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Treatment of Postoperative Sore Throat with Ultrasound-guided Internal Branch of Superior Laryngeal Nerve Block: A Report of Three Cases

Received: 13 February 2020     Accepted: 25 February 2020     Published: 17 March 2020
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Abstract

Background Postoperative sore throat (POST) is a common problem following extubation after general anesthesia (GA). Severe POST leads to dissatisfaction and discomfort for a longer period, are resistant to current medical treatment. Method POST was measured after extubation 30 min, 2 h, 4 h, 6 h and 24 h. We present three cases of severe hoarseness or aphonia after extubation. A 8–13 MHz high frequency linear probe ultrasound transducer was used to visualize the internal branch of superior laryngeal nerve block (ibSLNB), which through thyrohyoid membrane between hyoid bone and thyroid cartilage. By out-plane technique, 2 mL of 2% lidocaine was injected around ibSLNB on each side. Result The three cases with severe POST was successfully treated with ultrasound-guided bilateral ibSLNB within 5 min, and their voice rapidly became louder and clearer. POST was significantly disappeared for 2-4 hours, and subsequently the resurfaced throat pain was milder, only needed or no anti-inflammatory drugs. No choking or aspiration was observed after ibSLNB when they were asked to swallow 20 ml of liquid 2 h post-operation. No postoperative laryngospasm or vomiting were recorded. Conclusion The ultrasound-guided bilateral ibSLNB may be a valid alternative to drugs, especially in serious acute POST after extubation.

Published in International Journal of Anesthesia and Clinical Medicine (Volume 8, Issue 1)
DOI 10.11648/j.ijacm.20200801.14
Page(s) 14-17
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Postoperative Sore Throat, Ultrasound-guided, Superior Laryngeal Nerve Block, Extubation

References
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[2] Lehmann M, Monte K, Barach P, et al. Postoperative patient complaints: a prospective interview study of 12, 276 patients. J Clin Anesth, 2010, 22 (1): 13-21.
[3] Aqil M, Khan MU, Mansoor S, et al. Incidence and severity of postoperative sore throat: a randomized comparison of Glidescope with Macintosh laryngoscope. BMC Anesthesiol, 2017, 17 (1): 127-134.
[4] Biro P, Seifert B, Pasch T. Complaints of sore throat after tracheal intubation: a prospective evaluation. Eur J Anaesthesiol, 2005, 22: 307-311.
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[10] Liu X R, Zhan D X. Effect of hydroprednisone plus parecoxib sodium on preventing postoperative sore throat after tracheal intubation with a double-lumen endobronchial tube. J Clin Anesth, 2013, 29 (8): 746-748.
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[13] Ahmed A, Saad D, Youness A R. Superior laryngeal nerve block as an adjuvant to general anesthesia during endoscopic laryngeal surgeries: A randomized controlled trial. Egy J Anaesth, 2015, 31 (2): 167-174.
[14] Manikandan S, Neema PK, Rathod RC. Ultrasound-guided bilateral superior laryngeal nerve block to aid awake endotracheal intubation in a patient with cervical spine disease for emergency surgery. Anaesth Intensive Care, 2010, 38 (5): 946-948.
[15] Iida T, Suzuki A, Kunisawa T, et al. Ultrasound-guided superior laryngeal nerve block and translaryngeal block for awake tracheal intubation in a patient with laryngeal abscess. J Anesthesia, 2013, 27 (2): 309-310.
[16] Felfernig M, Marhofer P, Weintraud M, et al. Use of ropivacaine and lidocaine for axillary plexus blockade. Afr J Paediatr Surg, 2010, 7 (2): 101-104.
[17] Jaensson M, Olowsson LL, Nilsson U. Endotracheal tube size and sore throat following surgery: a randomized-controlled study. Acta Anaesthesiol Scand, 2010, 54 (2): 147-153.
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Cite This Article
  • APA Style

    Meirong Wang, Zhipeng Li, Huibi Ouyang, Chuiliang Liu. (2020). Treatment of Postoperative Sore Throat with Ultrasound-guided Internal Branch of Superior Laryngeal Nerve Block: A Report of Three Cases. International Journal of Anesthesia and Clinical Medicine, 8(1), 14-17. https://doi.org/10.11648/j.ijacm.20200801.14

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    ACS Style

    Meirong Wang; Zhipeng Li; Huibi Ouyang; Chuiliang Liu. Treatment of Postoperative Sore Throat with Ultrasound-guided Internal Branch of Superior Laryngeal Nerve Block: A Report of Three Cases. Int. J. Anesth. Clin. Med. 2020, 8(1), 14-17. doi: 10.11648/j.ijacm.20200801.14

