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387863

Comparison between landmark and ultrasound-guided percutaneous peristyloid glossopharyngeal nerve block for post-tonsillectomy pain relief in children: a randomized controlled cl

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Last updated: 05 Jan 2025

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Abstract

Background
Glossopharyngeal nerve (GPN) block is a useful treatment option for acute post-tonsillectomy pain. This study aimed to assess safety and efficacy of the landmark (LM) technique versus the ultrasound (US)-guided technique for GPN block in children undergoing tonsillectomy.
Methods
This double-blinded, parallel-group, randomized trial enrolled 54 children of both genders who were American Society of Anesthesiologists physical status grade I–II and were scheduled for tonsillectomy under general anesthesia. All patients underwent percutaneous peristyloid GPN block. In the LM group, 27 patients were managed by insertion of the needle at midpoint of the line between the mastoid process and angle of the mandible. In the US group, 27 patients were managed with the US-guided technique to locate the styloid process. The outcomes were time to first analgesic requirement, pain in rest and during swallowing, easiness of the technique, time required for the technique performance, recovery time from anesthesia, and anesthetist, surgeon, parent, and staff satisfaction.
Results
The post-tonsillectomy pain score during rest and swallowing, rescue analgesic request, recovery time from general anesthesia, anesthetist’, surgeon’, staff nurses’, and parents’ satisfactions were comparable between the LM technique and US-guided percutaneous peristyloid GPN block (all p ˃ 0.05). However, the LM technique was significantly easier and required shorter duration than the US-guided technique (p ˂ 0.05).
Conclusion
In tonsillectomy surgery, both the LM technique and the percutaneous peristyloid US-guided GPN block were safe and effective in reducing postoperative pain. Furthermore, the LM technique was easier and had shorter duration to perform than the US-guided technique.

DOI

TEJA-2022-0159

Keywords

landmark, Ultrasound-guided, Tonsillectomy, glossopharyngeal nerve block, Pain Relief

Authors

First Name

Abdelrhman

Last Name

Alshawadfy

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Affiliation

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City

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Orcid

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First Name

Ahmed A.

Last Name

Ellilly

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Ahmed M.

Last Name

Elewa

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Wesam F.

Last Name

Alyeddin

MiddleName

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Affiliation

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Email

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City

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Orcid

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Volume

38

Article Issue

1

Related Issue

51161

Issue Date

2022-12-01

Receive Date

2022-08-23

Publish Date

2022-12-31

Page Start

643

Page End

649

Print ISSN

1110-1849

Online ISSN

1687-1804

Link

https://egja.journals.ekb.eg/article_387863.html

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https://egja.journals.ekb.eg/service?article_code=387863

Order

387,863

Publication Type

Journal

Publication Title

Egyptian Journal of Anaesthesia

Publication Link

https://egja.journals.ekb.eg/

MainTitle

Comparison between landmark and ultrasound-guided percutaneous peristyloid glossopharyngeal nerve block for post-tonsillectomy pain relief in children: a randomized controlled cl

Details

Type

Article

Created At

21 Dec 2024