Los Angeles, Calif. From the Department of Surgery, Division of Plastic and Reconstructive Surgery, University of California, Los Angeles.
Plast Reconstr Surg. 2009 Nov;124(5):1590-1598. doi: 10.1097/PRS.0b013e3181b99e2e.
The Kapetansky flap was described to repair a whistle deformity or central vermilion defect following a primary bilateral cleft lip repair. The authors studied a modification of this technique, called the Whistle (wide-hinged island swing transposition labial enhancement) flap, to correct a wide array of secondary cleft lip deformities.
Patients with secondary cleft lip deformity who underwent the Whistle flap correction were studied (n = 21). Vertical lip height, lateral lip projections, and three-dimensional volumetric measurements were recorded along with physician and parent-patient satisfaction surveys.
From 1994 to 2006, 23 Whistle flap procedures were performed on 21 cleft lip patients (bilateral, n = 13; unilateral, n = 8). The average age at surgery was 15.4 years (range, 13 to 21 years). The average follow-up was 27.6 months. The vertical height of the cleft side Cupid's bow to vermilion bottom had a mean increase of 164 percent. Lateral projection of the upper lip showed a mean increase of 117 percent. Preoperatively, patients exhibited mean volumetric asymmetry of 29.4 percent, and this was reduced following treatment to approximately 3.1 percent. Physician satisfaction using a modified Whitaker classification (categories I through IV) demonstrated that 56 percent of patients were category I (no refinements necessary) and 44 percent were category II (minor revisions are advisable). Parent-patient satisfaction in the follow-up period was a mean of 3.5 as measured using a five-point scale ranging from 0 to 4. There were minimal perioperative complications.
The Whistle flap procedure provided a versatile and reliable option for the correction of vermilion defects from secondary cleft lip deformities.
Kapetansky 皮瓣被描述为修复原发性双侧唇裂修复后的哨子畸形或中央唇红缺损。作者研究了该技术的一种改良方法，称为 Whistle（宽铰链岛摆动转位唇增强）皮瓣，以矫正多种继发性唇裂畸形。
研究了接受 Whistle 皮瓣矫正的继发性唇裂畸形患者（n=21）。记录垂直唇高度、侧唇突度和三维体积测量值，并进行医生和患者家长满意度调查。
1994 年至 2006 年，对 21 例唇裂患者（双侧，n=13；单侧，n=8）进行了 23 次 Whistle 皮瓣手术。手术平均年龄为 15.4 岁（范围 13-21 岁）。平均随访时间为 27.6 个月。患侧唇珠到唇红底部的垂直高度平均增加 164%。上唇的侧突度平均增加 117%。术前，患者表现出平均 29.4%的体积不对称，治疗后减少到约 3.1%。使用改良 Whitaker 分类（类别 I 至 IV）对医生满意度进行评估，结果显示 56%的患者为 I 类（无需进一步修正），44%的患者为 II 类（建议进行轻微修正）。在随访期间，家长患者满意度平均为 3.5，使用 0 到 4 分的五分制进行测量。围手术期并发症很少。
Whistle 皮瓣手术为矫正继发性唇裂畸形的唇红缺损提供了一种灵活可靠的选择。
