Recurrent chronic tonsillitis versus hypertrophied tonsils with obstructive symptoms: Comparative study of tonsillar core culture

Background: Tonsillectomy is a treatment of choice when medical line treatment is failed in chronic tonsillitis. Post tonsillectomy pain is the most common problem of this surgery which may persists for weeks and affect normal daily activities. Use of opiods and non-steroidal anti-inflammatory drugs for relieving pain may leads to nausea, vomiting and post tonsillectomy haemorrhages. We renewed interest in infiltration of local anaesthetic drug in the tonsillar fossa during tonsillectomy. To evaluate the efficacy of 0.5% bupivacaine infiltration in tonsillar fossa during tonsillectomy under general anaesthesia in terms of post-operative pain relief.Methods: It is double blinded prospective comparative study was carried out on 100 patients of either sex and age 5-40 years who diagnosed with chronic tonsillitis undergoing tonsillectomy and willing to participate in study were included.50 patients were infiltrated with sterile water and other 50 patients were infiltrated with 0.5% bupivacaine in the tonsillar fossa during tonsillectomy performed under general anaesthesia. Postoperatively at 2nd, 6th, 24th hours and 7th day all patients were evaluated for pain score by using visual analogue scale. Results: In our study, post-operative pain mean score 2nd, 6th, 24th hour and 7th day post-operative period for test and control group was “3.3 and 7.1”, “3.2 and 5.2”, “1.7 and 4.8” and “0.6 and 2.2” respectively which was found to be statistically significant (p<0.001).Conclusions: 0.5% bupivacaine infiltration in the tonsillar fossa during tonsillectomy had lower pain score in post-operative period compare to sterile water infiltration.

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Comparative Study of Surface and Core Microflora of Chronic Tonsillitis

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v4i4.14 ◽

2016 ◽

Vol 04 (04) ◽

Author(s):

Rajesh K ◽

Keyword(s):

Comparative Study ◽

Chronic Tonsillitis

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Fine needle aspiration in chronic tonsillitis: reliable and valid diagnostic test

The Journal of Laryngology & Otology ◽

10.1258/002221503322683867 ◽

2003 ◽

Vol 117 (12) ◽

pp. 973-975 ◽

Cited By ~ 4

Author(s):

Mary Kurien ◽

Suchitra Sheelan ◽

L. Jeyaseelan ◽

Bramhadathan ◽

Kurien Thomas

Keyword(s):

Fine Needle Aspiration ◽

Gold Standard ◽

Local Anaesthesia ◽

Needle Aspiration ◽

Chronic Tonsillitis ◽

Fine Needle ◽

Bacterial Organism ◽

A Prospective Study ◽

First Time ◽

Core Culture

Fine needle aspiration (FNA) of the tonsil as a diagnostic tool in evaluating the microflora in chronic tonsillitis has not been popularized. A prospective study of 30 patients with chronic tonsillitis undergoing tonsillectomy was undertaken. FNA of the tonsil core was done under local/general anaesthesia. The reliability of the culture by FNA of the tonsil core was then validated with the reference (gold) standard which is the dissected tonsil core. The sensitivity of FNA culture as compared to core culture was 100 per cent and 93 per cent under general and local anaesthesia respectively. The positive predictive value of FNA culture as compared to core culture was 92 per centand 82 per cent for general and local anaesthesia respectively. These factors indicate that FNA of the tonsil core is reliable and valid. It can safely be performed as an out-patient procedure under local anaesthesia. This is reported for the first time. Identifying the bacterial organism within the infected tonsil for appropriate antibiotic therapy could revolutionize the management of chronic tonsillitis.

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Clinical Appraisal on Therapeutic Efficacy of Tankana & Sphatika Bhasma With Madhu Pratisarana In Tundikeri

Journal of Drug Delivery and Therapeutics ◽

10.22270/jddt.v9i6.3707 ◽

2019 ◽

Vol 9 (6) ◽

pp. 130-134

Author(s):

Itishree Sahoo ◽

Sanjay S More ◽

Vinod Jadhav ◽

Sujit Dalai ◽

Manoj Sahoo

Keyword(s):

Clinical Study ◽

Comparative Study ◽

Therapeutic Efficacy ◽

Chronic Tonsillitis ◽

Test Design ◽

Exclusion Criteria ◽

Medical College ◽

Post Test ◽

Group A ◽

Group B

The clinical study was carried out to find out the efficacy of Tankana & Sphatika bhasma with Madhu pratisarana in Tundikeri (Chronic Tonsillitis).The study was an Open Labelled Randomized Comparative study with a pre- and post-test design at the outpatient level of S.V.M. Ayurvedic Medical College & R.P.K Ayurvedic Hospital, Ilkal, Karnatak, India. In accordance to inclusion and exclusion criteria 30 patients were treated with Tankana bhasma (Purified borax powder) along with Madhu (honey) pratisarana and Sphatika bhasma (purified potash alum) along with Madhu pratisarana on alternative days for 13 days to Group A and Group B respectively. Each group comprised with 15 patients. After assessment of all data, the result conforms that both the drug Tankana bhasma with Madhu pratisarana and Sphatika bhasma with Madhu pratisarana on Tundikeri have significant result. However, in overall assessment, the efficacy of Tankana bhasma pratisarana is more significant than Sphatika bhasma pratisarana in the management of Tundikeri. Keywords: Tundikeri, Tonsillitis, Tankana, Borax, Sphatika, Alum, Madhu, Pratisarana

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