Abstract
Efficacy of Sucralfate in Alleviating Pain And Morbidity in Post-Tonsillectomy Patients- A Randomized Control Trial
Highlights
Given the above morbidities associated with the surgery, adequate management of post-operative pain and other associated morbidities is important to every surgeon while performing a tonsillectomy
56 of the patients of the patients undergoing tonsillectomy were randomly allocated into study group and control group
Sucralfate is sulfated disaccharide sucrose complexed with Aluminium hydroxide
Summary
Tonsillectomy leaves a raw surface at the tonsillar bed. The ensuing inflammation, irritation of the nerve endings and spasm of the pharyngeal muscles contribute to pain, trismus, and otalgia. Since tonsillectomy leaves a raw surface where the above factors contribute to the genesis of pain, Sucralfate could well act to protect the raw mucosa and thereby alleviate the pain associated with it [2] the tonsillar bed following tonsillectomy when coated with sucralfate heals faster and helps in early recovery. We have tried to study the efficacy of sucralfate in alleviating post-tonsillectomy pain and other morbidities like trismus, otalgia, fever and day of starting. The sample size for randomized control trial was calculated using the proportion of patients who did not have severe pain to be 73% in the study group and 33% in the control group in a previous study by Freema [1]. Sucralfate 1g in 50ml distilled water orally four times a day - study group. Patients in the control group were given glucose powder in distilled water and asked to swish and swallow four times daily. The pain was assessed using a revised face pain scale for children
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