Rapid Discharge, Oral Diet Not Associated with Post-Operative Complications

How effective is an algorithm for rapid discharge after transoral robotic surgery (TORS), and what is its effect on post-operative complications?

Background: TORS is most frequently employed for oropharyngeal carcinoma and increasingly for tongue base reduction for obstructive sleep apnea (OSA). Despite multiple references establishing the safety and feasibility of TORS, there has been sparse literature regarding peri-operative care regimens. The fear of post-operative complications may result in longer hospital length of stay (LOS). The authors have standardized the post-operative care pathway since the inception of TORS at their institution, with an emphasis on safe and early hospital discharge.

Study design: Retrospective cohort study of 91 TORS cases of the oropharynx from September 2009 to February 2013.

Setting: Johns Hopkins School of Medicine, Baltimore, Maryland.

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