当前位置： SCI文献检索 > AMERICAN JOURNAL OF OTOLARYNGOLOGY期刊下所有文献 > Effect of paracetamol/prednisolone versus paracetamol/ibuprofen on post-operative recovery after adult tonsillectomy.

Effect of paracetamol/prednisolone versus paracetamol/ibuprofen on post-operative recovery after adult tonsillectomy.

Abstract：

OBJECTIVE:To compare the effect of Paracetamol/Prednisolone versus Paracetamol/Ibuprofen on post-operative recovery after adult tonsillectomy. BACKGROUND:Various analgesic protocols have been proposed for the control of post-tonsillectomy morbidity with need for better control in adult population for having higher severity of post-operative pain and risk of secondary post-tonsillectomy bleeding. METHODS:This is a prospective cohort study conducted on 248 patients with age of 12 years or older distributed as two equal groups; the first one receiving Paracetamol/Prednisolone and the second one receiving Paracetamol/Ibuprofen. Both groups were compared at 7 days post-operative regarding pain at rest, tiredness of speech, dietary intake, and decrease in sleep duration. Both groups were compared regarding incidence of nausea and vomiting at 2 days post-operative. The incidence and severity of secondary post-tonsillectomy hemorrhage was compared between the two groups. RESULTS:Pain at rest (no swallowing - no talking) was less in group I but not reaching statistical significance (p = 0.36). In addition, dietary intake was better in group I but not reaching statistical significance (P = 0.17). However, talking ability was better with statistically significant difference (P = 0.03) in group I. Impairment of sleep was less with group II but not reaching statistical significance (p = 0.31). The incidence of vomiting at second post-operative day was less in group I with statistical significance (p = 0.049). The incidence of secondary post-tonsillectomy bleeding was significantly higher in group II with statistical significance (p = 0.046). The severity of bleeding episodes was also significantly higher in group II (p = 0.045). CONCLUSION:Both ibuprofen and prednisolone were effective as a part of post-operative medication regimen after adult tonsillectomy. However, prednisolone was superior to ibuprofen regarding improvement of pain at rest, dietary intake, tiredness of speech and post-operative nausea and vomiting. However, ibuprofen had a better impact on sleep. The incidence and severity of secondary post-tonsillectomy hemorrhage were significantly higher with ibuprofen favoring the selection of prednisolone to be combined with paracetamol in the post-operative medication protocol following tonsillectomy.

journal_name

Am J Otolaryngol

journal_title

American journal of otolaryngology

authors

Attia TM

doi

10.1016/j.amjoto.2018.05.002

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

476-480

issue

5

eissn

0196-0709

issn

1532-818X

pii

S0196-0709(18)30365-X

journal_volume

39

pub_type

杂志文章

相关文献

AMERICAN JOURNAL OF OTOLARYNGOLOGY文献大全
  • Efficacy of BPPV diagnosis and treatment system for benign paroxysmal positional vertigo.

    abstract：OBJECTIVES:To evaluate the efficacy of automatic benign paroxysmal positional vertigo (BPPV) diagnosis and treatment system for BPPV compared with the manual repositioning group. METHODS:Two hundred thirty patients diagnosed as idiopathic BPPV who were admitted from August 2018 to July 2019 in Zhejiang Hospital were i...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2020.102412

    authors： Lou Y,Cai M,Xu L,Wang Y,Zhuang L,Liu X

    更新日期：2020-01-01 00:00:00

  • New perspectives in the direct microscopic examination of middle ear effusions.

    abstract：:Detection and identification of bacteria in middle ear effusions from patients with otitis media with effusion requires sensitive bacteriologic techniques. Direct microscopic examination is very important in this respect. Three staining methods--Gram, Giemsa and the fluorescent acridine orange stain--were evaluated an...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0196-0709(85)80083-1

    authors： Van Cauwenberge P,Rysselaere M,Kluyskens P

    更新日期：1985-05-01 00:00:00

  • Intraoperative relationship of the spinal accessory nerve to the internal jugular vein: variation from cadaver studies.

    abstract：PURPOSE:Conflicting locations of the spinal accessory nerve (SAN) with respect to the internal jugular vein (IJV) are reported in the literature and anatomy texts. The objective of this study is to analyze this anatomic relationship specifically at the level of the posterior belly of the digastric muscle where it is en...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2013.05.008

    authors： Taylor CB,Boone JL,Schmalbach CE,Miller FR

    更新日期：2013-09-01 00:00:00

  • Flap outcomes when training residents in microvascular anastomosis in the head and neck.

