OBJECTIVE To compare harmonic scalpel (HS) tonsillectomy with electrocautery (EC) tonsillectomy in terms of operating time, intra-operative blood loss, post-operative pain and secondary haemorrhage. METHODS Sixty adult patients subjected to tonsillectomy only, were evaluated in this prospective study. The patients were stratified into 2 groups (30 each) based on the dissecting instrument used...

OBJECTIVES/HYPOTHESIS The study aims to reconcile conflicting published reports regarding the clinical efficacy of a single intraoperative dose of dexamethasone in reducing post-tonsillectomy morbidity. STUDY DESIGN Systematic overview (meta-analysis). METHODS To critically evaluate the existing evidence, we performed a formal meta-analysis of eight double-blinded, randomized, placebo-contr...

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...

INTRODUCTION Tonsillectomy is one of the most common surgeries performed worldwide. Post-operative pain arising from tonsillectomy is one of the earliest complications that can postpone oral nutrition and increase the hospitalization period. Administration of opioids via injection is usually preferred to relieve pain in these patients. However, the side effects of this approach prompted us to s...

Introduction: Various efforts have been made to reduce post tonsillectomy pain in children. The present study was undertaken to evaluate the efficacy and safety of Ropivacaine in post-operative pain management in these children. Materials and Methods: This study is a Randomized control study on 140 patients between 4 - 12 years of age, in whom tonsillectomy was performed in a ...

introduction: tonsillectomy is one of the most common procedures performed by ear, nose, and throat surgeon.  usually, the procedure is carried out as an inpatient surgery. with the increasing need to reduce healthcare costs, spare precious hospital beds, and shorten elective surgery lists, there is currently a trend towards performing tonsillectomy on a daycare basis.  materials and methods: a...

Objective: To compare coblation and bipolar diathermy tonsillectomy in adults in terms of operative time, operative blood loss, post operative pain and post operative complications. Patients and Methods: Thirty patients (aged 18-40 years) scheduled for tonsillectomy were enrolled in this study, the patients were randomized using sealed envelopes to have one tonsil removed by coblation and the o...

BACKGROUND We have conducted this study to evaluate the effect of antibiotics, whether oral or intravenous, compared to no antibiotic protocol on post-tonsillectomy morbidity. METHODS A total of 270 patients aged 3 - 12 years were included in the study. Patients were assigned into three groups randomly; each group consisted of 90 patients. In the first group (group A), patients were given int...