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Presentations Description
Institution: Tamworth Hospital - NSW, Australia
Aims: To determine whether chin-tuck manoeuvres reduce painful swallowing (odynophagia) during the four-week post-tonsillectomy recovery period.
Methods: We conducted a prospective survey of 50 consecutive patients aged over five years (range 5–65) undergoing tonsillectomy or tonsillotomy. During the four-week postoperative period, participants completed a structured questionnaire assessing whether adopting a chin-tuck manoeuvre during swallowing reduced odynophagia compared with their neutral head and neck position. Each participant served as their own control. Descriptive statistics were used to report the proportion of patients experiencing symptom improvement.
Results: Twenty-five patients (50 per cent) reported a reduction in odynophagia when performing the chin-tuck manoeuvre compared with the neutral position. No adverse effects related to the manoeuvre were reported. The remaining participants noted no change in symptoms.
Conclusion: Half of the cohort experienced clinically meaningful symptom relief by modifying head position during swallowing. Chin-tuck manoeuvres offer a simple, low-risk conservative strategy that may be incorporated into post-tonsillectomy care to reduce odynophagia. Further controlled studies are warranted to evaluate optimal technique and identify patient subgroups most likely to benefit.
Conflict of Interest: None declared.
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Dr Keith Potent -
