PRP-Fibrin Glue for Pain Reduction and Rapid Healing in Tonsillectomy
Introduction:Many ongoing challenges have been applied to reduce the considerable postoperative pain and increase wound healing after tonsillectomy, but they are still not optimally managed. This study applied autologous platelet-rich plasma (PRP) & platelet-rich fibrin glue (PRFG) to reduce pai...
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2022-11-01
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| Series: | Iranian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | https://ijorl.mums.ac.ir/article_21204_252d03685176571f5028663a5dd772bd.pdf |
| _version_ | 1827966563527950336 |
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| author | Navid Nourizadeh Nooshin Sedaghat Sharifi Mehdi Bakhshaee Shirin Ghiasi Bashir Rasoulian Daryoush Hamidi Alamdari |
| author_facet | Navid Nourizadeh Nooshin Sedaghat Sharifi Mehdi Bakhshaee Shirin Ghiasi Bashir Rasoulian Daryoush Hamidi Alamdari |
| author_sort | Navid Nourizadeh |
| collection | DOAJ |
| description | Introduction:Many ongoing challenges have been applied to reduce the considerable postoperative pain and increase wound healing after tonsillectomy, but they are still not optimally managed. This study applied autologous platelet-rich plasma (PRP) & platelet-rich fibrin glue (PRFG) to reduce pain and increase wound healing.Materials and Methods:PRP & PRFG were prepared from 26 patients’ blood. At the end of the tonsillectomy, one tonsillar bed was selected randomly, PRP was injected, PRFG was applied topically on the bed wound, and the other sites were left untreated. The treated and untreated tonsillar beds were compared for pain and wound healing the next day, 3rd day, 6th day, 9th day, and 15th day.Results:There were no complications during and after the injection. The mean age was 24.76 ±5.54 years. In the treated beds in comparison to untreated beds, pain decreased marginally in 1st day (intervention:4.5±2.54, control:5.53±2.94, P-value=0.18) and 3rd day (intervention:3.92±2.96, control:4.8±2.82, P-value=0.276), and significantly in 6th day (intervention:2.3±2.46, control:3.92±2.6, P-value=0.026), 9th day (intervention:1.26±1.48, control:2.76±2.4, P-value=0.009) and 15th day (intervention:0.73±1.07, control:1.84±2.36, P-value=0.08) after surgery. Healing did not change in 1st day (P-value=1), changed marginally in 3rd day (P-value=0.2), and increased significantly in 6th day (P-value=0.001), 9th day (P-value=0.006), and 15th day (P-value=0.004) after surgery.Conclusions:Autologous PRP injection & PRFG application offer an effective, safe, and non-invasive method for reducing pain and increasing wound healing after tonsillectomy. |
| first_indexed | 2024-04-09T17:51:55Z |
| format | Article |
| id | doaj.art-cbb8245b1a9548d6bcb00ccf19b82cb7 |
| institution | Directory Open Access Journal |
| issn | 2251-7251 2251-726X |
| language | English |
| last_indexed | 2024-04-09T17:51:55Z |
| publishDate | 2022-11-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Otorhinolaryngology |
| spelling | doaj.art-cbb8245b1a9548d6bcb00ccf19b82cb72023-04-16T05:26:20ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2022-11-0134628929410.22038/ijorl.2022.40429.253221204PRP-Fibrin Glue for Pain Reduction and Rapid Healing in TonsillectomyNavid Nourizadeh0Nooshin Sedaghat Sharifi1Mehdi Bakhshaee2Shirin Ghiasi3Bashir Rasoulian4Daryoush Hamidi Alamdari5Sinus and Surgical Endoscopic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Sinus and Surgical Endoscopic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Sinus and Surgical Endoscopic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Otorhinolaryngology, Head and Neck Surgery, Sinus and Surgical Endoscopic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Introduction:Many ongoing challenges have been applied to reduce the considerable postoperative pain and increase wound healing after tonsillectomy, but they are still not optimally managed. This study applied autologous platelet-rich plasma (PRP) & platelet-rich fibrin glue (PRFG) to reduce pain and increase wound healing.Materials and Methods:PRP & PRFG were prepared from 26 patients’ blood. At the end of the tonsillectomy, one tonsillar bed was selected randomly, PRP was injected, PRFG was applied topically on the bed wound, and the other sites were left untreated. The treated and untreated tonsillar beds were compared for pain and wound healing the next day, 3rd day, 6th day, 9th day, and 15th day.Results:There were no complications during and after the injection. The mean age was 24.76 ±5.54 years. In the treated beds in comparison to untreated beds, pain decreased marginally in 1st day (intervention:4.5±2.54, control:5.53±2.94, P-value=0.18) and 3rd day (intervention:3.92±2.96, control:4.8±2.82, P-value=0.276), and significantly in 6th day (intervention:2.3±2.46, control:3.92±2.6, P-value=0.026), 9th day (intervention:1.26±1.48, control:2.76±2.4, P-value=0.009) and 15th day (intervention:0.73±1.07, control:1.84±2.36, P-value=0.08) after surgery. Healing did not change in 1st day (P-value=1), changed marginally in 3rd day (P-value=0.2), and increased significantly in 6th day (P-value=0.001), 9th day (P-value=0.006), and 15th day (P-value=0.004) after surgery.Conclusions:Autologous PRP injection & PRFG application offer an effective, safe, and non-invasive method for reducing pain and increasing wound healing after tonsillectomy.https://ijorl.mums.ac.ir/article_21204_252d03685176571f5028663a5dd772bd.pdffibrin gluehealingplatelet-rich-plasmapaintonsillectomy |
| spellingShingle | Navid Nourizadeh Nooshin Sedaghat Sharifi Mehdi Bakhshaee Shirin Ghiasi Bashir Rasoulian Daryoush Hamidi Alamdari PRP-Fibrin Glue for Pain Reduction and Rapid Healing in Tonsillectomy Iranian Journal of Otorhinolaryngology fibrin glue healing platelet-rich-plasma pain tonsillectomy |
| title | PRP-Fibrin Glue for Pain Reduction and Rapid Healing in Tonsillectomy |
| title_full | PRP-Fibrin Glue for Pain Reduction and Rapid Healing in Tonsillectomy |
| title_fullStr | PRP-Fibrin Glue for Pain Reduction and Rapid Healing in Tonsillectomy |
| title_full_unstemmed | PRP-Fibrin Glue for Pain Reduction and Rapid Healing in Tonsillectomy |
| title_short | PRP-Fibrin Glue for Pain Reduction and Rapid Healing in Tonsillectomy |
| title_sort | prp fibrin glue for pain reduction and rapid healing in tonsillectomy |
| topic | fibrin glue healing platelet-rich-plasma pain tonsillectomy |
| url | https://ijorl.mums.ac.ir/article_21204_252d03685176571f5028663a5dd772bd.pdf |
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