Vura Nandagopal, Gaddipati Rajasekhar, Ramisetti Sudheer, Khan Zaid Ali
Mamata Dental College, Khammam, Telangana India.
J Maxillofac Oral Surg. 2019 Jun;18(2):288-292. doi: 10.1007/s12663-018-1134-z. Epub 2018 Jun 27.
Primary surgery of cleft lip and palate has dramatically improved with technical and material advances. Some adults who previously underwent surgery still have upper lip deformities or extensive scar, and they are occasionally seen for secondary treatment.
In our study, a total of five patients with secondary deformity of the upper lip with the scarred tissue with paucity of the muscle in the midline were operated using the modified Abbe flap.
With this technique, we were able to achieve the bulk in the midline over the upper lip and the functional integrity of the muscle was maintained.
随着技术和材料的进步,唇腭裂一期手术有了显著改善。一些曾接受过手术的成年人仍存在上唇畸形或广泛瘢痕,偶尔会前来接受二期治疗。
在我们的研究中,共有5例上唇继发畸形且中线处瘢痕组织伴肌肉缺失的患者接受了改良阿贝瓣手术。
通过这项技术,我们能够在上唇中线处实现丰满度,并且维持了肌肉的功能完整性。