应用保留血管蒂Abbe瓣修复双侧唇裂术后继发畸形的临床研究

doi:10.13701/j.cnki.kqyxyj.2017.05.012

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (5): 513-515.DOI: 10.13701/j.cnki.kqyxyj.2017.05.012

应用保留血管蒂Abbe瓣修复双侧唇裂术后继发畸形的临床研究

何慧君,傅豫川,李征,金辉喜,柯金,钦传奇,米热古丽·图尔荪江,徐玉丽,龙星,李健^*

武汉大学口腔医院口腔颌面外科湖北武汉 430079

收稿日期:2016-11-09 出版日期:2017-05-20 发布日期:2017-05-26
通讯作者: 李健,电话:18627177299
作者简介:何慧君(1992~ ),女,安徽芜湖人,硕士在读,主要从事口腔颌面外科的研究工作。
基金资助:
国家自然科学基金青年基金(编号:30901684)
武汉市唇腭裂序列治疗临床医学研究中心(编号:304230100041)

Clinical Study on Application of Abbe Flap with Vascular Pedicle in Repairing the Secondary Deformity of Bilateral Cleft Lip.

HE Hui-jun, FU Yu-chuan, LI Zheng, JIN Hui-xi, KE Jin, QIN Chuang-qi, Mireguli·tuersunjiang, XU Yu-li, LONG Xing, LI Jian^*

Department of oral and maxillofacial surgery, School of Stomatology, Wuhan University. Wuhan 430079, China.

Received:2016-11-09 Online:2017-05-20 Published:2017-05-26

摘要/Abstract

摘要： 目的:探讨应用保留血管蒂Abbe瓣修复双侧唇裂患者术后继发鼻唇畸形的方法及其临床效果。方法:选取双侧唇裂术后继发鼻唇畸形患者10例,由同一医师应用保留血管蒂Abbe瓣对其进行修复,测量术前术后患者鼻唇部的6项指标并分析,评估患者术后的效果及鼻唇部对称性。结果:患者术后均一期愈合,术后人中长度平均增加3.93 mm,人中宽度平均降低3.93 mm,全鼻宽平均降低1.69 mm,有显著统计学差异,上唇对称率达到97.29%,患者术后唇鼻外形恢复良好,接近正常。结论:应用保留血管蒂Abbe瓣修复双侧唇裂术后继发畸形效果良好,可以显著改善唇鼻形态和对称性,适合广泛应用于临床。

关键词: Abbe瓣, 双侧唇裂, 鼻唇畸形

Abstract: Objective: To study the methods and clinical effects of Abbe flap with vascular pedicle repairing the secondary defects of the bilateral cleft lip. Methods: Ten patients with the secondary defects of the bilateral cleft lip were selected. They were corrected using Abbe flap with vascular pedicle by the same surgeon. Six indexes of the nasal labial ministry before and after surgery were measured, the nasolabial symmetry was compared, and the clinical effects were assessed. Results: The patients all achieved primary healing after surgery. The length of the philtrum increased 3.93 mm averagely, and the width of the philtrum decreased 3.93 mm averagely after surgery. The width of nose decreased 1.69 mm averagely, and the symmetry rate of the lip got 97.29% postoperatively. The patients all got good recovery after surgery. Conclusion: The Abbe flap with vascular pedicle can significantly improve the nasolabial shape and symmetry to correct the secondary defects of the bilateral cleft lip.

中图分类号:

R782.2

何慧君,傅豫川,李征,金辉喜,柯金,钦传奇,米热古丽·图尔荪江,徐玉丽,龙星,李健. 应用保留血管蒂Abbe瓣修复双侧唇裂术后继发畸形的临床研究[J]. 口腔医学研究, 2017, 33(5): 513-515.

HE Hui-jun, FU Yu-chuan, LI Zheng, JIN Hui-xi, KE Jin, QIN Chuang-qi, Mireguli·tuersunjiang, XU Yu-li, LONG Xing, LI Jian. Clinical Study on Application of Abbe Flap with Vascular Pedicle in Repairing the Secondary Deformity of Bilateral Cleft Lip.[J]. Journal of Oral Science Research, 2017, 33(5): 513-515.