    abstract：OBJECTIVE:Microvascular anastomosis is generally performed by attending surgeons or fellows, with published success rates >95%. Since otolaryngology residents do not typically perform microvascular anastomosis, it is unknown if they achieve similar results. The objective of this study is to determine the success rate a...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.amjoto.2013.02.005

    authors： Patel UA,Lin AC

    更新日期：2013-09-01 00:00:00

  • Molecular and immunologic analysis of laryngeal squamous cell carcinoma in smokers and non-smokers.

    abstract：BACKGROUND:Laryngeal squamous cell carcinoma (LSCC) is strongly associated with tobacco use, but recent reports suggest an increasing incidence of LSCC in patients without traditional risk factors, suggesting an alternative etiology of tumorigenesis. The purpose of this study is to characterize this non-smoking populat...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2018.11.009

    authors： Malm IJ,Rooper LM,Bishop JA,Ozgursoy SK,Hillel AT,Akst LM,Best SR

    更新日期：2019-01-01 00:00:00

  • Functional architecture of the nasopharyngeal tonsil.

    abstract：:The exact architecture of the normal nasopharyngeal tonsil remains obscure because most histopathologic investigations have been based on surgically removed adenoids. We compared enlarged adenoids and normal nasopharyngeal tonsils under both light and electron microscopes. The marked features of clinically enlarged ad...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/0196-0709(89)90135-x

    authors： Fujiyoshi T,Watanabe T,Ichimiya I,Mogi G

    更新日期：1989-03-01 00:00:00

  • The superiorly based flap long-term tracheostomy in pediatric patients.

    abstract：PURPOSE:Tracheostomy is commonly used to provide control of the upper airway in pediatric patients. The traditional approach, which uses a midline vertical incision in the anterior tracheal wall, is associated with relatively high rates of complications when it is used on a long-term basis. Alternative approaches, such...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0196-0709(96)90090-3

    authors： Rhee CK,Miller FR,Tucker HM,Eliachar I

    更新日期：1996-07-01 00:00:00

  • An association between marijuana use and tinnitus.

    abstract：OBJECTIVE:While some advocates have argued for marijuana as a treatment for tinnitus, the relationship between marijuana use and tinnitus is unknown. The objective of this study was to evaluate associations between marijuana use and the prevalence, severity, and rate of occurrence of tinnitus. STUDY DESIGN:Cross-secti...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2019.102314

    authors： Qian ZJ,Alyono JC

    更新日期：2020-01-01 00:00:00

  • Force and pressure measurements in temporal bones.

    abstract：PURPOSE:Some cochlear implant (CI) patients lose their residual hearing during surgery. Two factors that might play a role in residual hearing loss are the change in intracochlear hydraulic pressure and force on the cochlear wall during electrode insertion. The aim of this study is to investigate whether a difference i...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2020.102859

    authors： Snels C,Roland JT Jr,Treaba C,Jethanamest D,Huinck W,Friedmann DR,Dhooge I,Mylanus E

    更新日期：2020-12-29 00:00:00

  • The cytological and clinical value of the thyroid "follicular lesion".

    abstract：BACKGROUND:The main limitation of fine-needle aspiration (FNA) is its limited distinction between neoplastic and benign lesions. We summarize our experience with thyroid nodules that were defined as follicular lesions by comparing the clinical and cytological features of the thyroid follicular lesions that were examine...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0196-0709(03)00030-9

    authors： Bahar G,Braslavsky D,Shpitzer T,Feinmesser R,Avidan S,Popovtzer A,Karl S

    更新日期：2003-07-01 00:00:00

  • An inner ear anomaly in golden hamsters.

    abstract：:A new mutation of the inner ear was discovered in golden hamsters raised in our laboratories. Although scanning electron microscopy showed a normal arrangement of individual stereocilia on the first row of outer hair cells, the entire bundle of stereocilia were irregular in orientation and scattered in several directi...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0196-0709(88)80031-0

    authors： Fujita H,Orita Y

    更新日期：1988-09-01 00:00:00

  • Histiocytic necrotizing lymphadenitis of the neck.

    abstract：:Histiocytic necrotizing lymphadenitis (HNL) also known as Kikuchi or Kikuchi-Fujimato disease is a benign and self-limiting disease. The entity was first described in 1972 by Kikuchi and Fujimato in Japan independently. HNL is prevalent in Asia, although it may be seen in a wide geographic distribution. It commonly af...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章,评审

    doi：10.1016/s0196-0709(03)00061-9

    authors： Koybasi S,Saydam L,Gungen Y

    更新日期：2003-09-01 00:00:00

  • MRI surveillance following concurrent cochlear implantation in cases of vestibular schwannoma resection.

    abstract：OBJECTIVE:Cochlear nerve preserving translabyrinthine vestibular schwannoma (VS) resection enables concurrent cochlear implantation. Implantation in patients with VS raises important concerns including the ability to undergo postoperative magnetic resonance imaging (MRI) monitoring of residual tumor growth or tumor rec...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2020.102518

    authors： Schwartz N,Rooth MA,Dillon MT,O'Connell BP,Dedmon MM,Huang BY,Brown KD

    更新日期：2020-01-01 00:00:00

  • The clinical value of a thorough diagnostic evaluation for neurotologic complaints.

