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

Meirong Wang; Zhipeng Li; Huibi Ouyang; Chuiliang Liu

doi:doi:10.11648/j.ijacm.20200801.14

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

Meirong Wang, Zhipeng Li, Huibi Ouyang, Chuiliang Liu

Published in International Journal of Anesthesia and Clinical Medicine (Volume 8, Issue 1)

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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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
AU - Huibi Ouyang
AU - Chuiliang Liu
Y1 - 2020/03/17
PY - 2020
N1 - https://doi.org/10.11648/j.ijacm.20200801.14
DO - 10.11648/j.ijacm.20200801.14
T2 - International Journal of Anesthesia and Clinical Medicine
JF - International Journal of Anesthesia and Clinical Medicine
JO - International Journal of Anesthesia and Clinical Medicine
SP - 14
EP - 17
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

Meirong Wang

Department of Anesthesiology, Chancheng District Central Hospital, Foshan, China
Zhipeng Li

Department of Anesthesiology, Chancheng District Central Hospital, Foshan, China
Huibi Ouyang

Department of Anesthesiology, Chancheng District Central Hospital, Foshan, China
Chuiliang Liu

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

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Plain Text BibTeX RIS

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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