A 3-Year Retrospective Analysis of Total Operating Time, Length of Stay & Readmission Rates for Orthognathic Surgery

Objectives:

It is well documented (Cunnigham et al, 2002) that orthognathic surgery improves quality of life in terms of enhanced oral function, facial aesthetics and wellbeing.

Prior to a large multi-centre study performed by Garg et al, 2009 there are no studies that look at operating time and length of in-patient stay for orthognathic procedures.

We aimed to compare operative time and length of inpatient stay for in our diverse group of patients against the published data, in addition to assessing readmission/reoperation rate at 7 and 30 days post-operatively.

Methods:

Our busy central London Orthognathic Unit treats a diverse selection of patients with complex facial deformity. We devised a 3-year retrospective analysis of 130 patients who underwent (1) routine primary orthognathic surgery; (2) revisional orthognathic surgery and (3) primary orthognathic surgery in Syndromic patientsat University College London Hospital.

We collected data from hospital records of all patients who underwent 4 orthognathic procedures; (1) Bimaxillary Osteotomy; (2) Le Fort 1 Osteotomy; (3) Mandible BSSO and (4) Genioplasty.

Results:

Our data highlights that our operating times and length of in-patient stay for the 3 most common and conventional orthognathic procedures performed in the United Kingdom, is significantly lower compared to the published data to date.

 

Conclusions:

We believe that the results achieved within our Unit reflect a combination of the unique orthognathic protocol, operative technique, and multidisciplinary management employed for all of our patients.

There is no doubt that the robust documentation of such data will be an invaluable resource for professional revalidation, clinical governance, healthcare commissioning and safeguarding surgical practice.