Does topical ropivacaine reduce the post-tonsillectomy morbidity in pediatric patients?

Analgesic efficacy of topical tramadol in the control of postoperative pain in children after tonsillectomy

“…Topical administration of local anesthetic agents reduces pain by producing pharmacologic blockade of the sensory pathways. Previous studies determined that topical 1% ropivacaine provided superior postoperative analgesia, as reflected by lower recovery room pain scores and opioid requirements [9].…”

The effects of topical levobupivacaine on morbidity in pediatric tonsillectomy patients

“…Egeli et al [28] reported that topical application of lidocaine with adrenaline offered no advantage over placebo in the control of postoperative pain and other morbidity related factors following pediatric tonsillectomy. On the other hand, Oghan et al [29] suggested that topically administered high dose ropivacaine (1%) offered a statistically significant pain control without postoperative morbidity in the postoperative 1-week period except the first hour postoperatively. Demiraran et al [30] compared the use of preincisional lidocaine 2% with epinephrine and levobupivacaine 0.25% for postoperative analgesia in patients undergoing nasal septal surgery and they reported that local infiltration of levobupivacaine was significantly more potent.…”

The Efficiacy of Anterior and Posterior Archs Suturation at Inferior Tonsillar Pole for Posttonsillectomy Pain Control

“…But Hydri et al [18] observed that topical application of local anesthetic (bupivacaine) has no evident pain control in patients after tonsillectomy. Oghan et al [19] observed that locally 1.0% ropivacaine administration significantly relieves the pain of pediatric tonsillectomy.…”

“…Older patients are more affected than younger patients [21]. As a result of postoperative pain, the oral intake decreases and the rate of complication and morbidity may increase, and the postoperative healing may affects negatively [19]. Therefore, it is important to subside the pain after tonsillectomy in especially adult patients.…”