To determine the effectiveness of postoperative local infiltration of Bupivacaine in decreasing post tonsillectomy pain. A double blind randomized clinical trail was conducted. Treatment group was administered 3-10 ml 0.5% Bupivacaine + 1/200000 Epinephrine solution and control group was received 3-10 ml normal saline, locally. Outcome was post surgical pain, which measured by visual analogue scale (VAS), after 6, 12, 18 hours post surgical. The mean scores of pain after surgery were lower grade in treatment group than placebo group. Post tonsillectomy pain suffered patients and required to reduce; hence pharmacotherapy seems necessary for it. Current finding was shown local 0.5% Bupivacaine + 1/200000 Epinephrine injection is good for pain relief.
Children in 2 to 9 years old is sensitive to growth. Chronic infectious diseases may affect on child growth and recurrent pharyngotonsilitis due to adenotonsilar hypertrophy is main disease in children and may cause failure to thrive (FTT). The aim pf this study was to investigate relation between growth rate and adenotonsillar hypertrophy in Iranian subample children. We selected 76 children between 2-9 years old who suffered from chronic adenotonsilar hypertrophy and tonsillitis more than two years evaluated and compared with normal control group, by the results of the development indices. Analysis was done by EPI-6 and SPSS-12 soft wares. According to revealed results in both groups all of percentile less than 3rd were WAP = 23.8, WHP = 17.8, HAP = 18.1 (P = 0.006) and WAP was significant difference between two groups (P = 0.045). Also there is no significant difference for WHP, WHZ, HAZ. Chronic and recurrent infection of adenotonsilar hypertrophy affecting body growth process and diminishes weight/age and height/age ratio and percentile.
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