Transoral Cross-Lip (Abbé-Estlander) Flap as a Viable and Effective Reconstructive Option in Middle Lower Lip Defect Reconstruction

HAHN HYUNG JIN; 김현지; 최진영; 이수영; 이영복; 김진우; 유동수

Transoral Cross-Lip (Abbé-Estlander) Flap as a Viable and Effective Reconstructive Option in Middle Lower Lip Defect Reconstruction

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Type: Academic journal

Author: HAHN HYUNG JIN 김현지 최진영 이수영 이영복 김진우 유동수

Journal: Korean Dermatological Association Annals of Dermatology Annals of Dermatology 제29권 제2호 KCI Accredited Journals SCOPUS

Published: 2017.1

Pages: 210 - 214 (5page)

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Transoral Cross-Lip (Abbé-Estlander) Flap as a Viable and Effective Reconstructive Option in Middle Lower Lip Defect Reconstruction

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The Abbé-Estlander flap surgery is a cross-lip procedure that is valuable in repairing a defect on the lower lip using a full-thickness flap, consisting of the skin, muscle and mucosa, from the upper lip. As usefulness and practicality of the flap in reconstruction of lower lip surgical defects in Asian ethnicity have not been documented, the authors present a case of successful lower lip reconstruction with a staged, Abbé-Estlander lip switching flap with commissuroplasty as an illustrative example. A 71-year-old male has presented with an ulcerating lip nodule in the middle one third of the lower lip, measuring about 1.5×2 cm across its long and short axes. Wide excision of the tumor was followed by delineation of the triangular Abbé-Estlander flap from the upper lip, in which the medial hinge point of the base was chosen as the pedicle. Then, the flap elevation was carried out from the lateral commissure and then was transferred into the lower lip defect. Three weeks later, commissuroplasty was performed to correct the rounding at the new commissure. The patient is currently performing his daily activities with no apparent compromise in orbicularis oris strength or oral continence. Given the size of the primary defect and the flap-to-defect ratio of size, the degree of microstomia was acceptable. Even with other myriad of reconstructive options at surgeons’ disposal, the Abbé-Estlander lip-switching flap is a reliable, and less morbid method of lower lip reconstruction for Asian surgical candidates. The authors illustrate an exemplary case in which a relatively large lower lip defect was successfully repaired using an upper lip flap of a significantly smaller size in an Asian subject of advanced age, without any remarkable long term sequelae which have traditionally been associated with the trans-oral lip switching flap technique.

#Abbe flap #Asians #Lip cancer #Microstomia #Transoral lip switching

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References (20)

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Czerninski R / 2010 / Lip cancer: incidence, trends, histology and survival: 1970-2006 / Br J Dermatol 162 : 1103 ~ 1109

Degala S / 2015 / The karapandzic flap in lower lip reconstruction / J Maxillofac Oral Surg 14 (Suppl 1) : 421 ~ 425

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