W-Modification of Abbe Flap after Mohs Surgery of Squamous Cell Carcinoma on the Lower Lip

Whang, Kyu Kwang; Do, Mi-Ok; Lee, Sang‐Min; Kim, Seong‐Hyun

doi:10.1111/j.1524-4725.2007.33097.x

Cited by 4 publications

(1 citation statement)

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“…These findings are similar to those reported in other case studies using an Abbé flap for defects less than 65 % of the lip [ 3 – 7 ], although, at the time of writing, we are not aware of any articles describing the combination of Abbé and Karapandzic flaps for more than 80 % lip defects. Our acceptable surgical results support this method as a good alternative to radial forearm flaps for near-total lip defects following tumor resection.…”

Section: Discussionsupporting

confidence: 91%

The use of a modified abbé island flap to reconstruct primary lip defects of over 80 %

Filimon

Richardson

Hier

et al. 2016

J of Otolaryngol - Head & Neck Surg

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BackgroundLip reconstruction for defects greater than 80 % present a challenge in maintaining acceptable oral function and good aesthetic results. Abbé flaps offer an excellent reconstructive option but are limited to defects under 65 %.MethodsWe describe a two-stage “modified Abbé island flap” technique whereby a full-thickness myocutaneous flap is combined with a modified Karapandzic flap, allowing for reconstruction of total and near total lip defects.ResultsSix patients underwent successful two-stage lower and upper lip reconstruction with this technique. Oral competence and satisfactory aesthetic outcomes were achieved in all six cases. There were no complications. Although microstomia was noted to a certain extent, we argue this impact to be less than the morbidity of a free flap that lacks sphincteric function.ConclusionThe “Modified Abbé Island Flap” can be used to reconstruct near-total lip defects using locally innervated, well-vascularized tissues that recreate the oral sphincter and restore oral competence. The combination of the conventional Abbé flap with a modified Karapandzic flap provides reliable results and significantly reduces operating time.

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Section: Discussionsupporting

confidence: 91%