Postoperative Pain Management in Rhinoplasty

NCT ID: NCT03584152

Last Updated: 2025-12-03

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

159 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-09

Study Completion Date

2025-07-17

Brief Summary

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The primary purpose of the study is to determine adequacy of postoperative pain control after nasal surgery in patients prescribed Acetaminophen (325mg) + Hydrocodone (5mg) compared to Acetaminophen(325mg) + Ibuprofen (200mg)for a period of 5 days after nasal surgery. To assess the degree of pain, the participants will score the intensity of their pain on a visual analog scale(VAS)of 0-100points (0- no pain and 100- most severe pain), preoperatively and postoperatively (to be documented before each dose) for the duration of the prescribed medications .

Additionally, the study will also seek to track:

1. The total number of pills each patients consume from the prescribed 5 day regimen.
2. Any associated side effects.
3. Additional pain medications prescribed in case of inadequate pain control, postoperatively.

Detailed Description

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From this study, the investigators hope to learn the following:

1. Is adequate postoperative pain management after nasal surgery achieved with opioid or non-opioid drugs?
2. If opioid drugs are required for adequate pain control postoperatively, is it possible to reduce the number of days the drugs are prescribed for?
3. What are the common side effect profiles of the included drugs?

In light of the current opioid epidemic in the country, it is important the the physicians explore the utility of drugs other than opioids for adequate postoperative pain management. Also, reducing the dosage and/or number of prescribed opioid drugs lessens the propensity for misuse of physician prescribed opioid medications.

Conditions

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Pain, Postoperative

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Drug Arm A

Norco 5mg-325 mg Tablet, administered orally every 4 hours for 5 days total

Group Type ACTIVE_COMPARATOR

Norco 5Mg-325Mg Tablet

Intervention Type DRUG

Opioid Analgesics

Drug Arm B

Tylenol 325 mg Caplet, administered orally every 4 hours for 5 days total. Ibuprofen 200 mg administered orally every 4 hours for 5 days total.

Group Type ACTIVE_COMPARATOR

Tylenol 325Mg Caplet

Intervention Type DRUG

Non opioid analgesics

Ibuprofen 200 mg

Intervention Type DRUG

Non opioid analgesics

Interventions

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Norco 5Mg-325Mg Tablet

Opioid Analgesics

Intervention Type DRUG

Tylenol 325Mg Caplet

Non opioid analgesics

Intervention Type DRUG

Ibuprofen 200 mg

Non opioid analgesics

Intervention Type DRUG

Other Intervention Names

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Lortab Vicodin Hycet Acetaminophen Advil Motrin

Eligibility Criteria

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Inclusion Criteria

* Minimum age of 18 years
* Able to speak and understand english.
* Undergoing rhinoplasty for cosmetic purposes
* Undergoing rhinoplasty for treatment of nasal obstruction

Exclusion Criteria

* Less than 18 years of age
* Cannot speak and understand english
* Patients who have undergone nasal surgery in the past
* Patients not undergoing nasal surgery
* Women will be excluded if they are either pregnant or lactating as this population does not undergo nasal surgery at our center.
* Patients with any known allergies to the class of pain medications used in the study.

Please note: Any person interested in this clinical trial should contact the Facial Plastic and Reconstructive Surgery clinic at (650) 736 - 3223 to schedule a consultation with Dr. Sam P. Most to assess their eligibility for the trial. Please note, enrolling in the clinical trial will not entitle the participant to a waiver of charges associated with undergoing nasal surgery.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Sam P. Most

Chief, Division of Facial Plastic and Reconstructive Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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SAM P Most, MD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Locations

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Facial Plastic and Reconstructive Surgery Clinic

Stanford, California, United States

Site Status

Countries

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United States

References

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Johns MD. Transfer of a pattern versus component discrimination following training in a probabilistic situation. J Exp Psychol. 1965 Nov;70(5):506-9. doi: 10.1037/h0022535. No abstract available.

Reference Type BACKGROUND
PMID: 5833672 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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46945

Identifier Type: -

Identifier Source: org_study_id

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