Effect of cold-water cooling of tonsillar fossa and pharyngeal mucosa on post-tonsillectomy pain

Shin, Jae Min; Byun, Jang Yul; Baek, Byoung Joon; Lee, Jae Yong

doi:10.1016/j.amjoto.2014.01.005

Cited by 19 publications

(39 citation statements)

References 16 publications

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“…These results agree with those presented by Shin et al on 40 patients with the aim of determining the impact of cold-water cooling of tonsillar fossa and pharyngeal mucosa on post-tonsillectomy pain. Both studies are similar in terms of the duration of throat pain follow-up, but the pain reduction was different, such that the pain diminished by 3.5 points compared with the first day in the present study while it declined by 3.5 points in their study, indicating that the rate and the amount of decline in pain were more significant probably due to the sample size in the former (15). Moghimi et al investigated the effectiveness of cryother- 6 Iran Red Crescent Med J.…”

Section: Discussionmentioning

confidence: 40%

“…This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited Antioxidant, anti-inflammatory, and antibacterial properties, as well as accelerated skin recovery and pain relief are the benefits reported for honey as a natural therapeutic method (5,13). One of the most effective ways recommended for managing pain is exposure to the cold that contributes to the contraction of superficial blood vessels, organ senselessness, and pain relief by reducing both cell metabolism and need for oxygen in tissues (14,15).…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Gargling Cold Normal Saline in Comparison to Normal Saline Mixed with Honey on Postoperative Pain Relief in Tonsillectomy or Adenotonsillectomy: A Randomized Clinical Trial

Raoufian¹,

Nasiri²,

Ghafari³

et al. 2020

Iran Red Crescent Med J

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Objectives: The present study was conducted to compare the effect of gargling normal saline mixed with honey and cold normal saline on postoperative pain relief in children undergoing tonsillectomy or adenotonsillectomy during 2018. Methods: This clinical trial was performed on 105 children aged 5-14 years. The participants were randomly allocated to three 35-member groups, viz. normal saline mixed with honey, cold normal saline, and the control. The patients underwent general anesthesia and then were operated by a single surgeon. Gargle was administered in the first and second groups every six hours up to 48 hours following the surgery. There was no intervention in the control group. The pain was recorded by the Wong-Baker FACES Pain Rating Scale (WBS) at the recovery time and 6, 12, 18, 24, 36, 48 hours and 7 days after the surgery. Data were analyzed using repeated measures ANOVA. Results: Among the participants, 47 subjects (44.8%) were males and the rest were females, with a mean age of 8.6 ± 2.5 years. The three groups were similar in terms of sex, weight, duration of surgery, and bleeding during surgery. The pain at the site of surgery during both resting and swallowing was different at 6, 12, 18, 24, 36, 48 hours, and 7 days following the surgery (P < 0.001). Conclusions: Gargling cold normal saline and normal saline mixed with honey led to reduced pain after tonsillectomy or adenotonsillectomy; however, the latter had a higher effect on the postoperative pain relief.

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Section: Discussionmentioning

confidence: 40%

Section: Introductionmentioning

confidence: 99%

The Effect of Gargling Cold Normal Saline in Comparison to Normal Saline Mixed with Honey on Postoperative Pain Relief in Tonsillectomy or Adenotonsillectomy: A Randomized Clinical Trial

Raoufian¹,

Nasiri²,

Ghafari³

et al. 2020

Iran Red Crescent Med J

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“…Results of other studies indicate the positive effect of education on deceasing post-surgery anxiety ( Guo et al, 2012) . Using cold compress for relieving neck and jaw pain is also one of the instructions achieved from the results of most of the studies of this systematic review; studies of Rotenberg (2013) and Shin (2014) confirm this issue. There have been few studies conducted in supporting ice collar program in post-tonsillectomy pain relief and there are many studies in supporting ice therapy in orthopedic surgeries.…”

