Fisura nasal-labial unilateral / Unilateral cleft nose-lip deformity / Fisura naso-labial unilateral

Este es un trabajo descriptivo que realiza una puesta al día sobre la resolución quirúrgica de los defectos estético-funcionales de la nariz leporina unilateral. Para cumplir con el objetivo realizamos una revisión bibliográfica con especial enfoque en: embriología, anatomía, técnicas quirúrgicas y cronogramas de tratamientos recomendados. Como agregado final presentamos la técnica quirúrgica utilizada por los autores y 3 casos operados.

This is a descriptive study which performs an updateon the surgical resolution of the aesthetic-functionaldefects of unilateral cleft nose-lip deformity. Tomeet the goal we conducted a literature review withspecial focus on: embryology, anatomy, surgical techniquesand schedules recommended treatments. As an added end we present the surgical techniqueused by the authors and operated cases.

É um trabalho descritivo que realiza uma atualização sobre a resolução cirúrgica dos defeitos estético-funcionais do nariz leporina unilateral. Para atingir o objectivo realizamos uma revisão da literatura com enfoque especial na: embriologia, anatomia,técnicas cirúrgicas e tempos dos tratamentos recomendados. Também apresentamos a técnica cirúrgica utilizada pelos autores e três casos operados.

Abbe Flap to Correct Tight Upper Lip Resulting from Secondary Deformities of Unilateral and Bilateral Cleft Lip

An Abbe cross-lip flap can be used when there is a deficiency of upper lip tissue and a disproportion between the upper and lower lip. This flap is particularly useful when reproduction of a central fullness or pout in the upper lip is desired. It should be designed to mimic the missing or deformed philtrum. A total of 21 cases of tight upper lip resulting from secondary deformities of unilateral and bilateral cleft lip were treated using the Abbe cross-lip flap(11 cases were unilateral and 10 cases were bilateral). In conclusion, advantages of Abbe cross-lip flap are as followings: 1)It is very efficacious to correct the tight upper lip 2)Widening of upper lip and simultaneous narrowing of lower lip can correct a disproportion between the upper and lower lip. 3)Central flap can recreate a philtrum like effect. 4)There was no significant scar problems in lower lip donor site. 5)In case of combined maxillary retrusion, best results were obtained after orthodontic and/or orthognatic treatment.