上唇V形皮瓣联合下唇Abbe瓣修复12例双侧唇裂术后鼻唇畸形  

Combination V-shaped flap with Abbe flap for secondary reconstruction of postoperative nasolabial deformity of bilateral cleft lip in 12 cases

作　　者：赵运流[1] 黄伟光[2] 牙祖蒙[2] 

机构地区：[1]重庆医科大学附属第二医院口腔颌面外科,400010 [2]重庆医科大学附属第二医院整形美容科,400010

出　　处：《重庆医学》2010年第5期543-544,共2页Chongqing medicine

摘　　要：目的通过对双侧唇裂术后鼻唇畸形特点的分析,探索矫治双侧唇裂术后继发鼻唇畸形的一种理想方法。方法自2005年1月至2008年12月对12例双侧唇裂术后鼻唇畸形患者在前唇设计上唇V形皮瓣,延长鼻小柱、增加前唇高度;同时在下唇设计Abbe瓣,转移至上唇修复唇珠,协调上下唇宽度,从而改善双侧唇裂术后鼻唇畸形。结果所有皮瓣存活,术后鼻唇外形明显改善。结论采用上唇V形皮瓣联合下唇Abbe瓣可以较好地修复双侧唇裂术后鼻唇畸形。Objective To study the effect of secondary reconstruction of postoperative nasolabial deformity of bilateral cleft lip with combination cross flap with Abbe flap. Methods From 2005 to 2008,12 cases with postoperative nasolabial deformity of bilat- eral cleft lip underwent the reconstruction with combination cross flap with Abbe flap. The V shaped flap was designed in the upper lip for uprising the nasal columella,increasing the height of anterior lip,and diminishing the width of anterior lip. The Abbe flaps were designed in the lower lip for reconstructing vermilion tubercle,and coordinating the width of upper and lower lip. Results All the flaps were survived with primary healing and satisfactory cosmetic results got in the nasolabial region. Conclusion The combination V-shaped flap with Abbe flap is an effective method for secondary reconstruction of postoperative nasolabial deformity of bilateral cleft lip.

关 键 词：双侧唇裂 鼻唇畸形 V形皮瓣 ABBE瓣 

分 类 号：R782.21[医药卫生—口腔医学]