Abstract
Introduction: The Timing of surgical intervention when considering the crinofacial and cleft defect is somewhat contrevesical as such some practicians would rather delay the procedure to gain growth and prevent soft tissue scaring.
Argument and contra argument: In This note our argument is That earlier intervention is the best predicted and significant approach. on the other hand, the contra argument could not be beneficial anymore especially after the new knowledge of the theory of the cascade growth waves.
Conclusion: Earlier intervention and surgical repair is the Best approach as the growth cascade is significant and important for the patient social and financial outcome.