    abstract：PURPOSE:Determine the clinical efficacy of comprehensive neurotologic testing in patients presenting with complaints of hearing loss, tinnitus and/or dizziness. METHODS:This is a retrospective analysis of 1170 consecutive charts of patients who presented between 1980 and 2013 with neurotologic complaints. Demographic ...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2018.09.009

    authors： Krane NA,McKinnon B,White M,Ashak D,Chang EL,Park D,Segar S,Jayakumaran J,Grayhack C,Sataloff RT

    更新日期：2019-01-01 00:00:00

  • Propofol for maintenance of general anesthesia: a technique to limit blood loss during endoscopic sinus surgery.

    abstract：PURPOSE:Most cases of endoscopic sinus surgery are amenable to techniques using local anesthesia with monitored sedation. However, it is frequently the preference of the patient to have surgery under general anesthesia. One major drawback of general anesthesia is the increased bleeding encountered which can interfere w...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/0196-0709(93)90072-f

    authors： Blackwell KE,Ross DA,Kapur P,Calcaterra TC

    更新日期：1993-07-01 00:00:00

  • Otologic lightning bolts.

    abstract：:Lightning induced damage to the ear is multifaceted. The seventh and eighth cranial nerves, the labyrinthine system, and the tympanic membrane are most commonly injured. A case report demonstrating all these injuries is presented. ...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0196-0709(80)80036-6

    authors： Weiss KS

    更新日期：1980-08-01 00:00:00

  • Surfactant and isoprenaline effect on eustachian tube opening in rats with acute otitis media.

    abstract：:Purulent otitis media was induced in 12 middle ears of Sprague-Dawley rats by inoculation of pneumococci type 3. The pressure required to open the eustachian tube was recorded 4 days later and was found to be 3.05 +/- 0.10 kPa (mean +/- SEM), which was 1.08 +/- 0.15 kPa lower than the mean value obtained in a control ...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/0196-0709(90)90117-e

    authors： White P,Hermansson A,Svinhufvud M

    更新日期：1990-11-01 00:00:00

  • Areolar connective tissue grafts in pediatric tympanoplasty: a pilot study.

    abstract：PURPOSE:To compare the surgical and audiologic success rates of areolar connective tissue with temporalis fascia in pediatric tympanoplasty. METHODS:Retrospective case series review of 10 patients younger than 18 years who underwent primary tympanoplasty between December 1997 and December 2000 using areolar connective...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2003.10.004

    authors： Eisenbeis JF,Herrmann BW

    更新日期：2004-03-01 00:00:00

  • A rare case of mucoepidermoid carcinoma of the thyroid.

    abstract：OBJECTIVES:The aim of the study was to report a recent case of mucoepidermoid carcinoma (MEC) of the thyroid, review the pertinent literature, and highlight the importance of multimodal treatment in this potentially aggressive malignancy. STUDY DESIGN:The study comprise a case report and a review of literature. METHO...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章,评审

    doi：10.1016/j.amjoto.2004.08.014

    authors： Bhandarkar ND,Chan J,Strome M

    更新日期：2005-03-01 00:00:00

  • Surgical timing for facial paralysis after temporal bone trauma.

    abstract：OBJECTIVES:To explore surgical timing of facial paralysis after temporal bone trauma. METHODS:The clinical data of the patients with facial paralysis after temporal bone trauma who underwent subtotal facial nerve decompression were retrospectively collected, and 80 cases followed-up for one year were enrolled in the s...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2017.01.002

    authors： Xu P,Jin A,Dai B,Li R,Li Y

    更新日期：2017-01-01 00:00:00

  • Merkel cell carcinoma of the auricle.

    abstract：:Merkel cell carcinoma is a rare malignant tumor of the skin. The face and extremities are the most common locations. We present a case of Merkel cell carcinoma of the auricle in a 93-year-old man subsequently treated with surgery and radiotherapy. The clinical features, prognosis, and treatment of the Merkel cell carc...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2005.01.013

    authors： Pagella F,Semino L,Corno S,Colombo A,Benazzo M

    更新日期：2005-09-01 00:00:00

  • Molecular diagnosis of nasopharyngeal carcinoma using detection of Epstein-Barr virus latent membrane protein-1 gene in cervical metastatic lymph nodes.

