Inclusion Criteria:  Provision of signed and dated informed consent form Stated willingness to comply with all study procedures and availability for the duration of the study Age 21-65 years Females American Society of Anesthesiologists (ASA) physical I-II Scheduled for elective breast surgery Under general anesthesia.  Exclusion Criteria:  Chronic laryngitis Chronic bronchitis Asthma Gastroesophageal reflux Allergies to study drugs Recent use of nonsteroidal anti-inflammatory drugs (NSAIDs) A history of upper respiratory tract infection Smoking and steroid therapy in the past week Failure to communicate normally Mallampati grade >2