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.