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Related Experiment Videos

[Fleur-de-lis flap].

H C Tsai1, T R Leu, S S Chian

  • 1Department of Surgery, Veterans General Hospital-Taipei, R.O.C.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|January 1, 1990
PubMed
Summary
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The Fleur-de-lis flap, an enhanced Abbe flap, effectively addresses secondary lip deformities after cleft lip and palate surgery. This technique improves upper lip fullness and balance, offering superior results compared to the standard Abbe flap.

Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Reconstructive Surgery

Background:

  • Secondary deformities of the lip and palate, characterized by upper lip tightness and thinness, can occur after primary cleft lip and palate surgery.
  • Existing reconstructive techniques may not fully restore lip volume and aesthetic balance.

Observation:

  • A modified Abbe flap, termed the Fleur-de-lis flap, incorporating extensive mucosal wings, was utilized in four patients with secondary lip deformities.
  • This modification aimed to enhance the fullness of the upper lip and improve lip vermilion aesthetics.

Findings:

  • The Fleur-de-lis flap demonstrated superior outcomes in improving upper lip fullness and vermilion aesthetics compared to the traditional Abbe flap.
  • Significant improvements in lip balance and overall aesthetic results were observed in all treated patients.

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Implications:

  • The Fleur-de-lis flap is a recommended surgical technique for patients experiencing severe upper lip shortage and thinness secondary to cleft lip deformities.
  • This approach offers a valuable solution for optimizing functional and aesthetic outcomes in complex secondary cleft lip reconstructions.