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The effectiveness of Tualang honey in reducing post-tonsillectomy pain

Year 2015, Volume: 25 Issue: 3, 137 - 143, 19.07.2015

Abstract

Objectives: This study aims to evaluate the effectiveness of Tualang honey in reducing post-tonsillectomy pain. Patients and Methods: The study included 63 patients 31 males, 32 females; mean age 10±4.16 years; range 3 to 18 years who were planned to undergo tonsillectomy. Patients were randomized into two groups. Treatment group received topical Tualang honey intraoperatively followed by oral consumption of Tualang honey three times daily for seven days with intravenous sultamicillin three times daily for first and second day followed by oral sultamicillin twice daily for five days. Control group received intravenous sultamicillin for two days followed by oral sultamicillin twice daily for five days. Patients’ pain was assessed according to visual analog scale, frequency of waking up at night due to pain, and additional use of analgesic from postoperative first to seventh day. Results from each group were statistically compared. Results: Early postoperative pain was relieved slightly faster in Tualang honey + antibiotic group; however, the difference between groups was not statistically significant. On postoperative seventh day, all of patients 100% in Tualang honey + antibiotic group experienced no pain compared to the antibiotic only group. Frequencies of waking up at night and use of analgesic were lower in the Tualang honey + antibiotic group compared to antibiotic only group. Conclusion: Early postoperative pain was relieved slightly faster in Tualang honey + antibiotic group, which may be attributed to the soothing effect of honey.

References

  • Bleach N, Milford C, Hasselt AV. Operative Otorhinolaryngology. Chapter 42. Oxford: Blackwell Science Ltd; 1997. p. 295-300.
  • Von Baeyer CL. Measurement and assessment of paediatric pain in primary care. In: Walco GA, Goldschneider KR, editors. Pain in children: a practical guide for primary care Totowa: Humana Press; 2008. p. 21-7.
  • Kim DY, Rah YC, Kim DW, Kim SW, Han DH, Kong IG, et al. Impact of tonsillectomy on pediatric psychological status. Int J Pediatr Otorhinolaryngol 2008;72:1359-63.
  • Stelter K, Hiller J, Hempel JM, Berghaus A, Hagedorn H, Andratschke M, et al. Comparison of two different local anaesthetic infiltrations for postoperative pain relief in tonsillectomy: a prospective, randomised, double blind, clinical trial. Eur Arch Otorhinolaryngol 2010;267:1129-34.
  • Lavy JA. Post-tonsillectomy pain: the difference between younger and older patients. Int J Pediatr Otorhinolaryngol 1997;42:11-5.
  • Ernst E, Fialka V. Ice freezes pain? A review of the clinical effectiveness of analgesic cold therapy. J Pain Symptom Manage 1994;9:56-9.
  • Freeman SB, Markwell JK. Sucralfate in alleviating post- tonsillectomy pain. Laryngoscope 1992;102:1242-6.
  • Sertel S, Herrmann S, Greten HJ, Haxsen V, El-Bitar S, Simon CH, et al. Additional use of acupuncture to NSAID effectively reduces post-tonsillectomy pain. Eur Arch Otorhinolaryngol 2009;266:919-25.
  • Dhiwakar M, Clement WA, Supriya M, McKerrow W. Antibiotics to reduce post-tonsillectomy morbidity. Cochrane Database Syst Rev 2012;12:CD005607.
  • Lombard B, Tomasi M, Charpentier P, Drouet Y, Salgas P. Evaluation of transcutaneous electrostimulation in the management of post-tonsillectomy pain in adults. Rev Laryngol Otol Rhinol (Bord) 1996;117:89-92.
  • Ozlugedik S, Genc S, Unal A, Elhan AH, Tezer M, Titiz A. Can postoperative pains following tonsillectomy be relieved by honey? A prospective, randomized, placebo controlled preliminary study. Int J Pediatr Otorhinolaryngol 2006;70:1929-34.
  • Ghazali FC. Morphological characterization study of Malaysian honey. Annals of Microscopy 2009;9:93-101.
  • Tumin N, Halim AN, Shahjahan M, Noor Izani NJ. Antibacterial activity of local Malaysian honey. Malay J Pharm Sci 2005;3:1-10.
  • Nasir NA, Halim AS, Singh KK, Dorai AA, Haneef MN. Antibacterial properties of tualang honey and its effect in burn wound management: a comparative study. BMC Complement Altern Med 2010;10:31.
  • Khalil MI, Alam N, Moniruzzaman M, Sulaiman SA, Gan SH. Phenolic content and anti oxidant capacity of Malaysian Tualang honey. Journal of ApiProduct and ApiMedical Science 2010;2:31-60.
  • Myles PS, Troedel S, Boquest M, Reeves M. The pain visual analog scale: is it linear or nonlinear? Anesth Analg 1999;89:1517-20.
  • Mutiso MD, Macharia IM. Single intraoperative intravenous Co-Amoxiclav versus postoperative full oral course in prevention of postadenotonsillectomy morbidity: a randomised clinical trial. BMC Ear Nose Throat Disord 2011;11:9.
  • Crandall M, Savedra M. Multidimensional assessment using the adolescent pediatric pain tool: a case report. J Spec Pediatr Nurs 2005;10:115-23.
  • Salanterä S, Lauri S, Salmi TT, Aantaa R. Nursing activities and outcomes of care in the assessment, management, and documentation of children's pain. J Pediatr Nurs 1999;14:408-15.

