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Invited Commentary
August 2017

Rethinking Pain Management in Endoscopic Sinus Surgery

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, University of California, San Francisco
JAMA Otolaryngol Head Neck Surg. 2017;143(8):794-795. doi:10.1001/jamaoto.2017.0344

For years, opioid medications have been the centerpiece of perioperative pain management with endoscopic sinus surgery. This approach provides surgeons with the comfort that their patients will experience adequate pain control following their operation. Rarely, however, have we asked if we are overtreating pain. Certainly patients will take only the medication they need, and what’s the harm with a few unused pills? Furthermore, are we not better off prescribing beyond the likely needs of our patients to ensure their comfort and minimize postoperative phone calls?

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