Webb1 jan. 2024 · A free flap from the first web space of the foot and a costal cartilage graft were used to reconstruct the deficit. However, this flap seems afflicted by greater morbidity compared to local flaps and its bulk compromises aesthetic outcome. In this case, we preferred an inferiorly based philtral advancement flap. WebbThis pedicled cross-lip flap, based on the inferior labial artery, adds width and appropriate bulk while reducing the width differential between the upper and lower lip. The Abbe flap …
Bilateral cleft lip repair with simultaneous premaxillary setback and …
WebbThe upper lip is divided into 3 distinct aesthetic subunits: the philtrum and 1 lateral subunit on each side. 7,8 Its unique surface features include the Cupid’s bow, vermilion tubercle, and philtral columns. WebbThe Abbe flap is an effective tool for reconstruction of the philtral landmarks, reconstitution of oral competence of the orbicularis, and recreation of Cupid's bow and … dye into
Bilateral cleft lip repair with simultaneous premaxillary …
Webb6 apr. 2024 · Planning cleft lip revision in conjunction with tip rhinoplasty enables columellar and philtral subunits to be improved without compromising the blood supply to the other. In this case, elongation of the columella was performed with fork flaps, which also facilitated exposure for septorhinoplasty with use of septal cartilage for tip graft. Webb28 maj 2024 · Start with the philtral rotational flap by incising between points B and D. Using skin hooks for retraction, dissect the philtral flap and medial cutaneous flap away from the orbicularis oris ( Figure 11.6 ). Complete the dissection of skin and vermillion flaps away from the orbicularis oris. WebbThe paraphiltral flap has many advantages, such as reliable blood supply, ability to reconstruct the whole length and depth of the columella, closure of the donor site primarily, preservation of aesthetic units of the upper lip, asymmetry of both nares, and closure of the donor sites closed along the philtral line. dye introduction