Haemostasis and analgesia with autologous platelet-rich plasma in tonsillectomy

J Laryngol Otol. 2019 Jul;133(7):615-621. doi: 10.1017/S0022215119001488. Epub 2019 Jul 12.

Abstract

Objective: A single-centre, single-blinded prospective experimental study was conducted to determine the effectiveness of autologous platelet-rich plasma applied to the tonsillar bed post-operatively in reducing post-operative pain and haemorrhage.

Methods: Platelet-rich plasma, prepared prior to surgery, was applied with calcium gluconate to one randomly chosen tonsillar fossa. Pain and haemorrhage were analysed, using a visual analogue scale and a pre-defined grading scale respectively, four times on the day of surgery at 2-hourly intervals, and thrice on the following day.

Results: The pain score and haemorrhage grade on the test side were lower than on the control side. These findings were statistically significant.

Conclusion: This pilot study, conducted in India, revealed valid positive results for a promising new technology. The manual preparation of platelet-rich plasma could be automated in the future to allow a larger sample size.

Keywords: Hemorrhage; Platelet-Rich Plasma; Tonsillectomy; Visual Analog Scale.

MeSH terms

  • Adolescent
  • Adult
  • Analgesia / methods*
  • Autografts
  • Calcium Gluconate / administration & dosage
  • Child
  • Female
  • Hemostasis
  • Humans
  • Male
  • Pain Management
  • Pilot Projects
  • Platelet Transfusion
  • Platelet-Rich Plasma / cytology*
  • Postoperative Hemorrhage / therapy*
  • Postoperative Pain / therapy*
  • Prospective Studies
  • Tonsillectomy / adverse effects*
  • Treatment Outcome
  • Young Adult

Substances

  • Calcium Gluconate