Pharyngo-laryngeal discomfort after breast surgery: Comparison between orotracheal intubation and laryngeal mask

Abstract

Sore throat and dysphonia are a significant source of postoperative discomfort for patients scheduled for breast surgery who have been intubated for general anaesthesia. The aim of this study was to compare the incidence of postoperative pharyngo-laryngeal pain and dysphonia in the use of the laryngeal mask airway (LMA) or tracheal intubation in these patients. In a prospective, double-blind, randomised clinical trial we studied 53 women undergoing elective breast surgery to test the hypothesis that the use of the LMA could reduce the incidence of pharyngo-laryngeal morbidity compared with tracheal intubation. Postoperative sore throat and hoarseness were assessed at 6 and 24h by a standardised interview. The incidence of postoperative sore throat was significantly higher in the case of tracheal intubation at 6h (74% vs. 27%, p=0.0003) and at 24h (27% vs. 0%, p=0.004). The incidence of hoarseness was significantly higher in the tracheal intubation group than in the LMA group at 6h after surgery (40% vs. 15%, p=0.04), but not at 24h. Compared with tracheal intubation, the use of the LMA is associated with a lower incidence of postoperative sore throat and hoarseness and may contribute for improving patient comfort after breast surgery.

A Comparison of Laryngeal Mask Airway-Supreme and Endotracheal Tube Use with respect to Airway Protection in Patients Undergoing Septoplasty: A Randomized, Single-blind, Controlled Clinical Trial

“…Similarly, Radu et al compared ETT and LMA use in breast surgery patients and found incidences of sore throat at the 6 th postoperative hour to be significantly higher with the ETT [30]. In contrast, in our study, sore throat complaints were significantly lower in the LMA-S group at the 2 nd , 6 th , and 12 th postoperative hours (p = 0.003, p = 0.017 and p < 0.001, respectively).…”

The paravertebral lamina technique: a new regional anesthesia approach for breast surgery

“…Subsequently, the surgical procedure was performed during general anesthesia (with a single dose of 15 µg/kg of alfentanil for endotracheal intubation) or (without any opioids) using a Laryngeal Mask Airway [20] to provide patient comfort and immobilized surgical conditions in the beach chair position. By the end of the operation, one single dose of the nonsteroidal anti-inflammatory drug metamizole (15 mg/kg) was administered.…”

Is Neuromuscular Blocker Necessary in Pediatric Patients Undergoing Laparoscopic Inguinal Hernia Repair with Percutaneous Internal Ring Suturing?

“…The frequency of respiratory complications is generally lower with LMA compared with ETT. 24 The minor laryngopharyngeal morbidity is similar to that in ETT, but cough and hoarseness are less common in LMA. In our study, all airway complications were more prevalent in the ETT group.…”