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Plast Reconstr Surg. 2013 Feb;131(2):265-9. doi: 10.1097/PRS.0b013e3182789be7.

An innovative cross-lip flap with a musculomucosal pedicle based on the vascular network of the lower lip.

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1
Department of Cleft Lip and Palate, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.

Abstract

The Abbe flap has been used for full-thickness defects of the upper lip with the inferior labial artery as the pedicle. Using the fine artery anatomy of the lower lip, the authors developed an innovative partial-thickness myocutaneous flap based on the vascular network of the submucosal and subcutaneous layers, which derived mainly from the horizontal labiomental artery or the vertical labiomental artery. From 2010 to 2011, this new technique was used in 33 patients with upper lip defects. The split flap was elevated from the posterior portion of the oris orbicularis muscle after the inferior labial artery was divided. All 33 cases of musculomucosal pedicle flaps were viable. The flap was perfectly symmetrical after the first-stage operation, and the operative time was reduced significantly.

PMID:
23357988
DOI:
10.1097/PRS.0b013e3182789be7
[Indexed for MEDLINE]
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