CAJ | 학술논문

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.
목적 탐토하진교차진판수복상진결손적림상효과.방법 응용하진교차진판수복상진결손,결손재진중빈자채용Abbe진판,결손재진측자채용Estlander진판.수술분위량기:I기행진판전이술,이진동맥위체선전180°삽입상진결손구후,안점막、기층급피부분층봉합；Ⅱ기행단체술동시수복홍진.결과 26례상진결손환자경Abbe-Estlander진판전이수복후균성활,수방3～12개월,진부공능급외형균득도명현개선.결론 근거결손류형,선택흡당괄응증,응용Abbe-Estlander진판수복상진결손,가명현개선상진외형급공능,구유량호적림상효과.
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.