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Outpatient orthognathic surgery: a prospective study of predictive factors for the length of hospital stays

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Abstract

Objectives

Transitioning from non-outpatient orthognathic surgery to outpatient surgery is a new challenge, and it is essential to target the eligible population as precisely as possible. Several authors describe series of outpatient orthognathic surgery but do not include the reasons for their success or failure. The main aim of this study was to identify the factors significantly associated with “successful” outpatient orthognathic treatment. The secondary objective was to determine the factors significantly associated with prolonged hospital stays (≥ 2 nights).

Materials and methods

A prospective cohort study including patients undergoing orthognathic surgery was conducted over a period of 1 year. We recorded the prognostic factors that contributed to successful outpatient treatment and prolonged hospital stays. These factors were evaluated by bivariate and multivariate analysis.

Results

A total of 102 patients were included, and the success rate of treatment was 65%. The variables that were isolated by multivariate analysis were: patients over the age of 22, procedures ending before 1 pm, brief operations, the absence of both postoperative vomiting and the administration of morphine.

Conclusion

Patient selection, organisation of outpatient facilities and anaesthetic protocols contribute to the development of outpatient orthognathic surgery. These initial considerations provide a framework for our practice, but the considerations that predict the failure of outpatient surgery will need to be clarified.

Clinical relevance

Orthognathic surgery can be performed on outpatient basis in selected cases. Age, the operative time, procedure end time, postoperative vomiting and the administration of morphine are associated with the success of outpatient care.

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Author information

Authors and Affiliations

  1. Plastic and Maxillo-Facial Surgery Department, CHU Purpan, University Hospital Center of Toulouse, Place du Docteur Baylac, 31059, Toulouse Cedex, France

    Alice Prevost, Frédéric Lauwers, Vinciane Poulet, Raphael Lopez & Zoé Cavallier

  2. Plastic and Maxillo-Facial Surgery Department, Hospices Civils de Lyon, Lyon-Sud Hospital—Claude-Bernard Lyon 1 University, 165 Chemin du Grand-Revoyet, 69310, Pierre-Bénite, France

    Andréa Varazzani

  3. Department of Anesthesiology and Intensive Care, University Hospital of Toulouse, Place du Docteur Baylac, 31059, Toulouse, France

    Marion Mure

Authors
  1. Alice Prevost
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  2. Frédéric Lauwers
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  3. Andréa Varazzani
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  4. Vinciane Poulet
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  5. Marion Mure
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  6. Raphael Lopez
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  7. Zoé Cavallier
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Contributions

A.P.: acquisition, analysis and interpretation of data, and drafted the work. F.L.: conception of the work, interpretation of data, revised the work critically for important intellectual content. A.V.: acquisition and interpretation of data and revised the work critically for important intellectual content. V.P.: acquisition and analysis of data, revised the work critically for important intellectual content. M.M.: conception and design of the work; interpretation of data; revised the work critically for important intellectual content. R.L.: conception of the work, interpretation of data; revised the work critically for important intellectual content. Z.C.: conception and design of the work and acquisition data and drafted the work.

Corresponding author

Correspondence to Alice Prevost.

Ethics declarations

Ethics approval and consent to participate

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of University B (RnIPH 2018–66).

The patients’ free, informed and written consent was obtained. In the case of underage patients, free, informed and written consent was obtained from the patient and a legal guardian, and both parents signed authorisation for treatment.

Conflict of interest

The authors declare no competing interests.

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Prevost, A., Lauwers, F., Varazzani, A. et al. Outpatient orthognathic surgery: a prospective study of predictive factors for the length of hospital stays. Clin Oral Invest 27, 6781–6788 (2023). https://doi.org/10.1007/s00784-023-05290-x

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  • DOI: https://doi.org/10.1007/s00784-023-05290-x

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