Comparison of Two Analgesic Protocols for Post-tonsillectomy Pain Control in Outpatient Adults

Adult post-tonsillectomy pain management: Opioid versus non-opioid drug comparisons

“…We arbitrarily defi ned pain complication as an unexpected ER or ENT clinic visit for additional pain medication. Previous researchers have reported a complication incidence fi gure of approximately 10% for post-tonsillectomy pain [10][11][12].…”

Effectiveness of hyaluronic acid in post-tonsillectomy pain relief and wound healing: A prospective, double-blind, controlled clinical study

“…The surgery causes substantial local trauma in the oropharynx and a wound that heals by secondary intention, therefore, it is associated with significant postoperative pain due to the release of pro-inflammatory factors and chemokines (3)(4)(5)7,23). The healing of tonsillar fossa takes about 2 weeks and, although gradually decreasing over the first week, significant to moderate pain resides during that period (4).…”

“…However, the commonly prescribed acetaminophen may not be adequate for post-tonsillectomy pain relief without codeine and at higher doses it may cause hepatic toxicity (5). Therefore, there is an ongoing research on the investigation of effectiveness of many surgical and pharmacological products in post-tonsillectomy pain management (2,4,5,7,9,23,26). Subramayam et al (2) reported their own experience on the use of ATC acetaminophen, dexamethasone and ibuprofen in pain management as no increase in the incidence of inadequate pain control or serious complications.…”

Post-Tonsillectomy Hemorrhage and Other Complications

“…Hence, controlling the pain could limit the risk of bleeding. Magdalena et al reported that patients who undergo cold steel method generally have lower pain scores compared to hot methods 13 . In their study, they compared the use of a combination of tramadol and NSAIDs with the use of prednisone and NSAIDs postoperatively.…”