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.	楊晶, 王樂, 劉麗娟. Abbe皮瓣修復上唇鱗狀細胞癌術后缺損的效果分析. 中國醫學文摘·皮膚科學, 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, 孫艷, 等. 下唇疣狀癌切除Abbe瓣修復Ⅰ期手術護理. 實用皮膚病學雜志, 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, 黃金井. 一期完成的ABBE氏手術. 中華整形燒傷外科雜志, 1988, 4(1):3-6.
9.	柳大烈, 魯開化, 艾玉峰, 等. W-M形Abbe下唇瓣修復上唇缺損. 中華醫學美容雜志, 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.	郅克謙, 趙璐. Abbe瓣修復唇癌術后缺損5例臨床觀察. 中國美容醫學, 2011, 20(1):60-61.
14.	丁旭宣, 吳俊偉, 彭國光. Abbe瓣修復上唇缺損的臨床觀察. 廣東牙病防治, 2009, 17(10):489-491.
15.	李廣義. Abbe瓣、Estlaader瓣和Bernard瓣修復唇癌術后缺損的臨床療效. 中國衛生產業, 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. 楊晶, 王樂, 劉麗娟. Abbe皮瓣修復上唇鱗狀細胞癌術后缺損的效果分析. 中國醫學文摘·皮膚科學, 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, 孫艷, 等. 下唇疣狀癌切除Abbe瓣修復Ⅰ期手術護理. 實用皮膚病學雜志, 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, 黃金井. 一期完成的ABBE氏手術. 中華整形燒傷外科雜志, 1988, 4(1):3-6.
9. 柳大烈, 魯開化, 艾玉峰, 等. W-M形Abbe下唇瓣修復上唇缺損. 中華醫學美容雜志, 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. 郅克謙, 趙璐. Abbe瓣修復唇癌術后缺損5例臨床觀察. 中國美容醫學, 2011, 20(1):60-61.
14. 丁旭宣, 吳俊偉, 彭國光. Abbe瓣修復上唇缺損的臨床觀察. 廣東牙病防治, 2009, 17(10):489-491.
15. 李廣義. Abbe瓣、Estlaader瓣和Bernard瓣修復唇癌術后缺損的臨床療效. 中國衛生產業, 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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