Same-day discharge feasible after complex triple-jaw orthognathic surgery

A retrospective single-surgeon review of 177 patients undergoing triple-jaw orthognathic surgery (Le Fort I osteotomy, bilateral sagittal split osteotomy, and genioplasty) plus at least two adjunctive procedures at an ambulatory surgery center found no cases of hospital transfer, admission, or inpatient conversion. The study reported low rates of vomiting (1.1%), infection (1.1%), and no hemorrhage, airway compromise, hardware failure, or revision surgery, with several postoperative outcomes reported as significantly lower than published inpatient cohorts. The authors concluded that ambulatory surgery center-based care may represent an alternative to conventional hospital-based management for this procedure in a selected cohort.

Most relevant for: Patients undergoing complex multi-jaw orthognathic surgery with adjunctive procedures considered for ambulatory surgery center-based care.

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