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.
OBJECTIVE
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.


METHODS
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.


CONCLUSIONS
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.
Center for Craniofacial Anomalies, Department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Yenepoya University, Mangalore, 575018 India.
K
K
Mustafa
Center for Craniofacial Anomalies, Department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Yenepoya University, Mangalore, 575018 India.
Fatima
F
Shehzana
Center for Craniofacial Anomalies, Department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Yenepoya University, Mangalore, 575018 India.
H Hari Kishore
HH
Bhat
Alar cinch suture; Alar flare; Le Fort 1 impaction