Abstract
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.
Keywords
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Article info
Publication history
Published online: November 25, 2022
Accepted:
November 9,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
