A comparative study of glossopharyngeal nerve block and peritonsillar infiltration for post operative pain after tonsillectomy

Dr. Mukesh Kumar; Dr.Harish Kumar; Dr. Ladhu Lakra; Dr.Rajesh Chandra

Volume : VII, Issue : I, January - 2018

A comparative study of glossopharyngeal nerve block and peritonsillar infiltration for post operative pain after tonsillectomy

Dr. Mukesh Kumar, Dr. Harish Kumar, Dr. Ladhu Lakra, Dr. Rajesh Chandra

Abstract :

Introduction:Postoperative pain is the principal cause of morbidity after tonsillectomy. Glossopharyngeal nerve block is a useful method for the palliation of post tonsillectomy pain. Infiltration of tonsillar bed with local anaesthetic has been used in past for early post–operative analgesia after the tonsillectomy

Aim &objectives: To assess the efficacy of Glossopharyngeal nerve block with that of peritonsillar infiltration for control of pain in immediate postoperative period after tonsillectomy.

Method: :ASA 1–2 physical status patients undergoing tonsillectomy between age 7–35yrs were recruited for this prospective randomised study under general anesthesia.

Patients were randomly assigned two groups each of 25 patients.

Group GNB–bilateral GNB using 0.25% bupivacaine with 1:200,000 epinephrine (3ml on each side).

Group PTI– bilateral peritonsillar infiltration using 0.25%bupivaciane with 1:200,000(3ml on each side.

Result: Both the techniques provided good early postoperative analgesia although the effect of Glossopharyngeal nerve block were prolonged than infiltration.