Efficacy of V–Y Closure of Upper Lip After Le Fort I Osteotomy Advancement and Superior Repositioning on Facial Esthetics in Comparison to Simple Continuous Closure: A Statistical Analysis

Abstract

This study aims to evaluate efficacy of V-Y closure of upper lip incision on facial esthetics in comparison to simple continuous closure after Le Fort I advancement and superior repositioning of maxilla. Thirtyfour patients were divided in two groups i.e. V-Y closure group (group I = 17 patients) and simple continuous closure group (group II = 17 patients). The preoperative and 1 year post-operative linear and angular changes of hard and soft tissue points of groups I and II were statistically compared. Labial changes were more favourable in V-Y closure group in comparison to simple continuous closure group in both the Le Fort I maxillary movements. The upturning and forward movement of the nose were seen in both the maxillary movements but these nasal changes did not differ significantly between the groups. It was observed that the technique of V-Y closure of upper lip delivers adequate results contributing to better facial esthetics when compared to simple continuous closure.

Factors affecting postoperative nasal morphology after Le FortⅠosteotomy on multiple regression analysis

“…Modi ed alar cinch suture and V-Y closure have a bene cial effect on the labial shape and prevent excessive upward rotation of the nasal tip [9,15,16]. The few cases of V-Y closure in this study suggest that the effect on the lips is stronger than that on the nose, and this is a topic for future studies.…”

“…Typically, an increase in the width of the alar base and upturning of the nasal tip are observed depending on the direction of movement of the maxilla. Many surgical techniques such as alar base cinch suture [2,[4][5][6][7][8][9][10], subspinal osteotomy [11][12][13][14], V-Y closure [9,15,16], anterior nasal spine (ANS) reduction, and nasal oor base reduction have been applied [17,18]. The alar base cinch suture is a method of controlling excessive widening of the nasal alar by passing threads through the base tissue of the left and right nasal alar and suturing them together.…”

Descripción del manejo cosmético de la pirámide nasal complementario a cirugía ortognática. Revisión narrativa.

“…A nivel nasal esta técnica impide el ensanchamiento de la base alar. A pesar de observar un leve ensanchamiento luego de realizarla, este es considerablemente menor en comparación con un cierre lineal simple (5) .…”