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. Men were prescribed higher doses than women (mean difference, 15.39 [95% CI, 9.87-20.90], .01; 5-mg hydrocodone pill equivalents, 3.1). Overall MMEs prescribed by year demonstrates a sharp drop in MMEs from 2015 to 2017. While the amount of opioids prescribed perioperatively has declined in recent years, otologists should continue to be cognizant of potential overprescribing in light of previous studies of patients' relatively low opioid intake. While the amount of opioids prescribed perioperatively has declined in recent years, otologists should c