Single-stage lower lip reconstruction with Estlander-Abbe flap over mouth angle

Local tissues are best suited for lip reconstruction. The defect following cancer resection is often significant where standard methods are often suboptimal. Here we are presenting 3 such cases. Case 1, a 65 years old male post squamous cell carcinoma (SCC) resection with 50% defect of lower lip and a commissure, reconstructed with Estlander flap and a unilateral Karapandzik flap on opposite side. Case 2, a 35 years old male had a similar kind of defect, reconstructed with Estlander flap and step-plasty on opposite side. Case 3, a 70 years old female with 80% central lower lip defect post SCC resection, was reconstructed with bilateral Karapandzik flaps and an Abbe flap. Considering the significant size defect, all cases healed quite satisfactorily. They maintained their oral competence with negligent microstomia. The hybrid principle of combining various reconstructive techniques is highly recommended for major lip defects.

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P.308 Lower lip reconstruction using the Abbe flap in a squamous cell carcinoma case

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/s1010-5182(06)60813-5 ◽

2006 ◽

Vol 34 ◽

pp. 210

Author(s):

R. Amaral Mendes ◽

S. Evelhoch

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Lower Lip ◽

Lip Reconstruction ◽

Squamous Cell Carcinoma Case ◽

Abbé Flap

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Chin IX: Unusual Soft Tissue Problems of the Lower Face

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0029-1224776 ◽

2009 ◽

Vol 2 (3-4) ◽

pp. 141-150 ◽

Cited By ~ 1

Author(s):

Roberto L. Flores ◽

Barry M. Zide

Keyword(s):

Soft Tissue ◽

Lower Lip ◽

Lip Reconstruction ◽

Lower Face ◽

Second Stage ◽

Aesthetic Unit ◽

Soft Tissue Problems ◽

Abbé Flap ◽

Reconstructive Methods

When the editor asked me to write something related to the chin, I (B.M.Z.) told him I would like to concentrate on the soft tissue of the perioral and chin region, something previously not presented before in this Journal specifically or anywhere. Dr. Flores and I have chosen certain soft tissue cases of the lower face, each of which presents certain dilemmas. The reconstructive methods in each case are unique, previously not shown, and represent salvage from prior failures. Case 1 shows how an interior Abbe flap can be used for ipsilateral lip reconstruction. Case 2 shows how a large upper lateral lip elemental loss can be regained from cheek and not the lower lip. Cases 3 and 4 show how to regain proper white roll bulge and symmetry by overcorrection, then exact adjustment in a second stage. Case 5 shows how a failed chin/lip reconstruction can be salvaged to regain sulcus height and aesthetic unit reconstruction. Each case depicts unique reconstructive designs to produce an aesthetic final result.

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Upper lip reconstruction post major cancer resections using the hybrid concept

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20202535 ◽

2020 ◽

Vol 6 (7) ◽

pp. 1347

Author(s):

Badr M. I. Abdulrauf

Keyword(s):

Cancer Surgery ◽

Central Unit ◽

Upper Lip ◽

Additional Advantage ◽

Lower Lip ◽

Lip Reconstruction ◽

Hybrid Concept ◽

Upper Lip Reconstruction ◽

Abbé Flap ◽

Standard Techniques

Major defects of the upper lip due to cancer surgery are relatively less common compared to lower lip. Standard techniques such as Karapandzic’s are capable of reconstructing up to fifty percent of the lip otherwise microstomia and oral incompetence may result. The upper lip has few aesthetic characteristic details due to the philtrum, its columns and cupid’s bows. Here we are proposing incorporation of an abbe flap to reconstruct the central unit of upper lip, associated with Karapandzic flaps from both sides. Use of a lip sharing concept has an additional advantage of producing harmony to the reconstructed region, and avoidance of crowding phenomena to the lower lip.

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