参考文献

[1] Eski M, Aykan A, Alhan D, et al. Evaluation of the results of simultaneous open rhinoplasty and Abbe flap for the reconstruction of the secondary bilateral cleft and nasal deformity [J]. J Plast Reconstr Aesthet Surg, 2015, 68(6)∶751-757
[2] Kim B S, Han M S, Jung S G, et al. Correction of severe cleft lip-nasal deformity using Abbe flap and seagull wing auricular cartilage graft: report of a case [J]. International Journal of Oral & Maxillofacial Surgery, 2009, 38(5)∶550-556.
[3] Zapater E, Simón E, Ferrandis E, et al. Reconstruction of the upper lip, columella and premaxilla with an extended Abbé flap: report of a case [J]. Auris Nasus Larynx, 2002, 29(3)∶305-308.
[4] Oki K, Ogawa R, Feng L, et al. The inferior labial artery island flap [J]. Journal of Plastic Reconstructive & Aesthetic Surgery, 2009, 62(9)∶294-297
[5] Holmstrm H. The Abbe flap converted to an island flap [J]. Scandinavian Journal of Plastic & Reconstructive Surgery, 1986, 20(1)∶51-54
[6] 程旭,石冰.Abbe瓣术式发展、手术效果评估方法及影响因素[J].国际口腔医学杂志,2015,42(1)∶44-47
[7] 刘维贤,高原侠,武志强,等.上、下唇动脉的应用解剖[J].中国临床解剖学杂志,1994,12(3)∶192-194
[8] Lo LJ, Kane AA, Chen YR. Simultaneous reconstruction of the secondary bilateral cleft lip and nasal deformity: Abbe flap revisited [J]. Plastic & Reconstructive Surgery, 2003, 112(5)∶1219-1227
[9] Koshy J C, Ellsworth W A, Sharabi S E, et al. Bilateral cleft lip revisions: the Abbe flap [J]. Plastic & Reconstructive Surgery, 2010, 126(1)∶221-227
[10] 李昊,马欣.双侧唇裂术后唇鼻畸形的综合整复[J].口腔医学研究, 2013, 29(9)∶861-862
[11] 李峰永,李养群,王永前,等.应用Abbe's瓣联合上唇人中皮瓣修复双侧唇裂术后继发畸形[J].中国美容医学杂志,2008,17(8)∶1158-1159

[1]	陶峰, 何等旗, 杜洪亮, 于涛, 车银富, 薛刚. 面神经功能评价方法在不同腮腺术式中的研究[J]. 口腔医学研究, 2018, 34(1): 52-55.
[2]	曲禄瑶,蔡协艺. 颌面部溶骨症的临床研究[J]. 口腔医学研究, 2017, 33(12): 1310-1313.
[3]	程家龙,林阳阳,宋大立,皮纳,侯敏. 颌骨偏斜的三维分析及分类研究[J]. 口腔医学研究, 2017, 33(12): 1314-1318.
[4]	杨旭, 徐天舒, 郑亮. 颈坏死性筋膜炎伴下行纵隔炎的临床特点与手术治疗[J]. 口腔医学研究, 2017, 33(11): 1223-1225.
[5]	王俊英，撒国良，刘志康，何三纲. 颌骨骨髓炎中IL-17、IL-6和IL-1β的表达[J]. 口腔医学研究, 2017, 33(10): 1082-1085.
[6]	师敏，赵春萍，张嘉宇，何惠宇，肖峰，张旭，葛树鹏. 新疆喀什地区15~20岁维吾尔族青年唇红颜色调查[J]. 口腔医学研究, 2017, 33(10): 1091-1094.
[7]	秦博恒, 杨犇, 何东宁. 载锌多壁碳纳米管/壳聚糖复合材料成骨性能的研究[J]. 口腔医学研究, 2017, 33(7): 725-728.
[8]	郭阁, 姚淑东, 宋庆高, 王芳, 何苇. 维甲酸作用下胎鼠腭突发育期间母体的血浆代谢组学分析[J]. 口腔医学研究, 2017, 33(7): 733-736.
[9]	米热古丽图尔荪江, 何慧君, 傅豫川, 徐玉丽, 陈慧兰, 柯金, 孟庆功, 金辉喜, 钦传奇, 李健. 对偶三角瓣联合口轮匝肌解剖复位法在单侧面横裂矫正术中的应用[J]. 口腔医学研究, 2017, 33(6): 626-628.
[10]	王育新,王志勇,卢明星,韩伟,卢晓林. 系列数字化导板在腓骨肌皮瓣修复下颌骨缺损中的初步应用[J]. 口腔医学研究, 2017, 33(5): 542-545.
[11]	李新磊，姚志涛，王强，刘小利，姜智馨，阿地力·莫明. 儿童髁突囊内骨折治疗方法选择的影响因素分析[J]. 口腔医学研究, 2017, 33(3): 290-294.
[12]	李冬梅, 刘廷廷, 孟祥彪, 郝嫣汝, 焦晓辉, 吕克文, 史金娜, 郭嫱, 宋涛. THADA基因多态性与非综合征性唇腭裂的相关性研究[J]. 口腔医学研究, 2017, 33(2): 187-190.
[13]	刘丽萍,杜杨格,杨小红,钦传奇. 产前诊断唇腭裂畸形的研究进展[J]. 口腔医学研究, 2017, 33(1): 112-114.
[14]	张玲阁,龙星,邓末宏,蔡恒星,孟庆功. 下颌骨髁突骨折术后并发症的临床研究[J]. 口腔医学研究, 2016, 32(11): 1183-1187.
[15]	高波, 伊彪, 李自力, 梁成, 王晓霞, 李阳. 头高脚低位对正颌外科术中出血量影响的研究[J]. 口腔医学研究, 2016, 32(10): 1089-1091.

应用保留血管蒂Abbe瓣修复双侧唇裂术后继发畸形的临床研究

Clinical Study on Application of Abbe Flap with Vascular Pedicle in Repairing the Secondary Deformity of Bilateral Cleft Lip.

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics