title: Guidelines (short version) of the French Oto-Rhino-Laryngology--Head and Neck Surgery Society (SFORL) for the management of post-tonsillectomy pain in adults.
abstract: OBJECTIVE
  The present clinical practice guidelines cover the entire field of management of post-tonsillectomy pain. Given the French and European regulatory restrictions on the use of codeine, an update appears necessary to clarify the management of post-tonsillectomy pain in adults.
  
  
  METHODS
  A work group approached the issue of pain management, following the chronological pathway from initial consultation to postoperative period. As exhaustive a study of the literature as possible assessed the pain impact of the various surgical techniques and the efficacy of the various analgesia schedules.
  
  
  RESULTS
  Guidelines on the management of post-tonsillectomy pain in adults were drawn up and graded, based on the levels of evidence of selected articles and on work group consensus. The guidelines stress the importance of patient information and seek to harmonize practice, reduce the risk of postoperative complications and above all improve control of post-tonsillectomy pain in adults.
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, CHRU La Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France. Electronic address: arnaud.paganelli@ap-hm.fr.
authors.forename: A
authors.initials: A
authors.lastname: Paganelli
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale pédiatrique, hôpital Mère-Enfant, hospices civils de Lyon, 65, boulevard Pinel, 69500 Bron, France.
authors.forename: S
authors.initials: S
authors.lastname: Ayari Khalfallah
authors.affiliation: Centre médical Alpha 128, 128, avenue des Champs-Lasniers, 91940 Les Ulis, France.
authors.forename: A
authors.initials: A
authors.lastname: Brunaud
authors.affiliation: Hôpital Armand-Trousseau, GHUEP, UMPC, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.
authors.forename: I
authors.initials: I
authors.lastname: Constant
authors.affiliation: Service d'ORL, hôpital Pontchaillou, CHRU de Rennes, rue Henri-Le-Guilloux, 35033 Rennes, France.
authors.forename: V
authors.initials: V
authors.lastname: Deramoudt
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale pédiatrique, hôpital Jeanne-de-Flandre, CHRU de Lille, 59037 Lille, France.
authors.forename: P
authors.initials: P
authors.lastname: Fayoux
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, CHRU La Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.
authors.forename: A
authors.initials: A
authors.lastname: Giovanni
authors.affiliation: Centre douleur chronique, CHRU La Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.
authors.forename: C
authors.initials: C
authors.lastname: Mareau
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, CHRU de Brest, 5, avenue Foch, 29200 Brest, France.
authors.forename: R
authors.initials: R
authors.lastname: Marianowski
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, CHRU La Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.
authors.forename: J
authors.initials: J
authors.lastname: Michel
authors.affiliation: Département d'ORL, CHRU de Montpellier, 34295 Montpellier cedex 5, France.
authors.forename: M
authors.initials: M
authors.lastname: Mondain
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, hôpital Hautepierre, CHRU de Strasbourg, 1, avenue Maline, 67098 Strasbourg, France.
authors.forename: P
authors.initials: P
authors.lastname: Schultz
authors.affiliation: Université Paris Descartes, 12, rue de l'École-de-Médecine, 75006 Paris, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Treluyer
authors.affiliation: Centre de prise en charge de la douleur chronique, CHRU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France.
authors.forename: C
authors.initials: C
authors.lastname: Wood
authors.affiliation: Service d'ORL pédiatrique, hôpital Clocheville, 49, boulevard Beranger, 37000 Tours, France.
authors.forename: S
authors.initials: S
authors.lastname: Pondaven
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale pédiatrique, CHRU La Timone - Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.
authors.forename: R
authors.initials: R
authors.lastname: Nicollas
mesh_terms: D000328:Adult; D006801:Humans; D059408:Pain Management / Q000592:standards*; D010149:Postoperative Pain / Q000209:etiology* / Q000628:therapy*; D014068:Tonsillectomy / Q000009:adverse effects*
keywords: Analgesics; Corticosteroids; In situ analgesia; Sleep apnea; Step 2; Step 3; Tonsillitis