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Abbe Flap Division Before Two Weeks' Time: Harmful or Advantageous?

John N Muller1, Allison Diaz1, Roberto L Flores1

  • 1Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, 10016, USA.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|January 3, 2024
PubMed
Summary
This summary is machine-generated.

Early division of the Abbe flap (less than 14 days) is safe for treating bilateral cleft lip deformities. This approach shows no increased risk of flap loss or wound complications, potentially easing patient care.

Keywords:
cleft lipcraniofacial surgerylip formsurgical technique

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Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Pediatric Surgery

Background:

  • The Abbe flap is a common surgical technique for correcting upper lip deformities in patients with bilateral cleft lip.
  • This procedure typically involves a two-stage process with a 2-3 week waiting period before flap division.

Purpose of the Study:

  • To evaluate the safety and efficacy of dividing the Abbe flap earlier than the conventional 14-day period.
  • To determine if earlier flap division impacts complication rates such as flap loss or wound breakdown.

Main Methods:

  • A retrospective review of 26 patients with bilateral cleft lip who underwent Abbe flap reconstruction over 8 years.
  • Patients were categorized into two groups: early division (less than 14 days post-operation) and late division (14 days or more).

Main Results:

  • Ten patients underwent early division with an average time of 9.7 days, experiencing no flap loss, wound breakdown, or infection.
  • Sixteen patients underwent later division with an average time of 15 days, reporting four minor complications but no flap loss.

Conclusions:

  • Dividing the Abbe flap after the first postoperative week is a safe practice for bilateral cleft lip repair.
  • An earlier division, potentially after the first week, may reduce the overall burden of care for patients and their families without compromising outcomes.