Ammar Gaber, Wang Zhibin
Department of Otorhinolaryngology-Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2009 Oct;23(20):936-8.
To assess the effect of a course of intravenous dexamethasone on pain after tonsillectomy.
Sixty patients who underwent tonsillectomy or adenoidectomy and tonsillectomy were randomly divided into experimental group and control group. Postoperatively, 30 patients in experimental group received anti-inflammatory drug and dexamethasone for 4 days, and the other 30 patients in control group received anti-inflammatory drug and placebo. Degree of postoperative pain was measured with visual analogue scale in the patients more than 12-year-old and with Wong-Baker faces pain scale in the patients less than or equal to 12-year-old. The measurement was made twice daily for 5 days.
During the postoperative period, the scale value was decreasing every day in the all patients. But the value in experimental group was less than that in control group, and the difference was statistically significant (P<0.05).
Dexamethasone given in this regime reduces postoperative pain and odynophagia after tonsillectomy.
