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The effect of applying amniotic membrane on post-tonsillectomy pain and bleeding

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Abstract

Purpose

Pain and hemorrhage are common morbidities after tonsillectomy. Although many studies have focused on post-tonsillectomy pain, inadequate researches are available on wound healing. Hence, there is a definite need for a novel technique to facilitate the healing process and thereby improving the post-tonsillectomy recovery.

Methods

This prospective and randomized study was conducted on 60 adult patients who underwent tonsillectomy. They were divided into two groups of control and amniotic membrane (AM). Human amniotic membrane was applied over the tonsillar bed as a biologic dressing. Post-tonsillectomy pain and bleeding were evaluated. Also, the healing rate was assessed on days 5, 10 and 15 post-operatively.

Results

The pain score in the AM group was lower than that in the control group during the first week after surgery (P < 0.0001). Moreover, the AM group returned faster to their normal diet in comparison with the control group (P < 0.0001). With respect to the healing rate, there were no significant differences between the groups on day 5 (P > 0.05), whereas a significant difference was seen on days 10 and 15 post-surgery (P < 0.0001). There was no significant difference between the two groups in terms of post-operative bleeding (P ≅ 1).

Conclusion

We observed that the use of AM graft as a biologic dressing might be beneficial in reducing post-operative pain and promoting the wound healing process. The results represent a further step toward developing a new technique for coverage of tonsillar fossa with sheeting or wearing grafts.

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Acknowledgements

We would like to thank the Vice Chancellor for Research of Shiraz University of Medical Sciences for their financial support. The authors wish to thank Mr. H. Argasi for his invaluable assistance in editing this manuscript.

Funding

This study was supported by the Shiraz University of Medical Sciences, Shiraz, IR Iran.

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Authors and Affiliations

  1. Department of Otolaryngology Head and Neck Surgery, Otolaryngology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

    Mohammad Faramarzi, Mahmood Shishegar, Tayebeh Kazemi, Hamid Tavakolpour Saleh & Sareh Roosta

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  1. Mohammad Faramarzi
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  2. Mahmood Shishegar
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  3. Tayebeh Kazemi
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Correspondence to Mahmood Shishegar.

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The research protocol was approved by the local Ethics Committee of Shiraz University of Medical Sciences (IR.SUMS.ED.REC.1397.353). The current study design was registered at the Iranian Registry of Clinical Trials (IRCT20131123015496N21).

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Faramarzi, M., Shishegar, M., Kazemi, T. et al. The effect of applying amniotic membrane on post-tonsillectomy pain and bleeding. Eur Arch Otorhinolaryngol 278, 485–492 (2021). https://doi.org/10.1007/s00405-020-06173-7

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  • DOI: https://doi.org/10.1007/s00405-020-06173-7

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