应用上唇人中区皮瓣联合下唇Abbe瓣修复双侧唇裂继发鼻唇畸形  

Combination of the median upper lip flap with lower lip Abbe flap for secondary reconstruction of postoperative nasolabial deformity of bilateral cleft lip

作　　者：林广民 游彩莲 曹宁 郑美莲 汤逸颜 吴锦鸿 LIN Guang-min;YOU Cai-lian;CAO Ning;ZHENGMei-lian;TANG Yi-yan;Wu Jin-hong(Department of Plastic Surgery,Zhangzhou Affiliated Hospital of Fujian Medical University,Fujian Province,363000,China)

机构地区：[1]福建医科大学附属漳州市医院整形外科,福建漳州363000

出　　处：《中国医疗美容》2019年第4期18-20,共3页China Medical Cosmetology

摘　　要：目的探讨双侧唇裂继发鼻唇畸形的一种理想的修复方法。方法自2013年1月至2018年12月,对13例双侧唇裂继发鼻唇畸形患者,采用上唇人中区皮瓣联合下唇Abbe瓣,必要时人工鼻梁植入进行唇鼻修复。结果皮瓣均成活良好,鼻外观极大改善,上唇形态接近正常,上下唇比例协调。结论上唇人中区皮瓣联合下唇Abbe瓣修复双侧唇裂继发鼻唇畸形效果良好,可获得满意的美容效果。Objective To explore an ideal method for the correction of the secondary nasolabial deformities of bilateral cleft lip.Methods From January 2013 to December 2018, repairing nose and lip in median of the median upper lip flap and lower lip Abbe flap in 13 patients with secondary nasolabial deformity of cleft lip, implanting artificial nose prosthesis when necessary. Results All the flaps were survived and nose appearance was greatly improved. The shape of the upper lip turned more similar to normal. Coordination between upper lip and lower lip was appropriate. Conclusion The median upper lip flap combined with lower lip Abbe flap to repair the secondary nasolabial deformities of bilateral cleft lip is effective. Good cosmetic results can be obtained.

关 键 词：双侧唇裂 鼻唇畸形 人中区皮瓣 ABBE瓣 

分 类 号：R782.2[医药卫生—口腔医学]