Use of the alar base cinch suture in Le Fort I osteotomy: is it effective?

Prospective assessment of maxillary advancement effects: Maxillary incisor exposure, and upper lip and nasal changes

“…On subgroup analysis, although ACVY closures explained 11% of the change in interalar width, with those who received ACVY closure experiencing slightly less widening of this, the P value was only 0.042, and the difference between the means was clinically insignificant (0.08 mm). This supports the findings by Howley et al, 29 whereby if cinch sutures limit alar base widening, they do so to a clinically insignificant degree.…”

Soft tissue morphology of the naso-maxillary complex following surgical correction of maxillary hypoplasia

“…15,2,3,18 A recent study investigating the effect of a cinch suture on nasal base width using 3D laser scanning found that placement of a cinch suture produced slightly less widening of the alar base at 6 months, but the difference was small (0.5 mm) and suggested that its use is not clinically significant. 8 The study found that the expected increase in nasal width, with or without the use of a cinch suture would be 2-3 mm, which is similar to the present findings.…”

Prosthognathic Rehabilitation of A Patient with Underlying Skeletal Discrepancy- A Case Report

“…Alar cinching is done to reduce widening/flaring of the alar base after impaction of the maxilla superiorly. According to Howley et al, an alar cinch suture has preliminary benefits [1]. According to Stewart et al, a cinch suture is effective in mitigating the increase in nasal width that is produced by the osteotomy, and the effect is stable in the medium term [2].…”

“…Complications such as excessive blood loss, ischaemic changes, nasal bleeding, maxillary sinusitis, osteomyelitis, non union of bone, condylar sag [1][2][3] can occur. However, mostly, these complications are avoided with careful systematic treatment planning and careful execution of the surgical procedure, while giving due respect to underlying philosophy of orthognathic surgery.The incidence of nonunions is reported to be (0.33 to 0.8%) in published data.…”