{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T17:44:07Z","timestamp":1763142247370,"version":"3.37.3"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T00:00:00Z","timestamp":1710806400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Tonsillectomy is one of the most common operations performed by otorhinolaryngology surgeons worldwide; however, the insufficient quality of the postoperative pain management and effective posttonsillectomy pain relief remain a clinical dilemma.<\/jats:p><jats:p>\n          Objective\u2003To evaluate the efficacy of applying bismuth iodine paraffin paste (BIPP) to the dissected fossa as an adjuvant therapy for a better outcome in terms of posttonsillectomy pain management and due to its wound healing properties.<\/jats:p><jats:p>\n          Methods\u2003The present is a prospective randomized control pilot study with 44 patients aged\u2009&gt;\u20097 years who underwent tonsillectomy. The patients were divided into two groups: the control group and the group that had BIPP applied to the dissected tonsillar fossa. The visual analogue scale score and the post-onsillectomy percentage of tonsillar fossa epithelization were recorded and evaluated.<\/jats:p><jats:p>\n          Results\u2003Both subjectively and objectively, there a was statistically significant pain-relieving effect in the BIPP group within the first 5 postoperative days (p\u2009&lt;\u20090.05). From postoperative day 3 onward, the dissected area of the tonsillar fossa healed significantly faster in the BIPP group compared with the control group, and it became stable on day 14.<\/jats:p><jats:p>\n          Conclusion\u2003The topical application of BIPP showed a better pain-relieving effect, it was safe, and hastened wound healing after tonsillectomy.<\/jats:p>","DOI":"10.1055\/s-0043-1777295","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T23:38:07Z","timestamp":1710891487000},"page":"e440-e450","source":"Crossref","is-referenced-by-count":2,"title":["Posttonsillectomy Pain Relief and Wound Healing by Applying Bismuth Iodoform Paraffin Paste (BIPP) to Dissected Tonsillar Beds"],"prefix":"10.1055","volume":"28","author":[{"given":"Rahimah","family":"Idris","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, Pantai Hospital Laguna Merbok, Bandar Laguna Merbok, Sungai Petani, Kedah, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8196-321X","authenticated-orcid":false,"given":"Ramiza Ramza","family":"Ramli","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wan NorSyafiqah W","family":"Yaacob","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2982-660X","authenticated-orcid":false,"given":"Shahid","family":"Hassan","sequence":"additional","affiliation":[{"name":"International Medical University (IMU) Centre for Education, International Medical University, Bukit Jalil, Kuala Lumpur, 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