증례보고 : Abbe 피판을 이용한 이차성 구순열비변형의 교정 4예
Case Reports : Correction of Secondary Cleft-Lip Nasal Deformity By Using Abbe Flap: Report of 4 Cases
유선열, 김태희, 황웅, 구홍, 권준경, 안진석, 박홍주,
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유선열 ( Ryu Sun-Youl ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
김태희 ( Kim Tae-Hee ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
황웅 ( Hwang Ung ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
구홍 ( Koo Hong ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
권준경 ( Kwon Jun-Kyung ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
안진석 ( An Jin-Suk ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
박홍주 ( Park Hong-Ju ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
KMID : 0360120070290010055
Abstract
Radical paring of the cleft edge during primary cleft lip operation or repeated secondary surgeries can result in tightness of the upper lip. In case, the degree of the resulting side-to-side tension is very severe, the possibility of a lip switch flap must be considered. When the lip tightness accompanies a loss of more than two-thirds of the Cupid’s bow, an Abbe flap is an alternative. The disadvantages of Abbe flap are scar formation on the lower lip, design of incision line on the upper lip, disharmony of colors, and the dysfunction of the orbicularis muscle. These problems have been recognized in the literature and extreme discretion has been advised in its application. We experienced four cases of Abbe flap operation which were designed differently to correct the secondary unilateral or bilateral cleft-lip nasal deformities. The Abbe flap operations resulted in removal of the scars and tightness of the upper lip, reconstruction of the Cupid’s bow, lengthening of the columella, and therefore secondary cleft-lip nasal deformity could be corrected. It is thought that carefully applied Abbe flap is an appropriate method to relieve horizontal tightness or flattening of the upper lip which occured after primary operation of cleft lip.
키워드
Cleft-Lip nasal deformity;Upper Lip tightness;Abbe flap
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