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65 (95% CI -0.77; -0.53)]; 24 hours [-0.50 (95% CI -0.66, -0.35)] and 5-7 days [-0.78 (95% CI -0.90, -0.65)] (standardised mean differences). CONCLUSION Current studies suggest that use of peri-operative local anaesthetic during tonsillectomy does improve post-operative pain outcomes. The limitations of the analysis; all studies are small and a multi-centred larger trial is recommended to guarantee statistical reliability. There were no description of significant adverse side effects from local anaesthetic use. This article is protecte