Nguyen Brandon K, Svider Peter F, Hsueh Wayne D, Folbe Adam J
Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
Hackensack Meridian Health, Hackensack University Medical Center, Hackensack, NJ, USA.
Otolaryngol Clin North Am. 2020 Oct;53(5):789-802. doi: 10.1016/j.otc.2020.05.008. Epub 2020 Aug 5.
Perioperative analgesic management is multifaceted, and an individualized approach should be taken with each patient. Preoperative discussion of the plan for pain control and the patient's postoperative expectations is a necessary facet for optimal outcomes of analgesia. There is the potential for significant abuse and development of dependence on opioids. Nonopioids, such as nonsteroidal anti-inflammatory drugs, acetaminophen, and gabapentinoids, provide reliable alternatives for analgesic management following sinus and skull-base surgery. There is a paucity of literature regarding perioperative pain regimens for sinus and skull-base surgery, and the authors hope that this review serves as a valuable tool for otolaryngologists.
围手术期镇痛管理是多方面的，对每位患者都应采取个体化方法。术前讨论疼痛控制计划和患者的术后期望是实现最佳镇痛效果的必要方面。存在阿片类药物被大量滥用和产生依赖性的可能性。非甾体抗炎药、对乙酰氨基酚和加巴喷丁类药物等非阿片类药物为鼻窦和颅底手术后的镇痛管理提供了可靠的替代方案。关于鼻窦和颅底手术围手术期疼痛治疗方案的文献较少，作者希望这篇综述能成为耳鼻喉科医生的宝贵工具。
