J Med Assoc Thai 2015; 98 (8):179

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Whether Post-Tonsillectomy Medication Should be Liquid Based or Can be Solid? A Randomised, Single-Blinded, Controlled Trial
Wijakkanalan P Mail, Saesaew P , Wongsawatdiwat M , Piromchai P

Background: Tonsillectomy is a common operation for the otolaryngologist. There has been a discrepancy in recommending prescribing a liquid based or solid medication for post-tonsillectomy patients.
Objective: To compare the pain scores, adverse effects and complications between the post-tonsillectomy patients who were
given liquid medication in comparison with patients who were given non-restricted medication.
Material and Method: Patients with chronic hypertrophic tonsillitis who underwent tonsillectomy were recruited. In the
control group, patients were given liquid medication. The experimental group was given a non-restricted form of medication. Pain scores, adverse effects and complications and patient satisfaction data were collected.
Results: Twenty-six patients were enrolled. The pain score difference between the 2 groups at 4 hours was -0.23 (95% CI
-1.57 to 1.11, p = 0.73) and 0.15 (95% CI -0.77 to 1.08, p = 0.73) at 72 hours. There was no statistically significant difference between the early and late complications between the control group and the experimental group (p>0.05).
Conclusion: There was no statistical difference in the pain scores, adverse effects and complications between groups. There is no necessity to restrict patients to liquid medication.

Keywords: Tonsillectomy, Therapy, Therapeutic use, Adverse effects


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