I appreciate the comments by Lee and Knepil, and I am in complete agreement that non-surgical outcomes are important to patients with maxillofacial injuries. However, the state of the NHS suggests that increased rates of bed occupancy is an important issue.1 In an ideal world these patients would be treated as soon as possible, as all the points that they make are valid. Unfortunately, in the NHS a degree of pragmatism is sometimes required, when we are unable to manage the level of idealism that we all desire.
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