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Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior
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Opioid Use by Patients After Rhinoplasty
Sagar Patel1, Angela Sturm1,2, Michael Bobian3
1Facial Plastic Surgery Associates, Houston, Texas.
JAMA Facial Plastic Surgery
|November 10, 2017
Summary
Patients undergoing rhinoplasty used significantly fewer opioid pain pills than prescribed, suggesting a need for optimized post-surgical pain management to prevent opioid misuse.
Area of Science:
- Plastic Surgery
- Pain Management
- Opioid Prescribing Practices
Background:
- Rising rates of opioid addiction and overdose in the US necessitate careful consideration of opioid use post-outpatient surgery.
- Understanding patient opioid consumption after rhinoplasty is crucial for developing safer pain management strategies.
Purpose of the Study:
- To evaluate opioid utilization patterns in patients following rhinoplasty.
- To establish an evidence-based, optimal pain management regimen for post-rhinoplasty care.
Main Methods:
- A case series analysis of 62 patients who underwent rhinoplasty between February and September 2016.
- Self-reported consumption of hydrocodone-acetaminophen tablets was compared with demographic and surgical factors.
Main Results:
- Patients used a mean of 8.7 out of 20-30 prescribed opioid tablets (40% utilization).
- 74% of patients consumed 15 or fewer tablets, with only 5% requiring refills.
- Common side effects included drowsiness (35%) and nausea (11%).
Conclusions:
- Rhinoplasty patients consume fewer opioids than prescribed, indicating potential for overprescribing.
- Implementing a multifaceted pain management program can balance effective pain control with reduced opioid diversion risk.
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