{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T11:08:59Z","timestamp":1783163339586,"version":"3.54.6"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,3,7]],"date-time":"2022-03-07T00:00:00Z","timestamp":1646611200000},"content-version":"vor","delay-in-days":371,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T00:00:00Z","timestamp":1615766400000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>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\u2019 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.<\/jats:p>","DOI":"10.5999\/aps.2020.01305","type":"journal-article","created":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T01:38:56Z","timestamp":1616031536000},"page":"199-207","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Current concept of the surgery-first orthognathic approach"],"prefix":"10.1055","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8047-9821","authenticated-orcid":false,"given":"Jong-Woo","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3594-8750","authenticated-orcid":false,"given":"Jang-Yeol","family":"Lee","sequence":"additional","affiliation":[{"name":"Smile Again Orthodontic Center, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,3,7]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.cps.2007.05.014","article-title":"Orthognathic surgery and a tale of how three procedures came to be: a letter to the next generations of surgeons","volume":"34","author":"HL Obwegeser","year":"2007","journal-title":"Clin Plast Surg"},{"key":"ref2","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":"JW Choi","year":"2015","journal-title":"Ann Plast Surg"},{"key":"ref3","first-page":"429","article-title":"\u201cSurgery first\u201d orthognathics to correct a skeletal class II malocclusion with an impinging bite","volume":"44","author":"J Sugawara","year":"2010","journal-title":"J Clin Orthod"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"e215","DOI":"10.1016\/j.joms.2012.12.025","article-title":"Skeletal and dental variables related to the stability of orthognathic surgery in skeletal class III malocclusion with a surgery-first approach","volume":"71","author":"EW Ko","year":"2013","journal-title":"J Oral Maxillofac Surg"},{"key":"ref5","first-page":"32","article-title":"Functional orthognathic surgery (1)","volume":"1","author":"CO Oh","year":"2002","journal-title":"Korean J Clin Orthod"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1097\/SCS.0000000000003733","article-title":"Surgery first orthognathic approach without presurgical orthodontic treatment: questions and answers","volume":"28","author":"JW Choi","year":"2017","journal-title":"J Craniofac Surg"},{"key":"ref7","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":"WS Jeong","year":"2017","journal-title":"Int J Oral Maxillofac Surg"},{"key":"ref8","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":"WS Jeong","year":"2017","journal-title":"Int J Oral Maxillofac Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"2016","DOI":"10.1097\/SCS.0000000000003853","article-title":"Large-scale study of long-term anteroposterior stability in a surgery-first orthognathic approach without presurgical orthodontic treatment","volume":"28","author":"WS Jeong","year":"2017","journal-title":"J Craniofac Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1097\/SCS.0000000000004433","article-title":"Large-scale study of long-term vertical skeletal stability in a surgery-first orthognathic approach without presurgical orthodontic treatment: part II","volume":"29","author":"WS Jeong","year":"2018","journal-title":"J Craniofac Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/j.bjoms.2014.03.011","article-title":"Postoperative stability for surgery-first approach using intraoral vertical ramus osteotomy: 12 month follow-up","volume":"52","author":"JY Kim","year":"2014","journal-title":"Br J Oral Maxillofac Surg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"1685","DOI":"10.1007\/s00784-018-2603-y","article-title":"Long-term outcomes of bimaxillary surgery for treatment of asymmetric skeletal class III deformity using surgery-first approach","volume":"23","author":"YF Liao","year":"2019","journal-title":"Clin Oral Investig"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1902\/jop.1994.65.1.79","article-title":"Regional accelerated phenomenon in the mandible following mucoperiosteal flap surgery","volume":"65","author":"A Yaffe","year":"1994","journal-title":"J Periodontol"},{"key":"ref14","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":"MA Peiro-Guijarro","year":"2016","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s40510-015-0101-1","article-title":"Treatment duration and factors associated with the surgery-first approach: a two-center study","volume":"16","author":"F Uribe","year":"2015","journal-title":"Prog Orthod"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/S0266-4356(03)00163-3","article-title":"Orthodontic preparation for orthognathic surgery: how long does it take and why? A retrospective study","volume":"41","author":"F Luther","year":"2003","journal-title":"Br J Oral Maxillofac Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-aps.org\/upload\/pdf\/aps-2020-01305.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-aps.org\/journal\/view.php?doi=10.5999\/aps.2020.01305","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2020.01305.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:05:36Z","timestamp":1730822736000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2020.01305"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":16,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2022,3,7]]},"published-print":{"date-parts":[[2021,3]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2020.01305","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3]]},"assertion":[{"value":"2020-09-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-15","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}