الفهرس 
Material and methodsOnly 14 pages are availabe for public view
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Abstract
SUMMARY AND CONCLUSION
In the field of otorhinolaryngology. tonsillectomy
and adenoidectomy are the commonest surgical procedures,
performed in children
Bleeding is the major source of morbidity and
mortality of tonsillectomy and most operative time is
spent securing haemostasis
Tonsillectomy has the reputation of being extremely
uncomfortable in the first few days of the post
operative period .
The aims of this work were :
1- To evaluate the effect of peritonsillar infiltration
with either lidocaine 0.25 % or epinephrine 1
200 000 on the reduction of intra operative blood
loss .
2- To evaluate the effects of such infiltrations upon
post operative pain levels during-the first 12 post
operative hours .
The present work was done on 120 patients indicated
for tonsillectomy. their age ranged from 4-12 year
they were 69 males and 51 females .
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Patients were assinged to one of three groups =
children in group 1 had peritonsillar infiltration with
epinephrine 1:200.000. children in group 2 had peritonsillar
infiltration with lidocaine 0,25 % and children
in group 3 had peritonsillar with saline ,(controls)
The intraoperative blood loss was measured for all
groups and was compared by statistical analysis and by
using the agreeable ” pain discomfort scale ” as an
objective measure for postoperative tonsillectomy pain
for a 11 groups”,
The difference over all analysis of the intra
operative blood loss showed a very highly significant
decrease for patients injected with epinephrine versus
the lidocaine group and versus the control group
The pain score from pain discomfort scale on the
lidocaine group was significantly lower than that on
the other groups recorded after the first 12
postoperative hours.
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CONCLUSION
We can conclude that the use of
iniecta-ble epinephrine before tons iIlectolDY
is safe and effective lDethod of reducing
intra operative blood loss We can also
conclude that peritonsillar infiltration
with lidocaine pre operatively decrease post
tonsillectomy pain on the first 12 post
operative hours in children.