A Prospective Comparative Study of Ala Repair between Modified Tajima Suture and Cinch Suture OF Unilateral Cleft Lip Patients

Articles in Press

Document Type : Original Article

Authors

1 Plastic surgery department, Ain Shams university

2 plastic, burn and maxillofacial surgery department , faculty of medicine , Ain shams university

3 plastic and maxillofacial surgery departement Ain Shams University

4 plastic , burn and maxillofacial surgery department , faculty of medicine , ain shams university .

Abstract

Background: Despite previous concerns of growth disturbances, primary correction of the cleft nose deformity is an internationally accepted and approved concept. In the evolution of cleft lip and nose deformity surgery, a move from a protocol without primary nasal reconstruction to a second one, but the patients had to have secondary nasal reconstruction in the growing period due to insufficient primary repair.
Aim of the Work: The aim of this work is to assess Cinch suture as technique for ala repair in unilateral cleft lip regarding aesthetic outcome in comparison with modified Tajima suture.
Patients and Methods: prospective comparative study that was conducted on 20 children at Ain-Shams University Hospitals throughout 6 months to assess Cinch suture.
Results: From the results presented of the comparison between Cinch group and Tajima group regarding post-operative assessment of the studied patients, there was no statistically significant difference found between Cinch and Tajima regarding assessment of the studied patients except patients with straight on the philtral border was found with higher percentage in Cinch than Tajima with p-value = 0.010. In further comparison between Cinch and Tajima regarding nose results among the patients, there was statistically significant difference found between Cinch and Tajima regarding hypoplastic flattened ala, excessive wrapping of ala, Narrow sil, large sill and defect of upper rim with p-value = 0.010, 0.001, 0.003, 0.025 and 0.010 respectively while no statistically significant difference found between both groups regarding septal deviation, insufficient wrapping of ala, columellar base too wide, low position and high position. In addition, the relation between Mortier score postoperative and the other studied parameters in Tajima , there was no statistically significant relation found between Mortier score postoperative and the other studied parameters in Cinch except only relation with patients with straight on the philtral border with p-value = 0.006. Finally, in relation between Mortier score postoperative and the other studied parameters in Cinch , there was no statistically significant relation found between Mortier score postoperative and the other studied parameters in Cinch except only relation with patients with low position with p-value = 0.003.

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The Egyptian Journal of Plastic and Reconstructive Surgery

Articles in Press, Accepted Manuscript
Available Online from 15 May 2022

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