下唇交叉唇瓣修复上唇缺损的临床效果  

Clinical application of lower cross-lip flap in treatment of upper lip defect

作　　者：魏景健[1] 刘征宇[1] 雷博程[1] 王绪凯[1] 肖敬谦 

机构地区：[1]中国医科大学口腔医学院口腔颌面外科,沈阳110002 [2]清原县人民医院口腔科

出　　处：《中华医学美学美容杂志》2013年第5期334-336,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨下唇交叉唇瓣修复上唇缺损的临床效果.方法 应用下唇交叉唇瓣修复上唇缺损,缺损在唇中份者采用Abbe唇瓣,缺损在唇侧者采用Estlander唇瓣.手术分为两期：I期行唇瓣转移术,以唇动脉为蒂旋转180°插入上唇缺损区后,按黏膜、肌层及皮肤分层缝合；Ⅱ期行断蒂术同时修复红唇.结果 26例上唇缺损患者经Abbe-Estlander唇瓣转移修复后均成活,随访3～12个月,唇部功能及外形均得到明显改善.结论 根据缺损类型,选择恰当适应证,应用Abbe-Estlander唇瓣修复上唇缺损,可明显改善上唇外形及功能,具有良好的临床效果.Objective To evaluate the clinical effect of the upper lip defect with lower cross-lip flap （Abbe-Estlander flap）.Methods A total of 68 cases of upper lip defect underwent the reconstruction with cross-lip flaps.We applied Abbe flap in upper lip defect in the center,and Estlander flap in lateral upper lip defect.This method was a two-stage procedure：the first stage was to rotate flap 180 degrees into the upper lip defect and to suture with the created defect of the upper lip,with careful maintenance of blood supply from the pedicle; the second was to undertake the division of bridged pedicle and paid more attention to creation of the vermilion border.Results The flaps survived in all cases.Evaluation from 3 to 12 months after the operation showed that the shape of lips were obviously repaired with excellent aesthetic and functional results.Conclusions Abbe-Estlander flap could reconstruct anatomical features and function of the lip precisely.It seems that within certain limits （probably between one-third and one-half of total upper lip length）,this flap appears to be the preferred method for upper lip reconstruction.

关 键 词：唇瓣 Abbe-Estlander唇瓣 上唇缺损 

分 类 号：R782.21[医药卫生—口腔医学]