Newberry CI, et al. - In this investigation involving 364 patients, researchers identified factors correlated with variable opioid usage and further described optimal prescription patterns for sinonasal surgery. Electronic postoperative surveys have been sent to all patients undergoing sinonasal surgery within a single healthcare system from March 2017 to August 2018. A mean number of 25.3 tablets per patient was administered, but only 11.8 tablets were taken on average. The amount used was not linked to the complexity of endoscopic sinus surgery, type of opiate prescribed, gender, distance living from hospital, or current opioid usage before surgery. A variation in opioid use was associated with the addition of septoplasty and/or turbinoplasty. In total, 76.1% of individuals incorrectly discarded/stored excess opiates. After sinonasal surgery, opioids are overprescribed. The amount of prescribed postoperative opiate should be significantly reduced and may be dependent on specific procedures. Enhanced patient education on excess narcotics disposal could help curb potential opioid diversion.