A prospective, randomized, double-blind study to determine the postope
rative efficacy of steroids in tonsillectomy was performed in 49 child
ren. A single dose of intravenous dexamethasone or placebo was adminis
tered after each child was anesthetized. Postoperatively each child wa
s examined for objective signs of trismus (measured by interincisor di
stance), temperature elevation, and weight loss, as well as for subjec
tive signs of mouth odor, oral intake, pain, level of activity, and an
algesic usage. There were no statistical differences noted in ony of t
he variables compared in the two groups and the complication rates wer
e also similar.