The effect of alar cinch sutures and V-Y closure on soft tissue dynamics after Le Fort I intrusion osteotomies.
Publication year
2009Source
Journal of Cranio-Maxillo-Facial Surgery, 37, 6, (2009), pp. 334-40ISSN
Publication type
Article / Letter to editor

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Organization
Oral and Maxillofacial Surgery
Journal title
Journal of Cranio-Maxillo-Facial Surgery
Volume
vol. 37
Issue
iss. 6
Page start
p. 334
Page end
p. 40
Subject
NCEBP 2: Evaluation of complex medical interventions; ONCOL 3: Translational researchAbstract
Adverse effects on the soft tissues after Le Fort I osteotomies include: broadening of the alar base, loss of vermilion show of the upper lip and down sloping of the commissures. In theory, an alar cinch suture combined with a muco-musculo-periosteal V-Y closure (ACVY) should improve not only the nasal width, but would also improve the dynamics of some of the mimic muscles. To test the validity of this hypothesis, a prospective study was set up including 22 patients, using standardized full facial frontal photographs, taken immediately preoperatively and 18 months postoperatively. Sets containing three pictures were made: soft tissue in repose, maximum closed mouth smile and maximum smile. The landmarks, alare, crista philtri and cheilion were analysed. The preliminary results show that ACVY-closure does significantly improve the horizontal movement of cheilion with both maximum closed mouth smile and maximum smile, as well as the vertical movement of crista philtri with maximum closed mouth smile. CONCLUSION: The Le Fort I osteotomy with ACVY improves the orofacial dynamics.
This item appears in the following Collection(s)
- Academic publications [227437]
- Faculty of Medical Sciences [86157]
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