Section: Discussionmentioning

confidence: 58%

Nursing Process in Post Tonsillectomy Pain Diagnosis: A Systematic Review

Soleymanifard¹,

Khademolhoseyni²,

Nouri³

2014

GJHS

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Objective:Tonsillectomy is the most common surgery in the field of ENT. Pain is the most common post tonsillectomy complaint. Considering the importance of nursing cares in relieving post-surgery pain in general and post-tonsillectomy pain in particular, this study is conducted with the aim of presenting nursing process in post tonsillectomy pain diagnosis for decreasing loss of appropriate opportunities in nursing cares and achieving appropriate results in taking care of the patients.Methods:This study is a targeted systematic review focusing on “effective nursing measures in relieving children’s post tonsillectomy pain”. The main stages of searching strategy included searching in electronic sources of Latin databases; Pub Med, Science Direct, and EMBASE and Persian databases; SID, Iran medex, ISC to find published articles from 2009 to 2014. In the end, final synthesis was done on eight articles in English.Findings:Effective nursing measurements for relieving post tonsillectomy pain include: decreasing children’s anxiety through children and their families’ psychological preparation by nurses and other caregivers, using cold compress to reduce neck and jaw pain, presenting distraction techniques, offering fluids and cold foods immediately in the period after surgery, creating a comfortable environment for the children, avoiding too much of talking and adequate sleep.Conclusion:It is recommended to the nursing managers and nurses to perform cares achieved from this systematic review to achieve appropriate results in relieving post tonsillectomy pain.

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“…[4][5][6][7][8] The efficacy of several mouthwashes has been evaluated, but their effects on pain reduction have yet to be definitively determined. 9,11,12) Diclomed ® mouthwash is based on diclofenac sodium, a strong NSAID derived by choline diclofenac salification. This modification allows rapid absorption of the diclofenac in the NSAID mouthwash by the oropharyngeal mucosa and thus a reduction in inflammation and pain by inhibiting cyclooxygenase enzyme and local prostaglandin production.…”

Section: Discussionmentioning

confidence: 99%

“…Among the methods proposed to reduce postoperative pain are various forms of surgery using different types of equipment, local anesthesia before surgery, steroids, antibiotics, analgesics, and cold-water cooling. [4][5][6][7][8][9] Nonetheless, a highly reliable and effective method for reducing postoperative pain has yet to be identified.…”

Section: Introductionmentioning

confidence: 99%

Effect of Non-Steroidal Anti-Inflammatory Drug Mouthwash on Post-Tonsillectomy Pain: Randomized, Controlled Study

Kang¹,

Lee²,

Lee³

et al. 2017

Korean J Otorhinolaryngol-Head Neck Surg

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Background and ObjectivesZZAltough tonsillectomy is one of the most common otolaryngological procedures, a highly reliable and effective method for reducing postoperative pain has yet to be identified. This study evaluated the efficacy of a non-steroidal anti-inflammatory drug (NSAID) mouthwash on postoperative pain in tonsillectomy patients. Subjects and MethodZZA total of 64 patients who underwent tonsillectomy were randomly assigned to one of two groups (32 patients each). One group received the NSAID mouthwash and the other a distilled water mouthwash. Postoperative pain in the two groups was compared by assessing pain severity 1-9 days postoperatively using a visual analog scale. ResultsZZCompared to the distilled water mouthwash group, patients using the NSAID mouthwash showed a statistically significant decrease in postoperative pain over the first 9 postoperative days. ConclusionZZA NSAID mouthwash may be a simple and effective method for controlling posttonsillectomy pain when administered in conjunction with routine medications.

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Effect of cold-water cooling of tonsillar fossa and pharyngeal mucosa on post-tonsillectomy pain

Cited by 19 publications

References 16 publications

The Effect of Gargling Cold Normal Saline in Comparison to Normal Saline Mixed with Honey on Postoperative Pain Relief in Tonsillectomy or Adenotonsillectomy: A Randomized Clinical Trial

The Effect of Gargling Cold Normal Saline in Comparison to Normal Saline Mixed with Honey on Postoperative Pain Relief in Tonsillectomy or Adenotonsillectomy: A Randomized Clinical Trial

Nursing Process in Post Tonsillectomy Pain Diagnosis: A Systematic Review

Effect of Non-Steroidal Anti-Inflammatory Drug Mouthwash on Post-Tonsillectomy Pain: Randomized, Controlled Study

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