Tonsillectomy – A Comparative Study of GA or LA Mohammad Ashraf 1 , Sadia Ashraf 2* , Ibrahim al Jabr 3 1 Assistant Professor, Dept. of ENT, Hind Institute of Medical Sciences, Safedabad, Barabanki, Uttar Pradesh. 2 Assistant Professor, Dept. of Obst. & Gynae, Career Institute of Medical Sciences, Lucknow, Uttar Pradesh. 3 Assistant Professor, Dept. of Surgery, College of Medicine, King Faisal University, KSA. 65 | Page Original Article www.iabcr.org International Archives of BioMedical and Clinical Research | Jan-Mar 2017 | Vol 3 | Issue 1 Section – ENT ABSTRACT Background: Ethically it is our jurisdiction to decide upon the medical procedure we undertake after weighing the risk benefit ratio. Tonsillectomy is conventionally operated under general anesthesia but it has its own merits and demerits. The aim of the study was to analyse the better procedure. Methods: Hundred patients were operated in the medical college over period of two years in HIMS Barabanki and Govt medical college Kannauj. Seventy patients were operated under general anesthesia and another thirty under local anesthesia. Results: The total operation time, VAS, blood loss, complications, cost effectiveness, bed occupancy, patient turnover rate and patient satisfaction was better in surgical exercise done under local anesthesia when compared to general anesthesia. Conclusions: Tonsillectomy done under local anesthesia definitely has an edge over the general anesthesia. Key words: Tonsillectomy, General Anesthesia, Local Anesthesia. INTRODUCTION Tonsillectomy is a common operative procedure for Otorhinolaryngologist and is usually done for chronic recurrent tonsillitis, tonsillolith, papilloma tonsil, subsequent to quinsy, OSA and as approach for other procedures. In our traditional medical practice tonsils are usually operated under general anesthesia by dissection method. However, there are many different ways to remove the tonsils like coblator, laser, electrocautery, harmonic scalpel etc. Tonsillectomy under local anesthesia is not new but not preferred in children, apprehensive females, although has edge over general anesthesia in cooperative patients. The patients were very satisfied and happy to recommend others. METHODS This was a prospective study. Hundred patients were selected randomly over period of two years at HIMS, Barabanki and government medical college, Kannauj. Of the hundred patients seventy were operated under general anesthesia and thirty under local anesthesia. All the patients selected were investigated and when found medically fit were selected for study. Specific relevant investigation like platelet count and INR was analyzed. General anesthesia was given by Draggers work station with inbuilt ventilator. Nasal and oral intubation was used depending upon whether the adenoid was also to be removed or not. Local tonsillectomy was performed after spraying 10% xylocaine thrice and then painting with 4% xylocaine, lastly, we blocked the palatine nerves and superior pole, inferior pole and anterior tonsillar pillar with mixed solution of 2% injection xylocaine and 0.5% bupivacaine. Two hours before local tonsillectomy, two tablets of phnergan is given and injection fortwin and calmpose just before surgery intramuscularly. We followed our traditional dissection method and used snare to remove the tonsils in both the groups. Various parameters like time taken, blood loss, post-operative pain, complication rate and patient satisfaction was analyzed. RESULTS Access this article online Website: www.iabcr.org Quick Response code DOI: 10.21276/iabcr.2017.3.1.18 Received:14.07.15| Revised:28.07.15| Accepted:30.07.15 Corresponding Author Dr. Sadia Ashraf, Assistant Professor, Dept. of Obst. & Gynae, Career Institute of Medical Sciences, Lucknow, Uttar Pradesh. Copyright: © the author(s) and publisher. IABCR is an official publication of Ibn Sina Academy of Medieval Medicine & Sciences, registered in 2001 under Indian Trusts Act, 1882. This is an open access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.