Abstract
Background: Enhanced Recovery After Surgery (ERAS) protocols have been widely adopted in many surgical disciplines, yet their application in orthognathic surgery remains limited.
Objective: To evaluate current evidence on ERAS protocol implementation in orthognathic surgery, examining impacts on pain control, opioid use, postoperative nausea and vomiting (PONV), hospital stay, and recovery.
Methods: A systematic review of six clinical studies (n = 986) was conducted using PRISMA and GRADE frameworks.
Results: ERAS implementation reduced opioid use, pain scores, PONV incidence, and hospital length of stay. The strongest evidence supported scheduled non-opioid analgesia and risk-stratified antiemetic prophylaxis. Evidence for mobilisation, nutrition, and discharge planning was limited.
Conclusions: ERAS protocols in orthognathic surgery improve early postoperative outcomes and patient experience. Future research should focus on standardizing protocols and exploring long-term outcomes.
Article details
Rights & reuse
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.