Effects of oral prednisolone on recovery after tonsillectomy

@article{Park2015EffectsOO,
  title={Effects of oral prednisolone on recovery after tonsillectomy},
  author={Soo-Kyoung Park and Ji-Soo Kim and Jeong Mee Kim and Je-yeob Yeon and Woo Sub Shim and Dong Whan Lee},
  journal={The Laryngoscope},
  year={2015},
  volume={125}
}
To evaluate the effect of oral prednisolone on recovery from tonsillectomy. 
The effect of postoperative steroids on post‐tonsillectomy pain and need for postoperative physician contact
Examine the effect of postoperative steroids on postoperative physician contacts and determine the hemorrhage rate for patients taking postoperative steroids.
Nonopioid Adjuncts and Alternatives.
Post-tonsillectomy pain control: consensus or controversy?
TLDR
The clinical and pathophysiological basis for post-tonsillectomy pain, types of analgesics and their risk profiles, as well as special considerations in this clinical population and a review of alternative analgesic treatment options are delineated.
Postoperative care after tonsillectomy: what's the evidence?
TLDR
Adenotonsillectomy is one of the most common procedures performed on children and may have significant morbidity from postoperative pain and bleeding and the optimal treatment regimen has not been definitively identified.
Opioid Prescribing Patterns Following Pediatric Tonsillectomy in the United States, 2009–2017
TLDR
Nation-wide trends in opioid prescription following pediatric tonsillectomy and changes during 2009–2017 are assessed.
The use of steroids to reduce complications after tonsillectomy: a systematic review and meta-analysis of randomized controlled studies
TLDR
Intravenous steroids statistically significantly decrease post-tonsillectomy nausea/vomiting, and immediate pain scores (< 24 h) in children and adults and IV and local steroids statistically significant decrease immediate post-operative pain severity.
Control of Pain After Tonsillectomy in Children: A Review
TLDR
The various surgical techniques used in tonsillectomy are reviewed with a focus on reducing postoperative pain, and cold dissection techniques lead to less pain, but hot techniques remain popular, with less intraoperative blood loss and shorter operative time.
Hemorrhage Rates in Pediatric Patients Receiving Postoperative Steroids After Tonsillectomy
TLDR
Post-tonsillectomy steroid use is not associated with an increase in operative intervention for postoperative hemorrhage, and this study concludes that a safe postoperative pain regimen after tonsillectom is important.
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References

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Evaluating the Effects of Oral Prednisolone on Recovery After Tonsillectomy: A Prospective, Double‐Blind, Randomized Trial
TLDR
The role of a 7‐day course of oral prednisolone on recovery from tonsillectomy is investigated to investigate the role of this drug in reducing the risk of long-term adverse events.
Do Steroids Reduce Morbidity of Tonsillectomy? Meta‐Analysis of Randomized Trials
TLDR
This study aims to reconcile conflicting published reports regarding the clinical efficacy of a single intraoperative dose of dexamethasone in reducing post‐tonsillectomy morbidity.
Post-tonsillectomy pain: the first ten days.
TLDR
The results confirm that tonsillectomy is a very painful experience and the provision of adequate analgesia is of paramount importance, especially if day-case tonsilLECTomy is performed.
Dexamethasone reduces pain after tonsillectomy in adults.
TLDR
Dexamethasone given in this regime reduces postoperative pain and analgesic requirements after adult tonsillectomy and was statistically significant on all days except the day of surgery and the second postoperative day.
The Effect of a Postoperative Course of Oral Prednisone on Postoperative Morbidity following Childhood Tonsillectomy
TLDR
There is no evidence of benefit from postoperative administration of corticosteroids in pediatric patients recovering from tonsillectomy, and the results showed no significant difference when analyzed for differences in the above variables.
Postoperative risks of pediatric tonsilloadenoidectomy
Tonsilloadenoidectomy is performed over 340,000 times per year in the United States, usually as a same day admission procedure with a postoperative overnight stay. Because of the current emphasis on
Steroids for improving recovery following tonsillectomy in children
TLDR
The evidence suggests that a single intravenous dose of dexamethasone is an effective, relatively safe and inexpensive treatment for reducing morbidity from pediatric tonsillectomy.
A meta-analysis of dexamethasone use with tonsillectomy
TLDR
To prevent emesis in 1 child after tonsillectomy, approximately 4 children must receive perioperative dexamethasone, but low precision and heterogeneity among studies preclude definitive conclusions.
Complications of tonsillectomy and adenoidectomy in 9409 children observed overnight.
  • W. Crysdale, D. Russel
  • Medicine
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
  • 1986
TLDR
The authors concluded that children undergoing adenoidectomy could safely be discharged the same day after 6 hours of observation following surgery, but as a substantial number of children bled from the tonsillar fossa more than 6 hours after surgery, the efficacy of periodic examination of the oral cavity during the observation period in reducing the rate of hemorrhage must be evaluated.
The effect of Tualang honey in enhancing post tonsillectomy healing process. An open labelled prospective clinical trial.
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