Current concept of the surgery-first orthognathic approach

Traditional orthognathic surgery has long been performed after presurgical orthodontic treatment. Despite some concerns, the surgery-first orthognathic approach (SFOA) or surgery-first approach (SFA) without presurgical orthodontic treatment has gradually gained popularity. In recent years, several...

Full description

Bibliographic Details
Main Authors: Jong-Woo Choi, Jang-Yeol Lee
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2021-03-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01305
_version_ 1811213028061872128
author Jong-Woo Choi
Jang-Yeol Lee
author_facet Jong-Woo Choi
Jang-Yeol Lee
author_sort Jong-Woo Choi
collection DOAJ
description Traditional orthognathic surgery has long been performed after presurgical orthodontic treatment. Despite some concerns, the surgery-first orthognathic approach (SFOA) or surgery-first approach (SFA) without presurgical orthodontic treatment has gradually gained popularity. In recent years, several articles dealing with the concepts of the SFA have been published worldwide. However, the SFA has not yet been standardized, and many surgeons use slightly different protocols and concepts. This review article discusses the beginning and evolution of the SFA and its current concepts, including some opinions based on the authors’ clinical experiences over the last 15 years. According to recent investigations, the SFA could be applied effectively in several situations including class III malocclusion, class II malocclusion, and facial asymmetry. However, debate on the SFA continues and many issues remain to be resolved. This review article addresses the current issues regarding the SFOA, including its advantages and disadvantages, as well as its indications and contraindications. The authors summarize various aspects of the SFA and expect that this review article will help surgeons and orthodontists better understand the current status of the SFA.
first_indexed 2024-04-12T05:39:18Z
format Article
id doaj.art-d9c2947738a247a99aa0e037307871bf
institution Directory Open Access Journal
issn 2234-6163
2234-6171
language English
last_indexed 2024-04-12T05:39:18Z
publishDate 2021-03-01
publisher Thieme Medical Publishers, Inc.
record_format Article
series Archives of Plastic Surgery
spelling doaj.art-d9c2947738a247a99aa0e037307871bf2022-12-22T03:45:43ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712021-03-01480219920710.5999/aps.2020.013053846Current concept of the surgery-first orthognathic approachJong-Woo Choi0Jang-Yeol Lee1Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaSmile Again Orthodontic Center, Seoul, KoreaTraditional orthognathic surgery has long been performed after presurgical orthodontic treatment. Despite some concerns, the surgery-first orthognathic approach (SFOA) or surgery-first approach (SFA) without presurgical orthodontic treatment has gradually gained popularity. In recent years, several articles dealing with the concepts of the SFA have been published worldwide. However, the SFA has not yet been standardized, and many surgeons use slightly different protocols and concepts. This review article discusses the beginning and evolution of the SFA and its current concepts, including some opinions based on the authors’ clinical experiences over the last 15 years. According to recent investigations, the SFA could be applied effectively in several situations including class III malocclusion, class II malocclusion, and facial asymmetry. However, debate on the SFA continues and many issues remain to be resolved. This review article addresses the current issues regarding the SFOA, including its advantages and disadvantages, as well as its indications and contraindications. The authors summarize various aspects of the SFA and expect that this review article will help surgeons and orthodontists better understand the current status of the SFA.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01305orthognathic surgerysurgery first orthognathic approachsurgery first approachorthodontic treatment
spellingShingle Jong-Woo Choi
Jang-Yeol Lee
Current concept of the surgery-first orthognathic approach
Archives of Plastic Surgery
orthognathic surgery
surgery first orthognathic approach
surgery first approach
orthodontic treatment
title Current concept of the surgery-first orthognathic approach
title_full Current concept of the surgery-first orthognathic approach
title_fullStr Current concept of the surgery-first orthognathic approach
title_full_unstemmed Current concept of the surgery-first orthognathic approach
title_short Current concept of the surgery-first orthognathic approach
title_sort current concept of the surgery first orthognathic approach
topic orthognathic surgery
surgery first orthognathic approach
surgery first approach
orthodontic treatment
url http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01305
work_keys_str_mv AT jongwoochoi currentconceptofthesurgeryfirstorthognathicapproach
AT jangyeollee currentconceptofthesurgeryfirstorthognathicapproach