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Tube Placement: A Prospective, Randomized Double‐Blind Study
Author(s) -
Derkay Craig S.,
Wadsworth J. Trad,
Darrow David H.,
Strasnick Barry,
Thompson G. Kevin,
O'Master Jennifer
Publication year - 1998
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-199801000-00018
Subject(s) - medicine , anesthesia , lidocaine , acetaminophen , placebo , myringotomy , randomized controlled trial , ibuprofen , surgery , tympanostomy tube , prospective cohort study , otitis , alternative medicine , pathology , pharmacology
Bilateral myringotomy with tympanostomy tube placement is the second most frequently performed pediatric surgical procedure, next to circumcision. Postoperative pain relief for children undergoing this procedure has been an ongoing concern. The authors undertook a prospective, randomized, double‐blind, placebo‐controlled clinical study in 200 consecutive children to investigate the efficacy of oral acetaminophen, acetaminophen with codeine, ibuprofen, and placebo administered preoperatively in relieving postoperative pain in children undergoing this procedure. All children received topical analgesia consisting of antibiotic eardrops mixed with 4% lidocaine intraoperatively. There was no significant difference in postoperative pain score between the four groups ( P > 0.4447). Thus it is likely that the intraoperative administration of antibiotic eardrops mixed with 4% lidocaine is all that is required to alleviate postoperative pain in children undergoing myringotomy with tympanostomy tube placement. Preoperative oral analgesics are apparently of little added benefit.