Tange I
Ann Plast Surg. 1980 Jul;5(1):2-6. doi: 10.1097/00000637-198007000-00002.
The modified Abbe flap procedure is indicated in secondary unilateral cleft lip in which the Cupid's bow and philtral complex of the cleft side have been destroyed as the result of previous faulty surgery. The Abbe flap is inserted in the center of the tight upper lip with or without prior scar revision, which may be done several months beforehand. The recipient pocket for the flap is made by dividing the upper lip into two parts at the line of the philtral ridge in the noncleft side and bringing the whole prolabial tissue with the residual lateral lip to the cleft side of the upper lip. The natural midline groove included in the lower lip flap is enhanced by a traction suture and simulates a philtral dimple with the split philtral ridges on both sides. Various other techniques are used to improve the final result.
改良阿贝瓣手术适用于继发单侧唇裂，即由于先前手术失误，患侧的唇弓和人中复合体已遭破坏的情况。阿贝瓣可在不进行或进行先前瘢痕修复（可提前数月进行）的情况下，插入紧绷上唇的中央。通过在非裂侧人中嵴线处将上唇分为两部分，并将整个前唇部组织与残留的外侧唇组织带到上唇裂侧，来形成瓣的接受腔。下唇瓣中包含的天然中线沟通过牵引缝线得到强化，并与两侧裂开的人中嵴一起模拟出一个人中凹。还使用了各种其他技术来改善最终效果。
