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Postoperative Prescription Patterns After Sleep Surgery: An International Provider Survey Study
Amrita N Bhat1, Leyda S Marrero Morales2, Jolie L Chang1,3
1Department of Otolaryngology Head and Neck Surgery University of California San Francisco San Francisco California USA.
Laryngoscope Investigative Otolaryngology
|January 30, 2026
Summary
Opioid prescribing after sleep surgery varies significantly worldwide. US surgeons prescribe more opioids than international counterparts, influenced by patient factors and abuse concerns.
Area of Science:
- Otolaryngology
- Sleep Surgery
- Pain Management
Background:
- Opioid prescribing patterns after sleep surgery require characterization.
- Understanding international variations is crucial for optimizing pain management.
Purpose of the Study:
- To characterize international opioid prescribing patterns among otolaryngologists performing sleep surgery.
- To identify factors influencing these prescribing decisions.
Main Methods:
- A cross-sectional online survey was distributed to members of the International Sleep Surgical Society (ISSS).
- 88 otolaryngologists and healthcare professionals from North America, Europe, and South America completed the survey.
Main Results:
- 87% of providers routinely prescribed opioids after palate surgery, with 95% of US surgeons prescribing to all post-palatoplasty patients versus 32% internationally.
- US providers prescribed significantly more opioid tablets per patient after palatopharyngoplasty compared to international providers.
- Postoperative opioid prescribing after hypoglossal nerve stimulation (HNS) surgery was reported by 70% of respondents, with 90% of US providers prescribing versus 0% internationally.
Conclusions:
- Significant international variation exists in opioid prescribing after sleep surgery.
- Patient factors (chronic pain history, age, preference) and provider concerns (abuse, non-opioid analgesia) influence prescription patterns.
- These findings highlight the complexity of pain management in sleep surgery.
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