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Area of Science:

  • Plastic Surgery
  • Pain Management
  • Pharmacology

Background:

  • Rhinoplasty is a common cosmetic and reconstructive procedure.
  • Standardized analgesic prescribing patterns for rhinoplasty are lacking.
  • Opioid misuse is a significant public health concern.

Purpose of the Study:

  • To establish a standardized preoperative and postoperative analgesic regimen for rhinoplasty.
  • To evaluate actual analgesic consumption in rhinoplasty patients.
  • To identify factors influencing pain and analgesic use after rhinoplasty.

Main Methods:

  • Prospective study of 35 rhinoplasty patients over 14 days postoperatively.
  • Patients self-reported pain scores and analgesic use via a diary.
  • Demographics, surgical technique, and complications were recorded.
  • Pill counts and diary submissions verified analgesic consumption.

Main Results:

  • 23 patients completed the study; average age 39.07 years, 48% female.
  • Mean opioid consumption was 6.15 pills; females used more than males.
  • Acetaminophen and ibuprofen use was also recorded.
  • No significant association between surgical technique and opioid consumption was found.
  • Males reported higher pain scores than females in the first 8 days postoperatively.

Conclusions:

  • Rhinoplasty is generally associated with mild pain, even with osteotomies.
  • Limiting opioid prescriptions to approximately seven pills is likely sufficient for most patients.
  • Preoperative counseling on expected low pain and promoting NSAID use can decrease opioid risk and misuse.