Innovative mucosal flaps for post-operative pain relief in endoscopic assisted tonsillectomy

Authors

  • Manish Munjal Department of ENT-HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Shubham Munjal Department of ENT-HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Karambir Gill Department of Paediatrics, Dayanand Medical College, Ludhiana, Punjab, India
  • Salony Sharma Department of ENT-HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Shivam Talwar Department of ENT-HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Deeksha Chawla Department of ENT-HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Hardeep Kaur Department of ENT-HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Loveleen Sandhu Department of ENT-HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Zoya Gill Department of ENT-HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Gursimran Kaur Department of ENT-HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Ojassivi Rishi Department of ENT-HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Tanvi Joshi Department of ENT-HNS, Dayanand Medical College, Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20223385

Keywords:

Tonsillectomy, Postoperative pain, Mucosal flaps

Abstract

Tonsillectomy the “bread and butter” surgery of the Otorhinolaryngologist has graduated from the Gullitone to the state of the art plasma knife technique, vis a vis patient and surgeon comfort. The excruciating post recovery pain is due to breach in the oro-phayngeal mucosa and thereby irritation of the terminal arborizations of the glossopharyngeal and vagal innervations. Moreover, the surgical trauma induced inflammation and spasm of the constrictor muscles leads to ischemia and a protracted cycle of pain. An endoscopic assisted bi -mucosal flap technique with precision and homeostasis is ideal as it covers the raw bed of the tonsil and there thereby reduces the intensity of the postoperative pain.

Author Biography

Manish Munjal, Department of ENT-HNS, Dayanand Medical College, Ludhiana, Punjab, India

Prof hod ORLHNS

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Published

2022-12-27

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Section

Case Reports