Patient Expectations and Recovery Following Endoscopic Sinus Surgery

Mehta, Umang; Huber, Todd C.; Sindwani, Raj

doi:10.1016/j.otohns.2005.10.053

Cited by 28 publications

(28 citation statements)

References 20 publications

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“…Certainly, identifying patient variables and procedures associated with increased discomfort would allow for selective opioid prescribing practices, as suggested by this study and others. 3,4,6,7,14,17 The importance of preoperative counseling should also be emphasized, as it may provide concordance between patient expectation and realistic FESS postoperative course to help minimize opioid use. 4 Furthermore, individual surgeons can assess opioid requirements in their patient population and modify their own prescribing patterns accordingly.…”

Section: Discussionmentioning

confidence: 99%

“…Of note, 7% of patients in this study admitted to regularly using opioids prior to the procedure. 4 Svider and colleagues performed a systematic review of nonopioid treatment options following FESS using the Cochrane bias tool and Grading of Recommendations Assessment, Development and Evaluation criteria, and found that acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), and gabapentin were effective opioid alternatives. 5 Despite these findings, the number of narcotics prescribed remains relatively high and inconsistent between providers.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with opioid use after endoscopic sinus surgery

Raikundalia

Cheng

Truong³

et al. 2019

The Laryngoscope

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Objectives/Hypothesis Responsible prescribing of postoperative pain medications is necessary in combatting the current opioid epidemic in the United States. The goal of this study was to determine which clinical factors affect opioid usage following functional endoscopic sinus surgery (FESS). Study Design Retrospective medical records study. Methods This is a single‐institution retrospective study of subjects undergoing FESS by the senior author between September 2016 and December 2017. Opioid usage was assessed for each patient at the first postoperative visit. Univariate and multivariable analyses were performed to investigate factors associated with pain medication usage. Patients using opioids prior to surgery were excluded. Results A total of 136 patients were stratified into three groups based on number of opioid tablets taken during the first week after surgery: 31 patients (23%) took no opioids, 61 patients (45%) took one to five tablets, and 44 patients (32%) took more than five tablets. Gender, extent of surgery, revision surgery, polyp status, and cystic fibrosis did not significantly vary between the three groups. Multinomial logistic regression analysis with backward stepwise variable selection method revealed that those who had septoplasty (odds ratio [OR]: 4.84, 95% confidence interval [CI]: 1.68‐13.98; P < .01) or were of younger age (OR 0.96, 95% CI: 0.93‐0.99; P = .01) had significantly higher odds of taking >5 tablets. Conclusions The majority of patients undergoing FESS did not take more than 5 opioid tablets after surgery. Concurrent septoplasty and younger age were associated with increased opioid usage. Knowledge of such factors can help surgeons to assess opioid prescribing patterns and to counsel their patients on postoperative pain.Laryngoscope, 129:1751–1755, 2019

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors associated with opioid use after endoscopic sinus surgery

Raikundalia

Cheng

Truong³

et al. 2019

The Laryngoscope

View full text Add to dashboard Cite

show abstract

“…This can also be a source of significant anxiety and may negatively impact the patient's sense of overall recovery. 18 Various absorbable materials have been introduced to overcome the disadvantages of removable nasal packing or no packing. The ideal materials should be effective in immediate and prolonged hemostasis, have no detrimental effect on wound healing, and be absorbable and comfortable for patients.…”

Section: Discussionmentioning

confidence: 99%

The efficacy of cutanplast nasal packing after endoscopic sinus surgery: A prospective, randomized, controlled trial

et al. 2012

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“…The present study confirms earlier reports showing that patients with ESS experience significant pain after surgery, which prevents the return to normal daily activities and thus these patients need to be provided with appropriate analgesic care. Chidambaram et al 4 and Mehta et al 14 have shown that most patients recover within 2 weeks after ESS. However, the present study indicates that with sufficient pain management, recovery may be accelerated by some days.…”

Section: Discussionmentioning

confidence: 99%