Dr Heatley provides an accurate and unbiased review of the use of perioperative intravenous steroids for tonsillectomy and cites the most appropriate and germane articles in the recent literature. Most of the data are from the pediatric age group, and dexamethasone is the most common steroid administered in a dose range of 0.5 to 1.0 mg/kg as a single dose. Although a variety of postoperative symptoms were evaluated, the most significant response was in the control of nausea and emesis, resulting in earlier intake by mouth. Thus if one concentrates on emesis alone, the benefit of steroids follows a statistical trend for a positive result with no significant adverse effects.
Hengerer AS. Do Intravenous Steroids Play a Role for Tonsillectomy Patients?. Arch Otolaryngol Head Neck Surg. 2001;127(8):1010. doi:10.1001/archotol.127.8.1010