Postoperative Pain and Perioperative Antibiotic Management in Functional Rhinoplasty.

Autor:	Lee J; Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, 1215 21st Avenue South, Suite 7209, Medical Center East, South Tower, Nashville, TN 37232, USA., Rossi-Meyer MK; Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, 1215 21st Avenue South, Suite 7209, Medical Center East, South Tower, Nashville, TN 37232, USA., Yang SF; Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, 1215 21st Avenue South, Suite 7209, Medical Center East, South Tower, Nashville, TN 37232, USA., Stephan SJ; Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, 1215 21st Avenue South, Suite 7209, Medical Center East, South Tower, Nashville, TN 37232, USA., Patel PN; Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, 1215 21st Avenue South, Suite 7209, Medical Center East, South Tower, Nashville, TN 37232, USA. Electronic address: priyesh.patel.1@vumc.org.
Jazyk:	angličtina
Zdroj:	Otolaryngologic clinics of North America [Otolaryngol Clin North Am] 2024 Sep 11. Date of Electronic Publication: 2024 Sep 11.
DOI:	10.1016/j.otc.2024.07.028
Abstrakt:	Post-rhinoplasty pain control should use a multimodal regimen. Evidence suggests decreasing routine prescriptions of narcotics is reasonable for most individuals, and acetaminophen and nonsteroidal antiinflammatory drug combinations may be equivalent to as-needed opioids for postsurgical pain management. Preoperative pain counseling is important to set post-rhinoplasty pain expectations and reduce opioid use. A single intravenous dose of prophylactic antibiotics before incision is sufficient for most cases of functional rhinoplasty. Additional considerations are given to complex revision cases, use of allogenic grafts or implants, external osteotomies, or patients with immunosuppression or at risk of endocarditis. Competing Interests: Disclosure The authors have nothing to disclose. (Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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