{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T20:52:38Z","timestamp":1791924758956,"version":"4.3.4"},"reference-count":30,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["bjoms.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["British Journal of Oral and Maxillofacial Surgery"],"published-print":{"date-parts":[[2022,10]]},"DOI":"10.1016\/j.bjoms.2022.04.006","type":"journal-article","created":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T11:35:09Z","timestamp":1650972909000},"page":"1102-1107","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Redefining our protocol of the orthognathic surgery-first approach after 10 years of experience"],"prefix":"10.1016","volume":"60","author":[{"given":"F.","family":"Hern\u00e1ndez-Alfaro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Mezquida-Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.J.","family":"Brabyn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1851-9244","authenticated-orcid":false,"given":"E.","family":"Querejeta-Lomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4734-5359","authenticated-orcid":false,"given":"J.","family":"Torres-Gaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Valls-Onta\u00f1\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bjoms.2022.04.006_b0005","first-page":"97","article-title":"\u201cSurgery first\u201d skeletal Class III correction using the Skeletal Anchorage System","volume":"43","author":"Nagasaka","year":"2009","journal-title":"J Clin Orthod"},{"key":"10.1016\/j.bjoms.2022.04.006_b0010","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1097\/SAP.0b013e318295dcce","article-title":"The reliability of a surgery-first orthognathic approach without presurgical orthodontic treatment for skeletal class III dentofacial deformity","volume":"74","author":"Choi","year":"2015","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0015","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/j.ajodo.2015.09.022","article-title":"Surgery first in orthognathic surgery: a systematic review of the literature","volume":"149","author":"Peir\u00f3-Guijarro","year":"2016","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"10.1016\/j.bjoms.2022.04.006_b0020","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s40902-019-0194-4","article-title":"Current status of the surgery-first approach (part I): concepts and orthodontic protocol","volume":"41","author":"Choi","year":"2019","journal-title":"Maxillofac Plast Reconstr Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0025","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s40902-019-0206-4","article-title":"Current status of the surgery-first approach (part II): precautions and complications","volume":"41","author":"Kwon","year":"2019","journal-title":"Maxillofac Plast Reconstr Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0030","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.1016\/j.ijom.2015.05.023","article-title":"Orthodontic principles and guidelines for the surgery-first approach to orthognathic surgery","volume":"44","author":"Huang","year":"2015","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0035","doi-asserted-by":"crossref","first-page":"2422","DOI":"10.1016\/j.joms.2017.06.002","article-title":"Does the surgery-first approach produce better outcomes in orthognathic surgery? A systematic review and meta-analysis","volume":"75","author":"Yang","year":"2017","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0040","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1051\/orthodfr\/2012015","article-title":"Accelerated tooth movement by alveolar corticotomy or piezocision","volume":"83","author":"Strippoli","year":"2012","journal-title":"Orthod Fr"},{"key":"10.1016\/j.bjoms.2022.04.006_b0045","doi-asserted-by":"crossref","first-page":"20106","DOI":"10.1038\/s41598-019-56484-x","article-title":"Increase in bone metabolic markers and circulating osteoblast-lineage cells after orthognathic surgery","volume":"9","author":"Abe","year":"2019","journal-title":"Sci Rep"},{"key":"10.1016\/j.bjoms.2022.04.006_b0050","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/j.joms.2010.10.035","article-title":"Surgery-first accelerated orthognathic surgery: postoperative rapid orthodontic tooth movement","volume":"69","author":"Liou","year":"2011","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0055","doi-asserted-by":"crossref","first-page":"2086","DOI":"10.1097\/SCS.0000000000001972","article-title":"Patient's satisfaction in skeletal class III Cases treated with two-jaw surgery using orthognathic quality of life questionnaire: conventional three-stage method versus surgery-first approach","volume":"26","author":"Park","year":"2015","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0060","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.joms.2011.01.010","article-title":"\u201cSurgery first\u201d in bimaxilary orthognathic surgery","volume":"69","author":"Hern\u00e1ndez-Alfaro","year":"2011","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0065","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.joms.2013.08.013","article-title":"Surgery first in orthognathic surgery: What have we learned? A comprehensive workflow based on 45 consecutive cases","volume":"72","author":"Hern\u00e1ndez-Alfaro","year":"2014","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0070","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1016\/j.ijom.2014.02.007","article-title":"On a definition of the appropriate timing for surgical intervention in orthognathic surgery","volume":"43","author":"Hern\u00e1ndez-Alfaro","year":"2014","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0075","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1016\/j.ijom.2013.03.025","article-title":"New protocol for three-dimensional surgical planning and CAD\/CAM splint generation in orthognathic surgery: an in vitro and in vivo