A Prospective Comparative Study of ALA Repair between Modified Tajima Suture and Cinch Suture in Unilateral Cleft Lip Patients | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Article 14, Volume 46, Issue 3, July 2022, Page 313-322 PDF (5.99 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejprs.2022.254766 | ||||
View on SCiNiTO | ||||
Authors | ||||
Mohamed K. Ibrahim ; Mohamed M. Abdel Halim; Ahmed M. Abdelsalam; Amr A. R. Mabrouk | ||||
The Department of Plastic Surgery, 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 < br />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 postoperative 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 pvalue= 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 post-operative and the other studied parameters in Tajima, there was no statistically significant relation found between Mortier score post-operative 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 post-operative and the other studied parameters in Cinch, there was no statistically significant relation found between Mortier score post-operative and the other studied parameters in Cinch except only relation with patients with low position with p-value=0.003. | ||||
Keywords | ||||
ALA Repair; Tajima Suture; Cinch Suture; Unilateral Cleft LIP Patients | ||||
References | ||||
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