Kriet J D, Cupp C L, Sherris D A, Murakami C S
Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine, Seattle, USA.
Laryngoscope. 1995 Sep;105(9 Pt 1):988-92. doi: 10.1288/00005537-199509000-00020.
Large upper lip defects that include the surrounding aesthetic subunits of the midface are difficult to reconstruct. Abbé flaps have been a popular method of dealing with small upper lip defects but, as classically described, they are insufficient for larger defects. We performed cadaver injections to evaluate the vascular territory supplied by the inferior labial artery with particular attention to the submental area. Extended Abbé flaps were then designed and used in combined upper lip and midfacial reconstruction. Three cases and guidelines for the use of the extended Abbé flap are presented.
包括中面部周围美学亚单位的上唇大面积缺损难以修复。阿贝皮瓣一直是处理小面积上唇缺损的常用方法，但按照经典描述，它们不足以修复较大的缺损。我们进行了尸体注射，以评估下唇动脉供血的血管区域，尤其关注颏下区域。然后设计并使用延长阿贝皮瓣进行上唇和中面部联合修复。本文介绍了3例病例及延长阿贝皮瓣的使用指南。
