Abstract | INTRODUCTION: AIMS: MATERIALS AND METHODS: A prospective, blinded study was undertaken, including 60 patients scheduled for tonsillectomy, divided into two equal groups: a study group (group A) with pre-operative laryngopharyngeal reflux documented using ambulatory 24-hour pH monitoring; and a control group (group B) without laryngopharyngeal reflux. RESULTS: Group A had significantly higher pain scores on the seventh and 14th post-operative days (p = 0.022 and p = 0.000, respectively) and took a significantly longer time to return to normal eating (p = 0.013), compared with group B. Group A also showed significantly slower healing on the seventh and 14th post-operative days, as estimated by assessing the grade of post-operative slough formation (p = 0.016 and p = 0.029, respectively). A significant correlation between the number of pharyngeal reflux episodes and the degree of post-operative slough was also found. CONCLUSIONS:
Laryngopharyngeal reflux can significantly decrease wound healing following tonsillectomy. Therefore, pre-operative recognition and management of this condition is desirable in order to eliminate its negative post-operative effect.
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Authors | S Elwany, Y A Nour, E A Magdy |
Journal | The Journal of laryngology and otology
(J Laryngol Otol)
Vol. 122
Issue 6
Pg. 603-8
(Jun 2008)
ISSN: 1748-5460 [Electronic] England |
PMID | 17623494
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Case-Control Studies
- Female
- Gastroesophageal Reflux
(complications)
- Humans
- Male
- Pain, Postoperative
(etiology)
- Prospective Studies
- Single-Blind Method
- Tonsillectomy
- Wound Healing
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