Advantage of Application of Topical Hyaluronic Acid in Reducing Post Tonsillectomy Pain; Cross Sectional Comparative Study

Abstract

Introduction: Tonsillectomy is common surgical operation performed in otolaryngology department. Various techniques could be used that include traditional cold dissection, powered instrumentation like electro cautery, harmonic scalpel, laser, and radiofrequency technique. As with any surgery, there are some risks can occur with tonsillectomy, these includes bleeding, pain at the site of surgery and/or referred otalgia, and infection. The aim of our study was to assess the postoperative use of topical hyaluronic acid with regards to safety, pain relief. Method: The research was considered a cross-sectional research made on 60 patients needing tonsillectomy from a period began from January to September 2018. The patients had been separated into two groups both from 30 patients, one group (group A) treated by using high molecular weight(HMW) Hyaluronic acid spray on tonsillar beds after operations , and the second group(group B) dealt as control. Early complications were registered in questionnaires and then the data were evaluated for each group. Results: The use of high molecular weight (HMW) Hyaluronic acid spray on tonsillar beds after surgery has reduces the pain significantly after 3 – 7 days (p-value = 0.0001) while has no implication on pain reduction within12 - 24 hours p-value (0.17 and 0.3) respectively . Conclusion: The use of (HMW) hyaluronic acid spray can be used safely in post tonsillectomy patients. Hyaluronic acid spray can minimize post tonsillectomy pain.