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, Gustavo Steffen; Siqueira, Evandro José; Oliveira, Milton Paulo de

doi:10.1016/j.oooo.2012.10.009

Cited by 19 publications

(19 citation statements)

References 16 publications

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“…The cosmetic aims of lip reconstruction include restoring labial symmetry at rest and when animated. However, oral competence and lip function, rather than cosmetic factors, are the key determinants of successful lip reconstruction [5][6][7][8].…”

Section: Discussionmentioning

confidence: 99%

Extended Estlander flap for repairing a large upper lip defect involving the oral commissure

Lee

Park

Yeo

et al. 2020

Arch Aesthetic Plast Surg

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Various methods for reconstructing partial upper lip defects have been reported, some of which, such as the Abbe and Estlander flaps, involve using the lower lip. However, determining the appropriate reconstruction method for large upper lip and oral commissure defects is particularly difficult because of the need to preserve the function and sensory ability of the lips and oral sphincter while achieving a satisfactory appearance. We describe our successful experience of using an extended Estlander flap to reconstruct a large defect caused by the excision of basal cell carcinoma on the upper lip and oral commissure.

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Section: Discussionmentioning

confidence: 99%

Extended Estlander flap for repairing a large upper lip defect involving the oral commissure

Lee

Park

Yeo

et al. 2020

Arch Aesthetic Plast Surg

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“…Keeping in mind each patient is a unique case. 17,18 The need of a second surgical procedure is common, and it should be performed at 12 weeks in order to improve certain aspects involving the outcome. 19 However, in the study done by Kumar et al out of 10 patients, adequate results were achieved in 9 of these patients with just one single procedure.…”

Section: Discussionmentioning

confidence: 99%

Versatility of the estlander flap: upper lip, lower lip and comissure reconstruction due to a dog bite

et al. 2019

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Background: Dog bites continue to be a frequent cause for plastic and reconstructive services in the world. The grand majority of these cases affect the head and neck area; and more often than not they involve the commissure and the lips. The latter leading to an increased level of difficulty and a substantial decrease on the posibilities for a successful reconstruction. This case report focuses on the exploration of the Abbe-Estlander flap as an efficient alternative in most of these cases.Methods: We present two clinical cases involving dog bites where the affected area of both patients was estimated to be one third of the total volume of the lip. Both patients required emergency reconstructive surgery. An Estlander flap was successfully performed in both instances. The purpose of the article is to share the results and motivate the medical community to continue to use this method as a strong avenue for an effective recovery.Results: After two months of the surgery, the team followed up with both patients and they were satisfied with the results. Patient A presented adequate healing of the wound; a lack of alignment of the mucocutaneous rim and rounding of the commissure was observed. Phonation, oral continence without any leakage and complete closure of the lip were also part of the recovery assessment. Patient B presented adequate healing of the wound, phonation and medium oral continence with occasional leakage of liquids and incomplete closure.Conclusions: The Abbe-Estlander flap is still an excellent reconstructive alternative for upper and lower lip reconstruction where the affected area is up to one third of the total volume. As long as the commissure involvement represents minimum difficulty, both aesthetic and functional objectives can be successfully attained using this flap.

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“…In such situations, full thickness NLF with inclusion of buccal mucosa or modification of vermilion advancement flap that includes labial mucosa of the lip with vermilion flap (Split Lip Advancement Technique) is recommended [38]. This technique was first described for treatment of congenital sinuses of the lower lip, but found its way in red lip reconstruction after pathologic resections [39,40].…”

Section: Discussionmentioning

confidence: 99%

Unilateral One Stage Nasolabial Flap for Reconstruction of the Lips

Rahpeyma

Khajehahmadi

2014

J. Maxillofac. Oral Surg.

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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

Cited by 19 publications

References 16 publications

Extended Estlander flap for repairing a large upper lip defect involving the oral commissure

Extended Estlander flap for repairing a large upper lip defect involving the oral commissure

Versatility of the estlander flap: upper lip, lower lip and comissure reconstruction due to a dog bite

Unilateral One Stage Nasolabial Flap for Reconstruction of the Lips

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