Ambulatory surgery and single-visit surgery are becoming increasingly accepted and practiced in oral and maxillofacial medicine worldwide due to their social and economic benefits. In China, however, their use is still insufficient and falling behind. To innovatively optimize the surgical procedure, research on the types and frequencies of surgeries is needed. The prognosis of patients also has yet to be studied.
The clinical data of patients undergoing the same treatments (ambulatory surgery) were collected, and information on their chief complaint and its history, age, and diagnosis characteristics was specifically included. Follow-up phone calls were conducted 1 and 3 days, 1 and 2 weeks, and 1 month after treatment. Information on their recovery and well-being was collected.
A total of 427 patients were recruited for this study, including 224 males and 203 females. Their ages ranged from 1–68 and averaged 23.07 ± 11. Ambulatory surgery was voluntarily selected by 43.55% of the patients. A total of 62.9% of them selected it for convenience, while 43.55% selected it for pain reduction. The three top diseases treated via ambulatory surgery were impacted teeth (accounting for 56.7% of the total incidence), odontogenic cysts (14.75%), and supernumerary teeth (10.1%). Postoperative complications occurred in 248 of the 427 patients, and the incidence rate was 58.08%. The top three complications were postoperative pain (56.44%), restricted mouth opening (30.91%), and postoperative nausea and vomiting (7.49%). There were no cases of life-threatening complications or death. The complications frequently occurred on Day 3 after the operation and resolved after 2 weeks.
Ambulatory surgery has been increasingly acknowledged as one of the most effective patterns of treatment and service. Accordingly, broader use of it is necessary. Further development of ambulatory surgery (related to oral and maxillofacial surgery) is possible with the assistance of anesthesia and nursing personnel, while it may create multiple challenges for clinical institutions. In current settings, ambulatory surgery can be further developed by optimizing the regulations regarding diagnosis and treatments, promoting the dissemination of medical and clinical knowledge, increasing the engagement of related personnel, and improving the professionalism and timeliness of postoperative follow-ups.