K Mustafa1, Fatima Shehzana1, H Hari Kishore Bhat1. 1. Center for Craniofacial Anomalies, Department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Yenepoya University, Mangalore, 575018 India.
Abstract
OBJECTIVES: To prospectively analyze the amount of alar flare, factors contributing to alar flare and efficacy of cinch suture as an adjunctive procedure for alar flare reduction. STUDY DESIGN: Thirty adult patients with vertical maxillary excess, who underwent Le Fort 1 impaction, were divided into 2 groups of 15 each. Alar cinch was performed as an adjunct procedure in group 2 patients and results were compared to group 1 which was the control group. Measurements were made on the patients and on 1:1 standardized photographs. RESULTS: Group 2 showed a near pre-operative alar position compared to group 1. The alar flare resulting from every millimeter of impaction was significantly less in group 2 compared to group 1. CONCLUSION: Alar cinch suture restores the normal alar width by preventing the lateral drift of the naso-labial muscle and thereby reducing the postoperative nasal flare significantly.
OBJECTIVES: To prospectively analyze the amount of alar flare, factors contributing to alar flare and efficacy of cinch suture as an adjunctive procedure for alar flare reduction. STUDY DESIGN: Thirty adult patients with vertical maxillary excess, who underwent Le Fort 1 impaction, were divided into 2 groups of 15 each. Alar cinch was performed as an adjunct procedure in group 2 patients and results were compared to group 1 which was the control group. Measurements were made on the patients and on 1:1 standardized photographs. RESULTS: Group 2 showed a near pre-operative alar position compared to group 1. The alar flare resulting from every millimeter of impaction was significantly less in group 2 compared to group 1. CONCLUSION: Alar cinch suture restores the normal alar width by preventing the lateral drift of the naso-labial muscle and thereby reducing the postoperative nasal flare significantly.
Entities:
Keywords:
Alar cinch suture; Alar flare; Le Fort 1 impaction
Authors: Marvick S M Muradin; Karlien Seubring; Paul J W Stoelinga; Andries vd Bilt; Ronald Koole; Antoine J W P Rosenberg Journal: J Oral Maxillofac Surg Date: 2010-08-19 Impact factor: 1.895