A Comparative Study of Post Operative Pain Following Tonsillectomy with Local Infilteration of Dexamethasone vs...

Area of Science:

• Otolaryngology
• Pain Management
• Pharmacology

Background:

• Tonsillectomy is a common ENT surgery.
• Post-operative pain is a significant challenge affecting patient recovery.
• Effective pain management strategies are crucial for tonsillectomy patients.

Purpose of the Study:

• To compare the efficacy of local Dexamethasone versus Triamcinolone infiltration for post-tonsillectomy pain.
• To evaluate the impact of these steroids on patient morbidity and hospital course.

Main Methods:

• A randomized study of 50 patients undergoing tonsillectomy.
• Patients were divided into two groups receiving local Dexamethasone or Triamcinolone infiltration.
• Pain was assessed using the Visual Analogue Scale (VAS) at 0, 6, and 24 hours post-operatively.

Main Results:

• Both Dexamethasone and Triamcinolone groups showed significant pain reduction.
• The Triamcinolone group (Group 2) demonstrated statistically significant greater improvement in VAS pain scores compared to the Dexamethasone group (Group 1).
• Average VAS pain score reduction was from 9.04 to 3.90 in Group 2 versus 9.50 to 5.92 in Group 1 at 24 hours.

Conclusions:

• Local steroid application effectively combats post-tonsillectomy pain.
• Triamcinolone infiltration provides superior pain relief compared to Dexamethasone for post-tonsillectomy pain.
• This approach can improve patient outcomes following tonsillectomy.