Assessment of opioid use following septorhinoplasty and its association with pain catastrophizing

Anxiety towards pain is correlated with increased post-surgical pain and assessed with the “Pain Catastrophizing Scale” (PCS). We assess patient reported pain and opioid usage following septorhinoplasty and their association with the PCS. This prospective cohort study enrolled patients over 18 years...

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Bibliographic Details
Published in:American journal of otolaryngology 2024-03, Vol.45 (2), p.104123-104123, Article 104123
Main Authors: Carlson, Kevin J., Dashtizad, Brandon I., Larson, Michael O., Dougherty, William M., Dobratz, Eric J.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Analgesics, Opioid - therapeutic use
Catastrophization
Humans
Middle Aged
Narcotic
Narcotics
Opioid
Opioid-Related Disorders
Pain
Pain catastrophizing
Pain, Postoperative - drug therapy
Pain, Postoperative - etiology
Prospective Studies
Septorhinoplasty
Young Adult
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Summary:Anxiety towards pain is correlated with increased post-surgical pain and assessed with the “Pain Catastrophizing Scale” (PCS). We assess patient reported pain and opioid usage following septorhinoplasty and their association with the PCS. This prospective cohort study enrolled patients over 18 years of age undergoing open septorhinoplasty on an outpatient basis at a single academic institution. Participants completed the PCS preoperatively and recorded post-operative pain and analgesic use with a daily online based survey through post-operative day 5. Total opioid use and highest pain rating are assessed. Postoperative pain was assessed in 34 patients with a median age of 37 years (Range: 22-62y). The average highest pain rating was 6.2/10 (σ = 2.03) and occurred on post-operative day 2. A median of 20 5-mg narcotic tablets (Range: 10–25) was prescribed to study participants though only an average of 7.25 (Range: 0–15) were reported as used. Medical comorbidities and surgical characteristics, including history of anxiety, cosmetic indication, surgical revision, use of osteotomies, Doyle splints, costal or conchal cartilage grafts, or inferior turbinate reduction, were not associated with increased pain or narcotic use. Those using >10 tablets scored higher on the PCS ([10.6] v. [4.8], p = 0.025). Most patients require
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2023.104123