{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:27:28Z","timestamp":1791469648420,"version":"4.3.4"},"reference-count":37,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T00:00:00Z","timestamp":1565654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T00:00:00Z","timestamp":1565654400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T00:00:00Z","timestamp":1565654400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pharyngolaryngeal symptoms are a main concern after neck surgery. The Protector\u2122 LMA is a new supraglottic airway device. The main purpose of this study was to evaluate whether application of the LMA Protector\u2122 causes fewer pharyngolaryngeal symptoms than application of the endotracheal tube after minimally invasive total thyroidectomy and parathyroidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective, randomized controlled trial involved one university and one private practice clinic, during the period from January 2017 until November 2017. The patients were randomly allocated to two groups: ETT and LMA. Main outcomes were Numerical Rating Scale scores of postoperative dysphagia, pharyngodynia, and incisional pain. Secondary outcomes were the frequency of rescue analgesia (paracetamol) consumption and emergence cough. Data were recorded in the post\u2010anesthesia care unit and at 1, 6, 12, and 24 h after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 78 patients were included in the final analysis. Pharyngodynia scores were significantly lower in the LMA group, compared with the ETT group, at 1 h, 6 h and 12 h after surgery. Dysphagia and surgical incision pain scores were also significantly lower in the LMA group, compared with the ETT group, at 6 h and 12 h after surgery. The frequency of postoperative paracetamol consumption was significantly increased in the ETT group, compared with the LMA group. Finally, the LMA group had fewer episodes of emergence cough, compared with the ETT group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The LMA Protector\u2122 causes fewer pharyngolaryngeal symptoms than the ETT within 6 and 12 h after minimally invasive total thyroidectomy and parathyroidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration<\/jats:title><jats:p>ClinicalTrials.gov Identifier NCT03098667.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-019-05122-8","type":"journal-article","created":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T15:03:04Z","timestamp":1565708584000},"page":"2822-2828","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Comparison Between the Protector\u2122 Laryngeal Mask Airway and the Endotracheal Tube for Minimally Invasive Thyroid and Parathyroid Surgery"],"prefix":"10.1002","volume":"43","clinical-trial-number":[{"clinical-trial-number":"nct03098667","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4376-8995","authenticated-orcid":false,"given":"Georgios","family":"Kotsovolis","sequence":"first","affiliation":[{"name":"Department of Anesthesia 424 Army General Hospital Thessaloniki Greece"},{"name":"Pylaia Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Pliakos","sequence":"additional","affiliation":[{"name":"1st Propedeutic Department of Surgery AHEPA University Hospital Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stavros","family":"Panidis","sequence":"additional","affiliation":[{"name":"1st Propedeutic Department of Surgery AHEPA University Hospital Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios","family":"Gkinas","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care AHEPA University Hospital Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodosios","family":"Papavramidis","sequence":"additional","affiliation":[{"name":"1st Propedeutic Department of Surgery AHEPA University Hospital Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/88.4.582"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2013.64.2.138"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2017.70.1.64"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102044.1999.00780.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2011.61.6.470"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21336"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010002\u20106627\u20107"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2014.06.056"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s005950170066"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21768"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0265021507002980"},{"key":"e_1_2_8_13_1","unstructured":"GongY WangJ XuXet al. Performance of air seal of flexible reinforced laryngeal mask airway in thyroid surgery compared with endotracheal tube.Anesth Analg(2018)10.1213\/ANE.000000000000376330252699"},{"key":"e_1_2_8_14_1","first-page":"3404","article-title":"Minimally invasive surgery using mini anterior incision for thyroid diseases: a prospective cohort study","volume":"7","author":"Sabuncuoglu MZ","year":"2014","journal-title":"Int J Clin Exp Med"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aen271"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199811000-00036"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010013\u20102269\u20101"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010015\u20102995\u20107"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445\u20101433.2001.02230.x"},{"key":"e_1_2_8_20_1","first-page":"203","article-title":"Sore throat after tracheal intubation","volume":"44","author":"Sanou J","year":"1996","journal-title":"Cah Anesthesiol"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/73.6.786"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2010.04.017"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0158137"},{"key":"e_1_2_8_24_1","first-page":"315","article-title":"Use of the laryngeal mask airway in thyroid and parathyroid surgery as an aid to the identification and preservation of the recurrent laryngeal nerves","volume":"83","author":"Shah EF","year":"2001","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_8_25_1","first-page":"147","article-title":"Use of the laryngeal mask airway in thyroid and parathyroid surgery as an aid in identification and preservation of the recurrent laryngeal nerves","volume":"84","author":"Dingle AF","year":"2002","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_8_26_1","first-page":"225","article-title":"Application of the laryngeal mask airway to thyroid surgery and the preservation of the recurrent laryngeal nerve","volume":"74","author":"Charters P","year":"1992","journal-title":"Ann. R. Coll. Surg. Engl."},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.3.266"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03009184"},{"key":"e_1_2_8_29_1","first-page":"148","article-title":"Use of the laryngeal mask airway in thyroid and parathyroid surgery as an aid in identification and preservation of the recurrent laryngeal nerves","volume":"84","author":"Rosswick P","year":"2002","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_8_30_1","first-page":"226","article-title":"Application of the laryngeal mask airway to thyroid surgery and the preservation of the recurrent laryngeal nerve","volume":"74","author":"Premachandra DJ","year":"1992","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.4.452"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03019391"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12871\u2010017\u20100323\u20105"},{"key":"e_1_2_8_34_1","first-page":"45","article-title":"LMA\u00ae ProtectorTM Airway. First experience with a new second generation laryngeal mask","volume":"85","author":"Eckardt F","year":"2018","journal-title":"Minerva Anestesiol"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181cf4346"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542\u2010200007000\u201000009"},{"key":"e_1_2_8_37_1","first-page":"547","article-title":"Influence of LMA cuff pressure on the incidence of pharyngolaryngeal adverse effects and evaluation of the use of manometry during different ventilation modes: a randomized clinical trial","volume":"80","author":"Chantzara G","year":"2014","journal-title":"Minerva Anestesiol"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12630\u2010013\u20100044\u20102"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-019-05122-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00268-019-05122-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-019-05122-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-019-05122-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,7]],"date-time":"2024-01-07T16:03:36Z","timestamp":1704643416000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-019-05122-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,13]]},"references-count":37,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1007\/s00268-019-05122-8"],"URL":"https:\/\/doi.org\/10.1007\/s00268-019-05122-8","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,13]]},"assertion":[{"value":"13 August 2019","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors delcare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}