Abstract
The title of this paper has been chosen with some care, precisely because it is the
format described for most modern debates about surgical timing in orthognathic surgery.
Clinicians are either in the conventional (Surgery Late) camp or the Surgery First
camp. Being fractured into opposing camps, debaters often resort to adversarial, ad
hominem posturing, with no concessions based on facts. Such attitudes are prevalent
in the marketplace and in many unreliable professions but have no place in medicine
and surgery. The purpose of this paper is to discuss a logical approach to deciding
appropriate surgical timing and case selection for the orthognathic surgical patient.
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Article info
Publication history
Published online: December 02, 2022
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© 2022 Published by Elsevier Inc.
