The authors present the guidelines of the French Oto-rhino-laryngology--Head and Neck Surgery Society (SFORL) regarding pain management in children and adults following tonsillectomy. A multidisciplinary work group was entrusted with a literature review. Guidelines were drawn up based on the articles retrieved and the group members' experience. They were read over by an editorial group independent of the work group. A coordination meeting drew up the final version. Guidelines were graded A, B or C or as professional agreement in decreasing order of level of evidence. At home, non-steroid anti-inflammatory drugs (NSAIDs) are recommended in association with paracetamol in elevated respiratory risk and especially obstructive sleep apnea syndrome; in elevated hemorrhagic risk (hemostasis disorder, surgical problems, etc.), tramadol is recommended. Two other treatment schedules (modified NSAIDs and corticosteroids) have not undergone dedicated study and should be assessed. Management of post-tonsillectomy pain in children is founded on individual risk/benefit analysis.

Guidelines on the management of post-tonsillectomy pain in adults were drawn up and graded, based on the levels of evidence of selected articles and on work group consensus. The guidelines stress the importance of patient information and seek to harmonize practice, reduce the risk of postoperative complications and above all improve control of post-tonsillectomy pain in adults.

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:!/()()() Dijon. (.) Résumé. -Vn désaccord est apparu (•ntrc les auteurs apri•s dt•s c.ltucks ontogéniques de la ramification des Solanacées dans la portion fertih• dt:>s pousses, alors que des études de morphologie classique avaient amené à la conclusion d'une structure sympodiale d cela de façon très générale. Nous avons t:>ntrepris ou repris des études ontogéniques pour six t:>spècl's : So/anum pseudocapsicum, S. melongena, Lycopersicon esculentum, Datura arborea, Salpichroa rhomboidea, llrowallia speciosa, et des études morphologiques plus classiques )>our trois autres espèces : Cyphomandra abutiloides, Browallia americana, Hyoscyamus a/bus. Dans tous les cas, l'organisation de la pousse fertile est sympodialt:>.Summary.-A disagrecment appeared among au thors aft(•r they studit'd ontogt•nically the ramifications of Solanaceae in the fertile portion of shoots. So far, classical morphological studies had lt:>d to the conclusion of a general sympod.iul structure. \Vc sturled or n~sumed ontogenie studies on six specit•s : Solanum pseudocapsicum, S. me/ongena, Lycopersicon esculentum, Datura arborea, Safpicbroa rhomboidea, Browallia speciosa, and more classical morpholog:cal sindies for thrce olher spccies : Cyplwmandra abutiloides, Broum/lia americana, lluoscuamus a/bus. In ali eaSl'S, the fertile shruh had a sympodial organization. *

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