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Preoperative Greater Occipital Nerve Block in Total Thyroidectomy Patients Can Reduce Postoperative Occipital Headache and Posterior Neck Pain

Authors
 Dong Woo Han  ;  Bon Nyeo Koo  ;  Woung Youn Chung  ;  Cheong Soo Park  ;  So Yeon Kim  ;  Pamela Pierce Palmer  ;  Ki Jun Kim 
Citation
 Thyroid, Vol.16(6) : 599-603, 2006 
Journal Title
 Thyroid 
ISSN
 1050-7256 
Issue Date
2006
Abstract
Patients undergoing thyroidectomy with neck fully extended usually experience occipital headache and posterior neck pain. We have attempted to evaluate the effect of preoperative greater occipital nerve (GON) block on occipital headache and posterior neck pain after thyroidectomy. Eighty-two patients undergoing elective total thyroidectomy were randomly allocated to two groups. In block group, bilateral GON blocks with 0.25% bupivacaine were performed. The control group did not have any prior block. Occipital headache and posterior neck stiffness were assessed using the visual analogue scale (VAS) and verbal rating scale. VAS of occipital headache and posterior neck pain in block group was significantly lower compared to that in the control group at postoperative 12 and 24 hours (p < 0.05). In addition, the proportion of patients reporting moderate or severe occipital headache and posterior neck pain at postoperative 12 and 24 hours in block group was significantly lower than that in control group (p < 0.001). No side effects were observed during and after GON block. We conclude that preoperative GON block with 0.25% bupivacaine is an effective technique to reduce occipital headache and posterior neck pain after thyroid surgery.
Full Text
http://online.liebertpub.com/doi/abs/10.1089/thy.2006.16.599
DOI
10.1089/thy.2006.16.599
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Koo, Bon-Nyeo(구본녀) ORCID logo https://orcid.org/0000-0002-3189-1673
Kim, Ki Jun(김기준) ORCID logo https://orcid.org/0000-0003-1950-7998
Kim, So Yeon(김소연) ORCID logo https://orcid.org/0000-0001-5352-157X
Park, Cheong Soo(박정수)
Chung, Woung Youn(정웅윤)
Han, Dong Woo(한동우) ORCID logo https://orcid.org/0000-0002-8757-663X
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110858
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