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Related Experiment Video

Updated: Jun 18, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Published on: September 15, 2023

Superficial selective cervical plexus block following total thyroidectomy: a randomized trial.

Isaak Kesisoglou1, Theodossis S Papavramidis, Nick Michalopoulos

  • 1Third Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

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|December 3, 2009
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Summary

Bilaterally superficial cervical plexus block (BSCPB) significantly reduced postoperative pain after thyroidectomy. While pain scores decreased, the need for additional analgesics remained similar between groups.

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Area of Science:

  • Anesthesiology
  • Surgical Pain Management

Background:

  • Post-thyroidectomy pain is typically moderate and short-lived.
  • The efficacy of Bilaterally Superficial Cervical Plexus Block (BSCPB) for reducing pain after thyroid surgery is not definitively established.
  • BSCPB may potentially lower the need for postoperative analgesics.

Purpose of the Study:

  • To evaluate the effectiveness of BSCPB in managing pain following total thyroidectomy.
  • To compare postoperative pain scores and analgesic requirements between patients receiving BSCPB and a placebo.

Main Methods:

  • A double-blind, randomized, placebo-controlled trial involving 100 patients undergoing total thyroidectomy.
  • BSCPB was performed using 20 mL of 0.75% ropivacaine.
  • Postoperative pain was assessed using a visual analog scale at multiple time points, with additional analgesia administered as needed.

Main Results:

  • Patients receiving ropivacaine via BSCPB reported significantly lower pain scores at most measured time points compared to the control group (p < .05).
  • No statistically significant difference was observed in the need for additional analgesics between the ropivacaine group (16%) and the control group (14%) (p = .96).
  • Pain scores in the ropivacaine group were comparable to the control group at the 12-hour mark (p = .76).

Conclusions:

  • Two-point bilateral BSCPB demonstrates a significant analgesic effect in patients undergoing total thyroidectomy, reducing postoperative pain.
  • Despite reduced pain scores, BSCPB did not significantly decrease the overall proportion of patients requiring supplementary pain medication.
  • Further research may be needed to optimize BSCPB protocols for enhanced analgesic efficacy post-thyroidectomy.