Muller John N, Diaz Allison, Flores Roberto L, Staffenberg David A
Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, 10016, USA.
Cleft Palate Craniofac J. 2025 Apr;62(4):596-600. doi: 10.1177/10556656231223615. Epub 2024 Jan 3.
IntroductionThe Abbe flap is a standard intervention to treat upper lip deformities in patients with bilateral cleft lip. This two-stage procedure requires a 2 to 3-week period in which the superior and inferior lips remain connected. This study evaluates the safety of Abbe flap division and inset prior to 14 days' time.Materials and MethodsA single institution, 8-year review of all patients with a bilateral cleft lip who underwent Abbe flap reconstruction was performed. Patients were classified into two groups: those whom division was performed 14 days or later and those with division earlier than 14 days.ResultsA total of 26 patients were identified. Patients who underwent Abbe flap division in less than 14 days (n = 10) demonstrated an average time to division of 9.7 days (range 7-13 days) with no evidence of flap loss, wound breakdown or infection. Patients who underwent Abbe flap division within 14 days or more (n = 16) demonstrated an average time to division of 15 days with four minor complications and no flap loss.ConclusionDividing the Abbe flap after the first postoperative week appears to be safe and without additional risk to flap loss or wound breakdown. A shorter time to Abbe flap division may decrease the burden of care on patients and their caregivers.
引言
阿贝瓣是治疗双侧唇裂患者上唇畸形的标准干预措施。这种两阶段手术需要2至3周时间，在此期间上唇和下唇保持相连。本研究评估在术后14天之前进行阿贝瓣分离与嵌入的安全性。
材料与方法
对一家机构8年间所有接受阿贝瓣重建的双侧唇裂患者进行回顾性研究。患者分为两组：在14天或之后进行瓣分离的患者以及在14天之前进行瓣分离的患者。
结果
共确定了26例患者。在不到14天内进行阿贝瓣分离的患者（n = 10）平均分离时间为9.7天（范围7 - 13天），未出现瓣丢失、伤口裂开或感染迹象。在14天或更长时间内进行阿贝瓣分离的患者（n = 16）平均分离时间为15天，出现4例轻微并发症，未出现瓣丢失。
结论
术后第一周后进行阿贝瓣分离似乎是安全的，且不会增加瓣丢失或伤口裂开的额外风险。缩短阿贝瓣分离时间可能会减轻患者及其护理人员的护理负担。
