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Is day-case surgery feasible for all orthognathic procedures?
Nina Fraser1, Taiba Jamshaid1, Preeji Girijan1
1Department of Oral and Maxillofacial surgery, Pinderfields Hospital, Aberford Road, Wakefield WF1 4DG, United Kingdom.
The British Journal of Oral & Maxillofacial Surgery
|August 15, 2025
Summary
Day-case treatment for orthognathic procedures, including bimaxillary osteotomy, is feasible and safe. Most patients preferred same-day discharge, with no complications linked to this approach.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Outcomes Research
Background:
- Orthognathic procedures, such as bimaxillary osteotomy, traditionally involve overnight hospital stays.
- Assessing the feasibility of day-case treatment is crucial for optimizing patient care and resource utilization.
Purpose of the Study:
- To evaluate the feasibility, safety, and patient preference for day-case treatment in orthognathic surgery.
- To compare outcomes between an overnight cohort and a default day-case protocol.
Main Methods:
- Retrospective analysis comparing two patient cohorts: one with overnight stays and one with a default day-case protocol.
- Data collected on patient discharge timing and postoperative complications.
Main Results:
- In 2023, all 23 patients stayed overnight. With the day-case protocol (2024/25), 12 of 18 patients went home the same day (p < 0.001).
- Five patients experienced postoperative complications after 48 hours; none were related to day-case care.
Conclusions:
- Day-case orthognathic procedures are feasible and safe.
- The majority of patients prefer same-day discharge following these procedures.
- Day-case management does not appear to increase complication risk.
