Comparison of post operative pain in tonsillectomy: a three year prospective study


  • Akshay Jain Department of ENT, Teerthanker Mahaveer University and Research Centre, Moradabad, Uttar Pradesh
  • Smruti Milan Tripathy Department of ENT, Teerthanker Mahaveer University and Research Centre, Moradabad, Uttar Pradesh



Tonsillectomy, Post-operative pain, Analgesics, VAS score


Background: Tonsillectomy is the oldest surgery performed by otorhinolaryngologists worldwide. Through ages different techniques have been tried to improve the post surgical outcome and reduce morbidity among patients. Aim of the current study was to compare the post-operative pain among the patients undergoing tonsillectomy by cold dissection, bipolar cautery dissection and coblation dissection.

Methods: 142 Patients undergoing tonsillectomy in ENT department of TMMC during the period of 3 year were included in the study. Patients were randomly distributed to undergo different techniques of tonsillectomy. The post-operative pain in patients was assessed using the pre-standardized visual analogue pain scale and results were analyzed.

Results: No statistically significant difference was found among the groups undergoing tonsillectomy by cold dissection, bipolar dissection and coblator dissection as the p>0.05. The immediate post-operative pain was found to be slightly higher among the group undergoing tonsillectomy by coblator dissection and the analgesics dose needed in the post-operative period remained the same for all for patients of all the three groups.

Conclusions: No statistically significant difference was found in the post-operative pain scores of patients undergoing tonsillectomy by CD, BD and CBD techniques.

Author Biographies

Akshay Jain, Department of ENT, Teerthanker Mahaveer University and Research Centre, Moradabad, Uttar Pradesh

Assistant Professor

ENT Department

Smruti Milan Tripathy, Department of ENT, Teerthanker Mahaveer University and Research Centre, Moradabad, Uttar Pradesh

Associate Professor

ENT Department


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