Abstract
The sagittal split ramus osteotomy (SSRO) has been performed mainly on an inpatient
basis because of the duration of anaesthesia and the potential risk of postoperative
complications, such as bleeding, pain, nausea, and vomiting. However, advances in
both surgical and anaesthetic management have enabled the reduction of these risks
and shortened the length of hospital stay. Thus, the SSRO may be feasible even in
the ambulatory setting in elective cases. The clinical records of all patients who
underwent an outpatient SSRO between August 2011 and September 2020 at Lilla Craniofacial
Clinic were reviewed retrospectively. Data on age, sex, duration of surgery, operative
procedures, intraoperative bleeding, and admission status were investigated. In total,
143 patients underwent a bilateral SSRO. The SSRO was performed as an isolated procedure
in 73 patients and concomitantly with other surgical procedures in the remaining 70
patients. Overall, 142 of the 143 patients were discharged on the day of surgery (99.3%);
only one (0.7%) required an overnight stay because of a submental haemorrhage after
genioplasty. No emergency hospitalizations or readmissions occurred after discharge.
Multimodal perioperative management, both surgical and anaesthetic, facilitated enhanced
patient recovery after surgery, and SSRO was performed successfully and safely as
an ambulatory procedure.
Keywords
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Article info
Publication history
Published online: September 10, 2022
Accepted:
August 16,
2022
Identification
Copyright
© 2022 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
