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The lambda flap for secondary cleft lip repair

I Tange1

  • 1Japanese Cleft Palate Association, Japan Society of Aesthetic Plastic Surgery, Tokyo, Japan.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|July 1, 1997
PubMed
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A modified Abbe flap technique for cleft lip repair provides an attractive, full upper lip with a concealed scar. This method has been successfully used in 146 cases since 1990.

Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery

Background:

  • Cleft lip repair often requires secondary procedures to optimize aesthetic and functional outcomes.
  • The Abbe flap is a common technique, but modifications can improve results.

Purpose of the Study:

  • To describe a modified Abbe flap of the lambda figure type for secondary cleft lip repair.
  • To evaluate the outcomes of this technique in a consecutive series of patients.

Main Methods:

  • The study involved 146 consecutive cases (71 unilateral, 75 bilateral) of secondary cleft lip repair.
  • The modified lambda Abbe flap involves specific incisions in the lower lip to create the philtrum, matched to the upper lip recipient bed.

Main Results:

  • The technique resulted in an upper lip that was full, slack, and aesthetically pleasing.

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  • An acute cubic contour of the philtrum was achieved.
  • Scars at the donor site were effectively concealed within the mentolabial fold.
  • Conclusions:

    • The modified lambda Abbe flap is an effective technique for secondary cleft lip repair.
    • It offers significant aesthetic advantages, including improved lip fullness and philtrum definition.
    • The method provides excellent scar camouflage, enhancing patient satisfaction.