Other two major techniques to reconstruct the defects between one third and two thirds lip length are lip-switching procedures, Abbe and Estlander flaps.
Versatility of the estlander flap: upper lip, lower lip and comissure reconstruction due to a dog bite.
1 Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea Abbe Estlander Flap for Lip Reconstruction in a Patient With Skin Cancer of the Lower Lip. This flap has a named artery and an excellent blood supply. The pedicle of the flap is very small. The biggest disadvantage is that two operations are required and the patient must have his lips … Disclaimer: This channel is intended as an Encyclopedia for Medical Practitioners. Videos on this channel contain surgical procedures that may be graphic in 2015-06-19 A new technique for reconstruction of lower-lip and labial commissure defects: a proposal for the association of Abbe-Estlander and vermilion myomucosal flap techniques. Alvarez GS(1), Siqueira EJ, de Oliveira MP. Author information: (1)Department of Plastic Surgery, PUCRS University Hospital, Porto … THE ABBÉ AND ESTLANDER FLAPS IN THE SURGICAL MANAGEMENT OF THE LOWER LIP DEFECTS D.O. GRIGORESCU1,2 C. CORÂIU1,2 S. GRIGORESCU1,3 Abstract: From the morpho-functional point of view, the lips are life indispensable, as complex unit with the main aesthetic role at the level of the Reinnervation of an Abbe-Estlander and a Gillies fan flap of the lower lip: electromyographic comparison.
The site is also not intended to be a museum, but rather a place where photos can be viewed, grouped, commented upon, analyzed, and interpreted for those interested in the photographs. DOI: 10.1016/j.bjps.2008.02.013 Corpus ID: 27083570. Estlander flap combined with an extended upper lip flap technique for large defects of lower lip with oral commissure. @article{Yamauchi2009EstlanderFC, title={Estlander flap combined with an extended upper lip flap technique for large defects of lower lip with oral commissure.}, author={M. Yamauchi and T. Yotsuyanagi and K. Ezoe and T Below is a list of common and eponymous plastic surgery flaps with their classification and common usage. (NB - the terms interpolation flap and pedicle flap can be used interchangeably.) A vascularized full‐thickness Estlander flap was used to repair a defect involving approximately 40% of the left lower lip of a colt. Postoperative probleMS were (1) providing nutritional support, (2) minimizing movement at the surgical site, and (3) partial wound dehiscence resulting in a salivary fistula.
A flap is created from the lower lip and sewn into position in the upper lip. The width of the flap is equal to one-half the width of the defect. The flap is based medially (towards the center) on a relatively thin pedicle. 5. After 4 to 6 weeks the pedicle is divided and the lips are released.
Abbé 4 and Estlander 5 have historically developed the cross-lip flap. The reconstruction uses like tissue from the lower lip.
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4. A flap is 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. CONCLUSIONS: Combined bilateral Karapandzic and Abbe/Estlander/Stein flaps can produce excellent functional and aesthetic outcomes in near total and total lower lip reconstructions and should be considered a reliable reconstructive option in patients with more then 70% of lower lip loss.
Bernard and Von Burow were two 19th century surgeons who described the use of cheek tissue advancement Indications. This flap was originally described to reconstruct subtotal and total defects of the upper or lower lip.
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2010-06-30 · Estlander Flap 40. Medium Lower Lip Defects • Karapandzic Flap does not bring in new lip tissue • good for medial or lesions with commissure involvement • preserves neurovascular supply • microstomia more problematic with patients who wear dentures 40510 Excision of lip; transverse wedge excision, with primary closure. 40520 V-excision with primary direct linear closure (For excision of mucous lesions, see 40810-40816) 40525 Full thickness, reconstruction with local flap (eg, Estlander or fan) 40527 Full thickness, reconstruction with cross lip flap (Abbe-Estlander) The fan flap is similar to the Estlander flap in that it revolves rotation of tissue around the commissure.
[ 4 ] successfully reconstructed a large defect of the upper lip using an extended Abbe flap. Estlander flaps are suited for patients presenting with a fullthickness defect of the lateral lip up to and including the commissure. Defects up to a quarter of the upper lip and one-third of the lower lip can usually be closed directly.
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Based on our experience, Abbe-Estlander flap is an easy and reliable reconstruction technique for elderly lip cancer patients with defects less than one half.
In 1995, Kriet et al. successfully reconstructed a large defect of the upper lip Est·land·er flap.
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A large variety of other techniques, e.g., Dieffenbach’s flap and its refinement the McHugh sliding flap, Gillies fan flap (a variation on the Estlander flap) and its modification by McGregor have been described which can transfer tissue from the cheek into the lip [25, 26].
The procedure was performed under general anesthesia.