The aim of this study is to compare the efficacy of adding paracetamol to systemic non-steroidal anti-inflammatory drugs (NSAIDs) versus adding dexamethasone as local infiltration to paracetamol on post tonsillectomy pain control.
Age: Between 4-10 years.
Recurrent acute attacks at least 7 episodes in the past year or at least 5 episodes per year for 2 years or at least 3 episodes per year for 3 years.
Chronic tonsillitis and hypertrophy of tonsils causing sleep apnea, difficulty in deglutition, interference in speech.
Tonsillectomy by cold dissection only.
Patients with age less than 4 and more than 10 years.
Indications of tonsillectomy other than chronic tonsillitis such as lymphoma.
Patients on chronic steroid therapy
Hemoglobin level less than 10 gm/dL