The effect of alar cinch sutures and V-Y closure on soft tissue dynamics after Le Fort I intrusion osteotomies

The influence of a Le Fort I impaction and advancement osteotomy on smile using a modified alar cinch suture and V-Y closure: a prospective study

“…This is in keeping with an earlier preliminary study by the same research group 11 . The increasing movement can now be called a true beneficial effect, since the excursions came into the 'normal' range of motion as seen with 'normal' class I volunteers.…”

“…In a preliminary study it was shown that a modified alar cinch suture in combination with a muco-musculo-periosteal V-Y closure (mACVY) had the potential to improve nasolabial mobility after Le Fort I osteotomies 11 . This was the reason for a prospective study on a large group of patients.…”

Soft Tissue Changes in Cleft Lip and Palate Patients: Anterior Maxillary Distraction versus Conventional Le-Fort I Osteotomy

“…This is in correlation with previous studies reported in the literature [6,13]. Nasal flaring and alar base widening is more observed in cases treated with conventional LeFort I maxillary advancement even though alar cinch suturing and V-Y closure have been done [31]. This could very well explain why AMD has greater change in pronasale.…”

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

“…Both maximum closed smile and maximum smile showed statistically significant increases in horizontal movement at cheilion (corners of the mouth) with modifed ACVY compared with the simple closure group. 25 The corners of the mouth lost some mobility in the vertical direction on the maximum smile after the operation; this was significant in the simple closure group. 25 Therefore, an effect on the mobility of the soft tissues after the operation was shown, which varied with the soft tissue manipulation.…”

“…25 The corners of the mouth lost some mobility in the vertical direction on the maximum smile after the operation; this was significant in the simple closure group. 25 Therefore, an effect on the mobility of the soft tissues after the operation was shown, which varied with the soft tissue manipulation. The latter could be assessed in future studies using video recordings.…”