• Moayad Naji Majeed Assistant prof. paediatric department. THiqar college of medicine
  • Mushtaq Nemaa ENT specialist lecturer Thiqar College of Medicine
  • Ali Abid Saadoon Al –Guzi Lecturer Community department Thiqar college of medicine


Tonsillectomy, Hydrogen peroxide, Haemostasis


Objectives: Tonsillectomy is one of the operations most frequently performed by otolaryngologists, who are in search of a technique of tonsillectomy where the operation time and operative blood loss is reduced. This study was carried out to evaluate the effect of hydrogen peroxide 3%  in comparison with iced normal saline on tonsillectomy times, blood loss during the surgery and on the number of packs used. Methods:  Analytical cross sectional study was performed on thirty patients was carried out in the Department of Otolaryngology of AL-Habbobi General Hospital,AL-Nassyria, Iraq, in the period from the 1st week of  March 2010  till the last week of November 2010. Tonsillectomy was performed using hydrogen peroxide 3% as a haemostatic agent in Group A(n = 15 tonsils), while in Group B (n = 15 tonsils) iced normal saline was used where as no agent was used with the gauze pack in GroupC(n=30 tonsils).  Results: The application of pack socked with hydrogen peroxide 3% or iced saline in the tonsillar  fossae reduced the operation time , the operative blood loss  and also reduced the number of packs used  in Group A and B in comparison with  non agent method . The results were statistically significant. Conclusion: The local application of 3% hydrogen peroxide on the tonsillar bed after tonsillectomy is beneficial  to decreasing  the volume of blood loss more than other applications;while no significant difference between group A and B  regarding  the number of packs used and duration of operation


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