Narcotics vs NSAIDs for Post-operative Analgesia in Outpatient Rhinoplasty
Narcotics vs NSAIDs for Post-operative Analgesia in Outpatient Rhinoplasty
The purpose of this study is to compare the efficacy and safety of oral opiate pain
 medication vs non-steroidal ant inflammatory drugs (NSAIDs) in the treatment of postoperative
 rhinoplasty pain. This study will also evaluate potential contributing factors affecting the
 efficacy of these pain control methods. Patients will be randomized to receive either NSAIDs
 in the form of 400mg of Ibuprofen or Norco (hydrocodone 5mg- acetaminophen 325mg) to be used
 for post-operative pain. The study will then compare which is more effective in controlling
 post operative pain.
Inclusion Criteria:

 -  Patients 18-70 years old undergoing septorhinoplasty or rhinoplasty for either
 obstructive or aesthetic reasons. All approaches to rhinoplasty and surgical
 techniques utilized will be included. This will include patients that undergo
 additional procedures during the rhinoplasty including osteotomies, turbinate
 reduction, septoplasty, nasal valve repair and ear cartilage graft.

 Exclusion Criteria:

 -  Patients who undergo a rhinoplasty requiring a rib cartilage graft for the procedure
 as this is known to cause significant pleuritic chest pain.

 -  Patients receiving functional endoscopic sinus surgery concurrently with the
 rhinoplasty will be excluded.

 -  Patients with known history of gastrointestinal bleeds, peptic ulcer disease or who
 have other comorbidities that prevent them from taking NSAIDs.

 -  Patients with a history of radiation, active head and neck malignancy or other pain
 disorders such as various rheumatologic diseases will be excluded to decrease
 confounding factors in the control of pain.