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Pharyngeal pack placement in minor oral surgery: A prospective, randomized, controlled study
Badr A Al-Jandan1, Faiyaz Ahmed Syed, Ahed Zeidan
1Department of Biomedical Dental Science, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia.
Ear, Nose, & Throat Journal
|March 20, 2018
Summary
Pharyngeal packs in minor oral surgery did not prevent nausea but increased throat pain. Blind insertion of packs reduced nausea compared to no pack, but videolaryngoscopic guidance did not offer additional benefits.
Area of Science:
- Anesthesiology
- Oral Surgery
- Patient Outcomes
Background:
- Postoperative nausea and vomiting (PONV) and throat pain are common complications after general anesthesia for oral surgery.
- Pharyngeal packs are used to prevent aspiration but their impact on these outcomes is debated.
Purpose of the Study:
- To investigate the effect of pharyngeal pack placement, with and without videolaryngoscopic guidance, on postoperative nausea, vomiting, and throat pain following minor oral surgery.
Main Methods:
- A prospective, randomized controlled study involving 80 patients undergoing minor oral surgery under general anesthesia.
- Patients were assigned to three groups: pharyngeal pack with video guidance (n=20), blind pharyngeal pack insertion (n=20), or no pack (control, n=40).
- Outcomes measured included postoperative nausea, vomiting, and throat pain.
Main Results:
- No patients experienced postoperative vomiting.
- Postoperative nausea occurred in 20% of the blind insertion group (p < 0.007), with no nausea reported in the video guidance or control groups.
- Postoperative throat pain was significantly higher in both pharyngeal pack groups (100% video guidance, 85% blind insertion) compared to the control group (50%) (p < 0.006).
Conclusions:
- Pharyngeal pack placement in minor oral surgery is associated with increased postoperative throat pain.
- Blind insertion of pharyngeal packs may reduce postoperative nausea, but videolaryngoscopic guidance does not appear to offer additional benefits for this outcome.
- The routine use of pharyngeal packs for minor oral surgery warrants careful consideration due to the increased risk of throat pain.
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