Postoperative Pain and Perioperative Antibiotic Management in Functional Rhinoplasty

Jaclyn Lee; Monica K Rossi-Meyer; Shiayin F Yang; Scott J Stephan; Priyesh N Patel

doi:10.1016/j.otc.2024.07.028

Postoperative Pain and Perioperative Antibiotic Management in Functional Rhinoplasty

Otolaryngol Clin North Am. 2024 Sep 11:S0030-6665(24)00144-0. doi: 10.1016/j.otc.2024.07.028. Online ahead of print.

Authors

Jaclyn Lee¹, Monica K Rossi-Meyer², Shiayin F Yang², Scott J Stephan², Priyesh N Patel³

Affiliations

¹ 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.
² 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.
³ 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: [email protected].

PMID: 39266391
DOI: 10.1016/j.otc.2024.07.028

Abstract

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.

Keywords: Antibiotic prophylaxis; Opioids; Pain management; Rhinoplasty.

Publication types

Review