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Related Experiment Videos

Are adjuvant therapies for tonsillectomy evidence based?

M Dhiwakar1, P M Brown

  • 1Department of Otolaryngology-Head & Neck Surgery, Milton Keynes General Hospital, Milton Keynes, UK. dhiwamahi@yahoo.com

The Journal of Laryngology and Otology
|August 17, 2005
PubMed
Summary

Current tonsillectomy adjuvant therapy practices in the UK show mixed evidence. While paracetamol (acetaminophen) is widely used for pain relief, other treatments lack robust supporting data.

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Area of Science:

  • Otolaryngology
  • Surgical Practice
  • Evidence-Based Medicine

Background:

  • Tonsillectomy is a common surgical procedure.
  • Adjuvant therapies are often used post-tonsillectomy.
  • The evidence base for many adjuvant therapies is unclear.

Purpose of the Study:

  • To assess current UK adjuvant therapy practices for tonsillectomy.
  • To determine if these practices are evidence-based.

Main Methods:

  • Anonymized postal questionnaires sent to UK otolaryngology consultants.
  • Comprehensive literature search using relevant keywords.

Main Results:

  • Limited enthusiasm for routine intra-operative local anesthesia, post-operative topical benzydamine hydrochloride, or antibiotics.

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  • Paracetamol (acetaminophen) is used by nearly 90% for analgesia, supported by evidence.
  • Evidence for combining paracetamol with opioids or NSAIDs is limited or non-existent.

    • Conclusions:

    • Tonsillectomy care has some uniform, evidence-based aspects.
    • Other aspects of care are heterogeneous due to limited data.
    • Further research is needed to support evidence-based adjuvant therapy for tonsillectomy.