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    AMA Style

    Meirong Wang, Zhipeng Li, Huibi Ouyang, Chuiliang Liu. Treatment of Postoperative Sore Throat with Ultrasound-guided Internal Branch of Superior Laryngeal Nerve Block: A Report of Three Cases. Int J Anesth Clin Med. 2020;8(1):14-17. doi: 10.11648/j.ijacm.20200801.14

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  • @article{10.11648/j.ijacm.20200801.14,
      author = {Meirong Wang and Zhipeng Li and Huibi Ouyang and Chuiliang Liu},
      title = {Treatment of Postoperative Sore Throat with Ultrasound-guided Internal Branch of Superior Laryngeal Nerve Block: A Report of Three Cases},
      journal = {International Journal of Anesthesia and Clinical Medicine},
      volume = {8},
      number = {1},
      pages = {14-17},
      doi = {10.11648/j.ijacm.20200801.14},
      url = {https://doi.org/10.11648/j.ijacm.20200801.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20200801.14},
      abstract = {Background Postoperative sore throat (POST) is a common problem following extubation after general anesthesia (GA). Severe POST leads to dissatisfaction and discomfort for a longer period, are resistant to current medical treatment. Method POST was measured after extubation 30 min, 2 h, 4 h, 6 h and 24 h. We present three cases of severe hoarseness or aphonia after extubation. A 8–13 MHz high frequency linear probe ultrasound transducer was used to visualize the internal branch of superior laryngeal nerve block (ibSLNB), which through thyrohyoid membrane between hyoid bone and thyroid cartilage. By out-plane technique, 2 mL of 2% lidocaine was injected around ibSLNB on each side. Result The three cases with severe POST was successfully treated with ultrasound-guided bilateral ibSLNB within 5 min, and their voice rapidly became louder and clearer. POST was significantly disappeared for 2-4 hours, and subsequently the resurfaced throat pain was milder, only needed or no anti-inflammatory drugs. No choking or aspiration was observed after ibSLNB when they were asked to swallow 20 ml of liquid 2 h post-operation. No postoperative laryngospasm or vomiting were recorded. Conclusion The ultrasound-guided bilateral ibSLNB may be a valid alternative to drugs, especially in serious acute POST after extubation.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Treatment of Postoperative Sore Throat with Ultrasound-guided Internal Branch of Superior Laryngeal Nerve Block: A Report of Three Cases
    AU  - Meirong Wang
    AU  - Zhipeng Li
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    AU  - Chuiliang Liu
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    T2  - International Journal of Anesthesia and Clinical Medicine
    JF  - International Journal of Anesthesia and Clinical Medicine
    JO  - International Journal of Anesthesia and Clinical Medicine
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    PB  - Science Publishing Group
    SN  - 2997-2698
    UR  - https://doi.org/10.11648/j.ijacm.20200801.14
    AB  - Background Postoperative sore throat (POST) is a common problem following extubation after general anesthesia (GA). Severe POST leads to dissatisfaction and discomfort for a longer period, are resistant to current medical treatment. Method POST was measured after extubation 30 min, 2 h, 4 h, 6 h and 24 h. We present three cases of severe hoarseness or aphonia after extubation. A 8–13 MHz high frequency linear probe ultrasound transducer was used to visualize the internal branch of superior laryngeal nerve block (ibSLNB), which through thyrohyoid membrane between hyoid bone and thyroid cartilage. By out-plane technique, 2 mL of 2% lidocaine was injected around ibSLNB on each side. Result The three cases with severe POST was successfully treated with ultrasound-guided bilateral ibSLNB within 5 min, and their voice rapidly became louder and clearer. POST was significantly disappeared for 2-4 hours, and subsequently the resurfaced throat pain was milder, only needed or no anti-inflammatory drugs. No choking or aspiration was observed after ibSLNB when they were asked to swallow 20 ml of liquid 2 h post-operation. No postoperative laryngospasm or vomiting were recorded. Conclusion The ultrasound-guided bilateral ibSLNB may be a valid alternative to drugs, especially in serious acute POST after extubation.
    VL  - 8
    IS  - 1
    ER  - 

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Author Information
  • Department of Anesthesiology, Chancheng District Central Hospital, Foshan, China

  • Department of Anesthesiology, Chancheng District Central Hospital, Foshan, China

  • Department of Anesthesiology, Chancheng District Central Hospital, Foshan, China

  • Department of Anesthesiology, Chancheng District Central Hospital, Foshan, China

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