Outpatient oral and maxillofacial surgery: transition to a Surgicenter setting and outcome of the first 200 cases.
Advances in techniques for perioperative management have reduced the morbidity associated with major oral and maxillofacial surgery. Simultaneously, pressures for cost control have affected patient access to surgical services. This report details the steps undertaken to effect a transition of major maxillofacial surgical procedures to an outpatient setting. Protocols for surgical, anesthetic, and postoperative management are described. Treatment outcomes for the first 200 cases are reported. Only 1% of cases required subsequent inpatient care and a less than 1% major revision rate was experienced.
Dann
J J
JJ
Department of Dentistry and Oral/Maxillofacial Surgery, John Muir Medical Center, Walnut Creek, CA, USA.
D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data; D002140:California; D002985:Clinical Protocols; D003953:Diagnosis-Related Groups; D006801:Humans; D019647:Oral Surgical Procedures / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D013531:Surgicenters / Q000706:statistics & numerical data; D016896:Treatment Outcome