Tenoxicam Pain Effect after Tonsillectomy

Objective: tonsillectomy is the most performed operation in the otorhinolaryngology clinics. pain, bleeding, infection in the tonsillary region, otalgia, dysphagia, dysphonia and dysphasia are the most observed compliacations in the postoperative period. there are several methods which were tested for postoperative pain management, one of these is preemptive analgesia. in this study preemptive intravenous therapy with tenoxicam, a nonsteroid anti-inflammatory drug in oxicam group, is evaluated on posttonsillectomy patients to investigate its efficacy on postoperative pain.material-method: patients with chronic tonsillitis and without systemic disease who between the ages of 18 and 50 are included in this study. control group (n=50) received only postoperative oral ibuprofen therapy. study group received both preemptive intravenous tenoxicam and postoperative oral ibuprofen therapies. verbal pain scale (vps: 0-10) is used to evaluate pain intensity of the patients. in addition nausea, vomiting, bleeding, otalgia, mouth opening and swallowing without pain, sex, age and education status compared two groups as the other parameters.results: there was no statistically significant difference (p>0.05) between the two groups when the following parameters compared; age and sex distribution, educational status, postoperative pain, vomiting and bleeding. pain intensity of the patients in the study group found lower than the control group when it’s compared by vps (p<0.001).conclusion: postoperative pain, which is observed in adult patients who underwent tonsillectomy is a quite intense symptom. in this study tenoxicam is found to be a useful preemptive analgesic agent because of its efficacy on decreasing postoperative analgesia need in patients significantly, simplicity of its use in practice and its effect on increasing the comfort of patient in postoperative period.