Our Summary

This study aimed to find alternative pain relief methods to opioids after nasal surgeries such as septoplasty, rhinoplasty, and septorhinoplasty. They looked at different types of medications that could be used instead of opioids, which have become a significant concern due to misuse and abuse. The researchers found that local anesthetics, nonsteroidal anti-inflammatory drugs (NSAIDs), gabapentin, and α-agonists can be effective in managing pain after these surgeries. However, they noticed that NSAIDs had a higher chance of causing side effects. Local anesthetics were found to be a cost-effective and efficient option for pain relief. The researchers suggest that more large-scale studies are needed for more definitive recommendations.

FAQs

  1. What is the goal of this study about septoplasty and other nasal surgeries?
  2. What alternative medications to opioids did the researchers find to be effective in managing post-operative pain?
  3. What potential side effects did the researchers notice with the use of NSAIDs after nasal surgeries?

Doctor’s Tip

A helpful tip a doctor might give a patient about septoplasty is to follow post-operative instructions carefully, including taking prescribed pain medications as directed and avoiding activities that could potentially strain the nose. It is also important to keep the nasal passages moist with saline spray or a humidifier to aid in healing and reduce discomfort. Keeping the head elevated while sleeping can also help reduce swelling and promote proper healing. Be sure to follow up with your doctor for any concerns or complications.

Suitable For

Patients who are recommended septoplasty are typically those who have a deviated septum, which can cause difficulty breathing, chronic nasal congestion, recurring sinus infections, and snoring. Septoplasty may also be recommended for patients with nasal trauma or deformities that affect the appearance of the nose. Additionally, patients who have nasal polyps or tumors may also be candidates for septoplasty.

Timeline

Before septoplasty:

  1. Patient experiences symptoms such as nasal congestion, difficulty breathing, and frequent sinus infections.
  2. Patient consults with an ENT specialist who recommends septoplasty to correct a deviated septum.
  3. Patient undergoes pre-operative evaluations and tests to ensure they are a suitable candidate for surgery.

After septoplasty:

  1. Patient undergoes septoplasty surgery to correct the deviated septum.
  2. Patient may experience pain, swelling, and congestion in the days following surgery.
  3. Patient is prescribed pain medication, antibiotics, and nasal sprays to manage symptoms.
  4. Patient attends follow-up appointments with their surgeon to monitor healing and remove nasal packing.
  5. Patient gradually experiences improved breathing and reduced symptoms over the weeks and months following surgery.

What to Ask Your Doctor

  1. What is septoplasty and why do I need it?
  2. What are the potential risks and complications associated with septoplasty?
  3. What type of anesthesia will be used during the surgery?
  4. What is the expected recovery time and what can I do to help speed up the healing process?
  5. Will I experience pain after the surgery and what pain management options are available?
  6. Are there any alternative pain relief methods to opioids that I can consider?
  7. How long will I need to take off work or avoid certain activities after the surgery?
  8. Are there any restrictions on medications, diet, or lifestyle choices before or after the surgery?
  9. How successful is septoplasty in correcting nasal breathing issues?
  10. Are there any long-term effects or considerations I should be aware of after the surgery?

Reference

Authors: Nguyen BK, Yuhan BT, Folbe E, Eloy JA, Zuliani GF, Hsueh WD, Paskhover B, Folbe AJ, Svider PF. Journal: Laryngoscope. 2019 Jun;129(6):E200-E212. doi: 10.1002/lary.27616. Epub 2018 Dec 25. PMID: 30585326