- 期刊
Secondary Repair of Cleft Lip Deformity with Abbe Flap
利用Abbe皮瓣作二次性唇畸形的後續修補
摘要
Abbe皮瓣最早在1838年被提出，以後陸績有多位學者相繼提出修改方法，以迄於今，它是用於重建先天唇裂畸形術後上唇緊縮的最有效方法之一。要作好此項重建手術除了對唇部解剖學的瞭解外，主要是要恢復其美觀與功能，Abbe皮瓣的適應症和優缺點將加以討論，我們同時利用原有之人中作為旋轉皮瓣來修正不滿意的唇緣疤痕或疤痕攀縮，並將下唇疤痕在頰唇襞作了一個Z字整形術，使下唇疤痕較為平整而不明顯。
關鍵字
無資料並列摘要
Abbe flap was initially described in 1838 and was subsequently modified by many authors. Robert Abbe first described in 1889 the staged, central, lower to upper lip flap for augmentation procedures in cleft lip deformities. It is one of the most effective tool for the correction of a tight upper lip resulting from secondary cleft lip deformity. Correction requires the addition of new tissue. Available prolabial tissue can be utilized as rotation flap in the revision of unsatisfactory prolabia scar. A pleasing scar can result from a z-plasty at mentolabial fold for lower lip wound. All 19 cases (100%) received central placed abbe flap. Another revision cheiloplasty for prolabial scar was necessary in 7 of the 19 cases (37%). Two patients (10%) using the philtral tissue as rotation flap in the revision of prolabial scar achieved as good result as using traditional procedure. According to our experience, it reduces the number of operation, giving us a less prominent donor site scar.