Presentations 2020: OMFS

394 - Patient Satisfaction with Day case Bilateral Sagittal Split Osteotomy.

DR Mock L Davies SD Jones
Presented by: daniel mock
Cardiff Dental Hospital

Introduction Bilateral sagittal split osteotomy (BSSO) is the most frequently performed jaw surgery in Orthognathics. It involves either mandibular advancement or setback and is usually managed with an overnight stay in hospital. Day-case surgery in the UK and Ireland is defined clearly as a patient who is discharged and admitted on the same day, with day surgery as the intended management. I is recommended that day surgery should be considered the default for most surgical procedures. The benefits of this being that it allows for a quicker recovery with less disruption to the patient and also cuts the risk of hospital acquired infections. BSSO have been carried out as day-case surgery in our unit since March 2015 with promising results. We have suggested in a previous paper that this can be done ‘successfully and routinely’ and follow on from that study by reviewing the patient’s satisfaction with their BSSO treatment as a day case procedure. Method and results A total of 42 patients who were medically and socially fit were listed for BSSO as a day case between April 2015 and September 2019. Of the 42 patients included, 20 (14 female and 6 male) took part in the patient satisfaction questionnaire via phone call. All patients expected to go home on the day of surgery and were happy to do so. Additionally, they all believed they were discharged at the appropriate time. 17/20 patients had no problems the night after surgery with only 1/20 unable to effectively manage their pain at home. 18/20 patients found eating and sleeping easier because they were at home, with 17/20 patients believing that their recovery was quicker at home compared to staying the night in hospital Conclusion In conclusion it appears that BSSO is acceptable to patients as a day case procedure and can be done so successfully with the right preparation and management.
Consent Statement: There are no details on individual patients reported within the abstract.

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