Davidson Amelia L, Mehta Nina R, Curtis Caitrin M, Runyan Christopher M
Department of Plastic and Reconstructive Surgery, Atrium at Wake Forest Baptist, Winston-Salem.
University of North Carolina, School of Medicine, Chapel Hill, NC.
J Craniofac Surg. 2025 May 1;36(3):e233-e235. doi: 10.1097/SCS.0000000000010711. Epub 2024 Oct 11.
The objective of cleft lip surgery is to restore the structure and function of the upper lip. Despite initial repair, some patients develop secondary cleft lip deformity encompassing a shortened philtrum, reduced vermillion height, with excessive tooth visibility. The Abbe flap is a well-described approach for the management of this deformity. The following case describes a 33-year-old female with a history of bilateral cleft lip and palate who presented with secondary cleft lip deformity. She was successfully treated with an Abbe lip-switch flap. Anthropometric measurements supported improved facial aesthetics similar to those in the supplemental literature review. This case also illustrates how oral mucosa from the resected, scarred philtrum can be used to repair nasolabial fistulae.
唇裂手术的目的是恢复上唇的结构和功能。尽管进行了初次修复，但一些患者仍会出现继发性唇裂畸形，包括人中缩短、唇红高度降低以及牙齿外露过多。阿贝瓣是一种用于治疗这种畸形的常用方法。以下病例描述了一名33岁双侧唇腭裂病史的女性，她出现了继发性唇裂畸形。她通过阿贝唇转瓣手术成功治愈。人体测量结果支持面部美学得到改善，与补充文献综述中的情况相似。该病例还说明了如何利用切除的、瘢痕化人中的口腔黏膜来修复鼻唇瘘。
