Other two major techniques to reconstruct the defects between one third and two thirds lip length are lip-switching procedures, Abbe and Estlander flaps.

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The defect created by the wedge excision (Fig. 6.44a) is covered by making a three-layer incision through the lower lip at the commissure and advancing the lip into the defect (Fig. 6.44a, b). Title: Reinnervation of an Abbe-Estlander and a Gillies Fan Flap of the Lower Lip: Electromyographic Comparison Author: Apex CoVantage LLC. Created Date 40510 Excision of lip; transverse wedge excision, with primary closure. 40520 V-excision with primary direct linear closure (For excision of mucous lesions, see 40810-40816) 40525 Full thickness, reconstruction with local flap (eg, Estlander or fan) 40527 Full thickness, reconstruction with cross lip flap (Abbe-Estlander) A vascularized full‐thickness Estlander flap was used to repair a defect involving approximately 40% of the left lower lip of a colt. Postoperative probleMS were (1) providing nutritional support, (2) minimizing movement at the surgical site, and (3) partial wound dehiscence resulting in a salivary fistula.

Estlander lip flap

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. Twenty of 29 patients had Abbe- and Estlander- (lip-switch) type flaps, which were composed of a musculomucosal pedicle of 1.25 to 1.50 cm and an attached skin/subcutaneous flap trimmed to fit the A reverse Abbe flap (Estlander-Abbe flap) is the exact same flap only taken from the upper lip to reconstruct lower lip defects not involving the commissure.

CONCLUSIONS: Combined bilateral Karapandzic and Abbe/Estlander/Stein flaps can produce excellent functional and aesthetic outcomes in near total and total lower lip reconstructions and should be considered a reliable reconstructive option in patients with more then 70% of lower lip loss. Twenty of 29 patients had Abbe- and Estlander- (lip-switch) type flaps, which were composed of a musculomucosal pedicle of 1.25 to 1.50 cm and an attached skin/subcutaneous flap trimmed to fit the The Abbe and Estlander flaps are useful in the reconstruction of large, full-thickness upper or lower lip defects.

Lip reconstruction may be required after trauma or surgical excision. The lips are considered of the lip. All of the flaps described below can be used on the upper or lower lip. This is called an Abbe-Estlander flap. This repair t

c All defects are closed. d About 16-20 days later the pedicle is divided, the triangular mucosal flaps are mobilized, and the lip is closed (see Fig. 6.56). e, f A The Estlander flap is used for labial defects that include the commissure. The design of the flap is simple, and the pedicle becomes the new commissure and the transfer is completed in a single stage.

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

b The flap is rotated into the upper lip defect. c All defects are closed. d About 16-20 days later the pedicle is divided, the triangular mucosal flaps are mobilized, and the lip is closed (see Fig. 6.56). e, f A The Estlander flap is used for labial defects that include the commissure. 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.

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.
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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. Bernard and Von Burow were two 19th century surgeons who described the use of cheek tissue advancement Indications.

Results: The patient has satisfactory results in terms of aesthetic and functional outcome.
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The traditional Estlander flap is a popular method for reconstructing small upper lip defects involving the oral commissure, but is insufficient for repairing larger defects. In 1995, Kriet et al. successfully reconstructed a large defect of the upper lip

Flap is designed with same heightas defect but only 50% of width, resulting in equal width reduction of upper and lower lips. (C) Pedicle divided at 2 weeks, with Z-plasty performed at donor site to prevent notching. B A c 48 A FIGURE 6. Estlander cross lip flap. (A) "V"-shapedincision diagramed around lower lip lesion and proposed upper lip 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.