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<p>Chronic tonsillitis is a highly prevalent disease and tonsillectomy is the most frequently performed operations for it. Many patients experience severe pain post tonsillectomy which results in a prolonged hospital stay, extended recovery following surgery, and higher expenses. Since post tonsillectomy pain is such a common problem it is important to find out an effective yet safe method of managing it. A study on use of topical Bupivacaine to relieve pain after tonsillectomy has not been done yet. Hence, the study is designed to test the efficacy of adding topical 0.5% Bupivacaine for 5&#xa0;min post tonsillectomy along with oral Ibuprofen to provide relief from post tonsillectomy pain. To assess the efficacy of adding topical 0.5% Bupivacaine in relieving post tonsillectomy pain. Randomized control trial from June 2023 to May 2024. Tonsillectomy was performed by dissection and snare technique and hemostasis achieved by pressure gauze/suture ligature. Next both tonsillar fossa was packed with a gauze piece soaked in 5&#xa0;ml of 0.5% Bupivacaine solution for 5&#xa0;min in test group only. Anesthesia reversed and patients were asked to express their intensity of pain on Visual Analog Score at 1, 5, 8&#xa0;h post operatively. Randomization was done by using chit picking method. Test results at the first, fifth, and eighth hours after tonsillectomy showed a significant reduction in discomfort for the topical Bupivacaine group compared to the non-bupivacaine group. Pain after tonsillectomy is a major factor for long term morbidity and prolonged hospital stay. When it came to lowering postoperative pain, bupivacaine has demonstrated superior efficacy in pain reduction with a longer half-life and lesser or almost none side effects.</p>

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Comparison of Ibuprofen and Ibuprofen with Topical Bupivacaine in Post Tonsillectomy Pain

  • 期刊论文

  • 发表日期：

    2025年9月25日

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  • Suprita Shivarai Teli,
  • Prashant H. Patil,
  • Basavaraj P. Belaldavar,
  • Priti S. Hajare,
  • Nitin R. Ankale,
  • Aditya Achyut Redkar

摘要

Chronic tonsillitis is a highly prevalent disease and tonsillectomy is the most frequently performed operations for it. Many patients experience severe pain post tonsillectomy which results in a prolonged hospital stay, extended recovery following surgery, and higher expenses. Since post tonsillectomy pain is such a common problem it is important to find out an effective yet safe method of managing it. A study on use of topical Bupivacaine to relieve pain after tonsillectomy has not been done yet. Hence, the study is designed to test the efficacy of adding topical 0.5% Bupivacaine for 5 min post tonsillectomy along with oral Ibuprofen to provide relief from post tonsillectomy pain. To assess the efficacy of adding topical 0.5% Bupivacaine in relieving post tonsillectomy pain. Randomized control trial from June 2023 to May 2024. Tonsillectomy was performed by dissection and snare technique and hemostasis achieved by pressure gauze/suture ligature. Next both tonsillar fossa was packed with a gauze piece soaked in 5 ml of 0.5% Bupivacaine solution for 5 min in test group only. Anesthesia reversed and patients were asked to express their intensity of pain on Visual Analog Score at 1, 5, 8 h post operatively. Randomization was done by using chit picking method. Test results at the first, fifth, and eighth hours after tonsillectomy showed a significant reduction in discomfort for the topical Bupivacaine group compared to the non-bupivacaine group. Pain after tonsillectomy is a major factor for long term morbidity and prolonged hospital stay. When it came to lowering postoperative pain, bupivacaine has demonstrated superior efficacy in pain reduction with a longer half-life and lesser or almost none side effects.