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Related Experiment Videos

The dynamic Abbe flap.

J A Lehman

    Annals of Plastic Surgery
    |November 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    This study presents a modified Abbe flap technique for lip repair, achieving muscle-to-muscle union of the orbicularis oris muscle. The innovative approach improved lip movement in 12 patients during animation.

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    Area of Science:

    • Plastic Surgery
    • Reconstructive Surgery
    • Oral and Maxillofacial Surgery

    Background:

    • The Abbe flap procedure is a reconstructive technique used for lip defects.
    • Restoring orbicularis oris muscle function is crucial for lip aesthetics and function.

    Purpose of the Study:

    • To present a modification of the Abbe flap procedure that incorporates muscle-to-muscle union of the orbicularis oris.
    • To evaluate the efficacy of this modified technique in improving lip movement.

    Main Methods:

    • A modified Abbe flap technique was developed, involving splitting the lip at the midline and dissecting the orbicularis muscle.
    • The orbicularis muscle was rotated downward and sutured to restore the oral sphincter.
    • The Abbe flap was then elevated from the lower lip, split, and used to sandwich the repaired muscle before suturing.

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    Main Results:

    • The modified Abbe flap procedure successfully achieved muscle-to-muscle union of the orbicularis oris.
    • Improved lip movement during animation was observed in all 12 patients who underwent the procedure.
    • The flap was typically divided 14 to 16 days post-surgery.

    Conclusions:

    • The modified Abbe flap technique with orbicularis muscle union is an effective method for lip reconstruction.
    • This technique enhances functional outcomes, particularly lip movement during animation.
    • The procedure offers good results for patients requiring lip defect repair.