TY - JOUR
T1 - The Role of Enhanced Recovery After Surgery Protocols in Cleft and Craniofacial Surgery
T2 - Update From the American Society of Craniofacial Surgeons
AU - Oh, Albert K.
AU - Yu, Jack C.
AU - Singh, Davinder J.
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2022/6
Y1 - 2022/6
N2 - Enhanced Recovery After Surgery, or ERAS, was described by Kehlet in the 1990s. At first these programs focus on addressing preoperative, intraoperative, and postoperative factors to improve surgical outcomes in cardiac and colorectal procedures. Over the ensueing decades, many other surgical specialties within orthopedic surgery, gynecology, and surgical oncology have adopted the ERAS concepts and developed ERAS protocols. The ERAS approach is evidence-based, data-driven, leveraging group experience, and group intelligence. Recognizing the lack of ERAS protocols in craniomaxillofacial surgery, efforts for their development begun in 2019, jointly between members of the American Society of Craniofacial Surgeons (ASCFS) and the American Society of Maxillofacial Surgeons (ASMS). To date, ERAS protocols for the following procedures have been developed and released during national meetings: repair of cleft lip, palatoplasty, secondary alveolarbone graft, orthognathic surgery, and fronto-orbital advancement. The ERAS protocols address 4 phases: pre-hospital, pre-operative, intra-operative, and post-operative. These are living documents in that there is a closed feedback loop with interative evaluation followed by modification. As technology improves and more data become available, better treatments should replace existing ones. These protocols are developed by craniofacial surgeons for craniofacial units to improve patient outcomes.
AB - Enhanced Recovery After Surgery, or ERAS, was described by Kehlet in the 1990s. At first these programs focus on addressing preoperative, intraoperative, and postoperative factors to improve surgical outcomes in cardiac and colorectal procedures. Over the ensueing decades, many other surgical specialties within orthopedic surgery, gynecology, and surgical oncology have adopted the ERAS concepts and developed ERAS protocols. The ERAS approach is evidence-based, data-driven, leveraging group experience, and group intelligence. Recognizing the lack of ERAS protocols in craniomaxillofacial surgery, efforts for their development begun in 2019, jointly between members of the American Society of Craniofacial Surgeons (ASCFS) and the American Society of Maxillofacial Surgeons (ASMS). To date, ERAS protocols for the following procedures have been developed and released during national meetings: repair of cleft lip, palatoplasty, secondary alveolarbone graft, orthognathic surgery, and fronto-orbital advancement. The ERAS protocols address 4 phases: pre-hospital, pre-operative, intra-operative, and post-operative. These are living documents in that there is a closed feedback loop with interative evaluation followed by modification. As technology improves and more data become available, better treatments should replace existing ones. These protocols are developed by craniofacial surgeons for craniofacial units to improve patient outcomes.
KW - ERAS
KW - cleft lip
KW - craniofacial
KW - enhanced recovery after surgery
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U2 - 10.1177/27325016221082325
DO - 10.1177/27325016221082325
M3 - Article
AN - SCOPUS:85164556973
SN - 2732-5016
VL - 3
SP - 289
EP - 292
JO - Face
JF - Face
IS - 2
ER -