Impact of Use Of Local Phenytoin On postoperative outcomes of pediatric tonsillectomy | ||||
| Zagazig University Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 23 March 2024 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2024.272590.3194 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Hoda Ismail Abdelhamid   1; ashraf elhussiny ashraf2
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| 1Otorhinolaryngology, faculty of medicine, Zagazig university , Egypt | ||||
| 2otorhinolaryngology faculty of medicine, Zagzig university | ||||
| Abstract | ||||
| objective To assess the short-term results of tonsillectomy alone versus tonsillectomy with local phenytoin with regard to postoperative pain, analgesia, bleeding and appetite. The study included in all 107 pediatric tonsillectomy patients; seven patients were excluded due to incomplete follow-up, only 100 patients completed follow up (60% female, 40% male, with age of (4–11 years) randomly chosen for tonsillectomy alone ( group1 or TA ; n = 50) and tonsillectomy with local phenytoin therapy( use) (TPHT group, n = 50) . Patient characteristics such as age ,sex, and postoperative visual analogue scale (VAS) pain scores (2 hours postoperatively and first 10 days), appetite scores (first 7 days), and analgesia requirement (first 10 days) with documentation of bleeding complications. Results From the third postoperative day, there was a noticeable decline in pain scores, which reached 0.0 ± 0.0.and on Day 10, it was 0.49± 0.79 in the TPHT and TA groups, respectively (p < 0.001 for each). Comparing the TPHT group to the TA group, there were significant differences in pain and appetite scores from Day 1 to Day 10, as well as a decreased need for analgesia from Day 1 to Day 10. Additionally, there were few bleeding complications In conclusion, this study of pediatric tonsillectomy patients proved effectiveness of tonsillectomy with local phenytoin (use) over tonsillectomy without local phenytoin therapy(use) | ||||
| Keywords | ||||
| Postoperative pain; Appetite; Bleeding; Analgesic need | ||||
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