Estlander Flap

Abbe Estlander Flap for Lip Reconstruction in a. At this time to en-sure the bilateral symmetry of oral commissures it is nec-essary to pay special attention to the position where the ﬂap pedicle swings over.

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We will use the technique for the traditional Abbe flap for this chapter but recognize the reverse flap is the same technique based on the superior labial artery.

Estlander flap. If the commissure is involved both the Karapandzic and Estlander flaps may be used. This flap has a named artery and an excellent blood supply. 1Department of Plastic and Reconstructive Surgery Sapporo Medical University School of Medicine Sapporo Japan.

He noticed a mass on the left upper lip and underwent biopsy which revealed well differentiated squamous cell carcinoma. 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. Estlander flap combined with an extended upper lip flap technique for large defects of lower lip with oral commissure.

Herein we describe the operative technique of. The Estlander flap is a hardy local flap which can be used to reconstruct defects of 13-23 of both the upper and lower lip. Largerdefects measuring one-third to two-thirds of the lower lip width may be closed with the Karapandzic Abbe or Estlander flaps.

As usefulness and practicality of the flap in reconstruction of lower lip surgical defects in Asian ethnicity have not been documented the. In 1995 Kriet et al. However the Karapandzic is probably the better choice because it is better at maintaining oral competence.

Patient With Skin Cancer of the Lower Lip. The biggest disadvantage is that two operations are required and the patient. Abbé flap is elective used in un-commisural defects with variable extension in according to the lip length from Romanian LB Lungimea Buzei Lip Length 1u - Fig2 while the Estlander flap is chosen at the expense of the Abbé flap in case of the defects that include the unilateral commisure disorganization.

We performed a tumor excision and reconstruction using a lower lip flap. The flap that Estlander described involved the transfer of a full-thickness flap that used a point of rotation at the commissure and a pedicle that remained attached and was. Distinguished from the Abbe flap by its location adjacent to the commissure rather than at the midline.

Download Citation Estlander flap for lip reconstruction Lip reconstruction for defects which involve the commissure remains a significant challenge to the facial plastic surgeon. 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. The pedicle of the flap is very small.

Estlander flap is a good choice for reconstruction of lateral or commissural defects of the lower lip. 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. This is achieved by preservation of the mental nerve branches to the lip and facial nerve branches to the orbicularis oris.

We describe a neurotised modification that may confer functional advantages by preserving sensation and helping to maintain oral competence. The Estlander flap is an axial-pattern flap supplied by the contralateral SLA or ILA depending on whether the flap is superiorly or inferiorly-based. Successfully reconstructed a large defect of the upper lip using an extended Abbe flap.

The Abbé-Estlander flap surgery is a cross-lip procedure that is valuable in repairing a defect on the lower lip using a full-thickness flap consisting of the skin muscle and mucosa from the upper lip. 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. In patients with 50 to 80 defect it is better to use bilateral reversed-Abbe instead of.

When employed alone the Estlander flap is ideally suited for defects of 13-23 of the upper or lower lip with oral commissure disruption. Thereafter this procedure has been often used by plastic. The Estlander flap is an axial-pattern lip-switch technique used to reconstruct lip defects that include the oral commissure.

Estlahn-dĕr 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. Yamauchi M1 Yotsuyanagi T Ezoe K Saito T Yokoi K Urushidate S. The second case was a 26-year-old male.

This is a preview of subscription content log in to check access. Estlander ﬂap the vermilion border including the superior labial artery was preserved and the Estlander ﬂap was elevated and reﬂected Figures 1b 2b. Estlander flap followed by additional reconstruction a month later.

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