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This summary is machine-generated.

Most surgeons prescribe opioids after microdirect laryngoscopy (MDL), often in combination with non-opioid analgesics. This practice highlights the ongoing opioid crisis and need for careful pain management strategies.

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Area of Science:

  • Otolaryngology
  • Pain Management
  • Public Health

Background:

  • Opioid abuse is a significant public health issue in the US.
  • Microdirect laryngoscopy (MDL) is a common procedure in otolaryngology.
  • Opioid prescribing patterns after MDL are not well understood.

Purpose of the Study:

  • To investigate and characterize current opioid prescribing practices among otolaryngologists performing MDL.
  • To understand factors influencing opioid prescription decisions after MDL.

Main Methods:

  • A cross-sectional survey was distributed to otolaryngologists at a national laryngology meeting.
  • Survey responses from 58 participants were analyzed.

Main Results:

  • Over 90% of surveyed physicians prescribe opioids for MDL procedures.
  • Eighty-eight percent use combination opioid-acetaminophen products, with hydrocodone being common.
  • Most surgeons also recommend non-opioid analgesics like acetaminophen and ibuprofen.

Conclusions:

  • The majority of otolaryngologists prescribe opioids post-MDL, often alongside non-opioid pain relief.
  • Further research is needed to optimize selective and appropriate postoperative opioid analgesia based on patient needs.