Postoperative sore throat in patients undergone head and neck surgeries under endotracheal intubation and laryngeal mask anaesthesia
Keywords:Pain score, Postoperative sore throat, Endotracheal tube, Laryngeal mask, Pharynx, Larynx
Background: Postoperative sore throat (POST) is a frequent complaint among the subjects undergoing head and neck surgeries. Orotracheal intubation with the endotracheal tube (ETT) and laryngeal mask (LM) was used for anaesthesia. This study was aimed to analyze the effect of variation in cuff pressure and size of ETT and LM mask anaesthesia on post-surgical pain.
Methods: Patients (ages of 10-79) who underwent head and neck surgeries by ETT intubation and LM anaesthesia were included in the study. The pain was measured as pain score during different cuff pressure and size of tube or mask and data was statistically analyzed.
Results: Total 100 subjects of each group and both genders were included in the prospective study. No statistically significant difference could be observed among the number of cases in both groups. Among the patients, females were dominant (p = 0.405). The intensity of pain was gradually decreased during the 2nd and 3rd post surgical days in both groups. The frequency of patients with pain in the LMA group was less than that of ETT group on the 1st day. No correlation between the pain score and cuff pressure or size of ETT and LMA could be evidenced.
Conclusions: The postoperative sore throat can be effectively reduced by LMA. The pain score and frequency of patients with pain in the LMA group was less than that of ETT group. No correlation of pain score with different cuff pressure and size of tube or mask could be evidenced.
Higgins PP, Chung F, Mezei G. Postoperative sore throat after ambulatory surgery. Br J Anaesth. 2002;88:528-4.
Gupta SK, Tharwani S, Singh DK, Yadav G. Nebulized magnesium for prevention of postoperative sore throat. Br J Anaesth. 2012;108:168-9.
Andrea LB, Baker KS, Terri J. Factors Affecting the Incidence of Sore Throat Following General Anesthesia with Endotracheal Tube Versus Laryngeal Mask Airway. School of nurse anesthesia, Texas Christian University, Word Count. 2011;14:888.
Elyassi H, Mousavinasab M, Rambod M, Hashemian MR, Dabbagh A. The effects of anaesthesia method on throat pain after elective rhinoplasty. Int J Prev Med. 2011;2:275-95.
Hu B, Bao R, Wang X, Liu S, Tao T, Xie Q, et al. The size of endotracheal tube and sore throat after surgery: A systematic review and meta –analysis. PLoS One. 2013;8:744-67.
McHardy FE, Chung F. Postoperative sore throat: cause, prevention and treatment. Anaesthesia. 1999;54:444–53.
Jaensson M, Guptha A, Nilsson UG. Risk Factors for Development of Postoperative Sore Throat and Hoarseness After Endotracheal Intubation in Women: a secondary analysis. AANA J. 2012;l80:67-73.
Edomwonyi NP, Ekwere IT, Omo E, Rupasinghe A. Postoperative throat complications after tracheal intubation. Annu Afr Med. 2006;5:28-32.
Peirovifar AA, Eydi M, Mirinezhad MM. Mahmoodpoor AA, Mohammadi A,Golzari SEJ. Comparison of postoperative complications between LMA and ET during low flow anaesthesia with controlled ventilation. Pak J Med Sci. 2013;29:601-5.
Dadmehr H, Negargar S, Mahmoodpoor A, Ghaderi B, Anvari H, Rahmani A. Comparison of the effects of endotracheal tube and laryngeal mask airway on immediate postoperative complications in elective operations. Shiraz E-Med J. 2010;11:191–7.
Scuderi, Phillip E MD. Postoperative sore throat: More answers than questions. Anesth Analg. 2010;111:831–2.
Zuccherelli L. Postoperative upper airway problems. Southern Afr J Anesth Analg. 2003;9:12-6.
Park SK, Ko G, Choi GJ, Ahn EJ, Kang H. Comparison between supraglottic airway devices and endotracheal tubes in patients undergoing laparoscopic surgery – a systemic review and meta-analysis. Med. 2016;95:e4598.
Phillip E S. Postoperative sore throat: More answers than questions. Anesth Analg. 2010;111:831-2.