Percutaneous Peristyloid Glossopharyngeal Block After Tonsillectomy
Condition: Postoperative Pain
MeSH terms: Pain, Postoperative
Study type: Interventional

Summary: 
      Adenotonsillectomy surgery in paediatrics is commonly managed as an ambulatory surgery. This
      may be attributed to the use of the electro-dissection surgical technique that decreases the
      incidence of immediate postoperative haemorrhage. However, the use of the electro-cautery
      technique increases postoperative inflammation.

      This study aimed to compare the glossopharyngeal nerve block using the blind technique with
      the use of the ultrasound guidance Primary: FLACC score in the two groups 0,2,4,6 h after
      surgery at rest and with swallowing Secondary: need to analgesics, the difficulty of the
      technique, time consumption, recovery time, surgeon satisfaction, parents satisfaction, staff
      nurse satisfaction, anaesthetist self-confidence
    

Detailed description: 
      INTRODUCTION Adenotonsillectomy surgery in paediatrics is commonly managed as an ambulatory
      surgery. This may be attributed to the use of the electro-dissection surgical technique that
      decreases the incidence of immediate postoperative haemorrhage. However, the use of the
      electro-cautery technique increases postoperative inflammation.

      Sensory fibres of the glossopharyngeal nerve supply the tonsillar and peri-tonsillar areas.
      Thus, a bilateral glossopharyngeal nerve block may alleviate post-tonsillectomy pain and
      improve postoperative analgesia.

      This is a Prospective randomized controlled clinical study, to compare two different
      technique used to block the glossopharyngeal nerve.

      AIM OF WORK To improve post tonsillectomy pain control in children Anaesthesia, postoperative
      analgesia Paediatrics 3-7 years Tonsillectomy NOT adenotonsillectomy Postoperative control of
      pain OBJECTIVES This study aimed to compare the glossopharyngeal nerve block using the blind
      technique with the use of the ultrasound guidance Primary: FLACC score in the two groups
      0,2,4,6 h after surgery at rest and with swallowing Secondary: need to analgesics, the
      difficulty of the technique, time consumption, recovery time, surgeon satisfaction, parents
      satisfaction, staff nurse satisfaction, anaesthetist self-confidence METHODOLOGY 54 ASA I
      children allocated randomly into two groups: Group BL: Blind percutaneous peristyloid
      injection Group US: ultrasound-guided percutaneous peristyloid glossopharyngeal nerve block
      54 children aged 3 to 7 years undergoing adenotonsillectomy without adenoidectomy were
      randomized to receive either local blind percutaneous peistyloid glossopharyngeal nerve block
      (n=27) or the use of ultrasound guidance for the same block (n=27). The pain was assessed by
      the FLACC scale or Face, Legs, Activity, Cry, Consolability scale, need for analgesics, and
      acceptance of diet during the postoperative period.
    

Intervention name(s): glossopharyngeal nerve block
Intervention type(s): Procedure
Intervention description(s): glossopharyngeal nerve block either blindly or using the ultrasonic technique
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: two groups, each will have peristyloid glossopharyngeal block, one with the help of ultrasound technology and the other blindly
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: analgesia; tonsillectomy