使用阿贝瓣修复二期唇裂畸形的唇部重建美学效果比较：一项回顾性研究
Comparative Aesthetic Evaluation of Lip Reconstruction Using Abbe's Flap in Secondary Cleft Lip Deformities: A Retrospective Study.
作者信息
Ramanathan Manikandhan, Dadwal Himani, Anantanarayanan P, Murugan Senthil, Sailer Hermann
机构信息
Meenakshi Ammal Dental College, Chennai, India.
Himachal Institute of Dental Sciences, Sirmaur, H.P India.
出版信息
J Maxillofac Oral Surg. 2021 Mar;20(1):13-18. doi: 10.1007/s12663-019-01279-w. Epub 2019 Sep 16.
AIM
To objectively evaluate the surgical outcome of deformed cleft lip treated by Abbe's flap using Digimizer image analysis software.
METHODS
Fifteen Abbe's flap (AF) reconstruction cases with satisfactory photographic records were acquired in Digimizer image analysis software. Anthropometric landmarks were marked on the lip. Bilateral lip lengths, height and width were measured preoperatively and postoperatively after AF reconstruction for comparison.
RESULTS
It was observed that by AF reconstruction, we could increase vermillion lip length and Cupid's bow width, hence providing adequate bulk to the middle of the lip. In addition to it, in some cases we could achieve the acceptable anatomy of the centre of the Cupid's bow with which it was sometimes disturbed during primary cheiloplasty. Lip length and lip height became proportionately equal bilaterally, leading to adequate lip symmetry in all cases.
CONCLUSION
Computer-assisted anthropometric analysis of photographs using Digimizer image analysis software (MedCalc Software, Belgium) demonstrates that AF lip reconstruction technique produces aesthetic lip consistently.
目的
使用Digimizer图像分析软件客观评估阿贝瓣修复唇裂畸形的手术效果。
方法
选取15例采用阿贝瓣（AF）修复且有满意照片记录的病例，在Digimizer图像分析软件中进行分析。在唇部标记人体测量标志点。测量术前及AF修复术后双侧唇长、高度和宽度并进行比较。
结果
观察发现，通过AF修复，可以增加唇红长度和唇弓宽度，从而为唇部中部提供足够的丰满度。此外，在某些情况下，我们可以实现唇弓中心可接受的解剖结构，而在初次唇裂修复术中唇弓中心有时会受到干扰。双侧唇长和唇高成比例相等，所有病例均实现了足够的唇部对称性。
结论
使用Digimizer图像分析软件（比利时MedCalc软件）对照片进行计算机辅助人体测量分析表明，AF唇修复技术能持续产生美观的唇部效果。
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