Perioperative pain management in pediatric otolaryngology-head and neck surgery

Ruth J. Davis, David E. Tunkel

Research output: Chapter in Book/Report/Conference proceedingChapter


Pain management for children after otolaryngologic procedures is challenging and even controversial. The importance of adequate pain control for children after surgery is well understood, but debates about analgesia protocols center on the risks of opioids for children with obstructive sleep apnea as well as potential bleeding risk with the use of nonsteroidal antiinflammatory drugs. In this chapter, we review perioperative pain management for the two most common procedures in pediatric otolaryngology: tympanostomy tube placement and tonsillectomy. We focus on special considerations in pediatric patients, pharmacologic and nonpharmacologic interventions, and the evidence supporting their efficacy and possible adverse effects.

Original languageEnglish (US)
Title of host publicationOpioid Use, Overuse, and Abuse in Otolaryngology
Number of pages20
ISBN (Electronic)9780323790161
ISBN (Print)9780323790178
StatePublished - Jan 1 2021


  • Analgesia
  • Nonsteroidal antiinflammatory drug
  • Opioid
  • Tonsillectomy
  • Tympanostomy

ASJC Scopus subject areas

  • Medicine(all)


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