A Prospective Randomized Controlled Trial of the Laryngeal Mask Airway Versus the Endotracheal Intubation in the Thyroid Surgery: Evaluation of Postoperative Voice, and Laryngopharyngeal Symptom

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• 作者：Byung-Joon Chun ; Ja-Sung Bae ; So-Hui Lee ; Jin Joo ; Eun-Sung Kim…
• 刊名：World Journal of Surgery
• 出版年：2015
• 出版时间：July 2015
• 年：2015
• 卷：39
• 期：7
• 页码：1713-1720
• 全文大小：672 KB
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  15.Ryu JH, Yom CK, Park DJ et al (2014) Prospective randomized controlled trial on the use of flexible reinforced laryngeal mask airway (LMA) during total thyroidectomy: effects on postoperative laryngopharyngeal symptoms. World J Surg 38:378-84. doi:10.-007/?s00268-013-2269-1 PubMed View Article
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• 作者单位：Byung-Joon Chun (1)
  Ja-Sung Bae (2)
  So-Hui Lee (2)
  Jin Joo (3)
  Eun-Sung Kim (3)
  Dong-Il Sun (1)
  
  1. Department of Otorhinolaryngology-Head and Neck Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 137-701, Republic of Korea
  2. Department of Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
  3. Department of Anesthesiology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgery
  Abdominal Surgery
  Cardiac Surgery
  General Surgery
  Thoracic Surgery
  Vascular Surgery
  
• 出版者：Springer New York
• ISSN：1432-2323

文摘

Background The present study was performed to determine whether thyroidectomy patients undergoing general anesthesia provided with a laryngeal mask airway (LMA) have a lower risk of voice-related complications and laryngopharyngeal symptoms than those undergoing endotracheal intubation (ETI). Materials and methods In a prospective, double-blinded, randomized clinical trial, we studied 64 patients undergoing elective thyroid lobectomy between July 2013 and February 2014. Acoustic analyses were performed preoperatively and at 48?h and 2?weeks postoperatively. The voice handicap index (VHI), M.D. Anderson dysphagia index (MDADI), and laryngopharyngeal symptom score (LPS) were determined preoperatively and at 24?h, 48?h, 1?week, and 2?weeks post-thyroidectomy. Results In acoustic analysis, jitter, shimmer and noise-to-harmonic ratio showed significantly better results in the LMA group than the ETI group 48?h after surgery, but there was no difference at 2?weeks. The incidence of postoperative lower-pitched voice in the LMA group was also significantly lower than that in the ETI group. In the LMA group, the VHI, MDADI, and LPS were better compared to those in the ETI group at 24?h postoperatively, and improved to the preoperative state within 1?week. However, those in the ETI group remained poorer than the preoperative values 1?week after surgery. Conclusions Use of the LMA in general anesthesia for thyroid surgery has advantages over the ETI in decreasing patients-subjective and objective voice symptoms, reducing the duration of symptoms, and relieving the laryngopharyngeal symptoms.