The ability to deliver full-scope procedures such as orthognathic and temporomandibular joint surgery in an office environment is a valuable resource. Navigating the current healthcare environment involves managing diminished reimbursement and sparse availability for operating time in the hospital setting. Office autonomy helps maintain a broad scope of practice, helps control care costs and improves reimbursement through dialogue with third-party providers. Performing orthognathic, temporomandibular and rehabilitative surgeries in an office environment has been proven to be safe, efficient and cost-effective. This session will illustrate the evolution of the in-office model within Carolinas Center for Oral and Facial Surgery. A review of full-scope oral surgery beyond dentoalveolar in an office setting over the past 25 years will highlight the development of facilities, anesthesia delivery, AAAHC accreditation, case variety and volume and minimal postoperative sequelae after discharge home.
Learning Objectives:
At the conclusion of this presentation, participants should be able to:
Appreciate the delivery of major surgery in an office setting.
Discuss the development of an office facility for delivering major surgery beyond dentoalveolar.
Explain the postoperative sequelae that may require admission after office-based surgery.
Define the type of oral and maxillofacial surgery cases that are suitable in an office-based environment.
