A modification of the Abbe Estlander flap for lip defect reconstruction near the angle of the mouth

Sonali D. Ghodasara; Grishma M. Sakariya; Meet Rojesara

doi:10.18203/issn.2454-5929.ijohns20260076

Authors

Sonali D. Ghodasara Narendra Modi Medical College, Ahmedabad, Gujarat, India
Grishma M. Sakariya GMERS Medical College, Gandhinagar, Gujarat, India
Meet Rojesara Gujarat Cancer Care and Research Institute, Gujarat, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20260076

Keywords:

Local flaps, Lower lip, Reconstruction, Squamous cell carcinoma

Abstract

Lips play an essential role in aesthetics and in vital functions such as nutrition and speech. The complex anatomy of the lips-comprising three distinct layers of skin, muscle, and mucosa-makes surgical management of this region a therapeutic challenge. Excision of malignant tumors is the most frequent cause of tissue loss. The abundant blood supply of the lips allows the use of flaps for reconstruction of large defects with minimal risk of necrosis. Squamous cell carcinoma is the most common malignancy affecting the lips, and the lower lip is most frequently involved. This study was conducted at the Department of Surgical Oncology, Saurashtra Cancer Care Research and Institute, Rajkot.

Metrics

Metrics Loading ...

References

Kumar A, Shetty PM, Bhambhar RS, Gattumeedhi SR, Kumar RM, Kumar H. Versatility of Abbe-Estlander Flap in Lip Reconstruction-A Prospective Clinical Study. J Clin Diagn Res. 2014;8(10):NC18-21. DOI: https://doi.org/10.7860/JCDR/2014/10661.5057

Templer J, Renner G, Davis WE, Thomas JR. A modification of the Abbe Estlander flap for defects of the lower lip. Laryngoscope. 1981;91(1):153-6. DOI: https://doi.org/10.1288/00005537-198101000-00024

Genc S, Ugur SS, Arslan IB, Tuhanioglu B, Demir A, Selcuk A. Lower lip reconstruction with Abbe-Estlander flap modification: preserving the same side vascular pedicle. Eur Arch Otorhinolaryngol. 2012;269(12):2593-4. DOI: https://doi.org/10.1007/s00405-012-2052-1

Husein-ElAhmed H, Armijo-Lozano R. Lower lip reconstruction using a skin-mucosa Abbe-Estlander flap after squamous cell carcinoma excision. An Bras Dermatol. 2017;92(2):260-2. DOI: https://doi.org/10.1590/abd1806-4841.20175269

Kroll S. In: Kroll S, editor. Reconstructive Plastic Surgery for Cancer. St. Louis, MO: Mosby. 1996.

Constantinidis J, Federspil P, Iro H. Functional and aesthetic objectives in the reconstruction of lip defects. Facial Plast Surg. 1999;15(4):337-49. DOI: https://doi.org/10.1055/s-2008-1064335

Czerninski R, Zini A, Sgan-Cohen HD. Lip cancer: incidence, trends, histology and survival: 1970-2006. Br J Dermatol. 2010;162(5):1103-9. DOI: https://doi.org/10.1111/j.1365-2133.2010.09698.x