OBJECTIVE To determine the efficacy of single dose perioperative intravenous steroid (dexamethasone) for postoperative pain relief in patients undergoing tonsillectomy. STUDY DESIGN Quasi-experimental study. PLACE AND DURATION OF STUDY Combined Military Hospital, Lahore, from November 2009 to June 2010. METHODOLOGY Sixty patients were divided into two equal groups. A single dose of dexame...

BACKGROUND Interindividual variability in pain perception and analgesic response is a major problem in perioperative practice. Adult studies suggest pain management is influenced by patient's race. The objective of this study is to evaluate the influence of race on perioperative pain treatment in children. METHODS Prospective observational study evaluating effect of race on analgesia and opio...

OBJECTIVE To review our experience with intracapsular tonsillectomy using powered instrumentation in the management of tonsillar hypertrophy causing obstructive sleep-disordered breathing in children. STUDY DESIGN Retrospective case series. METHODS Intracapsular tonsillectomy, a form of partial tonsillectomy performed with an endoscopic microdebrider, preserves the tonsillar capsule as a ba...

OBJECTIVE To determine the short term efficacy and safety of tonsillectomy for recurrent streptococcal pharyngitis in adults. Design Randomised controlled trial. SETTING Academic referral centre in Finland. PARTICIPANTS 70 adults with documented recurrent episodes of streptococcal group A pharyngitis. INTERVENTION Instant tonsillectomy (n=36) or remaining on waiting list as control (n=34)...

Introduction: Microdebrider intracapsular tonsillectomy is a relatively recent surgical procedure used to treat various tonsil and adenoid disorders. Unlike traditional tonsillectomies, which involve the complete removal of tonsils, this technique uses high-speed rotation remove only diseased tissue, allowing for more precise while preserving surrounding healthy tissue. This has gained populari...