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The Abbe flap for unilateral cleft lip

I Tange

    Annals of Plastic Surgery
    |July 1, 1980
    PubMed
    Summary

    The modified Abbe flap procedure reconstructs the Cupid's bow and philtral complex in secondary unilateral cleft lip cases. This surgical technique restores lip aesthetics and function after prior unsuccessful operations.

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    Area of Science:

    • Plastic Surgery
    • Craniofacial Surgery
    • Reconstructive Surgery

    Background:

    • Secondary unilateral cleft lip often involves destruction of the Cupid's bow and philtral complex due to prior surgery.
    • Restoring the philtral complex and Cupid's bow is crucial for aesthetic and functional outcomes in cleft lip repair.

    Purpose of the Study:

    • To describe the modified Abbe flap procedure for secondary unilateral cleft lip reconstruction.
    • To highlight the technique's ability to recreate the philtral complex and Cupid's bow.

    Main Methods:

    • The modified Abbe flap procedure involves inserting a lower lip flap into the central upper lip.
    • A recipient pocket is created by dividing the upper lip, repositioning prolabial tissue and residual lateral lip.
    • Scar revision may precede the flap insertion; traction sutures enhance the philtral dimple.

    Main Results:

    • The procedure aims to restore the Cupid's bow and philtral complex in cases with destroyed anatomy.
    • The technique utilizes the natural midline groove of the lower lip flap to simulate a philtral dimple.
    • Split philtral ridges are created on both sides to enhance symmetry.

    Conclusions:

    • The modified Abbe flap is a viable option for secondary unilateral cleft lip repair when the philtral complex is compromised.
    • This reconstructive technique effectively addresses aesthetic deficits and restores lip form.
    • Further refinements and techniques can be employed to optimize the final surgical outcome.

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