In-office outpatient orthognathic surgery: review of 254 cases where the patients were discharged the same day

In-office outpatient orthognathic surgery: review of 254 cases where the patients were discharged the same day

This study was performed to present a single operator’s experience of in-office (outside of a hospital setting) outpatient orthognathic surgery over a period of 12 years. A total of 254 surgeries were performed during this period. Average procedure times were comparable with published results from s...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery Vol. 52; no. 7; pp. 801 - 805
Main Authors: Bergmann, U., Jónsdóttir, O.H., Bergmann, J.B., Björnsson, G.Á.
Format: Journal Article
Language:English
Published: Denmark Elsevier Inc 01-07-2023
Subjects:
General anesthesia
Mandibular osteotomy
Maxillary osteotomy
Office surgery
Orthognathic surgery
Outpatient surgery
Office surgery
Mandibular osteotomy
Maxillary osteotomy
Orthognathic surgery
General anesthesia
Outpatient surgery
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Summary:This study was performed to present a single operator’s experience of in-office (outside of a hospital setting) outpatient orthognathic surgery over a period of 12 years. A total of 254 surgeries were performed during this period. Average procedure times were comparable with published results from studies of similar material. The mean operating time for bimaxillary surgery (n = 21) was 3 hours and 11 minutes. Regarding single-jaw procedures, the mean operating time for Le Fort I osteotomy (n = 115) was 2 hours and 14 minutes and for bilateral sagittal split osteotomy (n = 118) was 2 hours and 1 minute. All patients were discharged from the office the same day, except one patient who was transported to the hospital after surgery due to an anaesthetic complication. This patient was discharged from the hospital later the same day. In this setting, outpatient orthognathic surgery is both safe and practical when careful attention is given to patient preparation and selection. Emergency phone contact with the surgeon in case of complications is important to avoid unnecessary hospitalization.
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ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2022.11.006