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Possible Association With Injections in Tonsillar Fossae

Philip P. Ellis, MD

Arch Otolaryngol. 1968;87(4):436-438.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE INFILTRATION of a combined penicillin, lidocaine, and methylprednisolone suspension into the tonsillar fossae after tonsillectomy has been employed to relieve postoperative pain and infection.^1,2 The procedure has been used successfully in several thousand patients with no apparent significant complications.

This communication describes the occurrence of permanent visual loss in a 6-year-old boy following an uncomplicated tonsillectomy with infiltration of a suspension of penicillin, lidocaine, and methylprednisolone into the tonsillar fossa after each tonsil was removed. The possible but unproved relationship is discussed.

Report of a Case

A 6-year-old boy with a long history of sore throats and severe earaches was admitted to a private hospital in Denver, Colorado, for a tonsillectomy, adenoidectomy, and myringotomy. The patient had received intramuscular penicillin for three weeks before hospitalization.

There was no history of visual difficulties, allergies, or bleeding tendencies. Left myringotomy had been performed two months earlier. Preoperative physical examination was . . . [Full Text PDF of this Article]

Author Affiliations
Denver

From the Division of Ophthalmology, Department of Surgery, University of Colorado Medical Center, Denver.

Footnotes
Accepted for publication Dec 5, 1967.

Reprint requests to 4200 E Ninth Ave, Denver 80222.

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