Post-tonsillectomy pain is an undesirable complication that can affect a patient’s emotion and daily activity. There have been many studies on different surgical techniques and medications to find the best treatment to alleviate pain in post-tonsillectomy patients. This study aims to compare the effectiveness of oral gargle and throat spray as different modes of delivery of benzydamine hydrochloride in post-tonsillectomy pain control. We focused on local analgesia using different methods of delivery. A total of 92 patients aged between 13 and 40 who underwent tonsillectomy with or without adenotonsillectomy, were included. They were randomly divided into two groups: gargle group and spray group, with 46 patients in each group. Pain score using Visual Analogue Score (VAS) was assessed for both groups at least six hours post operation as the baseline pain score, followed by assessments at days 1, 4 and 7. There was a significant difference in the VAS pain scores between the two modes of benzydamine hydrochloride delivery. The gargle group reported higher pain scores compared to the throat spray group (p < 0.001). In conclusion, using throat spray as a method to deliver local analgesia provides greater benefit in pain control for post-tonsillectomy patients, to the use of oral gargle. So, we can consider prescribing throat spray for treating the post-tonsillectomy pain perhaps it can prevent further complications such as dehydration, infection and bleeding.

Introduction: The rapid mutation rate of influenza virus results in recurring outbreaks, affecting vulnerable age groups. Although teenagers are not a priority group for the vaccine, they are at risk of getting influenza, especially if they live in dormitories, where an outbreak could easily occur due to close proximity. This study aimed to evaluate the knowledge, attitudes and practices towards influenza vaccination among teenagers aged 13-17 from a boarding school in Negeri Sembilan, Malaysia. Materials and Methods: This survey was done using an online questionnaire distributed via a Google form to randomly selected students in a boarding school. The questionnaire consisted of questions regarding knowledge, attitude and practices of influenza and vaccination. Results: The 260 respondents revealed that they primarily obtained influenza information from social media and personal connections. Majority had good knowledge, while just over 50% showed good attitude and practice. There was no significant association between sociodemographic and knowledge status, but a significant relationship between attitude and gender was found. Conclusions: Malaysian teenagers possess a good understanding of influenza but often confuse it with the common cold. Improved public education on influenza and infection control, particularly in congested areas, is required to reduce the rate of infection and increase vaccination uptake.