
Opioid Use, Overuse, and Abuse in Otolaryngology
- 1st Edition - November 12, 2021
- Imprint: Elsevier
- Editor: Ryan J. Li
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 7 9 0 1 6 - 1
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 9 0 1 7 - 8
Prescription opioid abuse has become a major issue around the world, especially within the United States and Canada. Surgeons’ high rate of opioid prescriptions places them in… Read more

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Discusses perioperative pain management in otolaryngology from an anesthesiology perspective, perioperative pain management in pediatric otolaryngology, rhinology and anterior skull base surgery, facial plastic and reconstructive surgery, neurotology, head and neck cancers, and more.
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Offers nonopioid analgesic options for otolaryngology-head and neck surgery patients and discusses a structured approach to perioperative pain management.
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Presents the knowledge and expertise of leading experts who have assembled the most up-to-date recommendations for opioid use, overuse, and abuse, including international pain management approaches.
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Covers the history of perioperative pain management in otolaryngology-head and neck surgery.
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Introduction
- Chapter 1. The evolution of perioperative pain management in otolaryngology—head and neck surgery
- Overview and historical pain management
- Typical pain management regimens
- Opioids and changes in prescribing habits within otolaryngology
- Perioperative considerations for patients on long-term opioid therapy
- Evolution in pain management for pediatric tonsillectomy
- Multimodal approaches to analgesia
- Narcotic free regimens in thyroid and parathyroid surgery
- Regional differences in postoperative pain management in otolaryngology
- Chapter 2. Pain management in the care of otolaryngology patients: an anesthesiologist and pain physician's perspective
- Introduction
- Acute perioperative pain in otolaryngology
- Chronic pain in otolaryngology
- Chapter 3. Perioperative pain management in rhinology and anterior skull base surgery
- Introduction
- Endoscopic sinus surgery
- Endoscopic skull base surgery
- Conclusions
- Chapter 4. Perioperative pain management in facial plastic and reconstructive surgery
- Introduction
- Analgesic pharmacology
- Procedure-specific pain management
- Conclusion
- Chapter 5. Perioperative pain management in pediatric otolaryngology—head and neck surgery
- Introduction
- Special considerations for pain management in children
- Tympanostomy tube placement
- Tonsillectomy and adenoidectomy
- Opioids
- Acetaminophen
- Nonsteroidal antiinflammatory drugs
- Steroids
- Opioid sparing regimens
- Nonpharmacologic adjuncts
- Surgical technique
- Conclusions
- Chapter 6. Approach to pain management in otology and neurotology
- Overview
- Otologic surgery
- Neurotology
- Approaches to reduce opioid prescription
- Conclusion
- Chapter 7. Pain management in head and neck cancer
- Introduction: head and neck cancer-associated morbidity and pain
- HNC-associated pain syndromes and neurobiological mechanisms
- Treatment overview for HNC-associated pain
- Management updates for common HNC-associated pain situations and syndromes
- Conclusion and summary for pain management in HNC
- Chapter 8. Nonopioid pain management in otolaryngology—head and neck surgery: the pharmacist's perspective
- Introduction
- Acetaminophen
- Nonsteroidal antiinflammatory drugs
- Gabapentinoids
- Multimodal analgesia
- Conclusion
- Chapter 9. Addiction management in the outpatient setting
- Introduction
- What is opioid use disorder?
- Risk of developing opioid use disorder
- Screening for opioid use disorder
- Safe prescribing practices
- Overview of opioid use disorder treatment
- Medications for opioid use disorder
- Considerations for special populations
- Postoperative management for individuals with history of opioid use disorder
- Pain management considerations for patients treated with medications for opioid use disorder
- Conclusion
- Chapter 10. International perioperative pain management approaches
- Introduction
- Motivation reviewing perioperative management in otolaryngology—head and neck surgery
- Overview of perioperative pain management globally
- Intraoperative preemptive analgesia
- Perioperative pain management in general otolaryngology—head and neck surgery procedures globally
- Opioid use in perioperative pain management globally
- Patient cultural backgrounds and perioperative opioid use
- Healthcare environments and perioperative opioid use
- Conclusion
- Chapter 11. A systems approach to perioperative pain management
- Introduction
- Why a systems-based approach to perioperative pain management?
- Preoperative pain assessment and counseling
- Enhanced recovery after surgery: a model for systems-based perioperative pain management
- Summary
- Index
- Edition: 1
- Published: November 12, 2021
- Imprint: Elsevier
- No. of pages: 244
- Language: English
- Paperback ISBN: 9780323790161
- eBook ISBN: 9780323790178
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