Post-tonsillectomy Pain Relief in Adults (aged 16-29 years) Attending Al-Thawra Hospital, Sana’a, Yemeners and some Restaurants in Sana'a, Yemen

Ali Obaid Muthanna1*; Mounaser said Al-Mouflehy2; Jamal Ali Al-Amary2

1 ENT Department, Faculty of Medicine and Health Sciences, Sana’a University

2 ENT Department, Al-Thawra Modern General Hospital.

Introduction:

Tonsillectomy continues to be one of the most common surgical procedures performed worldwide. Despite improvements in anesthetic and surgical technique, post-tonsillectomy morbidity has continued to be a significant clinical concern1.

Tonsillectomy in children and adults has always been a controversial topic and has promoted endless discussion. There is a doubt that there are indications for adult tonsillectomy, but the surgeon must be clear in his mind that he is confident that he is going to help the patient by removing the tonsils.2 Postoperative pain represents a problem. Some favor injecting local anesthetic in the.

tonsillar bed, just prior to surgery and certainly immediately, intramuscular.3 Omnopon or diamorphine can be used to good effect. Problems arise in the maintenance of analgesia throughout the 6-8 days of the postoperative period.4 There is no available analgesia that is appropriate and sufficiently powerful to relieve post-tonsillectomy pain totally over a 7 – day's period.2

Numerous attempts have been made to reduce postoperative pain, these include improved intraoperative anesthetic pain regimens, use of perioperative corticosteroid, perioperative antibiotic and intraoperative injection of local anesthetic 5,6,7, Other measures used to prevent pain have included local injections of antibiotic –

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