Pain Management in Surgical Treatment of Facial Fractures: Alternative Approaches to Opioid Use

Jacqueline Tucker, Madison Oxford, Dana Goldenberg, K. Ziai, J. Lighthall
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Abstract

Literature review. This review aims to explore current opioid use trends for surgical management of facial fractures, as well as methods and alternative treatments to decrease opioid use. Review of selected literature from Medline and Google Scholar. Despite the devastating effects of the opioid epidemic and recent policy changes aimed at reducing unnecessary opioid prescription, opioids remain commonly used for pain management after facial fracture repair. Recently, use of multimodal analgesic therapy has been suggested to decrease opioid dosage utilized for post-operative pain control. Alternatives to medication therapies have been proposed for pain management; however, standardized recommendations for pain management in facial fracture patients remain unclear. Further research is required to establish evidence-based recommendations for pain management in craniofacial fracture repair.
面部骨折手术治疗中的疼痛管理:阿片类药物使用的替代方法
文献综述。本综述旨在探讨当前面部骨折手术治疗中阿片类药物的使用趋势,以及减少阿片类药物使用的方法和替代疗法。回顾 Medline 和 Google Scholar 中的部分文献。尽管阿片类药物的流行造成了破坏性影响,而且最近的政策变化旨在减少不必要的阿片类药物处方,但阿片类药物仍常用于面部骨折修复后的疼痛治疗。最近,有人建议使用多模式镇痛疗法来减少术后疼痛控制中阿片类药物的用量。有人提出了药物疗法之外的其他疼痛治疗方法,但面部骨折患者疼痛治疗的标准化建议仍不明确。我们需要进一步研究,为颅面骨折修复术中的疼痛治疗制定循证建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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