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Abbe Flap for Upper Lip Reconstruction.

Carlos Giugliano1,2, Patricia Echenique3

  • 1Department of Plastic Surgery, Hospital del Niño Fisurado, Fundación Gantz.

The Journal of Craniofacial Surgery
|November 7, 2024
PubMed
Summary
This summary is machine-generated.

The Abbe flap technique is an excellent option for upper lip reconstruction, particularly for the middle third of the lip. This surgical method demonstrates high success rates and minimal complications in patient cases.

Keywords:
Abbe flapStrasser scorecleft lipesthetic subunit of the upper liplip reconstructionupper lip

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Facial Aesthetics

Background:

  • Upper lip integrity is crucial for facial aesthetics and can be compromised by congenital conditions, trauma, burns, and cancer.
  • Reconstructing the upper lip presents unique surgical challenges.
  • The Abbe flap technique is a recognized method for lip repair.

Purpose of the Study:

  • To review the Abbe flap technique for upper lip reconstruction.
  • To share surgical tips from experienced surgeons.
  • To present a case series evaluating the Abbe flap technique's efficacy.

Main Methods:

  • A retrospective study conducted between 2003 and 2023 at Fundación Gantz and Clínica Alemana de Santiago.
  • Detailed description of the Abbe flap surgical technique.
  • Objective assessment of outcomes using the Strasser scale.

Main Results:

  • The study included 16 patients (50% female, 50% male), with 87.5% having cleft lip and palate.
  • 85.71% of patients achieved good outcomes (Strasser scale score 1-4).
  • No mediocre results or technique-related complications were reported.

Conclusions:

  • The Abbe flap technique remains a highly effective option for upper lip reconstruction, especially for defects in the central lip.
  • Mastery of anatomy, surgical technique, and aesthetic principles ensures successful patient outcomes.
  • The technique offers acceptable functional and aesthetic results for patients and their social environment.