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CompletedNCT07842419Updated Sep 25, 2026

Bizact Tonsillectomy: Postoperative Pain, Bleeding and Cost-effectiveness (Randomized Study)

An interventional study of Tonsillectomy in ENT Disease, Tonsil Disease and Surgery, sponsored by Helsinki University Central Hospital. Completed at 1 site in Finland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Helsinki University Central Hospital · Not applicable, Interventional, and Treatment

Updated Sep 25, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
224
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Randomized trial assessing Bizact-instrument in tonsillectomy and it's impact on postoperative recovery (pain, hemorrhage)

Read the detailed description

Bizact is an electrosurgical instrument developed for tonsillectomy. Bizact causes less thermal damage to tissues than traditional bipolar coagulation, and thus is assumed, that using Bizact might lead to faster and less painful recovery. Furthermore, incidence of postoperative hemorrhage is assumed to be lower.

The study evaluates the usability of Bizact and it's impact on postoperative pain, the occurrence of secondary postoperative hemorrhage, and the total costs of surgery compared with traditional bipolar tonsillectomy.

We recruit 225 patients who are randomized into three groups.

  1. both tonsils are removed with Bizact
  2. both tonsils are removed with traditional method using bipolar cautery and scissors
  3. one tonsil is removed with Bizact ant the other with bipolar cautery and scissors Patients are blinded with respect to group. Postoperative recovery is monitored on a daily basis with a questionnaire.
02

Conditions studied

  • ENT Disease
  • Tonsil Disease
  • Surgery

Keywords

  • Tonsillectomy
  • Bizact
  • Technique
  • Postoperative pain
  • Postoperative hemorrhage
03

In context

Otorhinolaryngologic Diseases

63 studies on the registry are indexed under Otorhinolaryngologic Diseases; 9 are open to participants now.

This study's enrollment of 224 is above the median of 72 across 50 interventional studies indexed under Otorhinolaryngologic Diseases.

Browse Otorhinolaryngologic Diseases studies →

Lead sponsor

Helsinki University Central Hospital is the lead sponsor of 311 studies on the registry; 61 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Tonsillectomy due to chronic tonsillitis or tonsillar hypertrophy
  • Age ≥18 years

Exclusion criteria

Exclusion Criteria:

  • Unilateral tonsillectomy
  • History of peritonsillar abscess
  • Coagulation disorder or ongoing anticoagulation therapy
  • Re-tonsillectomy
  • Additional simultaneous procedure
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
224 participants (actual)

Study arms

  • Active comparator
    Bizact tonsillectomy

    Patients operated with Bizact® instrument

    Device: Tonsillectomy

  • Active comparator
    Conventional tonsillectomy

    Patient operated with conventional technique (bipolar cautery and scissors)

    Device: Tonsillectomy

  • Active comparator
    Bizact-Conventional

    Side-controlled group, in which one tonsil is operated with Bizact® and another with conventional technique (bipolar cautery and scissors)

    Device: Tonsillectomy

Interventions

  • DeviceTonsillectomy

    Tonsillectomy is performed with Bizact®, or bipolar cautery and scissors, or both

06

What researchers measure

Primary outcomes

  1. Patient reported intensity of postoperative pain in numeric rating scale (0-10) on postoperative days 1-14

    Patients receive a questionnaire to assess their recovery during the first 14 postoperative days. Pain is evaluated separately for each side every morning before taking any analgesics and reported using a numeric rating scale 0-10.

    Time frame: within 2 weeks after surgery

Secondary outcomes

  1. Usage of pain medication

    Patients document their daily use of pain medication in the postoperative questionnaire.

    Time frame: 14 days postoperatively

  2. Incidence of primary hemorrhage

    Incidence of postoperative hemorrhage within 24 hours of surgery

    Time frame: 24 hours postoperatively

  3. Incidence of secondary hemorrhage

    Incidence of secondary postoperative hemorrhage warranting hospital contact and confirmed by an examination, graded by severity according to the Stammberger classification.

    Time frame: from 24 hours to 14 days postoperatively

07

Study locations

1 site
  • Helsinki University Hospital
    Helsinki, Helsinki 00029, Finland
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2021 to primary completion in Oct 2024, 43 months.

Of 20 interventional studies with no phase under Otorhinolaryngologic Diseases, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 43. This study's 43 months is above that.

Otorhinolaryngologic Diseases covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.

How these figures are worked out, and which studies are left out of them.

Registered
May 16, 2021
First posted
Sep 25, 2026
StartActual
Mar 1, 2021
Primary completionActual
Oct 31, 2024
CompletionActual
Dec 31, 2025
Last update
Sep 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07842419
Responsible party
Johanna Ruohoalho (MD, PhD, Helsinki University Central Hospital) — Principal investigator
First posted
Sep 25, 2026
Start date
Mar 1, 2021
Primary completion
Oct 31, 2024
Completion
Dec 31, 2025
Last update
Sep 25, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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