title: Post-operative pain control after tonsillectomy: dexametasone vs tramadol.
abstract: CONCLUSIONS
  Tramadol was found to be more effective than dexamethasone in post-operative pain control, with long-lasting relief of pain.
  
  
  OBJECTIVE
  This study aimed to compare the effects of pre-operative local injections of tramadol and dexamethasone on post-operative pain, nausea and vomiting in patients who underwent tonsillectomy.
  
  
  METHODS
  Sixty patients between 3-13 years of age who were planned for tonsillectomy were included in the study. Patients were divided into three groups. Group 1 was the control group. Patients in Group 2 received 0.3 mg/kg Dexamethasone and Group 3 received 0.1 mg/kg Tramadol injection to the peritonsillary space just before the operation. Patients were evaluated for nausea, vomiting, and pain.
  
  
  RESULTS
  When the control and the dexamethasone groups were compared; there were statistically significant differences in pain scores at post-operative 15 and 30 min, whereas there was no statistically significant difference in pain scores at other hours. When the control and tramadol groups were compared, there was a statistically significant difference in pain scores at all intervals. When tramadol and dexamethasone groups were compared, there was no statistically significant difference in pain scores at post-operative 15 and 30 min, 1 and 2 h, whereas there was a statistically significant difference in pain scores at post-operative 6 and 24 h.
authors.affiliation: a Department of Otorhinolaryngology , Training and Research Hospital , Erzurum , Turkey.
authors.forename: Kubra
authors.initials: K
authors.lastname: Topal
authors.affiliation: b Faculty of Medicine, Department of Otorhinolaryngology , Ataturk University , Erzurum , Turkey.
authors.forename: Bulent
authors.initials: B
authors.lastname: Aktan
authors.affiliation: b Faculty of Medicine, Department of Otorhinolaryngology , Ataturk University , Erzurum , Turkey.
authors.forename: Muhammed Sedat
authors.initials: MS
authors.lastname: Sakat
authors.affiliation: a Department of Otorhinolaryngology , Training and Research Hospital , Erzurum , Turkey.
authors.forename: Korhan
authors.initials: K
authors.lastname: Kilic
authors.affiliation: b Faculty of Medicine, Department of Otorhinolaryngology , Ataturk University , Erzurum , Turkey.
authors.forename: Mustafa Sitki
authors.initials: MS
authors.lastname: Gozeler
mesh_terms: D000293:Adolescent; D000701:Analgesics, Opioid / Q000627:therapeutic use*; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D003907:Dexamethasone / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008297:Male; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control*; D014068:Tonsillectomy / Q000009:adverse effects*; D014147:Tramadol / Q000627:therapeutic use*
chemical_list: D000701:Analgesics, Opioid; D000893:Anti-Inflammatory Agents; D014147:Tramadol; D003907:Dexamethasone
keywords: Dexamethasone; post-operative pain; tonsillectomy; tramadol