Aim: To assess pain with local infiltration with bupivacaine into tonsillar fossa post tonsillectomy by measuring pain on the subjective and objective pain scales.
Materials and methods: A prospective comparative double-blind study was done on 70 patients undergoing tonsillectomy/adenotonsillectomy. Patients were divided into two groups: Group I received infiltration into the tonsillar fossa following tonsillectomy with 0.5% bupivacaine, and group II received normal saline. Objective pain analysis was done using the behavioral observational pain scale (BOPS) and subjective scoring using visual analog scale (VAS).
Results: Overall pain was comparatively less in group I when compared with group II up to 12 hours postoperatively.
Conclusion: Post-tonsillectomy infiltration of bupivacaine into the tonsillar fossa following tonsillectomy reduces pain significantly up to 12 hours.
Clinical significance: Reduction of pain in the early postoperative period significantly improves patient satisfaction and early oral intake and reduces the need for analgesics.
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