الفهرس 
Anatomical Considerations forOnly 14 pages are availabe for public view
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Abstract
Background: Tonsillectomy is one of the commonly performed surgical procedures in childhood, yet many adults undergo it as well with commonest adverse outcome is the post-operative pain and difficulty in swallowing. The objective of this study is to evaluate and compare the use of glossopharyngeal nerve block versus intravenous lornoxicam for postoperative pain control in adult tonsillectomy as regard the efficacy , duration of pain control and side effects.
Methods: It’s a Randomized case control trail including two groups of patients, 30 each, with group A receiving glossopharyngeal nerve block after induction of general anesthesia using 3ml of bupivacaine 0.5%, and group B was given lornoxicam 8mg intravenously. All patients underwent uniform pre, intra, post-operative management. All patients were followed by the measurement of hemodynamics, visual analogue scale VAS and cortisol level. Blood samples were collected before induction of anesthesia, 6, and 12 hours postoperatively.
Results: better pain management with glossopharyngeal nerve block as regard duration and intensity of analgesia compared to lornoxicam as shown by the measurement of mean arterial pressure MAP and VAS and blood levels of cortisol post-operatively but the difference was clinically insignificant together with avoiding risks and complications of nerve block which needs expert anesthetist.
Conclusion: Post-operative pain management after adult tonsillectomy can be achieved by either glossopharyngeal nerve block or intravenous lornoxicam with better pain management with glossopharyngeal nerve block as compared to lornoxicam.