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上唇中线缺损的二期矫正：5例报告

Secondary Correction of the Midline Defect of Upper Lip: A Report of Five Cases.

作者信息

Vura Nandagopal, Gaddipati Rajasekhar, Ramisetti Sudheer, Khan Zaid Ali

机构信息

Mamata Dental College, Khammam, Telangana India.

出版信息

J Maxillofac Oral Surg. 2019 Jun;18(2):288-292. doi: 10.1007/s12663-018-1134-z. Epub 2018 Jun 27.

DOI:10.1007/s12663-018-1134-z
PMID:30996553
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6441439/
Abstract

INTRODUCTION

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.

CASES

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.

CONCLUSION

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.

摘要

引言

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。

病例

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。

结论

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。

相似文献

1
Secondary Correction of the Midline Defect of Upper Lip: A Report of Five Cases.上唇中线缺损的二期矫正：5例报告
J Maxillofac Oral Surg. 2019 Jun;18(2):288-292. doi: 10.1007/s12663-018-1134-z. Epub 2018 Jun 27.
2
Reconstruction of wide cleft lip scar by Abbe flap and advancement flap from lateral upper lip.采用阿贝瓣和上唇外侧推进瓣修复宽唇裂瘢痕。
Tokai J Exp Clin Med. 2009 Sep 20;34(3):117-21.
3
Aesthetic evaluation of nasolabial reconstruction using abbe flap in bilateral cleft lip patients with secondary deformities.双侧唇裂继发畸形患者应用 Abbé 皮瓣行鼻唇重建的美学评价。
J Plast Reconstr Aesthet Surg. 2023 Sep;84:496-504. doi: 10.1016/j.bjps.2023.06.043. Epub 2023 Jun 14.
4
The Abbé island flap for the reconstruction of severe secondary cleft lip deformities.用于修复严重继发性唇裂畸形的阿贝岛状皮瓣。
J Craniofac Surg. 2007 Jul;18(4):766-72. doi: 10.1097/scs.0b013e318068438b.
5
Strategy for Correction of the Whistling Deformity in Secondary Cleft Lip Reconstruction.二期唇裂修复中口哨畸形矫正策略
Plast Reconstr Surg Glob Open. 2020 Sep 24;8(9):e3156. doi: 10.1097/GOX.0000000000003156. eCollection 2020 Sep.
6
Bilateral cleft lip revisions: the Abbe flap.双侧唇裂修复术：Abbe 瓣。
Plast Reconstr Surg. 2010 Jul;126(1):221-227. doi: 10.1097/PRS.0b013e3181dbc2ca.
7
Surgical correction of whistle deformity using cross-muscle flap in secondary cleft lip.在二期唇裂中使用跨肌瓣对口哨畸形进行手术矫正。
Arch Plast Surg. 2012 Sep;39(5):470-6. doi: 10.5999/aps.2012.39.5.470. Epub 2012 Sep 12.
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Simultaneous reconstruction of the secondary bilateral cleft lip and nasal deformity: Abbé flap revisited.双侧继发性唇裂与鼻畸形的同期修复：改良阿贝瓣
Plast Reconstr Surg. 2003 Oct;112(5):1219-27. doi: 10.1097/01.PRS.0000080722.03558.33.
9
Modified Abbé flap for reconstruction of Cupid's bow and vermilion tubercle in secondary cleft lip deformity.改良阿贝瓣用于二期唇裂畸形中唇弓和唇珠的重建。
Arch Craniofac Surg. 2018 Mar;19(1):13-19. doi: 10.7181/acfs.2018.19.1.13. Epub 2018 Mar 20.
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Abbe Flap for Secondary Cleft Lip Deformity.用于继发性唇裂畸形的阿贝瓣
J Craniofac Surg. 2025 May 1;36(3):e233-e235. doi: 10.1097/SCS.0000000000010711. Epub 2024 Oct 11.

本文引用的文献

1
The abbe flap for upper lip reconstruction.用于上唇重建的阿贝瓣。
Eplasty. 2014 Aug 27;14:ic30. eCollection 2014.
2
Reconstruction of wide cleft lip scar by Abbe flap and advancement flap from lateral upper lip.采用阿贝瓣和上唇外侧推进瓣修复宽唇裂瘢痕。
Tokai J Exp Clin Med. 2009 Sep 20;34(3):117-21.
3
Forked Abbé flap for philtrum reconstruction.
J Plast Reconstr Aesthet Surg. 2009 Nov;62(11):e484-6. doi: 10.1016/j.bjps.2008.06.080. Epub 2008 Nov 4.
4
The inferior labial artery island flap.下唇动脉岛状皮瓣。
J Plast Reconstr Aesthet Surg. 2009 Sep;62(9):e294-7. doi: 10.1016/j.bjps.2007.09.062. Epub 2008 Apr 14.
5
Secondary correction of bilateral cleft lip and nasal deformity by simultaneous placement of an Abbe flap, septal cartilage graft, and cantilevered iliac bone graft.通过同时植入阿贝瓣、鼻中隔软骨移植片和悬臂髂骨移植片对双侧唇裂和鼻畸形进行二期矫正。
J Oral Maxillofac Surg. 2008 Mar;66(3):581-8. doi: 10.1016/j.joms.2006.11.027.
6
Secondary correction of bilateral cleft lip deformity with simultaneous Abbé flap and nasal repair.双侧唇裂畸形的二期矫正，同期行阿贝瓣修复及鼻修复术。
J Craniomaxillofac Surg. 1998 Feb;26(1):17-21. doi: 10.1016/s1010-5182(98)80030-9.
7
Modification of the Abbé flap for reconstruction of the vermilion tubercle and Cupid's bow in cleft lip patients.改良阿贝瓣用于唇裂患者唇珠及唇弓的重建。
J Oral Maxillofac Surg. 1996 Mar;54(3):256-61; discussion 261-2. doi: 10.1016/s0278-2391(96)90735-1.
8
The sandwich Abbe flap in sceondary cleft lip deformity.用于二期唇裂畸形的三明治阿贝瓣
Plast Reconstr Surg. 1980 Jul;66(1):38-45. doi: 10.1097/00006534-198007000-00007.
9
Combined nose-lip repair in bilateral complete cleft-lip deformities.双侧完全性唇裂畸形的鼻唇联合修复术
Plast Reconstr Surg. 1970 Feb;45(2):109-18. doi: 10.1097/00006534-197002000-00001.
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Primary Abbe flap in bilateral cleft lip.双侧唇裂的一期阿贝瓣
Br J Plast Surg. 1966 Jul;19(3):215-9. doi: 10.1016/s0007-1226(66)80045-0.