Key result
Opioid analgesic use interacted significantly with age for post-surgery sequelae, and older patients had more disparate recovery based on surgery type than younger patients.
Why the study?
Recovery from orthognathic surgery involves returning to pre-surgical activity and function, prompting evaluation of the effect of medication use on reported recovery measures.
Does the duration of opioid analgesic use affect patient-reported recovery in orthognathic surgery patients?
Observational
Does the duration of opioid analgesic use affect patient-reported recovery in orthognathic surgery patients?
In orthognathic surgery patients, age and duration of opioid use interact to influence patient-reported recovery trajectories.
Age-opioid interactions may warrant cautious monitoring in older orthognathic patients; leaves open causal effects on recovery trajectories.
Recovery from orthognathic surgery usually involves returning to pre-surgical levels of activity and function. In this study, orthognathic surgery patients were given a daily diary to keep for 90 days post-surgery. The diary measured recovery in four domains: postsurgery sequelae, discomfort/pain, oral function, and daily activities. This study evaluated the effect of medication use in patients on their reported recovery measures. Multifactorial analysis according to age (≤ 18y, >18y), gender, type of surgery (maxilla, mandible, two-jaw surgery), and opioid analgesic use (≤ 7 days, >7 days) was performed. Opioid use was significant as an interaction with age in some measures of the post-surgery sequelae domain. Age had a significant main effect in daily activities, and significant interaction with type of surgery in oral function, post-surgery sequelae and pain/discomfort. Older patients were more disparate in recovery according to type of surgery, while younger patients recovered more similarly given any type of surgery.
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Jared C. Blacker (2019) conducted an observational in Orthognathic surgery. Opioid analgesic use vs. ≤ 7 days vs >7 days was evaluated on Self-reported recovery in postsurgery sequelae, discomfort/pain, oral function, and daily activities. Opioid analgesic use interacted significantly with age for post-surgery sequelae, and older patients had more disparate recovery based on surgery type than younger patients.
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