A comparative study on the effect of pre incisional versus postoperative peritonsillar infiltration of 0 point 75 percentage ropivacaine among paediatric patients undergoing coblation tonsillectomy.

This study aims to compare the effect of pre incisional verses post operative peritonsillar infiltration of 0 point 7 percent ropivacaine on post tonsillectomy pain in pediatric patients undergoing coblation tonsillectomy full stop post operative pain is a major cause of morbidity following tonsillectomy in children and may delay oral intake and recovery full stop Although local infiltration analgesia has been used to reduce pain limited evidence exists regarding the optimal timing of ropivacaine infiltration especially in coblation tonsillectomy full stop

This prospective study will include children aged 3 to 17 years diagnosed with chronic tonsillitis and planned for coblation tonsillectomy full stop Participants will be randomized into two groups full stop Group A will receive preincisonal peritonsillar infiltration of 0 point 75 percent ropivacaine at a dose of 0 point 2 milgram per kilogram full stop Group B will receive post operative infiltration of the same dose full stop Post operative pain will be assessed using Wong Baker FACES pain scale at 4 hours coma 6 hours coma 24 hours and on the seventh post operative day full stop Time to initiation of oral intake and parental satisfaction will also be recorded full stop

The study aims to determine whether the timing of ropivacaine infiltration provides better postoperative pain relief and facilitates early recovery in children undergoing coblation tonsillectomy full stop