Tonsillektomi sonrası ağrıyı azaltmada Tualang balının etkinliği

Year 2015, Volume: 25 Issue: 3, 137 - 143, 19.07.2015

Abstract

Amaç: Bu yazıda tonsillektomi sonrası ağrıyı azaltmada Tualang balının etkinliği değerlendirildi.Hastalar ve Yöntemler: Çalışmaya tonsillektomi geçirmesi planlanan 63 hasta 31 erkek, 32 kadın; ort. yaş 10±4.16 yıl; dağılım 3-18 yıl dahil edildi. Hastalar rastgele iki gruba ayrıldı. Tedavi grubuna ameliyat sırasında topikal Tualang balı verildi, bunu birinci ve ikinci gün günde üç kere intravenöz sultamisilini takiben beş gün günde iki kere oral sultamisilin ile yedi gün günde üç kere oral Tualang balı tüketimi izledi. Kontrol grubuna iki gün intravenöz sultamisilini takiben beş gün günde iki kere oral sultamisilin verildi. Hastaların ağrısı görsel analog skalasına, ağrı nedeniyle gece uyanma sıklığına ve ameliyat sonrası bir ila yedinci gün ek analjezik kullanımına göre değerlendirildi. Her iki grubun sonuçları istatistiksel olarak karşılaştırıldı.Bulgular: Erken ameliyat sonrası ağrı Tualang balı + antibiyotik grubunda nispeten daha hızlı iyileşmekle beraber, gruplar arasındaki farklılık istatistiksel olarak anlamlı değildi. Ameliyat sonrası yedinci günde Tualang balı + antibiyotik grubundaki hastaların tamamı %100 sadece antibiyotik kullanan gruba kıyasla ağrı hissetmedi. Gece uyanma ve analjezik kullanma sıklığı Tuareng balı + antibiyotik grubunda sadece antibiyotik kullanan gruba kıyasla daha düşüktü.Sonuç: Erken ameliyat sonrası ağrı Tualang balı + antibiyotik grubunda nispeten daha hızlı iyileşti; bu durum balın sakinleştirici özelliğine bağlanabilir

