Evidence map›Paper›PMID 42304671›Full record

SynthesisJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale

Efficacy and Safety of Topical Sucralfate for Post-Tonsillectomy Pain in Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Rasil H Almughamisi, Ahmad Alkurdi, Shahad A Aljohani, Amal M Sunyur, Ruba M Aljohani, Salwa A Abualnassr, Aryam R Aljabri, Aseel O Alsubhi, Bushra N Alrehaili

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Efficacy and Safety of Topical Sucralfate for Post-Tonsillectomy Pain in Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rasil H AlmughamisiCollege of Medicine, Taibah University, Medina, Saudi Arabia.ORCID 0000-0002-4971-4966
Ahmad AlkurdiOtolaryngology - Head and Neck Surgery, Prince Mohammed Bin Abdulaziz Hospital, Medina, Saudi Arabia.
Shahad A AljohaniCollege of Medicine, Taibah University, Medina, Saudi Arabia.
Amal M SunyurCollege of Medicine, Taibah University, Medina, Saudi Arabia.
Ruba M AljohaniCollege of Medicine, Taibah University, Medina, Saudi Arabia.
Salwa A AbualnassrCollege of Medicine, Taibah University, Medina, Saudi Arabia.
Aryam R AljabriCollege of Medicine, Taibah University, Medina, Saudi Arabia.
Aseel O AlsubhiCollege of Medicine, Taibah University, Medina, Saudi Arabia.ORCID 0009-0002-1457-426X
Bushra N AlrehailiCollege of Medicine, Taibah University, Medina, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importancePost-tonsillectomy pain remains difficult to manage in children despite standard analgesia. Topical sucralfate may reduce pain by coating the tonsillar bed and promoting mucosal recovery.

objectiveTo evaluate the efficacy and safety of topical sucralfate in reducing post-tonsillectomy pain and accelerating recovery in children.

designSystematic review and meta-analysis of randomized controlled trials.

settingPubMed, Web of Science, Cochrane Library, and Google Scholar were searched until July 2025.

participantsChildren aged ≤18 undergoing tonsillectomy.

interventionsTopical sucralfate applied to the tonsillar bed intraoperatively or given postoperatively as an oral rinse. MAIN OUTCOMES AND MEASURES: The overall effect size for the primary outcome (postoperative pain during the first postoperative week) was presented as standardized mean differences (SMDs), while secondary outcomes (analgesic use, return to oral intake, and adverse events) were reported as descriptive comparisons across trials.

resultsSix randomized trials involving 485 children aged 3 to 12 years were included. Topical sucralfate reduced postoperative pain, with the greatest benefit observed from postoperative day 2 onward compared with placebo. On postoperative day 1, sucralfate lowered pain scores (5 trials; n = 432; SMD, -1.01; 95% confidence interval, -1.45 to -0.57;

conclusionsTopical sucralfate is a safe and effective adjunct after pediatric tonsillectomy. It reduces early postoperative pain and improves functional recovery. RELEVANCE: These findings support topical sucralfate as a simple, low-cost option for postoperative analgesia in children. Larger trials are needed to confirm these benefits.

Indexed as

Anti-Ulcer AgentsPostoperative PainSucralfateTonsillectomyAdministration, TopicalChildChild, PreschoolHumansRandomized Controlled Trials as TopicTreatment OutcomeAnti-Ulcer AgentsSucralfatechildrenpostoperative painrandomized controlled trialssucralfatetonsillectomy

Identifiers

PMID42304671
PMCPMC13272857

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.