American Journal of Clinical and Experimental Medicine
Volume 3, Issue 5, September 2015, Pages: 237-240
Received: Aug. 14, 2015;
Accepted: Aug. 24, 2015;
Published: Oct. 13, 2015
Views 3211 Downloads 58
Abd El-Hay Rashad Elassy, ENT Department, Faculty of Medicine, Menoufia Univercity, Menoufia, Egypt
Ahmed Abd Elhalim Mohamed, ENT Department, Faculty of Medicine, Menoufia Univercity, Menoufia, Egypt
Heba Abd Elrehem Abo-Elnaga, ENT Department, Faculty of Medicine, Menoufia Univercity, Menoufia, Egypt
Waleed Mahmoud Saleh, ENT Department, Faculty of Medicine, Menoufia Univercity, Menoufia, Egypt
Objectives: The aim of this study was to review the literature regarding the measures to reduce post tonsillectomy pain. Data sources: They included medical text books, medical journals, and medical websites (PubMed, Medscape, Science Direct and EMF-Portal) and all materials available in the internet from 2000 to 2015. Study selection. The initial search presented 170 articles. The articles studied different tools and techniques in tonsillectomy, pharmacological and non pharmacological methods for reducing post operative pain. Data extraction: Web search was performed on the medical databases and the full text of the relevant paper was critically analyzed and interpreted. Data synthesis: Comparisons were made by a structured review with the results, summarized and incorporated into the review article’s main text. Findings: Pain is the most significant obstacle to the rehabilitation of a patient following tonsillectomy. Inadequate analgesia causes poor oral intake, which leads to lassitude, delayed recovery of strength and well being and occasionally requires overnight hospitalization in day case surgical practice. Conclusion: The advances in new surgical tools and techniques make this surgery a safe procedure with less post operative pain. The pain can be managed also in a more effective manner with the combination of pharmacological and non-pharmacological therapies.
Abd El-Hay Rashad Elassy,
Ahmed Abd Elhalim Mohamed,
Heba Abd Elrehem Abo-Elnaga,
Waleed Mahmoud Saleh,
Measures to Reduce Post Tonsillectomy Pain, American Journal of Clinical and Experimental Medicine.
Vol. 3, No. 5,
2015, pp. 237-240.
Indian Journal of Otolaryngology and Head and Neck Surgery, POST - TONSILLECTOMY PAIN Vol. 54 No, 2, April - June 2002.
Allford M, Guruswamy V: a national survey of the anesthetic management of tonsillectomy surgery in children. Paediatr Anaesth 2009; 19:145–152.
Solares CA, Koempel JA, Hirose K, Abelson TI, Reilly JS, Cook SP.: Safety and efficacy of powered intracapsular tonsillectomy in children: A multi-center retrospective case series. Int J Pediatr Otorhinolaryngol 2005; 69:21-26.
Schmidt R, Herzog A, Cook S, O'Reilly R, Deutsch E, Reilly J: Complications of tonsillectomy: A comparison of techniques. Arch Otolaryngol Head Neck Surg 2007; 133:925-928.
Derkay CS, Darrow DH, Welch C, Sinacori JT. Post-tonsillectomy morbidity and quality of life in pediatric patients with obstructive tonsils and adenoid: microdebrider vs electrocautery. Otolaryngol Head Neck Surg 2006; 134:114–20.
Karatzias GT, Lachanas VA, Papouliakos SM, Sandris VG. Tonsillectomy using the thermal welding system.ORL J Otorhinolaryngol Relat Spec 2005: 67:225-9.
Messner HA. Tonsillectomy. Operative Techniques in Otolaryngology. 2005; 16:224–228.
E. Genc, D. Hanci, N. T. Ergin, T. Dal, Can mucosal sealing reduce tonsillectomy pain? Int. J. Pediatr. Otorhinolaryngol. 2006; 70 725–730.
Eur Arch Otorhinolaryngol, Application methods of local anesthetic infiltrations for postoperative pain relief in tonsillectomy: a prospective, randomized, double-blind, clinical trial 2009; 266:1615–1620.
HK J Paediatr (new series) Effect of Postoperative Topical Administration of Magnesium Sulfate on Pain Relief in Pediatric Adenotonsillectomy: A Randomized Controlled Study 2012; 17:109-114.
Ann Eu Med; Topical Sucralfate and Postoperative Pain after Tonsillectomy 2014; 2(3): 17-20.
Bailey BJ, Johnson JT, Newlands SD. Head and neck surgery-otolaryngology. In: Tonsillitis, tonsillectomy, and adenoidectomy. 4th ed. Philadelphia: Lippincott Williams & Wilkins 2006; p. 1183---98.3.
Wilson ME, Helgadottir HL. Patterns of pain and analgesic use in 3- to 7-year-old children after tonsillectomy. Pain Manag Nurs. 2006; 7(4):159–166.
Vadivelu N, Mitra S, Narayan D (2010). Recent advances in postoperative pain management. Yale J Biol Med, Vol.83, No.1 (Mar), pp.11-25, Review, ISSN 0044-0086.
Kaan MN, Odabasi O, Gezer E, Daldal A. The effect of preoperative dexamethasone on early oral intake, vomiting and pain after tonsillectomy. Int J Pediatr Otorhinolaryngol 2006; 70: 73–9.
Burkhart and Steward, the Journal of Laryngology & Otology 115: June 2005: Antibiotics for Reduction of Post-tonsillectomy Morbidity. Anesth Pain; Post Tonsillectomy Pain can honey reduce the analgesic requirement. 2013; 3.
Saeki, Y. Effect of Local Application of Cold or Heat for Relief of Pricking Pain. Nursing and Health Sciences. 4(3):97-105; Sep 2002.
Bjordal, M. J.; Johnson, I. M. & Ljunggreen, A. E. Transcutaneous Electrical Nerve Stimulation (TENS) Can Reduce Postoperative Analgesic Consumption: A Meta- Analysis with Assesment of Optimal Treatment Parameters for Postoperative Pain. The European Journal of Pain, 2003; 7(2): 181-188.
Kwekkeboom KL & Gretarsdottir E: Systematic review of relaxation interventions for pain. J Nurs Scholarsh 2006; 38(3): 269–77.
Snyder, M. & Wieland, J. Complementary and alternative therapies: What is their place in the management of chronic pain? Nurs Clin North Am. 2003: 38(3): 495-508; Sep 2003.