References

  • Bleach N, Milford C, Hasselt AV. Operative Otorhinolaryngology. Chapter 42. Oxford: Blackwell Science Ltd; 1997. p. 295-300.
  • Von Baeyer CL. Measurement and assessment of paediatric pain in primary care. In: Walco GA, Goldschneider KR, editors. Pain in children: a practical guide for primary care Totowa: Humana Press; 2008. p. 21-7.
  • Kim DY, Rah YC, Kim DW, Kim SW, Han DH, Kong IG, et al. Impact of tonsillectomy on pediatric psychological status. Int J Pediatr Otorhinolaryngol 2008;72:1359-63.
  • Stelter K, Hiller J, Hempel JM, Berghaus A, Hagedorn H, Andratschke M, et al. Comparison of two different local anaesthetic infiltrations for postoperative pain relief in tonsillectomy: a prospective, randomised, double blind, clinical trial. Eur Arch Otorhinolaryngol 2010;267:1129-34.
  • Lavy JA. Post-tonsillectomy pain: the difference between younger and older patients. Int J Pediatr Otorhinolaryngol 1997;42:11-5.
  • Ernst E, Fialka V. Ice freezes pain? A review of the clinical effectiveness of analgesic cold therapy. J Pain Symptom Manage 1994;9:56-9.
  • Freeman SB, Markwell JK. Sucralfate in alleviating post- tonsillectomy pain. Laryngoscope 1992;102:1242-6.
  • Sertel S, Herrmann S, Greten HJ, Haxsen V, El-Bitar S, Simon CH, et al. Additional use of acupuncture to NSAID effectively reduces post-tonsillectomy pain. Eur Arch Otorhinolaryngol 2009;266:919-25.
  • Dhiwakar M, Clement WA, Supriya M, McKerrow W. Antibiotics to reduce post-tonsillectomy morbidity. Cochrane Database Syst Rev 2012;12:CD005607.
  • Lombard B, Tomasi M, Charpentier P, Drouet Y, Salgas P. Evaluation of transcutaneous electrostimulation in the management of post-tonsillectomy pain in adults. Rev Laryngol Otol Rhinol (Bord) 1996;117:89-92.
  • Ozlugedik S, Genc S, Unal A, Elhan AH, Tezer M, Titiz A. Can postoperative pains following tonsillectomy be relieved by honey? A prospective, randomized, placebo controlled preliminary study. Int J Pediatr Otorhinolaryngol 2006;70:1929-34.
  • Ghazali FC. Morphological characterization study of Malaysian honey. Annals of Microscopy 2009;9:93-101.
  • Tumin N, Halim AN, Shahjahan M, Noor Izani NJ. Antibacterial activity of local Malaysian honey. Malay J Pharm Sci 2005;3:1-10.
  • Nasir NA, Halim AS, Singh KK, Dorai AA, Haneef MN. Antibacterial properties of tualang honey and its effect in burn wound management: a comparative study. BMC Complement Altern Med 2010;10:31.
  • Khalil MI, Alam N, Moniruzzaman M, Sulaiman SA, Gan SH. Phenolic content and anti oxidant capacity of Malaysian Tualang honey. Journal of ApiProduct and ApiMedical Science 2010;2:31-60.
  • Myles PS, Troedel S, Boquest M, Reeves M. The pain visual analog scale: is it linear or nonlinear? Anesth Analg 1999;89:1517-20.
  • Mutiso MD, Macharia IM. Single intraoperative intravenous Co-Amoxiclav versus postoperative full oral course in prevention of postadenotonsillectomy morbidity: a randomised clinical trial. BMC Ear Nose Throat Disord 2011;11:9.
  • Crandall M, Savedra M. Multidimensional assessment using the adolescent pediatric pain tool: a case report. J Spec Pediatr Nurs 2005;10:115-23.
  • Salanterä S, Lauri S, Salmi TT, Aantaa R. Nursing activities and outcomes of care in the assessment, management, and documentation of children's pain. J Pediatr Nurs 1999;14:408-15.
There are 19 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Baharudin Abdullah This is me

Norhafiza Mat Lazim This is me

Rosdan Salim This is me

Publication Date July 19, 2015
Published in Issue Year 2015 Volume: 25 Issue: 3

Cite

APA Abdullah, B., Lazim, N. M., & Salim, R. (2015). The effectiveness of Tualang honey in reducing post-tonsillectomy pain. The Turkish Journal of Ear Nose and Throat, 25(3), 137-143.
AMA Abdullah B, Lazim NM, Salim R. The effectiveness of Tualang honey in reducing post-tonsillectomy pain. Tr-ENT. July 2015;25(3):137-143.
Chicago Abdullah, Baharudin, Norhafiza Mat Lazim, and Rosdan Salim. “The Effectiveness of Tualang Honey in Reducing Post-Tonsillectomy Pain”. The Turkish Journal of Ear Nose and Throat 25, no. 3 (July 2015): 137-43.
EndNote Abdullah B, Lazim NM, Salim R (July 1, 2015) The effectiveness of Tualang honey in reducing post-tonsillectomy pain. The Turkish Journal of Ear Nose and Throat 25 3 137–143.
IEEE B. Abdullah, N. M. Lazim, and R. Salim, “The effectiveness of Tualang honey in reducing post-tonsillectomy pain”, Tr-ENT, vol. 25, no. 3, pp. 137–143, 2015.
ISNAD Abdullah, Baharudin et al. “The Effectiveness of Tualang Honey in Reducing Post-Tonsillectomy Pain”. The Turkish Journal of Ear Nose and Throat 25/3 (July 2015), 137-143.
JAMA Abdullah B, Lazim NM, Salim R. The effectiveness of Tualang honey in reducing post-tonsillectomy pain. Tr-ENT. 2015;25:137–143.
MLA Abdullah, Baharudin et al. “The Effectiveness of Tualang Honey in Reducing Post-Tonsillectomy Pain”. The Turkish Journal of Ear Nose and Throat, vol. 25, no. 3, 2015, pp. 137-43.
Vancouver Abdullah B, Lazim NM, Salim R. The effectiveness of Tualang honey in reducing post-tonsillectomy pain. Tr-ENT. 2015;25(3):137-43.