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VOLUME 14 , ISSUE 3 ( September-December, 2022 ) > List of Articles

Original Article

Role of Bupivacaine Infiltration into Tonsillar Fossa in Post-tonsillectomy Analgesia

Naina Narasimhadevara, P Shrinath D Kamath

Keywords : Bupivacaine infiltration, Palatine tonsil, Tonsil, Tonsillectomy

Citation Information : Narasimhadevara N, Kamath PS. Role of Bupivacaine Infiltration into Tonsillar Fossa in Post-tonsillectomy Analgesia. Int J Otorhinolaryngol Clin 2022; 14 (3):103-107.

DOI: 10.5005/jp-journals-10003-1434

License: CC BY-NC 4.0

Published Online: 20-03-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

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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