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Perioperative Analgesia for Sinus and Skull-Base Surgery
Brandon K Nguyen1, Peter F Svider2, Wayne D Hsueh1
1Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
Otolaryngologic Clinics of North America
|August 11, 2020
Summary
Individualized pain management is key for sinus and skull-base surgery. Nonopioid analgesics offer safe alternatives to opioids, reducing risks of abuse and dependence.
Area of Science:
- Otolaryngology
- Pain Management
- Pharmacology
Background:
- Perioperative analgesic strategies require patient-specific approaches.
- Effective pain control is crucial for optimal surgical outcomes.
- Opioid medications carry risks of abuse and dependence.
Purpose of the Study:
- To review current literature on perioperative pain management for sinus and skull-base surgery.
- To highlight the importance of preoperative patient-physician discussions regarding pain control.
- To emphasize the utility of nonopioid analgesics as alternatives to opioids.
Main Methods:
- Literature review of perioperative pain management strategies.
- Focus on nonopioid alternatives for sinus and skull-base surgery.
- Discussion of individualized analgesic plans.
Main Results:
- Nonopioid analgesics, including nonsteroidal anti-inflammatory drugs, acetaminophen, and gabapentinoids, are effective alternatives.
- Individualized pain management plans improve outcomes.
- Limited literature exists on this specific surgical pain management.
Conclusions:
- Nonopioid analgesics provide reliable pain management following sinus and skull-base surgery.
- Preoperative discussions are essential for managing patient expectations and optimizing analgesia.
- This review aims to guide otolaryngologists in perioperative pain management.
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