[Year:2022] [Month:January-April] [Volume:14] [Number:1] [Pages:6] [Pages No:1 - 6]
Aim: To determine the incidence of postsurgical neuropathic pain following the bilateral axillo-breast approach (BABA) approach of endoscopic thyroidectomy, a minimally invasive approach for thyroid surgeries.
Materials and methods: Fifteen patients undergoing BABA endoscopic thyroidectomy were followed at 15 days, 1 month, and 3 months of surgery. Incidence, character, and severity of neuropathic pain following surgery were assessed. The area of distribution of the pain was also noted.
Results: The incidences of neuropathic pain following BABA endoscopic thyroidectomy were 73.3%, 40%, and 20%, respectively after 15 days, 30 days, and 3 months of surgery. The median (range) NRS pain scores were 4 (3, 5), 2 (2, 3), and 1 (0, 2) on day 15, day 30, and 3 months, respectively. The distribution of pain was mainly in the anterior aspect of the neck (66.67%) and the upper part of the chest (66.67%). The commonest neuropathic pain features were pin pricking, brush allodynia, tingling, and numbness in the involved area.
Conclusion: Despite the enormous technical and surgical benefits of the BABA approach for endoscopic thyroidectomy, the high incidence of both acute and chronic neuropathic pain following surgery needs consideration.
Clinical significance: To draw attention to the alarming complication of neuropathic pain after BABA endoscopic thyroidectomy, which should be addressed to decrease patient morbidity.