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Post-operative pain control with topical steroid injection after hot dissection tonsillectomy

Published online by Cambridge University Press:  29 June 2007

Chih-Ming Liu  and
Chih-Ying Su
Chih-Ming Liu
Affiliation:
Department of Otolaryngology, Chang Gung Medical College, and Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan, R.O.C
Chih-Ying Su*
Affiliation:
Department of Otolaryngology, Chang Gung Medical College, and Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan, R.O.C
*
Address for correspondence: Chih-Ying Su, M.D., Associate Professor, Chang Gung Medical College, Department of Otolaryngology, Chang Gung Memorial Hospital, 123, Ta Pei Road, Niao Sung Hsiang, Kaohsiung Hsien, Taiwan, R.O.C. Fax: 002-886-7-7318762
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Abstract

Electrocautery excision (hot dissection) and scissor/snare dissection (cold dissection) are two popular methods used in tonsillectomy. The former causes relatively more post-operative pain but takes less time to perform and is associated with less intra-operative and immediate post-operative bleeding than the latter. To explore post-operative pain control in patients undergoing electrodissection tonsillectomy, a prospective, randomized, one-blind study was designed involving local injections of steroid into the pillar and tonsil bed. The pain levels among the topical injection, deltoid muscle injection and the control group were scored and analyzed. Local steroid injection was found to significantly abate the post-tonsillectomy pain.

Keywords

PainTonsillectomyElectrocoagulationTriamcinolone acetonideInjectiontopical

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 11 , November 1996 , pp. 1038 - 1040
Copyright
Copyright © JLO (1984) Limited 1996

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Footnotes

Presented at the 55th National Conference of Otolaryngological Society of Republic of China, Taipei, Taiwan, November 13, 1993.

References

Anderson, H. A., Rice, B. J., Cantrell, R. W. (1975) Effects of injected depo-steroid on post-tonsillectomy morbidity: a double-blind study. Archives ofOtolaryngology 101: 86–88.CrossRefGoogle Scholar
Boliston, T. A., Upton, J. J. (1980) Infiltration with lidocaine and adrenaline in adult tonsillectomy. Journal of Laryngology and Otology 94(1): 1257–1259.CrossRefGoogle ScholarPubMed
Carmody, D., Vamadevan, T., Cooper, S. M. (1982) Posttonsillectomy haemorrhage. Journal of Laryngology and Otology 96: 635–638.CrossRefGoogle Scholar
Catlin, F. I., Grimes, W. J. (1991) The effect of steroid therapy on recovery from tonsillectomy in children. Archives in Otolaryngology 117: 649–652.Google Scholar
Coffman, J. D. (1966) The effect of aspirin on pain and hand flow responses to intra-arterial injection of bradykinin in man. Clinical Pharmacology and Therapeutics 7: 26–37.CrossRefGoogle ScholarPubMed
Dahl, J. B., Kehlet, H. (1991) Non-steroidal anti-inflammatory drugs: rationale for use in severe post-operative pain. British Journal of Anaesthesia 66: 703–712.CrossRefGoogle Scholar
Davison, M., Boles, R. G., Sanderman, S. C. (1952) A prolonged local anesthetic in control of post-tonsillectomy pain. Annals of Otology, Rhinology and Laryngology 61: 1046–1047.CrossRefGoogle Scholar
Freeman, S. B., Markwell, J. K. (1992) Sucralfate in alleviating post-tonsillectomy pain. Laryngoscope 102: 1242–1246.CrossRefGoogle ScholarPubMed
Haase, F. R., Noguera, J. T. (1962) Hemotasis in tonsillectomy by electrocautery. Archives of Otolaryngology 75: 125–126.CrossRefGoogle Scholar
Hansen, J. E. (1979) A technique for improved tonsil and adenoid surgery. Ear, Nose and Throat Journal 58(3): 107–114.Google Scholar
Johnson, F., Calif, P. (1962) Electrocautery in tonsil and adenoid surgery. Archives of Otolaryngology 75: 127–129.CrossRefGoogle ScholarPubMed
Leach, J., Manning, S., Schaefer, S. (1993) Comparison of two methods of tonsillectomy. Laryngoscope 103: 619–622.Google Scholar
Raja, S. N., Meyer, R. A., Campbell, J. N. (1988) Peripheral mechanisms of somatic pain. Anesthesiology 68: 571–590.CrossRefGoogle ScholarPubMed
Rundle, F. W. (1967) Post-tonsillectomy morbidity: a clinical trial of a local penicillin-steroid-anesthetic mixture. Annals of Otology, Rhinology and Laryngology 76(5): 1060–1066.CrossRefGoogle ScholarPubMed
Saarnivaara, L., Metsa-Ketela, T., Mannisto, P., Vapaatalo, H. (1980) Pain relief and sputum prostaglandins in adults treated with pethidine, tilidine, and indomethacin after tonsillectomy: a double blind study. Ada Anaesthesiologica Scandinavica 24: 79–85.Google Scholar
Weighill, J. S., Proops, D. W., Jeffries, D., Brandrick, J. (1986) Pain relief following tonsillectomy. Journal of Laryngology and Otology 100(3): 307–310.CrossRefGoogle ScholarPubMed