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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
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Is Same Day Discharge Associated With Readmission After Orthognathic Surgery?

Tim T Wang1, Lang Liang2, Nicholas Wilken3

  • 1Resident, Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|October 21, 2025
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Summary
This summary is machine-generated.

Same day discharge after orthognathic surgery is safe, showing no increased 30-day readmission risk. This pathway can reduce healthcare costs and improve patient access to care.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Health Services Research
  • Surgical Outcomes

Background:

  • Same day discharge (SDD) for orthognathic surgery may lower costs and improve access.
  • However, the safety and outcomes of SDD are not well understood.

Purpose of the Study:

  • To assess the association between discharge pathway and 30-day hospital readmission.
  • To evaluate trends in SDD over time for orthognathic surgery patients.

Main Methods:

  • Retrospective cohort study (2011-2023) using the ACS NSQIP database.
  • Included patients undergoing orthognathic surgery, excluding those with missing data or concurrent procedures.
  • Compared same day discharge versus inpatient admission, analyzing 30-day readmission rates and covariates.

Main Results:

  • 2,056 patients were analyzed; 22.8% had SDD.
  • Readmission rates were low for both groups (0.40% SDD vs. 1.10% inpatient), with no significant difference (P=.3).
  • SDD frequency increased from 10.7% to 23.1% (P=.03) over the study period.

Conclusions:

  • SDD is not associated with increased 30-day readmission risk in selected orthognathic surgery patients.
  • This supports SDD as a safe option, potentially improving healthcare efficiency.
  • Further research may explore specific patient selection criteria for SDD.