Mustafa K, Shehzana Fatima, Bhat H Hari Kishore
Center for Craniofacial Anomalies, Department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Yenepoya University, Mangalore, 575018 India.
J Maxillofac Oral Surg. 2016 Dec;15(4):528-534. doi: 10.1007/s12663-015-0866-2. Epub 2015 Dec 14.
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.
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.
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.
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.
前瞻性分析鼻翼外扩的程度、导致鼻翼外扩的因素以及收紧缝合作为减少鼻翼外扩辅助手术的疗效。
30例接受Le Fort 1型截骨术的成年垂直上颌骨过长患者被分为两组，每组15例。第2组患者采用鼻翼收紧术作为辅助手术，并将结果与作为对照组的第1组进行比较。对患者及1:1标准化照片进行测量。
与第1组相比，第2组术后鼻翼位置接近术前。与第1组相比，第2组每毫米截骨导致的鼻翼外扩明显更小。
鼻翼收紧缝合通过防止鼻唇肌向外侧移位，从而显著减少术后鼻翼外扩，恢复正常鼻翼宽度。
