RecruitingNCT06950957

Video Laryngeal Mask vs. Endotracheal Tube in Septoplasty

Comparison of Video Laryngeal Mask Airway and Endotracheal Tube Use for Airway Safety in Patients Undergoing Septoplasty

Sponsor

Samsun University

Enrollment

64 participants

Start Date

May 30, 2025

Study Type

OBSERVATIONAL

Conditions

Septoplasty Airway Complication of Anesthesia Anesthesia Intubation Complication

Summary

This randomized controlled trial compares a video laryngeal mask airway (VLMA) and an endotracheal tube (ETT) in adult patients undergoing elective septoplasty. The primary objective is to see which device more effectively prevents surgical blood contamination in the glottic and subglottic regions. The study also assesses perioperative hemodynamic stability, ventilation parameters, and postoperative recovery factors such as sore throat, hoarseness, and overall patient comfort. The findings aim to help determine the optimal airway device choice for nasal surgeries.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria2

ASA I-II classification patients
Patients aged 18-65 years undergoing elective septoplasty

Exclusion Criteria6

ASA III-IV classification patients
Patients with anticipated difficult airway
Patients under 18 years of age
History of gastroesophageal reflux disease (GERD) or hiatal hernia
Body mass index (BMI) \>30
Pregnant patients

Print for Your Doctor

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

DEVICEVideo Laryngeal Mask Airway (VLMA)

A second-generation supraglottic airway device with an integrated video camera, used for airway management in adult patients undergoing elective septoplasty. The device allows real-time visualization of the glottic inlet to identify blood infiltration or anatomical challenges. Prior to removal, a fiberoptic bronchoscope will be introduced through the device's lumen to assess the distal trachea for blood contamination. Parameters such as airway insertion time, ventilation mechanics, hemodynamic data, analgesic requirements, and postoperative recovery scores (e.g., Aldrete score, sore throat incidence) will be recorded and analyzed.

DEVICEEndotracheal Tube (ETT)

A standard cuffed endotracheal tube inserted using direct laryngoscopy, employed for airway management during elective septoplasty. At the end of surgery, a fiberoptic bronchoscope will be passed through the ETT to evaluate the distal trachea for blood contamination. Airway insertion time, ventilation parameters, intraoperative hemodynamics, analgesic use, and postoperative outcomes (including sore throat and recovery scores) will be documented and compared with the VLMA group to assess differences in airway safety and clinical performance.