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Effect of Cold Diet and Diet at Room Temperature on Post-Tonsillectomy Pain in Children

Mojtaba Meybodian1, Mohammadhossein Dadgarnia1, Mohammadhossein Baradaranfar1

  • 1Department of Otolaryngology- Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Iranian Journal of Otorhinolaryngology
|April 17, 2019
PubMed

Insights

Serving cold or room temperature foods after tonsillectomy did not significantly impact pain in children. This suggests that diet temperature advice for post-tonsillectomy care is not necessary.

Area of Science:

  • Pediatric Surgery
  • Pain Management
  • Clinical Nutrition

Background:

  • Post-tonsillectomy pain is a common concern in pediatric patients.
  • Dietary modifications, specifically food temperature, are often recommended to manage this pain.
  • Evidence supporting the efficacy of cold versus room temperature diets is limited.

Purpose of the Study:

  • To compare the effectiveness of cold diet versus room temperature diet on post-tonsillectomy pain in children.
  • To evaluate the impact of diet temperature on pain scores and other post-operative outcomes.

Main Methods:

  • A randomized controlled trial involving 120 children aged 4-12 years undergoing tonsillectomy.
  • Patients were assigned to receive either a cold or room temperature diet postoperatively.
  • Pain was assessed using the Face, Legs, Activity, Cry, Consolability (FLACC) scale at multiple time points.

Main Results:

  • No significant differences in FLACC pain scores were observed between the cold diet and room temperature diet groups.
  • Pain assessments at various intervals (pre-diet, pre-acetaminophen, pre-breakfast, pre-discharge) showed no statistically significant variations.
  • Bleeding frequency, nausea, and vomiting rates were also comparable between the two groups.

Conclusions:

  • Diet temperature (cold vs. room temperature) does not significantly affect post-tonsillectomy pain in children.
  • Current recommendations advising specific food temperatures for post-tonsillectomy patients may not be evidence-based.
  • Further research may explore other factors influencing post-tonsillectomy pain management.
Abstract

Keywords:
DietPainTonsillectomy

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