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

doi:10.13701/j.cnki.kqyxyj.2017.05.012

Abstract

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.

CLC Number:

R782.2

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.

References

[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]	TAO Feng, HE Deng-qi, DU Hong-liang, YU Tao, CHE Yin-fu, XUE Gang. An Evaluation Study of Facial Nerve Function in Different Parotid Surgical Methods [J]. Journal of Oral Science Research, 2018, 34(1): 52-55.
[2]	QU Lu-yao, CAI Xie-yi.. Clinical Study of Gorham Disease in Maxillofacial Region. [J]. Journal of Oral Science Research, 2017, 33(12): 1310-1313.
[3]	CHENG Jia-long, LIN Yang-yang, SONG Da-li, PI Na, HOU Min.. Three Dimensional Analysis and Classification of Maxillomandibular Asymmetry. [J]. Journal of Oral Science Research, 2017, 33(12): 1314-1318.
[4]	YANG Xu, XU Tian-shu, ZHENG Liang. Clinical Characteristics and Surgical Treatment of Cervical Necrotizing Fasciitis Associated with Descending Necrotizing Mediastinitis [J]. Journal of Oral Science Research, 2017, 33(11): 1223-1225.
[5]	WANG Jun-ying, SA Guo-liang, LIU Zhi-kang, HE San-gang. Expressions of IL-17, IL-1β, and IL-6 in Osteomyelitis of Jaw [J]. Journal of Oral Science Research, 2017, 33(10): 1082-1085.
[6]	SHI Min, ZHAO Chun-ping, ZHANG Jia-yu, HE Hui-yu, XIAO Feng, ZHANG Xu, GE Shu-peng. Investigation on Vermilion Color of Uygur Youth Aged 15-20 Years in Xinjiang Area of Kashi [J]. Journal of Oral Science Research, 2017, 33(10): 1091-1094.
[7]	QIN Bo-heng, YANG Ben, HE Dong-ning.. Study on Osteogenic Properties of Multiwalled Carbon Nanotubes/chitosan Composite Containing Zinc. [J]. Journal of Oral Science Research, 2017, 33(7): 725-728.
[8]	GUO Ge, YAO Shu-dong, SONG Qing-gao, WANG Fang, HE Wei.. Metabonomic Approach to Analyze the Pregnant Mice Plasma during Embryonic Palate Development under the Influence of Retinoic Acid. [J]. Journal of Oral Science Research, 2017, 33(7): 733-736.
[9]	MIREGULI Tuersunjiang, HE Hui-jun, FU Yu-chuan, XU Yu-li, CHEN Hui-lan, KE Jin, MENG Qing-gong, JIN Hui-xi, QING Chuan-qi, LI Jian.. Experience in Transverse Facial Cleft Repair with Symmetric Triangular Flap and Reconstruction of Orbicular Muscles of Mouth. [J]. Journal of Oral Science Research, 2017, 33(6): 626-628.
[10]	Wang Yu-xin, Wang Zhi-yong, Lu Ming-xin, Han Wei, Lu Xiao-lin.. Primary Application of Serial Digital Guide to Reconstruct Mandibular Defect with Fibular Osteo-myocutaneous Flap. [J]. Journal of Oral Science Research, 2017, 33(5): 542-545.
[11]	LI Xin-lei, YAO Zhi-tao, WANG Qiang, LIU Xiao-li, JIANG Zhi-xin, Adili·Moming.. Analysis of Influencing Factors on the Treatment of Intracapsular Condylar Fracture in Children. [J]. Journal of Oral Science Research, 2017, 33(3): 290-294.
[12]	LI Dong-mei, LIU Ting-ting, MENG Xiang-biao, HAO Yan-ru, JIAO Xiao-hui, LV Ke-wen, SHI Jin-na, GUO Qiang, SONG Tao. Association between THADA Gene Polymorphism and Nonsyndromic Cleft Lip with or without Cleft Palate. [J]. Journal of Oral Science Research, 2017, 33(2): 187-190.
[13]	LIU Li-ping, DU Yang-ge, YANG Xiao-hong, QIN Chuan-qi. Progress of Prenatal Diagnosis of Cleft Lip and Palate. [J]. Journal of Oral Science Research, 2017, 33(1): 112-114.
[14]	ZHANG Ling-ge, LONG Xing, DENG Mo-hong, CAI Heng-xing, MENG Qing-gong. Complications of Surgical Treatment of Mandibular Condylar Fractures [J]. Journal of Oral Science Research, 2016, 32(11): 1183-1187.
[15]	GAO Bo, YI Biao, LI Zi-li, LIANG Cheng, WANG Xiao-xia, LI Yang.. Influence of Reverse Trendelenburg Position on the Blood Loss in Orthognathic Surgery. [J]. Journal of Oral Science Research, 2016, 32(10): 1089-1091.