{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:32:17Z","timestamp":1789990337214,"version":"4.0.1"},"reference-count":68,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T00:00:00Z","timestamp":1706054400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the safety and efficacy of superior laryngeal nerve block (SLNB) for microlaryngoscopic surgery (MLS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>PubMed, Embase, Web of Science, Ovid Medline, Cochrane Library, CNKI database, VIP database, Wanfang database, and trial registry databases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>PICOS principles were performed: adults undergoing MLS receiving SLNB compared with no\u2010SLNB in randomized controlled trials were included. Primary outcome included the incidence of severe postoperative sore throat (POST). Secondary outcomes included perioperative mean arterial pressure (MAP) and heart rate (HR), incidence of severe postoperative cough, and anesthesia recovery time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven articles with 728 patients were included. Results indicated that SLNB provides lower incidence of severe POST in post\u2010extubation 30\u2009min (relative ratio [RR]\u2009=\u20090.13; 95% confidence intervals [CIs]: 0.05\u2009~\u20090.34), 2\u2009h (RR\u2009=\u20090.09; 95% CI: 0.02\u2009~\u20090.36), 4\u20136\u2009h (RR\u2009=\u20090.11; 95% CI: 0.03\u2009~\u20090.41), and 24\u2009h (RR\u2009=\u20090.15; 95% CI: 0.03\u2009~\u20090.83); lower MAP (tracheal intubation: standardized mean difference [SMD]\u2009=\u2009\u22121.59; 95% CI: \u22121.69 to \u22120.42); suspension laryngoscope insertion: (SMD\u2009=\u2009\u22120.98; 95% CI: \u22121.49 to \u22120.46); tracheal extubation: (SMD\u2009=\u2009\u22120.78; 95% CI:\u22121.24 to \u22120.31); post\u2010extubation 5\u2009min: (SMD\u2009=\u2009\u22120.95; 95% CI: \u22121.41 to \u22120.49); lower HR (tracheal intubation: mean difference [MD]\u2009=\u2009\u22129.71; 95% CI: \u221217.16 to \u22122.27); suspension laryngoscope insertion: (MD\u2009=\u2009\u22128.64; 95% CI: \u221216.79 to \u22120.49); tracheal extubation: (MD\u2009=\u2009\u221210.13; 95% CI: \u221217.86 to \u22122.39); post\u2010extubation 5\u2009min: (MD\u2009=\u2009\u221213.44; 95% CI: \u221222.53 to \u22124.35); lower incidence of severe postoperative cough in post\u2010extubation 30\u2009min (RR\u2009=\u20090.18; 95% CI: 0.06\u2009~\u20090.57) and 2\u2009h (RR\u2009=\u20090.13; 95% CI: 0.02\u2009~\u20090.69); and shorter anesthesia recovery time (MD\u2009=\u2009\u22125.34; 95% CI: \u22128.81 to \u22121.86) compared to controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>SLNB could provide lower incidence of severe POST, more stable perioperative MAP and HR, lower incidence of severe postoperative cough, and shorter anesthesia recovery time for MLS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>I <jats:italic>Laryngoscope<\/jats:italic>, 134:3437\u20133446, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31300","type":"journal-article","created":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T05:53:36Z","timestamp":1706075616000},"page":"3437-3446","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Superior Laryngeal Nerve Block for Microlaryngoscopic Surgery: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"134","author":[{"given":"Huaiming","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Sichuan University, West China Hospital  Chengdu China"},{"name":"Department of Anesthesiology, Sichuan Cancer Hospital &amp; Institute, Sichuan Cancer Center, School of Medicine University of Electronic Science and Technology of China  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Sichuan Cancer Hospital &amp; Institute, Sichuan Cancer Center, School of Medicine University of Electronic Science and Technology of China  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guo","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Sichuan University, West China Hospital  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Sichuan University, West China Hospital  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiyi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Sichuan University, West China Hospital  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8091-1837","authenticated-orcid":false,"given":"Jianqiao","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Sichuan University, West China Hospital  Chengdu 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