Locoregional strategies to decrease postoperative pain and neck discomfort after open thyroidectomy: A scoping review

Alvaro Sanabria; Carlos Betancourt; Carlos Chiesa-Estomba; Andrés Coca-Pelaz; Ewa Florek; Orlando Guntinas-Lichius; Fernando Lopez; Antti A. Mäkitie; Iain J. Nixon; Gregory Randolph; Alessandra Rinaldo; Juan Pablo Rodrigo; Ashok R. Shaha; Ralph P. Tufano; Mark Zafereo; Alfio Ferlito

doi:10.1002/hed.27392

Locoregional strategies to decrease postoperative pain and neck discomfort after open thyroidectomy: A scoping review

Alvaro Sanabria, Carlos Betancourt, Carlos Chiesa-Estomba, Andrés Coca-Pelaz, Ewa Florek, Orlando Guntinas-Lichius, Fernando Lopez, Antti A. Mäkitie, Iain J. Nixon, Gregory Randolph, Alessandra Rinaldo, Juan Pablo Rodrigo, Ashok R. Shaha, Ralph P. Tufano, Mark Zafereo, Alfio Ferlito

Head & Neck Surgery

Research output: Contribution to journal › Review article › peer-review

1 Scopus citations

Abstract

Adequate pain control enhances patients' quality of life and allows a quick return to normal activities. Current pain management practices may contribute to the crisis of opioid addiction. We summarize the evidence that evaluates locoregional interventions to decrease pain and neck discomfort after thyroidectomy. We designed a scoping review. The search strategy was made in the Pubmed/MEDLINE and EMBASE database. We included only systematic reviews and RCTs that compared two or more strategies. Forty-nine publications including 5045 patients fulfilled criteria. Sore throat frequency is higher for endotracheal intubation and topical administration of anesthetic before intubation decreases this. Pre-incisional infiltration of the surgical wound decreases postoperative pain. Bilateral superficial plexus nerve block decreases analgesic requirements during and after thyroidectomy. Wound massage and neck exercises decrease postoperative discomfort. Locoregional interventions significantly impact postoperative pain and may reduce opioid use and improve patient outcomes.

Original language	English (US)
Pages (from-to)	1841-1855
Number of pages	15
Journal	Head and Neck
Volume	45
Issue number	7
DOIs	https://doi.org/10.1002/hed.27392
State	Published - Jul 2023

Keywords

anesthetics
infiltration
nerve blocking
pain
thyroid gland
thyroidectomy

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/hed.27392

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Sanabria, A., Betancourt, C., Chiesa-Estomba, C., Coca-Pelaz, A., Florek, E., Guntinas-Lichius, O., Lopez, F., Mäkitie, A. A., Nixon, I. J., Randolph, G., Rinaldo, A., Rodrigo, J. P., Shaha, A. R., Tufano, R. P., Zafereo, M., & Ferlito, A. (2023). Locoregional strategies to decrease postoperative pain and neck discomfort after open thyroidectomy: A scoping review. Head and Neck, 45(7), 1841-1855. https://doi.org/10.1002/hed.27392

Sanabria, A, Betancourt, C, Chiesa-Estomba, C, Coca-Pelaz, A, Florek, E, Guntinas-Lichius, O, Lopez, F, Mäkitie, AA, Nixon, IJ, Randolph, G, Rinaldo, A, Rodrigo, JP, Shaha, AR, Tufano, RP, Zafereo, M & Ferlito, A 2023, 'Locoregional strategies to decrease postoperative pain and neck discomfort after open thyroidectomy: A scoping review', Head and Neck, vol. 45, no. 7, pp. 1841-1855. https://doi.org/10.1002/hed.27392

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Locoregional strategies to decrease postoperative pain and neck discomfort after open thyroidectomy: A scoping review

Abstract

Keywords

ASJC Scopus subject areas

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