Shuman Roy, Ali Husnain Sheikh, Muhammad Dawood Saleem, Nighat Arif, Najaf Abbas, Gull-e Zahra Kamla.
Postoperative pain and appetite in pediatric patients undergoing monopolar tonsillectomy and cold steel tonsillectomy.
J Allama Iqbal Med Coll Jan ;19(4):854-7.

Objectives: To compare postoperative pain and appetite in pediatric patients undergoing partial tonsillectomy via monopolar diathermy and total tonsillectomy via cold steel technique. Methods: A total of 102 children aged 2 to 10 years admitted for total or partial tonsillectomy were considered for this study. In Group-A, all children had partial tonsillectomy (PT) with monopolar cautery (n=55) and total tonsillectomy (TT) was done using cold steel technique in Group-B (n=47). All cases were discharged and sent home on day-1 and were asked to follow up on day-10. In terms of post-operative outcome, all children were assessed for post-operative pain and appetite. Results: In a total of 102 children, 56 (54.9%) were male. Overall, mean age was noted to be 4.4+2.6 years.There were 64 (62.7%) children who belonged to rural areas of residence. Significant difference was noted in terms of severity of pain between children of both study groups as there were 13 (27.7%) children in Group-B who had severe pain in comparison to 6 (10.9%) in Group-A (p=0.0471). In terms of appetite, 41 (74.5%) children in Group-A reported good appetite in comparison to 14 (29.8%) in Group-B. In terms of appetite there was a significant difference between both groups (p<0.0001). Conclusion: Children undergoing monopolar tonsillectomy were having significantly less severity of pain and significantly improved appetite in comparison to those who underwent cold steel tonsillectomy.

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