Comparing NSAIDs Versus Steroid Injection in the Tonsil Area After Tonsillectomy to Manage Pain in Children Ages 4 to 10

What this Trial Is About

Researchers are studying the effectiveness of adding paracetamol to systemic non-steroidal anti-inflammatory drugs NSAIDs compared to adding dexamethasone directly into the tonsillar bed during surgery for controlling pain after tonsillectomy in children aged 4 to 10 years. This prospective randomized controlled study is conducted at Ain Shams University hospital and focuses on post-tonsillectomy pain management in children with chronic or recurrent tonsillitis or obstructive sleep apnea caused by tonsil issues. Participants will be randomly assigned to one of three groups one receiving local steroid infiltration dexamethasone plus paracetamol, another receiving systemic NSAIDs plus paracetamol, and a control group receiving a combination of NSAIDs, steroids, and paracetamol as standard care. The study treatment occurs during and after tonsillectomy performed by cold dissection. During the study, pain levels will be assessed at 6 hours, 24 hours, and 5 days after surgery. Additional pain medication needs, patient feedback, and any complications will be monitored over two weeks post-operation. Participants will have regular follow-up visits to evaluate pain control and record any side effects or complications related to the treatments.

The Effect of Systemic Nonsteroidal Anti-inflammatory Drugs (NSAIDs) Vs Intraoperative Infiltration of Steroids in Tonsillar Bed Following Tonsillectomy on Post Tonsillectomy Pain.