Author:
Pagliaro Salvatore,Rossi Leonardo,Meligeni Michela,Catani Letizia,Morganti Riccardo,Materazzi Gabriele,Bakkar Sohail,Montanino Antonia,Pagliaro Danilo,Scateni Monica,Pagnucci Nicola
Abstract
Abstract
Background
Thyroid diseases are one of the most common health problems worldwide. Although they represent a necessary step in order to perform thyroidectomy, hyperextension of the neck can potentially increase postoperative pain. The aim of this study is to determine a correlation between the degree of neck hyperextension on the operative table and the postoperative pain in patients undergoing open thyroidectomy.
Methods
Patients were prospectively enrolled from the cohort of patients operated at the Endocrine Surgery Unit of the University Hospital of Pisa, between May and July 2021. Both of patients who underwent total thyroidectomy or hemi-thyroidectomy were recruited. The following data were analysed in order to find a correlation with postoperative pain at 24 h: age, gender, type of surgery, BMI, operative time, and degree of neck extension.
Results
Overall, 195 patients were enrolled. A direct, statistically significant correlation emerged between the degree of neck hyperextension and the postoperative pain 24 h after surgery, regardless of the pain of the surgical wound (p < 0.001; beta 0.270).
Conclusions
A direct correlation emerges between neck tilt angle and postoperative neck pain. Moreover, total thyroidectomy (TT) predisposes more to postoperative neck pain, considering the type of surgery.
Publisher
Springer Science and Business Media LLC
Reference15 articles.
1. Alyahya A, AlNaim A, AlBahr AW, Almansour F, Elshebiny A. Knowledge of thyroid disease manifestations and risk factors among residents of the Eastern Province, Saudi Arabia. Cureus. 2021;13(1):e13035.
2. Ferrell JK, Shindo ML, Stack BC Jr, Angelos P, Bloom G, Chen AY, et al. Perioperative pain management and opioid-reduction in head and neck endocrine surgery: an American Head and Neck Society Endocrine Surgery Section consensus statement. Head Neck. 2021;43(8):2281–94.
3. Genc A, Celik SU, Genc V, Gokmen D, Tur BS. The effects of cervical kinesiotaping on neck pain, range of motion, and disability in patients following thyroidectomy: a randomized, double-blind, sham-controlled clinical trial. Turk J Med Sci. 2019;49(4):1185–91.
4. Han DW, Koo BN, Chung WY, Park CS, Kim SY, Palmer PP, et al. Preoperative greater occipital nerve block in total thyroidectomy patients can reduce postoperative occipital headache and posterior neck pain. Thyroid. 2006;16(6):599–603.
5. Jo JY, Kim YJ, Choi SS, Park J, Park H, Hahm KD. A prospective randomized comparison of postoperative pain and complications after thyroidectomy under different anesthetic techniques: volatile anesthesia versus total intravenous anesthesia. Pain Res Manag. 2021;2021:8876906.