Ibuprofen and Prednisolone after Tonsillectomy in Children

Abstract

Objective: Evaluate the use of ibuprofen and prednisolone during postoperative of tonsillectomy of pediatric patients.

Method: A total of 105 children submitted to tonsillectomy were distributed into 3 groups. The group A used ibuprofen. The group B used prednisolone. The group C didn’t use anti-inflammatories. The caregivers, during the 5 days after surgery, evaluated descriptively about children pain, alimentation, complications, and the need of symptomatic medication.

Results: The groups were homogeneous regarding gender and age. There was no difference among the groups in regards to bleeding and the necessity of use of symptomatic medication. There was a faster alimentary progression and pain control among patients who used ibuprofren and prednisolone, and there was no difference between these 2 groups. There was no difference in regard to nausea and vomiting; however, the fever was significantly less present in the group that used ibuprofen.

Conclusion: The use of ibuprofen and prednisolone presented safe and effective in controlling postoperative pain, also improving the alimentary acceptance and decreasing the need of rescue medication such as metamizole or dimenidrinate, without raising the complication index.