{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:29:24Z","timestamp":1761006564327,"version":"build-2065373602"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,4,14]],"date-time":"2020-04-14T00:00:00Z","timestamp":1586822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate postoperative opiate use and patients\u2019 opinions regarding pain management after endoscopic sinus surgery (ESS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with planned data collection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary referral medical center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>We prospectively evaluated postoperative opiate utilization in adults undergoing ESS over a 2\u2010year period at an academic medical facility. Exclusion criteria included use of nasal packing, intracranial or orbital procedures, tumor surgery, and any use of endoscopic drills. All patients underwent bilateral maxillary antrostomy, total ethmoidectomy, sphenoidotomy, and frontal sinusotomy with or without septoplasty. Patients were discharged with 30 oxycodone\u2010acetaminophen (5\u2010325\u00a0mg) and a survey assessing pain and narcotic\/nonnarcotic use on postoperative days 0 to 7.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 64 patients completed surveys. Mean \u00b1 SD narcotic use over the 7\u2010day postoperative period was 7.7 \u00b1 7.6 pills. Patients with high narcotic use (&gt;6 pills total) had no differences in demographic or surgical factors from those with low use (\u22646 pills) but did report a higher level of postoperative day 1 pain (4.8 \u00b1 1.1 vs 2.0 \u00b1 1.4, <jats:italic>P<\/jats:italic> &lt;. 001). Narcotic use declined during this period, with &lt;30% of patients requiring narcotics by postoperative day 3.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results support reduced opiate prescription and encouragement of nonnarcotic use after ESS without compromising effective pain management.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820915472","type":"journal-article","created":{"date-parts":[[2020,4,14]],"date-time":"2020-04-14T04:07:38Z","timestamp":1586837258000},"page":"969-978","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Patterns in Pain and Opiate Use after Endoscopic Sinus Surgery"],"prefix":"10.1002","volume":"162","author":[{"given":"Sifon","family":"Ndon","sequence":"first","affiliation":[{"name":"Department of Otolaryngology UCSF School of Medicine San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd","family":"Spock","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Mount Sinai Health New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sina J.","family":"Torabi","sequence":"additional","affiliation":[{"name":"Section of Otolaryngology Department of Surgery Yale School of Medicine New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Peter","family":"Manes","sequence":"additional","affiliation":[{"name":"Section of Otolaryngology Department of Surgery Yale School of Medicine New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm655051e1"},{"key":"e_1_2_9_3_1","first-page":"1487","volume":"60","author":"Vital signs: overdoses of prescription opioid pain relievers\u2014United States, 1999\u20102008","year":"2011","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_9_4_1","unstructured":"US Department of Health and Human Services.What is the US opioid epidemic?https:\/\/www.hhs.gov\/opioids\/about\u2010the\u2010epidemic\/index.html. 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