CC BY 4.0 · Int Arch Otorhinolaryngol 2024; 28(02): e314-e318
DOI: 10.1055/s-0043-1776724
Original Research

Use of K-Y Jelly on Throat Packs for Postoperative Sore Throat after Nasal Surgery: A Randomized Controlled Trial

Ahmed Mahmoud M.M. Elgarhy
1   Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
,
Saeed Mostafa Abdelhameed
1   Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
,
Othman Saadeldien Yahia
1   Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
,
Wael Mohamed Elmahdy Ibrahim
1   Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
,
Tamer Mohamed Ahmed Ewieda
1   Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
,
Mahmoud M. Elsayed
1   Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
,
Marwa M. Abdel-aziz
1   Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
,
Naglaa A. Elshehawy
1   Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
,
2   Department of Otorhinolaryngology, Al-Azhar University-Assuit Branch, Al-Azhar University, Assuit, Egypt
,
Mahmoud Hamdy Al Boghdady
2   Department of Otorhinolaryngology, Al-Azhar University-Assuit Branch, Al-Azhar University, Assuit, Egypt
,
Ayman Yehia Abbas
2   Department of Otorhinolaryngology, Al-Azhar University-Assuit Branch, Al-Azhar University, Assuit, Egypt
› Author Affiliations
Funding The authors received no financial support for the research.

Abstract

Introduction Postoperative sore throat (POST) is a fairly common side effect of general anesthesia. The K-Y jelly is a well-known lubricant used in many medical procedures.

Objective In this randomized study, we evaluated the use of throat packs soaked with K-Y jelly for POST outcomes in patients submitted to nasal surgery.

Methods The present double-blinded, randomized, controlled study included 140 ASA I–II patients undergoing nasal surgery under general anesthesia. Patients received either or K-Y jelly or water-soaked X-ray detectable throat packs fully inserted into the mouth to occlude the oropharynx.

Results Comparison between the studied groups regarding the severity of POST assessed by visual analog scale revealed significantly lower POST levels in the K-Y jelly group on recovery from anesthesia, and at 2, 4, and 6 hours postoperatively.

Conclusions The use of K-Y jelly-soaked throat packs was associated with less severe POST after nasal surgery.

Ethical Approval

This study was approved by the ethical committee of Al-Azhar University Faculty of Medicine according to the World Medical Association Declaration of Helsinki.


Clinical Trials Data

The study is registered at clinicaltrials.gov (NCT05436743).


Data Availability Statement

Data of this research will be available upon reasonable request.


Author Contributions

All authors contributed equally to this work.




Publication History

Received: 25 April 2023

Accepted: 08 September 2023

Article published online:
04 January 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • References

  • 1 McHardy FE, Chung F. Postoperative sore throat: cause, prevention and treatment. Anaesthesia 1999; 54 (05) 444-453
  • 2 El-Boghdadly K, Bailey CR, Wiles MD. Postoperative sore throat: a systematic review. Anaesthesia 2016; 71 (06) 706-717
  • 3 Jaiswal V, Bedford GC. Review of the use of throat packs in nasal surgery. J Laryngol Otol 2009; 123 (07) 701-704
  • 4 Karbasforushan A, Hemmatpoor B, Makhsosi BR, Mahvar T, Golfam P, Khiabani B. The Effect of Pharyngeal Packing during Nasal Surgery on the Incidence of Post Operative Nausea, Vomiting, and Sore Throat. Iran J Otorhinolaryngol 2014; 26 (77) 219-223
  • 5 Al-Lami A, Amonoo-Kuofi K, Kulloo P, Lakhani R, Prakash N, Bhat N. A study evaluating the effects of throat packs during nasal surgery: a randomised controlled trial. Eur Arch Otorhinolaryngol 2017; 274 (08) 3109-3114
  • 6 Kalil DM, Silvestro LS, Austin PN. Novel preoperative pharmacologic methods of preventing postoperative sore throat due to tracheal intubation. AANA J 2014; 82 (03) 188-197
  • 7 Li H, Yue Y, Qu Y, Mu D. Lidocaine for postoperative sore throat: a meta-analysis of randomized controlled trials. Minerva Anestesiol 2020; 86 (05) 546-553
  • 8 Kuriyama A, Aga M, Maeda H. Topical benzydamine hydrochloride for prevention of postoperative sore throat in adults undergoing tracheal intubation for elective surgery: a systematic review and meta-analysis. Anaesthesia 2018; 73 (07) 889-900
  • 9 Jiang Y, Chen R, Xu S. et al. The impact of prophylactic dexamethasone on postoperative sore throat: an updated systematic review and meta-analysis. J Pain Res 2018; 11: 2463-2475
  • 10 Kuriyama A, Nakanishi M, Kamei J, Sun R, Ninomiya K, Hino M. Topical application of ketamine to prevent postoperative sore throat in adults: A systematic review and meta-analysis. Acta Anaesthesiol Scand 2020; 64 (05) 579-591
  • 11 Kuriyama A, Maeda H, Sun R, Aga M. Topical application of corticosteroids to tracheal tubes to prevent postoperative sore throat in adults undergoing tracheal intubation: a systematic review and meta-analysis. Anaesthesia 2018; 73 (12) 1546-1556
  • 12 Kuriyama A, Maeda H, Sun R. Aerosolized corticosteroids to prevent postoperative sore throat in adults: A systematic review and meta-analysis. Acta Anaesthesiol Scand 2019; 63 (03) 282-291
  • 13 Kuriyama A, Maeda H. Topical application of licorice for prevention of postoperative sore throat in adults: A systematic review and meta-analysis. J Clin Anesth 2019; 54: 25-32
  • 14 Singh NP, Makkar JK, Wourms V, Zorrilla-Vaca A, Cappellani RB, Singh PM. Role of topical magnesium in post-operative sore throat: A systematic review and meta-analysis of randomised controlled trials. Indian J Anaesth 2019; 63 (07) 520-529
  • 15 Liu Y, Ai D, Wang X. Efficacy of perioperative intravenous dexmedetomidine administration for the prevention of postoperative sore throat: a meta-analysis. J Int Med Res 2021; 49 (05) 3000605211017686
  • 16 Sinha K, Charan A. K-Y jelly as a lubricant for bronchoscopy and oesophagoscopy. Indian J Chest Dis 1972; 14 (01) 38-39
  • 17 Mehta HK. A new use of K-Y jelly as a gonioscopy fluid. Br J Ophthalmol 1984; 68 (10) 765-767
  • 18 James GJ, Whear NM. K-Y jelly as an aide to cryotherapy in the management of odontogenic keratocysts. Br J Oral Maxillofac Surg 2004; 42 (02) 158-159
  • 19 Doukumo D, Faponle A, Adenekan A, Olateju S, Bolaji B. Effects of lidocaine and k-y jellies on sore throat, cough, and hoarseness following endotracheal anaesthesia. J West Afr Coll Surg 2011; 1 (03) 44-61
  • 20 Koyama Y, Oshika H, Nishioka H. et al. K-Y™ jelly inhibits increase in endotracheal tube cuff pressure during nitrous oxide exposure in vitro. BMC Anesthesiol 2018; 18 (01) 99
  • 21 Wang G, Qi Y, Wu L, Jiang G. Comparative Efficacy of 6 Topical Pharmacological Agents for Preventive Interventions of Postoperative Sore Throat After Tracheal Intubation: A Systematic Review and Network Meta-analysis. Anesth Analg 2021; 133 (01) 58-67
  • 22 Stride PC. Postoperative sore throat: topical hydrocortisone. Anaesthesia 1990; 45 (11) 968-971