Tange I
Japanese Cleft Palate Association, Japan Society of Aesthetic Plastic Surgery, Tokyo, Japan.
Cleft Palate Craniofac J. 1997 Jul;34(4):357-61. doi: 10.1597/1545-1569_1997_034_0356_tlffsc_2.3.co_2.
A modified Abbe flap of the lambda figure type, designed by the author and used before or after secondary cleft lip repair in 146 consecutive cases since 1990 is described.
This series consisted of 71 cases with unilateral deformity and 75 cases with bilateral deformity at adolescent or adult ages. The technical details of this method and representative cases with the results are shown. The philtrum is created by incising the two branches of the lambda flap obliquely at 45 degrees to the skin surface in the lower lip, then matching them in the central recipient bed of the deficient upper lip.
The resultant upper lip is not only full and slack, but also attractive with an acute cubic contour of the philtrum. Furthermore, the residual scar at the donor site is concealed in the mentolabial fold.
描述一种由作者设计的λ形改良阿贝瓣，自1990年以来连续146例患者在二期唇裂修复前后使用该瓣。
本系列包括71例青少年或成人单侧畸形患者和75例双侧畸形患者。展示了该方法的技术细节及有结果的代表性病例。通过在下唇与皮肤表面呈45度角斜切λ瓣的两个分支来形成人中，然后将它们在上唇缺损的中央接受区进行匹配。
所得上唇不仅丰满且松弛，而且人中呈锐利的立体轮廓，颇具吸引力。此外，供区的残留瘢痕隐藏在颏唇沟内。
