摘要
目的探索使用Abbé唇瓣矫正单侧唇裂修复后上唇过紧、唇弓、唇珠不明显和上唇位居下唇后方等畸形的效果。方法在上唇下正中部红唇上方的皮肤几毫米处由上向下切开唇正中全层,并使其向两侧自然移动,其间隙的大小应与缺如的唇珠宽度的距离相等,然后在下唇正中依缺损的幅度画出下唇Abb啨唇瓣的大小话鉇bbé唇瓣的宽度为8mm,长度为下唇的红唇加2～3mm的白唇在内。依切口线切开唇瓣,以唇动脉为蒂旋转180°插入上唇正中缺损区后,按黏膜、肌层及皮肤分别进行缝合。10d后Ⅱ期断蒂,修整红唇缘。结果42例受术者均显示了明显的人中嵴、人中凹、唇峰、唇珠和上唇的正常高度和宽度,同时上唇鼻底的瘢痕不明显,恢复了上下唇前后的正常和谐关系。结论使用Abbé唇瓣重建缺损的上唇唇珠及人中后,上唇形态接近自然。
Objective To report the experience on the modified Abbé flap for correction of mild tightness of the corrected cleft lip deformity. Methods Forty-two patients with a mild or moderately tight lip deformity after primary unilateral cleft lip repair were performed a modified Abbé flap for correcting tight upper lip. The operative technique was that the pocket was creased for the vermilion tubercle by splitting the lip. The skin was incised several millimeters beyond the vermilion-skin border and was moved laterally for a distance equal to the breadth of the vermilion tubercle. The orbicularis otis muscle and the full length of the upper lip vermilion were incised. By releasing the tension, the slight concavity, expressed in profile by the slight pout which a normal upper lip had in cross section, was obtained. The Abbé flap that was taken from the central portion of the lower lip vermilion, was designed to repair the vermilion tubercle and the Cupid＇s bow. The flap was approximately 8 mm in width. The full length of the lower lip vermilion and the orbicularis oris muscle were incorporated. A ting portion of skin was included, which facilitated closure of the donor site, The flap, based on the labial vessels, was rotated 180°and sutured into the created defect of the upper lip. The pedicle was divided 10 days after operation. Results Forty-two patients all showed an obvious Cupid＇s bow, Cupid＇s bow peak, the median tubercle and the height and width of the upper lip. The scarring of the base of the nose was not obvious. Conclusion Use of modified Abbé flap to reconstruct the contour of the upper lip is successful in patients with cleft lip.
出处
《中华医学美学美容杂志》
2006年第2期90-92,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
