Print ISSN: 1683-3589

Online ISSN: 2409-501X

Keywords : TONSILLECTOMY


THE EFFECT OF PERITONSILLAR INFILTRATION WITH MEPECAINE-L ON TONSILLECTOMY MORBIDITY IN ADULTS

Ali J Auda; Ahmed A Alansary; Abdulwahab B Abdulwahab

Basrah Journal of Surgery, 2017, Volume 23, Issue 1, Pages 8-13
DOI: 10.33762/bsurg.2017.132406

THE EFFECT OF PERITONSILLAR INFILTRATION WITH MEPECAINE-L ON TONSILLECTOMY MORBIDITY IN ADULTS

Ali J Auda*, Ahmed A Alansary#& Abdulwahab B Abdulwahab@
*MB,ChB, CABS, ENT Dept, Basrah General Hospital. #MB,ChB, FICMS, Consultant Otolaryngologist, Head-ENT Dept, Basrah General Hospital. @MB,ChB, FICMS, ENT Specialist, ENT Dept, Basrah General Hospital.

Abstract
Tonsillectomy is one of the most common performed procedures in ENT practice, it may be associated with bleeding and postoperative throat pain which are significant morbidities.
The aim of this study is to evaluate the effects of peritonsillar infiltration with (Mepecaine-Levonottrdefrin) on tonsillectomy duration, intraoperative blood loss and early post-operative pain in adults.
In this case-control study; fifty adults aged between 18-32 year were included, they were 34 females and 16 males who underwent tonsillectomy in the period between November 2011 and April 2012 at Basrah General Hospital, Iraq. Unilateral peritonsillar injection with Mepecaine-L (Mepecaine 2% - Levonorderfrin 1:20000) were infiltrated to one side and compared with the other side for the following parameters: operation duration, intraoperative blood loss and early post-operative pain score.
There was no statically significant difference in the duration of operation between the test and control side (P>0.05); There was significant reduction in the blood loss in the tested side (P< 0.001); and also significant reduction of the early postoperative pain (P<0.001). No significant intraoperative or postoperative complications were noticed.
In conclusion, the use of peritonsillar infiltration with Mepecaine-L before tonsillectomy is a safe and effective method that significantly reduces the blood loss and relieves the pain in adults after tonsillectomy.

THE EFFECT OF DEXAMETHASONE ON POST TONSILLECTOMY MORBIDITIES IN CHILDREN

Raid Yaqoub Yousef; Saffaa Khalaf Faleh

Basrah Journal of Surgery, 2011, Volume 17, Issue 2, Pages 82-86
DOI: 10.33762/bsurg.2011.55383

Abstract This study aimed to evaluate the effect of preoperative single dose of Dexamethasone on postoperative morbidities in children undergoing tonsillectomy. This is a prospective study considering 90 children with chronic tonsillitis who underwent tonsillectomy between June 2010 and December 2010 at the Department of Otolaryngology in Al-Diwaniah Teaching Hospital in Al-Diwaniah city, Iraq. Compared with placebo, Dexamethasone group have lower percentage of post tonsillectomy morbidities (pain, postoperative nausea & vomiting and uvular edema) but without statistical significant. In conclusion, there is no statistical beneficial effect of preoperative dexamethasone on the postoperative morbidities in children undergoing tonsillectomy.

11-HEMOSTASIS WITH SURGICEL FOR TONSILLECTOMY: A PILOT STUDY

Abdulmohsen E Hussain; Yaseen H Ali

Basrah Journal of Surgery, 2009, Volume 15, Issue 2, Pages 69-71
DOI: 10.33762/bsurg.2009.55615

This study aimed to evaluate the use of surgicel as the primary hemostasis method in
tonsillectomy. It is a cross-sectional prospective study included 211 patients who underwent
tonsillectomy alone or with conjugation with adenoidectomy over a period of 4 years in a tertiary
centre. The surgeon used cold steel dissection and surgicel as primary Hemostasis technique.
There was no post-tonsillectomy hemorrhage in this study, giving a 0% risk of post tonsillectomy
bleeding. It is concluded that the use of surgicel is a valid technique to achieve hemostasis in
tonsillectomy. Larger number of patients has to be operated on using this technique in order to
validate the comparison between our technique and techniques currently used.

8- TONSILLECTOMY FOR THE TREATMENT OF HALITOSISY!

Zahra Kadum Saeed; Ahmed M Al-Abbasi

Basrah Journal of Surgery, 2008, Volume 14, Issue 1, Pages 37-41
DOI: 10.33762/bsurg.2008.55518

This study aimed to investigate the tonsils as an origin of halitosis and to assess the efficacy of
tonsillectomy for the treatment of oral bad breath caused by chronic tonsillitis. After excluding
dental, periodontal, sinonasal, oral, pulmonary, and gastroenterological diseases as the origin of
halitosis, fourty-four patients with halitosis caused by chronic tonsillitis which proved by positive
Finkelstein's tonsil smelling test (pressing the tonsils and smelling the squeezed discharge),
were included in the study. All patients were treated by tonsillectomy. Subjective and objective
postoperative assessment was based on self-and-family report and clinical assessment.
Patients were reviewed after 4 and 8 weeks postoperatively. Complete improvement of halitosis
occurred in 31 patients (70.4%) after 4 weeks, this value increased to 35 patients (79.5%) in the
second review after 8 weeks. It is concluded that tonsillectomy is significantly effective
procedure for the treatment of halitosis caused by chronic tonsillitis.