Opioid Prescription Patterns After Rhinoplasty

Abstract

Results | We included 158 464 041 combined views, with a mean of 660 267 views per video. The mean age of the videos was 4 years (range, 9 days to 11 years) and the mean length was 10.18 minutes (range, 0.50-51.18 minutes). The term nose job received the most views, totaling 56 251 991 views with a mean of 2 812 600 views per video. The mean DISCERN rating was 2.21 overall, and blepharoplasty had the highest mean rating of 2.75. The DISCERN rating for bias was 2.78 (Table 2). The correlation coefficient for videos scored by both reviewers was 0.74. Ninety-four videos did not include a medical professional. Seventy-two videos included US-board certified physicians and had a mean DISCERN score of 2.54. Fifty-seven of those physicians were board certified in ophthalmology, otolaryngology, or plastic surgery; their videos had a mean DISCERN score of 2.63. The difference between the mean DISCERN score of videos including a US board-certified physician and those without a medical professional was 0.69 (P < .001). We found no statistically significant difference (0.43; P = .08) between videos that included US board-certified plastic surgeons, ophthalmologists, or otolaryngologists and those that included US boardcertified physicians from other specialties (Table 1).

Prescription patterns and opioid usage in sinonasal surgery

“…Nevertheless, there is much to gain by looking at the similarities and differences in those studies. Similar to other recent studies, our patients who underwent ESS had increased opioid consumption when a concurrent septoplasty and/or turbinoplasty was performed, and, comparable to work by Riley et al and Raikundalia et al, the extent of ESS (full vs limited) did not significantly influence pain control or opioid use . Although there are mixed results on the influence of age on opioid usage, our results are similar to others showing that younger patients require slightly more .…”

“…Similar to other recent studies, our patients who underwent ESS had increased opioid consumption when a concurrent septoplasty and/or turbinoplasty was performed, and, comparable to work by Riley et al and Raikundalia et al, the extent of ESS (full vs limited) did not significantly influence pain control or opioid use. 12,[22][23][24] Although there are mixed results on the influence of age on opioid usage, our results are similar to others showing that younger patients require slightly more. 12,22,23 However, as in our study with a very mild negative correlation with increasing age and other studies showing no correlation between age and opioid use, the clinical significance of this is not likely drastic.…”

“…Although there are mixed results on the influence of age on opioid usage, our results are similar to others showing that younger patients require slightly more . However, as in our study with a very mild negative correlation with increasing age and other studies showing no correlation between age and opioid use, the clinical significance of this is not likely drastic . Furthermore, although Jafari et al showed that preoperative opioid use was associated with additional opioid use, our study and multiple others showed that chronic pain patients will not require a significant amount more than other patients .…”

“…12,22,23 However, as in our study with a very mild negative correlation with increasing age and other studies showing no correlation between age and opioid use, the clinical significance of this is not likely drastic. 7,12,22,24 Furthermore, although Jafari et al showed that preoperative opioid use was associated with additional opioid use, our study and multiple others showed that chronic pain patients will not require a significant amount more than other patients. 12,16,22 Overall, although there are some conflicting data in the literature, it has been rather consistently shown that opioids are overprescribed in sinonasal surgery, septoplasty and/or turbinoplasty increase opioid requirements, and opioid prescriptions should be reduced and can likely be based primarily on the type surgery performed rather than taking into account all other variables (gender, age, chronic pain).…”

Perspectives of Facial Plastic Surgeons on Opioid Dependence in Rhinoplasty Patients

“…[6][7][8] A previous study has demonstrated that when surgeons perceive opioid abuse to be a big/moderate problem among their patients, a subsequent reduction in opioid prescription ensues. 9 While opioid prescription patterns among facial plastic surgeons after rhinoplasty have been previously reported, [2][3][4] no research has evaluated the perceptions of facial plastic surgeons on opioid dependence in the rhinoplasty population.…”