Postoperative Tonsillectomy Pain in Pediatric Patients

Abstract

Hot dissection tonsillectomy increases morbidity in pediatric patients in the recovery period following hospital discharge.

Multiparametric comparison of cold knife tonsillectomy, radiofrequency excision and thermal welding tonsillectomy in children

“…A detailed food diary for at least the seven postoperative days should be handed to parents on discharge day, along with analgesic instructions. Pain is reported to be the main cause for seeking outpatient medical attention in the first 2 weeks after surgery [4]. Our results showed that the cold knife tonsillectomy group experienced significantly less postoperative pain on the 1st, 4th, 7th and 10th day after surgery, than the thermal welding and radiofrequency group.…”

Hot Versus Cold Tonsillectomy: A Systematic Review of the Literature

“…Wexler 5 found that electrodissection in the adult population resulted in an average delay of 2 days in return to normal diet. Nunez et al 6 supported this finding in the pediatric population (ages 3 to 12), also reporting a 2‐day delay in return to normal diet and activity.…”

Postoperative Morbidity of Different Tonsillectomy Techniques: A Systematic Review and Network Meta‐Analysis

“…Of these, 5 were excluded as they did not fulfil our eligibility criteria. The remaining 31 studies were included in our meta‐analysis 7,10,30–58 . Figure 1 shows both the reasons behind the exclusion of the non‐eligible studies and a flow chart of the studies' identification process.…”

“…Most of the included patients ( n = 4372; 67.6%) were enrolled in prospective 30,35,38,45,47 or retrospective 36,40 non‐randomized studies. Otherwise, only a minority of patients were enrolled in RCTs ( n = 2092; 32.4%) 7,10,31–34,37,39,41–44,46,48–58 . MINORS criteria showed an overall mean score of 18.5 ± 1.6 in comparative studies (maximum of 24), whereas a score of 12 (maximum of 16) was measured in the only non‐comparative study included 33 .…”