Department of Otolaryngology, University of Alabama at Birmingham, Faculty Office Tower 1155, 1720 2nd Avenue South, Birmingham, AL 35294-3412, USA.
Department of Otolaryngology, University of Alabama at Birmingham, Faculty Office Tower 1155, 1720 2nd Avenue South, Birmingham, AL 35294-3412, USA.
Otolaryngol Clin North Am. 2020 Oct;53(5):803-810. doi: 10.1016/j.otc.2020.05.009. Epub 2020 Jul 15.
Otologic surgery involves a broad range of procedures. In general, postoperative pain from most otologic surgeries can be managed with little to no opioids, and surgeons should make a concerted effort to minimize narcotic prescriptions in the midst of the opioid crisis. Many procedures, including transcanal surgeries and even postauricular surgeries, may performed with local anesthetic in selected patients. Multimodal pain regimens, local anesthesia, and alternative approaches have shown promise in minimizing narcotic use, and should be considered. Preoperative counseling to appropriately manage expectations and goals is imperative for patient satisfaction and safety.
耳科学手术涉及广泛的手术程序。一般来说，大多数耳科学手术后的疼痛可以用很少或不用阿片类药物来控制，外科医生应该在阿片类药物危机中努力减少阿片类药物的处方。许多手术，包括经耳道手术甚至耳后手术，在某些患者中可以使用局部麻醉进行。多模式疼痛方案、局部麻醉和替代方法已被证明在减少阿片类药物使用方面有一定的效果，因此应予以考虑。术前咨询对于适当管理患者的期望和目标是至关重要的，这对患者的满意度和安全性有重要意义。
