Objective: To determine the efficacy of per-operative single intravenous bolus dose of Dexamethasone in reducing post-tonsillectomy pain. Material and Methods: This was a Quasi experimental study conducted at the ENT Department, Hayatabad Medical Complex, (HMC), Peshawar from March 2010 to March 2011. A total of 108 patients included in this study were divided in to two groups, group A receivin...

AIM/BACKGROUND Tonsillectomy with or without adenoidectomy is one of the most commonly performed surgical procedures by the otolaryngologists in the pediatric population. The aim of this study is to evaluate parental expectation and satisfaction following tonsillectomy with or without adenoidectomy. MATERIALS AND METHODS Hospital-based prospective study of all consented parents whose children...

OBJECTIVES We evaluated the alleviation of post-tonsillectomy pain with systemic and topical applications. PATIENTS AND METHODS Data obtained from 78 patients (28 females, 50 males) who had undergone tonsillectomy for recurrent tonsillitis by conventional cold surgery were reviewed with prospective, randomized clinical study. Initially, the patients were assigned into topical and systemic dru...

OBJECTIVE The aim of the present study was to investigate the rate of post-tonsillectomy hemorrhage (PTH) in a single institution and to evaluate the clinical risk factors for PTH. METHODS We reviewed the records of 692 patients who underwent tonsillectomy (TE) at Yokohama Minami Kyosai Hospital in Japan. PTH grades were grouped into three categories according to the severity of the hemorrhag...

Care must be taken with the type of IV fluid used to replace this degree of blood loss, as hyponatraemia is possible if glucose-saline fluids are used. Blood transfusion is needed in less than 0.1% of children. This low use of blood is not surprising because if normovolaemia is maintained with asanguineous fluid, nearly half of a child's blood volume can be lost before the haemoglobin reaches 7...

The purpose of this study was to investigate the changes in the humoral and cellular immunity of children with obstructive sleep apnea-hypopnea syndrome and hypertrophy of tonsils before and after plasma-mediated temperature-controlled radiofrequency ablation treatment. Fifty-seven children suffering from obstructive sleep apnea-hypopnea syndrome and with hypertrophy of tonsils were enrolled in...

Introduction: Tonsillectomy is the one of the most common types of surgery in children, and is often accompanied by post-operative pain and discomfort. Methods of pain control such as use of non-steroidal anti-inflammatory drugs (NSAIDs), narcotics, and local anesthetics have been used, but each have their own particular side effects. In this study we investigated the effect of ketamine on post...

Introduction: To study about the efficacy of Peritonsillar infiltration Ropivacaine and pain control in immediate postoperative period following tonsillectomy surgery adult patients. Methods: 80 patients were included age 18 to 50 years. After informed consent, divided into two groups. In Group R 0.5%Ropivacaine with 1:100000 Adrenaline C 0.9%normal saline was injected tonsillar fossa tonsillec...

OBJECTIVE To compare the administration of bupivacaine hydrochloride, dexamethasone and lidocaine hydrochloride in decreasing post-tonsillectomy pain. METHODS Eighty patients were enrolled in the study in ENT Clinic, Firat University, and in ENT Clinic Elaziğ SSK Hospital, Elaziğ (Turkey). Children between 6 and 14 years of age referred to our department for bilateral tonsillectomy for either...

As of 1995, organ transplantation from cadaver donors is under debate in the Japanese Diet. Depending on what the Diet decides, more organ transplantations may be performed. Since cases of orthotopic liver transplantation (OLT) may increase, the need to perform surgical operations in post-OLT patients may arise. The purpose of this report is to enlighten Japanese otorhinolaryngologists on the p...