Opioid Use, Overuse, and Abuse in Otolaryngology

A systems approach to perioperative pain management

Introduction As a result of the ongoing public health crisis of opioid addiction in the United States, increased focus and scrutiny have been placed on physicians' pain management practices. Moreover, postoperative opioid prescribing practices after routine surgical procedures are often…

Addiction management in the outpatient setting

Introduction Since the 1990s, the increasing incidence of opioid use disorder (OUD) and overdose deaths involving opioids have reached epidemic proportions. Rising use has been associated with both medical and nonmedical opioid use. While opioids are an effective form of…

Pain management in head and neck cancer

List of abbreviations AAO/HNSF American Academy of Otolaryngology-Head and Neck Surgery Foundation APCD advanced pneumatic compression devices CI confidence interval CNS central nervous system COX cyclooxygenase ERAS enhanced recovery after surgery FDA Food and Drug Administration GFR glomerular filtration rate…

Approach to pain management in otology and neurotology

Overview Otology and neurotology encompass a broad spectrum of procedures, from minor surgical procedures performed under local anesthesia in an outpatient setting (e.g., bone-anchored hearing aid placement), to complex intracranial surgeries involving critical neurovascular structures that require ICU admission (e.g.,…