Yoshimura Y, Nakajima T, Nakanishi Y, Yoneda K
Department of Plastic and Reconstructive Surgery, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.
J Craniomaxillofac Surg. 1998 Feb;26(1):17-21. doi: 10.1016/s1010-5182(98)80030-9.
For secondary repair of a bilateral cleft lip deformity with a short columella and defective upper lip, simultaneous correction of the lip and nose is ideal. We perform a nasal repair through a bilateral reverse-U incision and columella elongation using the upper lip. An Abbé flap is then transferred to the upper lip defect. This procedure enables total reconstruction of characteristic bilateral cleft lip deformities in one stage. We have applied this method to 15 patients (9 males and 6 females) with an average age of 18.7 years. Although some patients need jaw surgery, all have been satisfied with the results.
对于伴有短鼻小柱和上唇缺损的双侧唇裂畸形进行二期修复时，同时矫正唇部和鼻部是理想的方法。我们通过双侧倒U形切口进行鼻修复，并利用上唇延长鼻小柱。然后将阿贝瓣转移至唇部缺损处。该手术能够一期完成典型双侧唇裂畸形的全重建。我们已将此方法应用于15例患者（9例男性，6例女性），平均年龄18.7岁。尽管部分患者需要进行颌骨手术，但所有患者对结果均满意。
