Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Indian Journal of Otolaryngology and Head & Neck Surgery
Published in: Indian Journal of Otolaryngology and Head & Neck Surgery 1/2019

01-10-2019 | Original Article

Glossopharyngeal Nerve Block with Long Acting Local Anaesthetic Agent (Bupivacaine) and It’s Effect on Early Post-operative Period in Adult Tonsillectomy: A Prospective Study

Authors: Ghosh Debasish, Sengupta Anindita, Dubey Aryabrata, Sengupta Arunabha

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Special Issue 1/2019

Login to get access

Abstract

We evaluated the benefit of glossopharyngeal nerve block with long acting local anaesthetic like bupivacaine. It was a randomized prospective study. Sixty-four patients were selected and divided into two groups. Group A received bilateral nerve block and Group B received no block. Pain score using Visual Analog Scale (0–100 mm) was assessed at 30 min, 2, 6 and 12 h. In the immediate post operative period pain scores of Group A at rest and swallowing was significantly lower than Group B (p < 0.001 and p < 0.01). Glossopharyngeal nerve block is an important method of reducing post-tonsillectomy pain.
Literature
1.
2.
Kamal SA, Basu S, Kapoor L, Kulandaivelu G, Talpalikar S, Papasthatis D (2006) Harmonic scalpel tonsillectomy: a prospectivestudy. Eur Arch Otorhinolaryngol 263(449–54):3
3.
4.
Ragab SM (2012) Six years of evidence-based adult dissection tonsillectomy with ultrasonic scalpel, bipolar electrocautery, bipolarradiofrequency or ‘cold steel’ dissection. J Laryngol Otol 126:1056–1062CrossRef
5.
Sarny S, Habermann W, Ossimitz G, Stammberger H (2012) Significant post-tonsillectomy pain is associated with increased risk of hemorrhage. Ann Otol Rhinol Laryngol. 121:776–781CrossRef
6.
7.
Hanasono MM, Lalakea ML, Mikulec AA, Shepard KG, Wellis V, Messner AH (2004) Perioperative steroids in tonsillectomy using electrocautery and sharp dissection techniques. Arch Otolaryngol Head Neck Surg 130:917–921CrossRef
8.
Naesh O, Niles LA, Gilbert JG, Ammar MM, Phibbs PW, Phillips AM, Khrapov AV, Robert AJ, McClintock A (2005) A randomized, placebo-controlled study of rofecoxib with paracetamol in early post-tonsillectomy pain in adults. Eur J Anaesthesiol 7(22):768–773CrossRef
9.
Valijan A (1989) Pain relief after tonsillectomy. Effect of benzydamine hydrochloride spray on postoperative pain relief after tonsillectomy. Anaesthesia 44:990–991CrossRef
10.
Ginstrom R, Silvola J, Saarnivaara L (2005) Local bupivacaineepinephrine infiltration combined with general anesthesia for adult tonsillectomy. Acta Otolaryngol 125:972–975CrossRef
11.
Spence AG (1996) Single injection field block of tonsillar fossa. Anaesth Intensive Care 24:621–623PubMed
12.
Bruin G (1994) Glossopharyngeal nerve block for tonsillectomy or uvulopalatopharyngoplasty. Can J Anaesth 41:1236CrossRef
13.
Bell KR, Cyna AM, Lawler KM, Sinclair C, Kelly PJ, Millar F, Flood LM (1997) The effect of glossopharyngeal nerve block on pain after elective adult tonsillectomy and uvulopalatoplasty. Anaesthesia 52:597–602CrossRef
14.
El-Hakim H, Nunez DA, Saleh HA, MacLeod DM, Gardiner Q (2000) A randomised controlled trial of the effect of regional nerve blocks on immediate post-tonsillectomy pain in adult patients. Clin Otolaryngol 25:413–417CrossRef
15.
Jebeles JA, Reilly JS, Gutierrez JF, Bradley EL Jr, Kissin I (1991) The effect of preincisional infiltration of tonsils with bupivacaine on the pain following tonsillectomy under general anaesthesia. Pain 47:305–308CrossRef
16.
Park H-P, Hwang J-w, Park S-H, Jeon Y-T, Bahk J-H, Oh Y-S (2007) The effects of glossopharyngeal nerve block on postoperative pain relief after tonsillectomy: the importance of the extent of obtunded gag reflex as a clinical indicator. Anesth Analg 105:267–271CrossRef
17.
18.
Broadman LM, Patel RI, Feldman BA, Sellman GL, Milmoe G, Camilon F (1989) The effects of peritonsillar infiltration on the reduction of intraoperative blood loss and post-tonsillectomy pain in children. Laryngoscope 99:578–581CrossRef
19.
Atallah N, Kumar M, Hilali A, Hickey S (2000) Post-operative pain in tonsillectomy: bipolar electrodissection technique vs dissection ligation technique. A double-blind randomized prospective trial. J Laryngol Otol 114(9):667–670CrossRef
20.
Sharifian HA, Fathololoomi MR, Bafghi AF, Naini SAS (2006) Effect of local bupivacaine infiltration on post-tonsillectomy pain. Tanaffos 5(1):45–49
Metadata
Title
Glossopharyngeal Nerve Block with Long Acting Local Anaesthetic Agent (Bupivacaine) and It’s Effect on Early Post-operative Period in Adult Tonsillectomy: A Prospective Study
Authors
Ghosh Debasish
Sengupta Anindita
Dubey Aryabrata
Sengupta Arunabha
Publication date
01-10-2019
Publisher
Springer India
Published in
Indian Journal of Otolaryngology and Head & Neck Surgery / Issue Special Issue 1/2019
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-018-1323-6

Other articles of this Special Issue 1/2019

Indian Journal of Otolaryngology and Head & Neck Surgery 1/2019 Go to the issue

Original Article

Coblation Versus Conventional Tonsillectomy: A Double Blind Randomized Controlled Trial

Clinical Report

Soft Palate Subacute Necrotising Sialadenitis: A Case Report

Original Article

Amalgamation of Central Lymph Node Dissection in Papillary Thyroid Carcinoma: Study from South Indian Population

Original Article

Bilateral Foreign Body Bronchus

Original Article

Optical Loupes: A Useful Tool for the Oncall Otorhinolaryngologist—Our Experience

Original Article

Design and Implementation of Competency Based Postgraduate Medical Education in Otorhinolaryngology: The Pilot Experience in India