For reconstruction of the lip, a classical rotation flap (Estlander flap) is used together with a myomucosal flap, which is both innervated and expandable.

The Abbe and Estlander flaps are useful in the reconstruction of large, full-thickness upper or lower lip defects. Such defects may be the result of trauma, excision of neoplasm or other.

That said, function is even more 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. After 10–14 days, the blood supply of the flap has been established to the point where the artery can be divided. The Abbe flap has an excellent cosmetic result when it is used to replace the entire philtrum of the upper lip. The technique can also be used when the defect involves the commissure.

Estlander lip flap

29 Rotation of the large fan-shaped flap provides for a new commissure and maintains the integrity of a portion of the oral sphincter. 2012-07-18 2020-03-01 · The Estlander flap is a hardy local flap which can be used to reconstruct defects of 1/3-2/3 of both the upper and lower lip. Herein, we describe the operative technique of the Estlander flap for lip reconstruction. The Abbe-Estlander flap is a full-thickness lip-switch flap rotated from mid lower lip to fill defects of the upper lip. In 1872, Estlander emphasized the importance of this flap. Abbe, in 1898, was the first to switch a lower lip flap into the upper lip for a cleft deformity. The lip-switch flap is … 2020-12-16 · Estlander Flap Description.

Estlander img. PDF) Versatility of the estlander flap: upper lip, lower lip img. Abbe Estlander Flap Drift av Estlanders metod (Estlander) indikeras med en subtotal imperfektion av I fallet med cicatricial scarring och insufficiency of lower lip, uttryckt i dess Enligt Lexer-metoden är en hudflap förberedd på huvudets krona på två ben (i de Publications Authored by Ann-Mari Estlander | PubFacts PDF) Reconstructing Defects of the Lower Lip: An Emphasis on Jakob Estlander Flap Design.

Upper lip reconstruction with abbe estlander flap, Kevin Kavanagh. Abbe Estlander Flap for Lip Reconstruction in a. Patient With Skin Cancer of the Upper Lip

Results: The patient has satisfactory results in terms of aesthetic and functional outcome. Conclusion: The aim of the current work is to report a case of surgical therapy of the lower lip using a modified Abbe-Estlander flap.

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].

Lip reconstruction performed by Dr. Simon Madorsky at SCARS Center. Proceeding Other two major techniques to reconstruct the defects between one third and two thirds lip length are lip-switching procedures, Abbe and Estlander flaps. keywords = flap (Clic here for more details about this article).

An extension of the Estlander flap, the Gillies flap allows for subtotal or total lip reconstruction. This is accomplished through bilaterally expanding the tissue used to include areas lateral to the commissures.
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(A) "V"-shaped incision diagramed around lower lip lesion and proposed upper lip flap outlined. (B) Lesion removed, flap rotated and sutured into defect.

Such defects may be the result of trauma, excision of neoplasm or other. Summary The Estlander flap is an axial-pattern, lip-switch technique used to reconstruct lip defects that include the oral commissure.
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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 sewn together for 4 to 6 weeks.

The design of the flap is simple, and the pedicle becomes the new commissure and the transfer is completed in a single stage. We report a case of residual noma defect of upper lip in a 6-year-old female child, which was reconstructed using Estlander flap. 2020-07-01 We have devised a new method for secondary commissuroplasty after reconstruction of the lower lip using Estlander's method with both aesthetically and functionally satisfactory results. This method consists of forming two equilaterally triangular mucosal flaps on the vermilion and a small triangular skin flap in the new position of the commissure and transposing these three flaps to The modified Estlander flap is based more medially to the initially proposed flap and seeks to avoid lip commissure deformations.