Modified alar base cinch suture fixation at the bilateral lower border of the piriform rim after a maxillary Le Fort I osteotomy

C.Y. Yen, C.L. Kuo, I.H. Liu, W.C. Su, H.R. Jiang, I.G. Huang, S.Y. Liu, S.Y. Lee

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Classic cinch suture narrowing of the nasal alar base by medially suturing the bilateral nasolabial soft tissue with one long suture has a limited effect. The modified cinch method described in the present study anchors non-absorbable sutures to the bilateral lower border of the piriform rim and provides optimal direction, position, and stability. The sutures can be shortened and the strength kept stable while the surgical wounds heal. Separate bilateral sutures can also reduce interference and distortion from nasotracheal intubation and make the nasolabial profile more symmetrical. Seventeen consecutive cases of maxillary Le Fort I osteotomy were analyzed. The nasal and alar base width changes were 0.4. ±. 1.2. mm and 0.1. ±. 1.1. mm, respectively, and the widening rate was only 1.1%. Compared with the results of other studies, postoperative nasal flaring was well controlled using the modified cinch suture anchored to the bilateral lower border of the piriform rim described in this study. © 2016 International Association of Oral and Maxillofacial Surgeons.
Original languageEnglish
JournalInternational Journal of Oral and Maxillofacial Surgery
DOIs
Publication statusPublished - 2016

Fingerprint

Maxillary Osteotomy
Le Fort Osteotomy
Sutures
Nose
Intubation
daminozide

Keywords

  • Alar cinch suture
  • Le Fort I osteotomy
  • Piriform rim

Cite this

Modified alar base cinch suture fixation at the bilateral lower border of the piriform rim after a maxillary Le Fort I osteotomy. / Yen, C.Y.; Kuo, C.L.; Liu, I.H.; Su, W.C.; Jiang, H.R.; Huang, I.G.; Liu, S.Y.; Lee, S.Y.

In: International Journal of Oral and Maxillofacial Surgery, 2016.

Research output: Contribution to journalArticle

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abstract = "Classic cinch suture narrowing of the nasal alar base by medially suturing the bilateral nasolabial soft tissue with one long suture has a limited effect. The modified cinch method described in the present study anchors non-absorbable sutures to the bilateral lower border of the piriform rim and provides optimal direction, position, and stability. The sutures can be shortened and the strength kept stable while the surgical wounds heal. Separate bilateral sutures can also reduce interference and distortion from nasotracheal intubation and make the nasolabial profile more symmetrical. Seventeen consecutive cases of maxillary Le Fort I osteotomy were analyzed. The nasal and alar base width changes were 0.4. ±. 1.2. mm and 0.1. ±. 1.1. mm, respectively, and the widening rate was only 1.1{\%}. Compared with the results of other studies, postoperative nasal flaring was well controlled using the modified cinch suture anchored to the bilateral lower border of the piriform rim described in this study. {\circledC} 2016 International Association of Oral and Maxillofacial Surgeons.",
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T1 - Modified alar base cinch suture fixation at the bilateral lower border of the piriform rim after a maxillary Le Fort I osteotomy

AU - Yen, C.Y.

AU - Kuo, C.L.

AU - Liu, I.H.

AU - Su, W.C.

AU - Jiang, H.R.

AU - Huang, I.G.

AU - Liu, S.Y.

AU - Lee, S.Y.

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N2 - Classic cinch suture narrowing of the nasal alar base by medially suturing the bilateral nasolabial soft tissue with one long suture has a limited effect. The modified cinch method described in the present study anchors non-absorbable sutures to the bilateral lower border of the piriform rim and provides optimal direction, position, and stability. The sutures can be shortened and the strength kept stable while the surgical wounds heal. Separate bilateral sutures can also reduce interference and distortion from nasotracheal intubation and make the nasolabial profile more symmetrical. Seventeen consecutive cases of maxillary Le Fort I osteotomy were analyzed. The nasal and alar base width changes were 0.4. ±. 1.2. mm and 0.1. ±. 1.1. mm, respectively, and the widening rate was only 1.1%. Compared with the results of other studies, postoperative nasal flaring was well controlled using the modified cinch suture anchored to the bilateral lower border of the piriform rim described in this study. © 2016 International Association of Oral and Maxillofacial Surgeons.

AB - Classic cinch suture narrowing of the nasal alar base by medially suturing the bilateral nasolabial soft tissue with one long suture has a limited effect. The modified cinch method described in the present study anchors non-absorbable sutures to the bilateral lower border of the piriform rim and provides optimal direction, position, and stability. The sutures can be shortened and the strength kept stable while the surgical wounds heal. Separate bilateral sutures can also reduce interference and distortion from nasotracheal intubation and make the nasolabial profile more symmetrical. Seventeen consecutive cases of maxillary Le Fort I osteotomy were analyzed. The nasal and alar base width changes were 0.4. ±. 1.2. mm and 0.1. ±. 1.1. mm, respectively, and the widening rate was only 1.1%. Compared with the results of other studies, postoperative nasal flaring was well controlled using the modified cinch suture anchored to the bilateral lower border of the piriform rim described in this study. © 2016 International Association of Oral and Maxillofacial Surgeons.

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