study","volume":"42","author":"Hern\u00e1ndez-Alfaro","year":"2013","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0080","doi-asserted-by":"crossref","first-page":"e779","DOI":"10.4317\/medoral.15.e779","article-title":"Upper incisor to Soft Tissue Plane (UI-STP): a new reference for diagnosis and planning in dentofacial deformities","volume":"15","author":"Hernandez-Alfaro","year":"2010","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"10.1016\/j.bjoms.2022.04.006_b0085","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1016\/j.ijom.2019.12.001","article-title":"Relevance of 3D virtual planning in predicting bony interferences between distal and proximal fragments after sagittal split osteotomy","volume":"49","author":"Valls-Onta\u00f1\u00f3n","year":"2020","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0090","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.joms.2012.04.032","article-title":"\u201cTwist technique\u201d for pterygomaxillary dysjunction in minimally invasive Le Fort I osteotomy","volume":"71","author":"Hern\u00e1ndez-Alfaro","year":"2013","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0095","doi-asserted-by":"crossref","first-page":"1036","DOI":"10.1016\/j.joms.2016.12.041","article-title":"Three-dimensional analysis of long-term stability after bilateral sagittal split ramus osteotomy fixed with a single miniplate with 4 monocortical screws and 1 bicortical screw: a retrospective 2-center study","volume":"75","author":"Hern\u00e1ndez-Alfaro","year":"2017","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0100","doi-asserted-by":"crossref","first-page":"e153","DOI":"10.1097\/SCS.0000000000006942","article-title":"The surgery-first approach to orthognathic surgery","volume":"32","author":"Hoang","year":"2021","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0105","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/j.ijom.2016.12.006","article-title":"Can a surgery-first orthognathic approach reduce the total treatment time?","volume":"46","author":"Jeong","year":"2017","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0110","doi-asserted-by":"crossref","first-page":"e000402","DOI":"10.1136\/bmjresp-2019-000402","article-title":"Impact of surgical maxillomandibular advancement upon pharyngeal airway volume and the apnoea\u2013hypopnoea index in the treatment of obstructive sleep apnoea: systematic review and meta-analysis","volume":"6","author":"Giralt-Hernando","year":"2019","journal-title":"BMJ Open Respir Res"},{"key":"10.1016\/j.bjoms.2022.04.006_b0115","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1097\/SCS.0b013e3181cf5fd4","article-title":"Surgery-first approach in skeletal class III malocclusion treated with 2-jaw surgery: evaluation of surgical movement and postoperative orthodontic treatment","volume":"21","author":"Baek","year":"2010","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0120","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1016\/j.joms.2013.09.007","article-title":"Accelerated orthodontic tooth movement following Le Fort I osteotomy in a rodent model","volume":"72","author":"Yuan","year":"2014","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0125","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1016\/j.tripleo.2011.01.011","article-title":"Plate removal following orthognathic surgery","volume":"112","author":"Falter","year":"2011","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"10.1016\/j.bjoms.2022.04.006_b0130","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1016\/j.ijom.2016.01.011","article-title":"Incidence and recovery of neurosensory disturbances after bilateral sagittal split osteotomy in different age groups: a retrospective study of 263 patients","volume":"45","author":"Verweij","year":"2016","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0135","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.joms.2016.09.018","article-title":"Surgical site infections following bimaxillary orthognathic, osseous genioplasty, and intranasal surgery: a retrospective cohort study","volume":"75","author":"Posnick","year":"2017","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0140","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1016\/j.joms.2016.01.040","article-title":"Prevalence of surgical site infections following orthognathic surgery: a retrospective cohort analysis","volume":"74","author":"Davis","year":"2016","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0145","doi-asserted-by":"crossref","first-page":"1464","DOI":"10.1016\/j.ijom.2016.05.018","article-title":"Prevalence and risk factors of tooth discolouration after orthognathic surgery: a retrospective study of 1455 patients","volume":"45","author":"Lee","year":"2016","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2022.04.006_b0150","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1016\/j.ijom.2019.01.002","article-title":"Skeletal stability in orthognathic surgery with the surgery first approach: a systematic review","volume":"48","author":"Soverina","year":"2019","journal-title":"Int J Oral Maxillofac Surg"}],"container-title":["British Journal of Oral and Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266435622001309?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266435622001309?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T15:30:43Z","timestamp":1759419043000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0266435622001309"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":30,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["S0266435622001309"],"URL":"https:\/\/doi.org\/10.1016\/j.bjoms.2022.04.006","relation":{},"ISSN":["0266-4356"],"issn-type":[{"value":"0266-4356","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Redefining our protocol of the orthognathic surgery-first approach after 10 years of experience","name":"articletitle","label":"Article Title"},{"value":"British Journal of Oral and Maxillofacial Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bjoms.2022.04.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}