Efficacy of sucralfate for the treatment of post‑tonsillectomy symptoms [PDF]

Mar 20, 2014 - topical sucralfate could be recommended for the everyday clinical practice as a safe, adjuvant medicine o

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Eur Arch Otorhinolaryngol DOI 10.1007/s00405-014-3023-5

Review Article

Efficacy of sucralfate for the treatment of post‑tonsillectomy symptoms Nora Siupsinskiene · Jurgita Žekoniene˙ · Evaldas Padervinskis · Gediminas Žekonis · Saulius Vaitkus 

Received: 16 February 2014 / Accepted: 20 March 2014 © Springer-Verlag Berlin Heidelberg 2014

Abstract  Pain after tonsillectomy remains the main issue of postoperative morbidity and the search for an effective post-tonsillectomy analgesic is of increasing relevance. The aim of this study was to evaluate the effectiveness of topical sucralfate during an early post-tonsillectomy period. Fifty patients of both genders from 6 to 58 years submitted to tonsillectomy or adenotonsillectomy were randomly included into either a sucralfate treatment group (N = 25) or into a control group (N  = 25). Patients of the sucralfate group received topical sucralfate four times a day for 7 days. No topical treatment was applied to patients of the control group. A systemic analgesic was standardized. Posttonsillectomy symptoms, including throat pain, odynophagia and otalgia, were evaluated during the period of seven

postoperative days. Secondary outcomes were analgesic use, well being in general, return to regular daily activities, secondary hemorrhage and side effects of sucralfate. This study revealed that during the period of the second to seventh postoperative days average throat pain scores of the sucralfate using patients were significantly lower than those of the control group patients (p 

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