Ramjettan S, Singh B
Department of Otorhinolaryngology, University of Natal, Durban.
S Afr J Surg. 1996 Nov;34(4):189-91.
A prospective study was undertaken in 40 patients to determine whether suturing of the faucial pillars has any effect in relieving pain and discomfort associated with tonsillectomy. The first 20 patients (5 adults and 15 children) had tonsillectomy without suturing of the faucial pillars. The next 20 patients (3 adults and 17 children) had the anterior and posterior faucial pillars approximated and sutured with 3.0 chromic catgut. Objective methods of evaluating pain and discomfort were undertaken immediately and 24 hours postoperatively. The pain and discomfort were the same in both groups. Adults experienced more pain than children, in both groups. Complications occurred in 3 patients, all belonging to the sutured group: 2 had palatal haematoma and 1 nasal regurgitation. Approximation of the faucial pillars to cover the raw tonsillar bed after tonsillectomy does not relieve pain. It is disadvantageous in that it produces complications and prolongs the anaesthetic time significantly. Therefore suturing of the faucial pillars is not recommended.
对40例患者进行了一项前瞻性研究，以确定缝合咽弓是否对缓解扁桃体切除术后的疼痛和不适有任何作用。前20例患者（5名成人和15名儿童）接受了扁桃体切除术，但未缝合咽弓。接下来的20例患者（3名成人和17名儿童）将咽前柱和咽后柱对合并用3.0号铬制肠线缝合。在术后即刻和术后24小时采用客观方法评估疼痛和不适。两组的疼痛和不适情况相同。在两组中，成人比儿童经历的疼痛更多。3例患者出现并发症，均属于缝合组：2例出现腭部血肿，1例出现鼻反流。扁桃体切除术后将咽弓对合以覆盖扁桃体切除后的创面并不能缓解疼痛。其不利之处在于会产生并发症并显著延长麻醉时间。因此，不建议缝合咽弓。
