Pain Treatment and Recovery After Endoscopic Sinus Surgery

Abstract

The present study suggests that patients recover in 9 to 10 days after ESS when provided with appropriate pain management. Our data indicate that by prescribing scheduled acetaminophen, postoperative pain after ESS can be controlled effectively without the need for opioid analgesics.

Effects of early postoperative nasal decongestant on symptom relief after septoplasty

“…These inflammation‐related symptoms generally last 1 week or less. Kemppainen et al reported that patient discharge and return to normal daily activities is approximately between 8 and 10 days after nasal surgery . Similarly to their study, the VAS and NOSE scores of our patients were highest on postoperative day 5 (3 days after nasal splints were removed) and returned to normal on day 12 (10 days after nasal splints were removed).…”

Incidence and predictive factors for additional opioid prescription after endoscopic sinus surgery

“…18 Previous research has also suggested the efficacy of scheduled acetaminophen alone in achieving return to normal daily activities when compared with an as-needed group. 19 However, 1 patient in the scheduled group and 5 in the asneeded group indicated insufficient analgesia with the nonopioid regimen. Similarly, in the study conducted by Wise et al, 2 patients used over 30 tablets over the study period.…”

Opioid prescription patterns and use among patients undergoing endoscopic sinus surgery

“…The American Society of Anesthesiologists and the American Pain Society recommend using nonopioid analgesics postoperatively, when not contraindicated . Scheduled acetaminophen, as opposed to as‐needed administration, can provide effective pain control and reduce opioid requirements after ESS . In addition, nonsteroidal anti‐inflammatory drugs (NSAIDs) are a safe and effective alternative to opioids for patients without contraindications.…”

“…18,19 Scheduled acetaminophen, as opposed to as-needed administration, can provide effective pain control and reduce opioid requirements after ESS. 20,21 In addition, nonsteroidal anti-inflammatory drugs (NSAIDs) are a safe and effective alternative to opioids for patients without contraindications. The evidence supporting NSAID use for postoperative analgesia after ESS has an A grade, pursuant to the Grading of Recommendations Assessment, Development and Evaluation approach, and NSAIDs may reduce postoperative opioid consumption.…”