{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T07:16:16Z","timestamp":1763968576129,"version":"3.41.2"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,3,23]],"date-time":"2024-03-23T00:00:00Z","timestamp":1711152000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The current study aims to measure patient\u2010reported satisfaction with pain control using opioid and non\u2010opioid medications after undergoing the following otolaryngology procedures: parathyroidectomy, thyroid lobectomy, total thyroidectomy, and bilateral tonsillectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A prospective cohort study was performed at an academic medical center that included a telephone questionnaire and chart review. Opioid prescriptions, usage, and patient\u2010reported pain outcomes were recorded. Bivariate analyses were used to compare opioid and non\u2010opioid users.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 107 total patients undergoing otolaryngology procedures included in the study, 49 (45.8%) used an opioid for pain management postoperatively and 58 (54.2%) did not. Among the 81 patients who underwent endocrine procedures (parathyroidectomy, total thyroidectomy\/lobectomy), most patients reported being \u201cvery satisfied\u201d or \u201csatisfied\u201d with pain control whether they used opioids (<jats:italic>n<\/jats:italic>\u2009=\u200927\/30, 90%) or not (<jats:italic>n<\/jats:italic>\u2009=\u200950\/51, 98%). Of the 26 patients who underwent bilateral tonsillectomy, 19 (73%) were prescribed opioids and among these, most (<jats:italic>n<\/jats:italic>\u2009=\u200917\/19, 89%) reported they were \u201cvery satisfied\u201d or \u201csatisfied\u201d with pain control. In the non\u2010opioid usage group, all patients (<jats:italic>n<\/jats:italic>\u2009=\u20097\/7, 100%) reported they were \u201csatisfied\u201d with pain control. There was no statistically significant difference in patient\u2010reported satisfaction with pain control between opioid and non\u2010opioid users for any of the procedures listed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of our study suggest that patients who did not use opioids have a similar level of satisfaction with pain control compared to those using opioids after thyroid, parathyroid and tonsillectomy surgeries. Considering the magnitude of the opioid crisis, providers should reassess the need for opioid prescriptions following certain ENT procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.1229","type":"journal-article","created":{"date-parts":[[2024,3,23]],"date-time":"2024-03-23T10:18:11Z","timestamp":1711189091000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Pain control is comparable between opioid versus non\u2010opioid management after otolaryngology procedures"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8769-5364","authenticated-orcid":false,"given":"Ashwini","family":"Sarathy","sequence":"first","affiliation":[{"name":"Larner College of Medicine University of Vermont  Burlington Vermont USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clemens","family":"An","sequence":"additional","affiliation":[{"name":"Larner College of Medicine University of Vermont  Burlington Vermont USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ty","family":"Bever","sequence":"additional","affiliation":[{"name":"Larner College of Medicine University of Vermont  Burlington Vermont USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Callas","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Vermont Medical Center  Burlington Vermont USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayo H.","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Vermont Medical Center  Burlington Vermont USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3126-7739","authenticated-orcid":false,"given":"Mirabelle","family":"Sajisevi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Vermont Medical Center  Burlington Vermont USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.0665"},{"key":"e_1_2_9_3_1","unstructured":"Monthly Opioid Morbidity and Mortality Report.Vermont Department of Health.https:\/\/www.healthvermont.gov\/sites\/default\/files\/documents\/pdf\/ADAP-MonthlyOpioidRelatedFatalOverdoses.pdfAccessed March 1 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Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.1229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T14:14:31Z","timestamp":1713795271000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lio2.1229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,23]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1002\/lio2.1229"],"URL":"https:\/\/doi.org\/10.1002\/lio2.1229","archive":["Portico"],"relation":{},"ISSN":["2378-8038","2378-8038"],"issn-type":[{"type":"print","value":"2378-8038"},{"type":"electronic","value":"2378-8038"}],"subject":[],"published":{"date-parts":[[2024,3,23]]},"assertion":[{"value":"2023-10-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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