Actively Recruiting
Treatment of Obstructive Sleep Apnea With Personalized Surgery in Children With Small Tonsils
Led by Oregon Health and Science University · Updated on 2025-09-24
240
Participants Needed
2
Research Sites
208 weeks
Total Duration
On this page
Sponsors
O
Oregon Health and Science University
Lead Sponsor
U
University of Michigan
Collaborating Sponsor
AI-Summary
What this Trial Is About
The purpose of this study is to compare the effectiveness of a novel personalized surgical approach to the standard AT in children with small tonsils (ST). This will be accomplished by randomizing children with ST and OSA to one of these two treatments and comparing outcomes after 6 months. It is the investigators' central hypothesis that a personalized drug-induced sleep endoscopy (DISE)-directed surgical approach that uses existing procedures to address the specific fixed and dynamic anatomic features causing obstruction (ie, anatomic endotypes) in each child with ST will perform better than the currently recommended standard first line approach of AT. This novel approach may improve OSA outcomes and reduce the burden of unnecessary AT or secondary surgery for persistent OSA after an ineffective AT. To test this hypothesis, the investigators propose to study children aged 2-17 years with small tonsils and OSA.
CONDITIONS
Official Title
Treatment of Obstructive Sleep Apnea With Personalized Surgery in Children With Small Tonsils
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Child has a diagnosis of moderate to severe OSA diagnosed by PSG (oAHI 6 5)
- Child age is 2.00 to 17.99 years of age
- Child has small tonsils (Brodsky 1+ or 2+) noted during routine physical exam
- Caregiver can provide signed and dated consent and is 18 years of age or older at the time of consent
- Caregiver can speak, read, and write in English or Spanish
- Caregiver is primary caretaker of the child
- Child is not expecting their own child
- Child is eligible for surgical treatment
You will not qualify if you...
- Child has history of previous tonsillectomy, tonsillotomy, or partial tonsillectomy
- Child has any contraindication to surgery (e.g. bleeding disorders)
- Child has significant cardiopulmonary comorbidity besides OSA requiring supplemental oxygen, subglottic or tracheal stenosis, tracheostomy dependence
- Child has a genetic abnormality, Down syndrome, neuromuscular disorder, craniofacial anomaly
- Caregiver is unwilling or unable to comply with study procedures
- Child is or plans to become a parent themselves
AI-Screening
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Trial Site Locations
Total: 2 locations
1
University of Michigan
Ann Arbor, Michigan, United States, 48109
Actively Recruiting
2
Oregon Health and Science University
Portland, Oregon, United States, 97239
Actively Recruiting
Research Team
E
Eleni O'Neill
CONTACT
D
Derek Lam, MD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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