EFFECTIVENESS OF CROSS-LIP FLAP WITH SIMUTANEOUS VASCULAR ANASTOMOSIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

PENGZhe ,  MULan , LIUYan , LIGuangxue , YANGKai

Department of Plastic and Aesthetic Surgery, Peking University People's Hospital, Beijing, 100044, P. R. China;

Corresponding author：

MULan, Email: mulan@pkuph.edu.cn

Keywords：

Cross-lip flap; Abbe's flap; Upper lip defect; Lip artery anastomosis; Wound repair

DOI：

10.7507/1002-1892.20150013

Video：

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Objective To investigate the feasibility and effectiveness of a modified cross-lip flap with lip artery anatomosis so as to shorten inward time. Methods Between August 2010 and January 2014, 11 patients underwent cross-lip flap surgery with lip artery anatomosis to repair upper lip defects. There were 9 males and 2 females with an average age of 62 years (range, 13-70 years). The defects causes were tumors removal in 6 cases, animal bites in 2 cases, and secondary deformity after cleft lip repair surgery in 3 cases. The width and height of defect were 1.5-4.0 cm and 1.8- 3.5 cm respectively; the width and height of flap were 1.5-3.2 cm and 1.5-3.0 cm respectively. The donor site was directly sutured. Results All flaps survived, and wound healed by first intention. The flap pedicle was cut off at 5 days after operation. No blister, desquamation, or circulatory malfunction was found. Delayed healing of incision occurred in 1 patient with diabetes. Eleven patients were followed up 5-24 months (mean, 11 months). The patients had normal facial expression, food intake, and language function. The function of brush directional stroke test sensation recovered in 7 (77.8%) of 9 followed patients at 12 months after operation. Conclusion The modified cross-lip flap with lip artery anatomosis is feasible and effective in repair of upper lip defects, because it can gain much more blood supply from lip right now in first surgery, shorten inward time, and relief patient's discomfort.

Citation： PENGZhe, MULan, LIUYan, LIGuangxue, YANGKai. EFFECTIVENESS OF CROSS-LIP FLAP WITH SIMUTANEOUS VASCULAR ANASTOMOSIS. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(1): 54-57. doi: 10.7507/1002-1892.20150013 Copy

1.	Koshy JC, Ellsworth WA, Sharabi SE, et al. Bilateral cleft lip revisions:the Abbe flap. Plast Reconstr Surg, 2010, 126(1):221-227.
2.	杨晶, 王乐, 刘丽娟. Abbe皮瓣修复上唇鳞状细胞癌术后缺损的效果分析. 中国医学文摘·皮肤科学, 2013, 30(5):278-280.
3.	Ebrahimi A, Maghsoudnia GR, Arshadi AA. Prospective comparative study of lower lip defects reconstruction with different local flaps. J Craniofac Surg, 2011, 22(6):2255-2259.
4.	王香, 王俊, 孙艳, 等. 下唇疣状癌切除Abbe瓣修复Ⅰ期手术护理. 实用皮肤病学杂志, 2014, 7(1):55-56.
5.	Alvarez GS, Siqueira EJ, de Oliveira MP. A new technique for reconstruction of lower-lip and labial commissure defects:a proposal for the association of Abbe-Estlander and vermilion myomucosal flap techniques. Oral Surg Oral Med Oral Pathol Oral Radiol, 2013, 115(6):724-730.
6.	Wu D, Song T, Li H, et al. An innovative cross-lip flap with a musculomucosal pedicle based on the vascular network of the lower lip. Plast Reconstr Surg, 2013, 131(2):265-269.
7.	Nóia CF, Ortega-Lopes R, Olate S, et al. Prospective clinical assessment of morbidity after chin bone harvest. J Craniofac Surg, 2011, 22(6):2195-2198.
8.	宋儒耀, 戚可明, 黄金井. 一期完成的ABBE氏手术. 中华整形烧伤外科杂志, 1988, 4(1):3-6.
9.	柳大烈, 鲁开化, 艾玉峰, 等. W-M形Abbe下唇瓣修复上唇缺损. 中华医学美容杂志, 1996, 2(4):182-183.
10.	Bitik O, Uzun H. Reconstruction of central upper lip defects with the subcutaneous pedicled nasolabial island flap:a single-stage alternative to Abbe flap in the elderly male. J Craniofac Surg, 2013, 24(4):e337-e338.
11.	Larsson J, Becker M, Svensson H. The Abbé flap in cleft lip and palate repair. J Plast Surg Hand Surg, 2013, 47(6):524-527.
12.	Cutting CB, Warren SM. Extended Abbe flap for secondary correction of the bilateral cleft lip. J Craniofac Surg, 2013, 24(1):75-78.
13.	郅克谦, 赵璐. Abbe瓣修复唇癌术后缺损5例临床观察. 中国美容医学, 2011, 20(1):60-61.
14.	丁旭宣, 吴俊伟, 彭国光. Abbe瓣修复上唇缺损的临床观察. 广东牙病防治, 2009, 17(10):489-491.
15.	李广义. Abbe瓣、Estlaader瓣和Bernard瓣修复唇癌术后缺损的临床疗效. 中国卫生产业, 2014, (13):3-4.
16.	Oki K, Ogawa R, Lu F, et al. The inferior labial artery island flap. J Plast Reconstr Aesthet Surg, 2009, 62(9):e294-e297.
17.	Yoshimura Y, Nakajima T, Nakanishi Y, et al. Secondary correction of bilateral cleft lip deformity with simultaneous Abbé flap and nasal repair. J Craniomaxillofac Surg, 1998, 26(1):17-21.
18.	Mokal NJ, Juneja M. Secondary bilateral cleft lip-nose deformity correction by rhinoplasty with simultaneous Abbe flap. Indian J Plast Surg, 2014, 47(1):20-24.
19.	Newlove T, Cook J. Safety of staged interpolation flaps after Mohs micrographic surgery in an outpatient setting:a single-center experience. Dermatol Surg, 2013, 39(11):1671-1682.

