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

Percutaneous Peristyloid Glossopharyngeal Block After Tonsillectomy

Postoperative Pain

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.

glossopharyngeal nerve block

Comparison Between Two Techniques of Percutaneous Peristyloid Glossopharyngeal Block as an Analgesic Tool After Tonsillectomy

FLACC is a behavioural pain assessment scale used for nonverbal or preverbal patients who
cannot self-report their pain level. Pain is assessed through observation of 5 categories
including the face, legs, activity, cry, and consolability. The scale ranges from 0 to 10
where 0 records for no pain and 10 records for the worst pain

Lecturer of anesthesia and intensive care

need to analgesics in doses and frequencies both at rest and with swallowing.

prescribed by the operator either easy or difficult

from the start of preparation of the procedure, till the end of the block time in minutes

from the end of the surgery, till shifting the patient from operation table to recovery
bed time in minutes

described by the surgeon him self on a scale ranging from very satisfactory to
unsatisfactory

described by the parents on a scale ranging from very satisfactory to unsatisfactory

described by the recovery nurse and daycare unite nurse on a scale ranging from very
satisfactory to unsatisfactory

patients will have the glossopharyngeal nerve block with the blind technique

patients will have the glossopharyngeal nerve block using the ultrasonic technique

Percutaneous Peristyloid Glossopharyngeal Block After Tonsillectomy

About this trial

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Placebo

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