    abstract：BACKGROUND:Cervical lymphadenopathy could be a manifestation of occult nasopharyngeal carcinoma (NPC). Epstein-Barr virus (EBV) is frequently detected in NPC, and its malignant transformation is associated through the action of the oncoprotein latent membrane protein-1 (LMP-1). PURPOSE:The aim of this study was to inv...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2008.02.013

    authors： Khademi B,Mahmoudi J,Monabati A,Maghsoudi B,Ashraf MJ,Mohammadianpanah M,Tabibi N,Valibeigi B,Abedi E

    更新日期：2009-03-01 00:00:00

  • Airway implications of congenital sternal agenesis.

    abstract：:Congenital agenesis of the sternum is an extremely unusual malformation rarely encountered by the practicing Otolaryngologist. It typically arises in conjunction with other midline ventral congenital anomalies, including abdominal, diaphragmatic, and cardiac malformations. We report a case series of two patients manag...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2009.04.010

    authors： Vivero RJ,Fort A,Ruiz JW,Roy S

    更新日期：2010-09-01 00:00:00

  • Reliability of temporal bone high-resolution CT in patients with facial paralysis in temporal bone fracture.

    abstract：OBJECTIVE:This study aimed to investigate the reliability of temporal bone high-resolution CT (HRCT) in patients with traumatic facial paralysis. METHODS:HRCT with cross-sectional scanning and multi-planar reformation (MPR) was performed on 26 cases with traumatic facial paralysis, and the preoperative imaging manifes...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2017.12.003

    authors： Chen Y,Zhang K,Xu Y,Che Y,Guan L,Li Y

    更新日期：2018-01-01 00:00:00

  • Botulinum toxin therapy: a tempting tool in the management of salivary secretory disorders.

    abstract：PURPOSE:The aim of the study was to investigate the feasibility and effectiveness of botulinum toxin therapy in salivary secretory disorders. MATERIALS AND METHODS:We treated 24 patients with botulinum neurotoxin type A for drooling, salivary fistulas, sialoceles, recurrent parotitis, and Frey's syndrome; each parotid...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2007.10.003

    authors： Capaccio P,Torretta S,Osio M,Minorati D,Ottaviani F,Sambataro G,Nascimbene C,Pignataro L

    更新日期：2008-09-01 00:00:00

  • Long-term outcomes of central neck dissection for cN0 papillary thyroid carcinoma.

    abstract：OBJECTIVE:The risk-benefit ratio of central neck dissection (CND) in patients affected by papillary thyroid carcinoma (PTC) without clinical or ultrasonographic (US) evidence of neck lymph node metastasis (cN0) is currently debated. The aim of this study was to evaluate long-term outcome of CND on locoregional recurren...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2017.06.004

    authors： Giordano D,Frasoldati A,Gabrielli E,Pernice C,Zini M,Castellucci A,Piana S,Ciarrocchi A,Cavuto S,Barbieri V

    更新日期：2017-01-01 00:00:00

  • Simvastatin and Ginkgo biloba in the treatment of subacute tinnitus: a retrospective study of 94 patients.

    abstract：OBJECTIVES:Studies suggest that hypercholesterolemia promotes the development of inner ear disorders such as tinnitus. However, the underlying pathomechanisms are still not clearly defined. METHODS:A retrospective study was performed to assess whether a reduction of serum cholesterol by 3-hydroxy-3-methylglutaryl coen...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2009.09.004

    authors： Canis M,Olzowy B,Welz C,Suckfüll M,Stelter K

    更新日期：2011-01-01 00:00:00

  • Follow-up after failed newborn hearing screening: Parental and primary care provider awareness.

    abstract：PURPOSE:The current loss to follow-up rate after failed newborn hearing screening (NBHS) is 34.4%. Previous studies have found that lack of parental and primary care provider (PCP) awareness of NBHS results are significant contributors to loss to follow-up. The objective of this study was to identify factors associated...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2020.102614

    authors： Juarez JM,Shaffer AD,Chi DH

    更新日期：2020-01-01 00:00:00

  • When the simple migrated hair results in distressing ear symptoms.

    abstract：:We present 3 patients who complained of distorted hearing, tinnitus and otalgia resulting from scalp and facial hair impacting against the tympanic membrane. Removal of the migrated hair with microsuction relieved symptoms immediately. In 2 cases, the patients had presented to the primary care physician earlier, short...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2013.09.005

    authors： Hoe YM,Lee TS,Tan B,Loh IC

    更新日期：2014-03-01 00:00:00

  • Correlating regional emergency epistaxis visits with internet search activity.

    abstract：PURPOSE:To investigate the correlation between internet search activity and epistaxis-related Emergency Department visits. MATERIALS AND METHODS:Data from Google Trends were obtained (www.google.com/trends) for the search term "nosebleed" in Erie County, Pennsylvania during a five-year period. All epistaxis-related CP...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2018.07.012

    authors： Griffith S,Archbold R,Schell S

    更新日期：2018-01-01 00:00:00