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. The nasolabial flap, 

Repair of Lip Commissure Defects With Estlander Flaps Simon G. Talbot Julian J. Pribaz DEFINITION Defects of the lips may occur from malignancy (most frequently squamous cell carcinoma followed by basal cell carcinoma), trauma, vascular malformations, or infections.1 There is disagreement in the literature about terminology. Here, we refer to a lip switch flap not…

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 Estlander flap is an axial-pattern, lip-switch technique used to reconstruct lip defects that include the oral commissure. We describe a neurotised modification that may confer functional advantages by preserving sensation and helping to maintain oral competence.

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5. After 4 to 6 weeks the pedicle is divided and the lips are released. 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 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.

keywords = flap (Clic here for more En Estlander flapp användes på den femte dagen för återuppbyggnad, med någon infektion och ett bra resultat. Detta visar 

After 4 to 6 weeks the pedicle is divided and the lips are released. 1. The flap is based on the commissure and is outlined in the lower lip area (Fig.

The Abbe-estlander flap technique has several advantages over other techniques such as: 1) It is safe and a reliable flap with an excellent blood supply that affords versatility in flap design

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.

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Utilized for resections involving the oral commissure.

a full-thickness flap of the lip, transferred from the side of one lip to the same side of the other lip and vascularized by the labial artery. There are several surgical techniques described for this purpose, highlighting the Abbé-Estlander flap, the Karapandzic flap, and the Bernard-Burrow- Webster  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  19 Dec 2020 A three-layer lip-switch flap similar to the Abbe flap can be used in the area of the oral commissure. 1.
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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. This is called an Abbe-Estlander flap.

Care must be taken to ensure the vascular pedicle does not kink or occlude arterial flow to the flap. The adequacy of arterial flow may be verified by Doppler ultrasound. 2019-05-16 · Reconstruction of through-and-through cheek defects involving the labial commissure following cancer ablation is a surgical challenge. Several methods for reconstructing small- to medium-sized defects cheek and labial commissure defects have been reported, such as the Karapandzic [], Estlander [], Abbe–Estlander flap (A-EF) [], double full-thickness cheek rhomboidal [], and facial artery In this case we used a modified Abbe-Estlander flap to achieve all our goals. 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.

Fig. 6.41 Lateral lower lip reconstruction of Estlander (1872). a A three-layer triangular flap is outlined in the upper lip down to the vermilion border, preserving the superior labial artery of the other side. The medial limb of the flap is convexly curved.

Such defects may be the result of trauma, excision of neoplasm or other. The Abbe flap is designed towards the middle of the lip, while the Estlander flap is designed around the commissure. Smaller defects generally do not require such The Estlander" flap is similar to the Abbe flap, but in­ volves rotating the upper lip tissue around the lateral edge of the mouth (Fig 6). It is best used in situations where the defect involves the oral commissure, so that the flap not only repairs the lower lip defect, but is the first step in commissure reconstruction. The incision Disponentintyg. Ni kan beställa disponentintyget behändigt via blanketter och ansökningar eller via växeln 010 837 0800.

Postoperative probleMS were (1) providing nutritional support, (2) minimizing movement at the surgical site, and (3) partial wound dehiscence resulting in a salivary fistula. The surgical site healed well and the colt was left with a fully functional and Se hela listan på emedicine.medscape.com 40527: Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander).