turkey