1. Koshy JC, Ellsworth WA, Sharabi SE, et al. Bilateral cleft lip revisions:the Abbe flap. Plast Reconstr Surg, 2010, 126(1):221-227.
2. 杨晶, 王乐, 刘丽娟. Abbe皮瓣修复上唇鳞状细胞癌术后缺损的效果分析. 中国医学文摘·皮肤科学, 2013, 30(5):278-280.
3. Ebrahimi A, Maghsoudnia GR, Arshadi AA. Prospective comparative study of lower lip defects reconstruction with different local flaps. J Craniofac Surg, 2011, 22(6):2255-2259.
4. 王香, 王俊, 孙艳, 等. 下唇疣状癌切除Abbe瓣修复Ⅰ期手术护理. 实用皮肤病学杂志, 2014, 7(1):55-56.
5. Alvarez GS, Siqueira EJ, de Oliveira MP. A new technique for reconstruction of lower-lip and labial commissure defects:a proposal for the association of Abbe-Estlander and vermilion myomucosal flap techniques. Oral Surg Oral Med Oral Pathol Oral Radiol, 2013, 115(6):724-730.
6. Wu D, Song T, Li H, et al. An innovative cross-lip flap with a musculomucosal pedicle based on the vascular network of the lower lip. Plast Reconstr Surg, 2013, 131(2):265-269.
7. Nóia CF, Ortega-Lopes R, Olate S, et al. Prospective clinical assessment of morbidity after chin bone harvest. J Craniofac Surg, 2011, 22(6):2195-2198.
8. 宋儒耀, 戚可明, 黄金井. 一期完成的ABBE氏手术. 中华整形烧伤外科杂志, 1988, 4(1):3-6.
9. 柳大烈, 鲁开化, 艾玉峰, 等. W-M形Abbe下唇瓣修复上唇缺损. 中华医学美容杂志, 1996, 2(4):182-183.
10. Bitik O, Uzun H. Reconstruction of central upper lip defects with the subcutaneous pedicled nasolabial island flap:a single-stage alternative to Abbe flap in the elderly male. J Craniofac Surg, 2013, 24(4):e337-e338.
11. Larsson J, Becker M, Svensson H. The Abbé flap in cleft lip and palate repair. J Plast Surg Hand Surg, 2013, 47(6):524-527.
12. Cutting CB, Warren SM. Extended Abbe flap for secondary correction of the bilateral cleft lip. J Craniofac Surg, 2013, 24(1):75-78.
13. 郅克谦, 赵璐. Abbe瓣修复唇癌术后缺损5例临床观察. 中国美容医学, 2011, 20(1):60-61.
14. 丁旭宣, 吴俊伟, 彭国光. Abbe瓣修复上唇缺损的临床观察. 广东牙病防治, 2009, 17(10):489-491.
15. 李广义. Abbe瓣、Estlaader瓣和Bernard瓣修复唇癌术后缺损的临床疗效. 中国卫生产业, 2014, (13):3-4.
16. Oki K, Ogawa R, Lu F, et al. The inferior labial artery island flap. J Plast Reconstr Aesthet Surg, 2009, 62(9):e294-e297.
17. Yoshimura Y, Nakajima T, Nakanishi Y, et al. Secondary correction of bilateral cleft lip deformity with simultaneous Abbé flap and nasal repair. J Craniomaxillofac Surg, 1998, 26(1):17-21.
18. Mokal NJ, Juneja M. Secondary bilateral cleft lip-nose deformity correction by rhinoplasty with simultaneous Abbe flap. Indian J Plast Surg, 2014, 47(1):20-24.
19. Newlove T, Cook J. Safety of staged interpolation flaps after Mohs micrographic surgery in an outpatient setting:a single-center experience. Dermatol Surg, 2013, 39(11):1671-1682.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF CROSS-LIP FLAP WITH SIMUTANEOUS VASCULAR ANASTOMOSIS

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