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Understand opioid-prescribing patterns in otologic surgery and the difference in opioid use between transcanal and postauricular surgery. Prospective survey. Multihospital network. All patients undergoing otologic surgery from March 2017 to January 2019. Patients undergoing otologic surgery were surveyed regarding postoperative opioid use and their level of pain control. Patients were divided by surgical approach (transcanal vs. postauricular). Those who underwent mastoid drilling were excluded. Narcotic amounts were converted to milligr