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Nasal Sprays Containing Mometasone Furoate for Relief of Post-Adenotonsillectomy Pain in Children: A Prospective

Ozlem Unsal1, Meltem Akpinar1, Gulpembe Bozkurt2

  • 1Department of Otorhinolaryngology Head and Neck Surgery, University of Health Sciences Turkey, Sisli Hamidiye Etfal Teaching and Research Hospital, Istanbul, Turkey.

Sisli Etfal Hastanesi Tip Bulteni
|May 3, 2021
PubMed

Insights

Steroid nasal spray applied post-tonsillectomy significantly reduced pain on postoperative day 5. This finding offers a potential new strategy for managing post-tonsillectomy pain in children.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Pain Management

Background:

  • Adenotonsillectomy is a common pediatric surgery.
  • Post-tonsillectomy pain management remains a clinical challenge.
  • Current strategies lack a universally effective approach.

Purpose of the Study:

  • To evaluate the analgesic efficacy of steroid-containing nasal spray applied to the tonsillar region after tonsillectomy.
  • To investigate a novel method for improving post-operative pain control.

Main Methods:

  • A randomized study involving 82 pediatric patients undergoing tonsillectomy.
  • The study group received steroid nasal spray on tonsillar regions for 5 days post-surgery.
  • Pain was assessed using a visual analog scale and compared between groups.

Main Results:

  • Pain scores decreased over time in both groups.
  • While not significant from 4 hours to day 5, the steroid nasal spray group showed statistically significant pain reduction on postoperative day 5 (p<0.05).

Conclusions:

  • Post-tonsillectomy pain often peaks around day 5 due to wound inflammation.
  • Steroid nasal spray demonstrated clinical significance in reducing this late-phase pain.
  • This intervention may offer an effective solution for managing post-tonsillectomy pain.
Abstract

Keywords:
Mometasone furoatenasal spraypain reliefsteroidtonsillectomyvisual analogue scale

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