Advertisement

Evaluation of Changes in the Alar Base Width Following Lefort 1 and AMO with Conventional Alar Cinch Suturing: A Photographic Study of 100 Cases

  • Varghese Mani
  • Prasanth Panicker
  • Archana ShenoyEmail author
  • Ashford Lidiya George
  • Tojan Chacko
Clinical Paper
  • 1 Downloads

Abstract

Objective

To assess the changes in alar base width in patients who underwent Lefort 1 osteotomy with anterior maxillary osteotomy (AMO), where conventional alar cinch suturing was done to control the alar base widening.

Materials and Methods

This study was conducted on pre-operative and post-operative photographs of 100 female patients aged between 18 and 30 years who underwent Lefort 1 osteotomy with AMO. The derived values were then compared and analysed using t test.

Results

The mean alar base width pre-operatively was 14.11 mm and post-operatively was 15.28 mm. The mean increase in alar base width was 1.176 mm. The result indicated a definitive change between pre-operative and post-operative alar base widths with mean increase in width of 1.176 mm (P = 0.000), which is clinically not very significant.

Conclusion

The effect of Lefort 1 osteotomy on the alar base can be well controlled by the conventional alar cinch suturing without any additional anchorage on the ANS with predictable results.

Keywords

Alar Lefort Osteotomy 

Notes

Compliance with Ethical Standards

Conflict of interest

No potential conflict of interest relevant to this article was reported.

References

  1. 1.
    Westermark AH, Bystedt H, Von Konow L, Sällström KO (1991) Nasolabial morphology after Le Fort I osteotomies. Effect of alar base suture. Int J Oral Maxillofac Surg 20:25–30CrossRefGoogle Scholar
  2. 2.
    O’Ryan FS, Schendel SA (1989) Nasal anatomy and maxillary surgery. Part II: unfavorable nasolabial esthetics following the Le Fort I osteotomy. Int J Adult Orthodon Orthognath Surg 4:75–84Google Scholar
  3. 3.
    Collins PC, Epker BN (1982) The alar base cinch: a technique for prevention of alar base flaring secondary to maxillary surgery. Oral Surg Oral Med Oral Pathol 53:549–553CrossRefGoogle Scholar
  4. 4.
    Nirvikalpa N, Narayanan Wahab A, Ramadorai A (2013) Comparison between the classical and a modified transseptal technique of alar cinching for Le Fort I osteotomies: a prospective randomized controlled trial. Int J Oral Maxillofac Surg 42:49–54CrossRefGoogle Scholar
  5. 5.
    Yen CY, Kuo CL, Liu IH, Su WC, Jiang HR, Huang IG, Liu SY, Lee SY (2016) Modified alar base cinch suture fixation at the bilateral lower border of the piriform rim after a maxillary Le Fort I osteotomy. Int J Oral Maxillofac Surg 45(11):1459–1463CrossRefGoogle Scholar
  6. 6.
    Howley C, Nayeem A, Lee R, Cox S (2011) Use of the alar base cinch suture in Le Fort I osteotomy. Br J Oral Maxillofac Surg 49:127–130CrossRefGoogle Scholar
  7. 7.
    Khamashta-Ledezma L, Naini FB (2015) Prospective assessment of maxillary advancement effects: maxillary incisor exposure, and upper lip and nasal changes. Am J Orthod Dentofacial Orthop 147:454–464CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2019

Authors and Affiliations

  1. 1.Mani Speciality Dental ClinicTrissurIndia
  2. 2.Department of Oral and Maxillofacial SurgeryKannur Dental College/Kannur Medical College HospitalAnjarakandy, KannurIndia
  3. 3.Kinder HospitalErnakulam, KochiIndia
  4. 4.MangaloreIndia
  5. 5.Sree Anjaneya Institute of Dental SciencesCalicutIndia

Personalised recommendations