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Journal of Thyroid Research
Volume 2016, Article ID 9785849, 6 pages
Clinical Study

Effect of Preoperative Nerve Block on Postthyroidectomy Headache and Cervical Pain: A Randomized Prospective Study

1GNRC Hospital, Guwahati, Assam 781030, India
2Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow 226014, India
3Department of Anesthesia, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow 226014, India

Received 22 September 2015; Revised 5 January 2016; Accepted 14 February 2016

Academic Editor: Thomas J. Fahey

Copyright © 2016 Sunil Malla Bujar Barua et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The aim of the current study was to investigate the efficacy of greater occipital nerve (GON) block and bilateral superficial cervical plexuses (BSCP) blocks in alleviating postoperative occipital headache and posterior neck pain after thyroidectomy. This randomized prospective study consisted of 75 women undergoing total thyroidectomy. Patients were randomized into three groups: Group I (): patients receiving GON, Group II (): patients receiving bilateral (BSCP) blocks, and Group III (): patients receiving no block. Assessment of occipital headache, posterior neck, and incision site pains was made at 12 hours and 24 hours after extubation by Visual Analogue Scale (VAS). In comparison to Group III significantly fewer patients in Groups I and II experienced occipital headache at 12 () and 24 hours () and also posterior neck pain at 24 hours (). Mean VAS scores at 12 and 24 hours for occipital headache ( and ) and posterior neck pain ( and ) were significantly lower in Group I. The differences between Groups II and III were not significant except for the occipital headache at 12 hours. The efficacy of GON block is superior to BSCP blocks in alleviating postthyroidectomy occipital headache and posterior cervical pain.