Assessment of Alar Flare and Efficacy of Alar Cinch Suture in the Management of Alar Flare Following Le Fort 1 Superior Repositioning: A Comparative Study

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...

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Bibliographic Details
Published in:Journal of maxillofacial and oral surgery 2016-12, Vol.15 (4), p.528-534
Main Authors: Mustafa, K., Shehzana, Fatima, Bhat, H. Hari Kishore
Format: Article
Language:English
Subjects:
Comparative Study
Dentistry
Equality
Intubation
Medicine
Medicine & Public Health
Nose
Oral and Maxillofacial Surgery
Otorhinolaryngology
Patients
Plastic Surgery
Regression analysis
Sutures
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Summary: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.
ISSN:0972-8279
0974-942X
DOI:10.1007/s12663-015-0866-2