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Oropharyngeal Leak PressureNCT07849322

Effects of Video LMA Cuff Pressure in Tympanoplasty.

An observational study of Oropharyngeal Leak Pressure and Airway Management, run by Samsun University at 1 site in Turkey (Türkiye).

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Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

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Trial summary

This prospective observational study aims to evaluate the effects of different cuff pressure levels of the Video Laryngeal Mask Airway (Video LMA) on airway safety, ventilation efficacy, and postoperative pharyngeal symptoms in patients undergoing tympanoplasty surgery. Read more about this study

Who is it for?
Ages 18 to 75 years
How many people
48 participants
Where
1 siteTurkey (Türkiye)
Study dates
25 Sep 2026to 1 Feb 2027
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Adult patients scheduled to undergo elective tympanoplasty surgery under general anesthesia requiring supraglottic airway management with a Video LMA.

Who may be able to join

  • Scheduled for elective tympanoplasty under general anesthesia
  • American Society of Anesthesiologists (ASA) physical status I-II-III
  • Aged between 18 and 75 years
  • Written informed consent obtained prior to surgery

Who cannot join

  • Patients who refuse to participate in the study
  • Illiterate patients
  • Patients unsuitable for laryngeal mask airway ventilation
  • Patients with preoperative sore throat
  • Patients who used NSAIDs within 24 hours prior to surgery
  • Patients diagnosed with gastroesophageal reflux
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  • Patients with a history of oropharyngeal and/or head and neck surgery
  • Patients with ASA physical status IV
  • Patients with cognitive impairment or unable to cooperate
  • Patients diagnosed with psychiatric disorders (schizophrenia, mania, depression, etc.)
  • Patients using antipsychotic medication for longer than 4 weeks

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Turkey (Türkiye)1 site
  • Samsun City Hospital

    Samsun, 55080

    R.Burak Ferli, MD, +90 542 645 92 95, rburakferli.md@gmail.com

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of Video LMA Cuff Pressure on Oropharyngeal Leak Pressure in Tympanoplasty

This prospective observational study aims to evaluate the effects of different cuff pressure levels of the Video Laryngeal Mask Airway (Video LMA) on airway safety, ventilation efficacy, and postoperative pharyngeal symptoms in patients undergoing tympanoplasty surgery. Patients are evaluated in two groups based on the measured Video LMA cuff pressure: 50 cm H2O or lower, and higher than 50 cm H2O. The primary outcome is oropharyngeal leak pressure (OLP). Secondary outcomes include the incidence and severity of postoperative pharyngeal symptoms, such as sore throat, dysphagia, and hoarseness, assessed during the first 24 hours postoperatively. Video LMA provides visual confirmation of correct anatomical position, allowing the effects of cuff pressure to be evaluated independently of device malposition.

Keywords
Cuff Pressure, Video Laryngeal Mask Airway, Oropharyngeal Leak Pressure
Medical subject headings
Cough, Hoarseness

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT07849322
Study groupRoleWhat they receive
Video LMA Cuff Pressure <= 50 cm H2OPatients undergoing tympanoplasty under general anesthesia in whom the Video LMA cuff pressure is measured at 50 cm H2O or lower. Oropharyngeal leak pressure is measured intraoperatively after visual confirmation of device position, and postoperative pharyngeal symptoms are monitored for the first 24 hours.
Video LMA Cuff Pressure > 50 cm H2OPatients undergoing tympanoplasty under general anesthesia in whom the Video LMA cuff pressure is measured higher than 50 cm H2O. Oropharyngeal leak pressure is measured intraoperatively after visual confirmation of device position, and postoperative pharyngeal symptoms are monitored for the first 24 hours.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Oropharyngeal Leak Pressure

    Oropharyngeal leak pressure (OLP) is measured in cm H2O after confirming proper Video LMA placement. With a fresh gas flow set at 6-8 L/min, the expiratory (APL) valve is gradually closed, and OLP is recorded as the airway pressure at which an audible air leak is detected.

    Measured: Intraoperatively

Secondary outcomes (2)
  1. Postoperative Sore Throat

    The incidence and severity of postoperative sore throat reported by patients. Assessed using a standard 4-point scale: 0 = none, 1 = mild, 2 = moderate, 3 = severe

    Measured: Up to 24 hours postoperatively

  2. Postoperative Dysphagia and Hoarseness

    The presence and incidence of swallowing difficulty (dysphagia) and voice alteration (hoarseness) reported by patients.

    Measured: Up to 24 hours postoperatively

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Sep 2026
  2. Study start25 Sep 2026 (estimated)
  3. Primary completion1 Jan 2027 (estimated)
  4. Study completion1 Feb 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
48 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07849322
Sponsor's protocol ID
GOKAEK 2026/7/32
Status last verified
Sep 2026
First submitted
24 Sep 2026
Last updated
30 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Gomez-Rios MA, Lopez T, Sastre JA, Gaszynski T, Van Zundert AAJ. Video laryngeal masks in airway management. Expert Rev Med Devices. 2022 Nov;19(11):847-858. doi: 10.1080/17434440.2022.2142558. Epub 2022 Nov 8.

    PubMed 36308748
  • Ramachandran SK, Kumar AM. Supraglottic airway devices. Respir Care. 2014 Jun;59(6):920-31; discussion 931-2. doi: 10.4187/respcare.02976.

    PubMed 24891199
  • 1) Machado, H. (2016). Supraglottic Airway Devices: A Review in a New Era of Airway Management. Journal of Anesthesia Clinical Research. https://doi.org/10.4172/2155-6148.1000647

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