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

Annals of dermatology, 2017-04, Vol.29 (2), p.210-214

COPYRIGHT(C) KYOBO BOOK CENTRE ALL RIGHTS RESERVED ;ISSN: 1013-9087 ;EISSN: 2005-3894

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  • Title:
    Transoral Cross-Lip (Abbe-Estlander) Flap as a Viable and Effective Reconstructive Option in Middle Lower Lip Defect Reconstruction
  • Author: Hyung Jin Hahn ; Hyun Jee Kim ; Jin Young Choi ; Soo Young Lee ; Young Bok Lee ; Jin Wou Kim ; Dong Soo Yu
  • Subjects: Abbe flap ; Asians ; Lip cancer ; Microstomia ; Transoral lip switching
  • Is Part Of: Annals of dermatology, 2017-04, Vol.29 (2), p.210-214
  • Description: The Abbe-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 muco-sa, 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, Abbe-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 de-lineation of the triangular Abbe-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 low-er lip defect. Three weeks later, commissuroplasty was per-formed to correct the rounding at the new commissure. The patient is currently performing his daily activities with no ap-parent 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 Abbe-Estlander lip-switching flap is a reliable, and less morbid method of lower lip re-construction for Asian surgical candidates. The authors illus-trate 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. (Ann Dermatol 29(2) 210∼214, 2017)
  • Publisher: 대한피부과학회
  • Language: Korean
  • Identifier: ISSN: 1013-9087
    EISSN: 2005-3894
  • Source: KoreaMed Synapse
    PubMed Central
    KoreaMed Open Access
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