Impact of Use Of Local Phenytoin On postoperative outcomes of pediatric tonsillectomy

Document Type : Original Article

Authors

1 Otorhinolaryngology, faculty of medicine, Zagazig university , Egypt

2 otorhinolaryngology faculty of medicine, Zagzig university

Abstract

objective

To assess the short-term results of tonsillectomy alone versus tonsillectomy with local phenytoin with regard to postoperative pain, analgesia, bleeding and appetite.

The study included in all 107 pediatric tonsillectomy patients; seven patients were excluded due to incomplete follow-up, only 100 patients completed follow up (60% female, 40% male, with age of (4–11 years) randomly chosen for tonsillectomy alone ( group1 or TA ; n = 50) and tonsillectomy with local phenytoin therapy( use)

(TPHT group, n = 50) . Patient characteristics such as age ,sex, and postoperative visual analogue scale (VAS) pain scores (2 hours postoperatively and first 10 days), appetite scores (first 7 days), and analgesia requirement (first 10 days) with documentation of bleeding complications.

Results From the third postoperative day, there was a noticeable decline in pain scores, which reached 0.0 ± 0.0.and on Day 10, it was 0.49± 0.79 in the TPHT and TA groups, respectively (p < 0.001 for each). Comparing the TPHT group to the TA group, there were significant differences in pain and appetite scores from Day 1 to Day 10, as well as a decreased need for analgesia from Day 1 to Day 10. Additionally, there were few bleeding complications



In conclusion, this study of pediatric tonsillectomy patients proved effectiveness of tonsillectomy with local phenytoin (use) over tonsillectomy without local phenytoin therapy(use)

Keywords

Main Subjects

Zagazig University Medical Journal

Articles in Press, Accepted Manuscript
Available Online from 23 March 2024

Files

Share

How to cite

Statistics