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Postoperative pain and analgesic requirements after septoplasty and rhinoplasty.
- Source :
-
The Laryngoscope [Laryngoscope] 2019 Sep; Vol. 129 (9), pp. 2020-2025. Date of Electronic Publication: 2019 Mar 07. - Publication Year :
- 2019
-
Abstract
- Objectives/hypothesis: To assess and define the level of pain after rhinoplasty and septoplasty and to better define the strength and quantity of postoperative opioids needed.<br />Study Design: Prospective outcomes research.<br />Methods: Two groups of patients were enrolled. One group underwent septoplasty with/without turbinate reduction and the other group underwent functional and/or cosmetic rhinoplasty (with/without septoplasty). Patients completed a 15-day log (daily, beginning on the day of surgery) to record the analgesics used and the daily maximal level of pain using a visual analog scale. Level of pain, number of days of moderate or severe pain, total number of opioid pills used, and total morphine milligram equivalents (MMEs) of opioid used were assessed.<br />Results: Pain after septoplasty and rhinoplasty was generally mild. Average pain was moderate through postoperative day (POD) 2 after rhinoplasty and only on POD 0 after septoplasty. There was no statistically significant difference between the two groups in terms of number of opioid tablets consumed or total MMEs used. Patients undergoing rhinoplasty consumed more acetaminophen than septoplasty-only patients (7471 ± 1009 vs. 2781 ± 585, P = .0112). Ninety percent of patients would have received adequate analgesia with as few as 11 opioid tablets. All patients had excess opioid at the end of the study period.<br />Conclusions: Both septoplasty and rhinoplasty are associated with mostly mild pain, and postoperative opioid requirements are quite low. Surgeons can reliably reduce opioid prescription after septoplasty and rhinoplasty to as few as 11 tablets. Reducing opioid prescribing will not adversely affect the patient but will reduce the availability of opioids for misuse or diversion.<br />Level of Evidence: 2c Laryngoscope, 129:2020-2025, 2019.<br /> (© 2019 The American Laryngological, Rhinological and Otological Society, Inc.)
- Subjects :
- Adolescent
Adult
Aged
Female
Humans
Male
Middle Aged
Pain Management methods
Pain Management statistics & numerical data
Pain Measurement
Pain, Postoperative drug therapy
Prospective Studies
Young Adult
Analgesics, Opioid therapeutic use
Drug Prescriptions statistics & numerical data
Nasal Septum surgery
Pain, Postoperative epidemiology
Rhinoplasty adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1531-4995
- Volume :
- 129
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- The Laryngoscope
- Publication Type :
- Academic Journal
- Accession number :
- 30843623
- Full Text :
- https://doi.org/10.1002/lary.27913