{
  "abstract": "Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submissionBackground and Aims Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is an innovative approach to conventional thyroid surgery, rapidly gaining popularity due to its aesthetic outcomes. However, optimal perioperative analgesia remains undefined. This study explores the integration of superficial cervical plexus and mental nerve blocks into the anesthetic regimen for TOETVA to enhance perioperative stability and improve pain management.Methods This retrospective case series included adult ASA Physical Status Classification I-III patients undergoing TOETVA at The Medical City, Pasig City, Philippines, from June to December 2024. Data were collected using a structured data chart and variables such as demographics, baseline characteristics, surgical outcomes, intraoperative, and postoperative clinical outcomes were recorded. Primary outcomes included hemodynamic stability, measured by heart rate and blood pressure at 5 minute intervals from incision until 30 minutes after. Secondary outcomes assessed opioid consumption, postoperative pain scores, and the need for rescue analgesia.Results A total of eight patients met the inclusion criteria and were enrolled in the study. Patients underwent standardized general anesthesia supplemented with preoperative superficial cervical plexus and mental nerve blocks using 0.5% ropivacaine (4–5 mL and 2–3 mL, respectively). Hemodynamic parameters remained stable throughout the procedure, with minor fluctuations in heart rate and blood pressure. Only two patients required 25 mcg of fentanyl intraoperatively and one patient received 50 mg tramadol in the Post-Anesthesia Care Unit for chin discomfort. Otherwise, postoperative pain scores were low, with median Numeric Rating Scale 0.0 in the PACU and 1.0 at 24 hours. All patients were discharged on postoperative day 1, with no unexpected complications related to the nerve blocks.Conclusions Superficial cervical plexus and mental nerve blocks appear to be effective adjuncts for TOETVA, promoting intraoperative stability, minimizing opioid requirements, and improving postoperative analgesia. These findings suggest a promising role for regional anesthesia techniques in enhancing recovery for minimally invasive head and neck surgeries.",
  "authors": [
    {
      "affiliations": [
        "Section of Regional Anesthesiology, The Medical City, Manila, Philippines"
      ],
      "name": "Guada Bonus"
    },
    {
      "affiliations": [
        "Section of Regional Anesthesiology, The Medical City, Manila, Philippines"
      ],
      "name": "Gracielle Mia Bañares"
    }
  ],
  "title": "P254 The role of superficial cervical plexus with mental nerve block in the perioperative management of transoral endoscopic thyroidectomy: a case series",
  "uid": "20b05acd-782c-57c3-b4bd-a181645b0d1a"
}