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Post-operative pain control with topical steroid injection after hot dissection tonsillectomy

Published online by Cambridge University Press:  29 June 2007

Chih-Ming Liu  and
Chih-Ying Su
Chih-Ming Liu
Affiliation:
Department of Otolaryngology, Chang Gung Medical College, and Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan, R.O.C
Chih-Ying Su*
Affiliation:
Department of Otolaryngology, Chang Gung Medical College, and Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan, R.O.C
*
Address for correspondence: Chih-Ying Su, M.D., Associate Professor, Chang Gung Medical College, Department of Otolaryngology, Chang Gung Memorial Hospital, 123, Ta Pei Road, Niao Sung Hsiang, Kaohsiung Hsien, Taiwan, R.O.C. Fax: 002-886-7-7318762
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Abstract

Electrocautery excision (hot dissection) and scissor/snare dissection (cold dissection) are two popular methods used in tonsillectomy. The former causes relatively more post-operative pain but takes less time to perform and is associated with less intra-operative and immediate post-operative bleeding than the latter. To explore post-operative pain control in patients undergoing electrodissection tonsillectomy, a prospective, randomized, one-blind study was designed involving local injections of steroid into the pillar and tonsil bed. The pain levels among the topical injection, deltoid muscle injection and the control group were scored and analyzed. Local steroid injection was found to significantly abate the post-tonsillectomy pain.

Keywords

PainTonsillectomyElectrocoagulationTriamcinolone acetonideInjectiontopical
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 11 , November 1996 , pp. 1038 - 1040
Copyright
Copyright © JLO (1984) Limited 1996

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Footnotes

Presented at the 55th National Conference of Otolaryngological Society of Republic of China, Taipei, Taiwan, November 13, 1993.

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