Indications for and Results of the Abbe Flap Operation:<i>Evaluation of 204 Cases</i>

Momma, W G; Koberg, W; Mai, W.

doi:10.3109/02844317409084383

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…More than 100 years have passed since Abbé reported the use of the cross‐lip technique for upper lip reconstruction. Since that time, numerous reports have examined a broad range of topics on its use from the anatomic basis of the flap to indications and results 9,10 . Numerous extensions and modifications of the Abbé flap have been reported 11,12 .…”

Section: Discussionmentioning

confidence: 99%

Options for Upper Lip Reconstruction: A Survey-Based Analysis

Martin

Zhang

Rhee

2008

Dermatologic Surgery

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Section: Discussionmentioning

confidence: 99%

Options for Upper Lip Reconstruction: A Survey-Based Analysis

Martin

Zhang

Rhee

2008

Dermatologic Surgery

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Objective evaluation of vertical Z-plasty with double transposition vermillion flaps for secondary whistling deformity correction: A method for uni- and bilateral correction

Scheller

Bolz

Scheller

et al. 2019

Journal of Cranio-Maxillofacial Surgery

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Rectangular Flap for Horizontal Upper Vermilion Tightness in Secondary Cleft Lip Deformity

Park

Roh²

1999

Plastic and Reconstructive Surgery

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Radical paring of the cleft edge during a primary cleft operation or repeated secondary surgeries can result in tightness of the upper lip. The degree of the resulting side-to-side tension can vary, from mild cases for which improvement is sought through realignment of the misplaced oral sphincter muscle in secondary revision, to severe cases for which the possibility of a lip switch flap must be considered. When the lip tightness accompanies more than three-quarters loss of the Cupid's bow, an Abbé flap is an alternative. However, the lip switch flap is far from ideal, in both artistic and functional perspectives, and should be avoided if at all possible in mild to moderate degrees of lip tightness. This study presents a method of correcting horizontal cleft upper lip tightness, especially of the vermilion. The method involves local transfer of an inferiorly based rectangular flap from the relatively redundant upper two-thirds to the lower one-third of the upper lip and vermilion. Primary indications for the technique include vermilion tightness with half to three-quarters loss of Cupid's bow. The method has the advantage of supplementing the horizontal lip dimension on the cleft side and restoring a natural Cupid's bow, thereby repositioning the shifted philtral column and adding fullness to the lower one-third of the upper lip. Incorporation of the upper lip scar in the rectangular flap removes ugly scars and spares the lower lip from surgical violation. The orbicularis sphincter function, as seen in facial animation, was well regained. Twenty unilateral and three bilateral cases with a maximal follow-up period of 4.5 years are presented.

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Indications for and Results of the Abbe Flap Operation:Evaluation of 204 Cases

Cited by 3 publications

References 13 publications

Options for Upper Lip Reconstruction: A Survey-Based Analysis

Options for Upper Lip Reconstruction: A Survey-Based Analysis

Objective evaluation of vertical Z-plasty with double transposition vermillion flaps for secondary whistling deformity correction: A method for uni- and bilateral correction

Rectangular Flap for Horizontal Upper Vermilion Tightness in Secondary Cleft Lip Deformity

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