All The Hil Doc Eras—Estlander
2020-07-01 We have devised a new method for secondary commissuroplasty after reconstruction of the lower lip using Estlander's method with both aesthetically and functionally satisfactory results. This method consists of forming two equilaterally triangular mucosal flaps on the vermilion and a small triangular skin flap in the new position of the commissure and transposing these three flaps to The modified Estlander flap is based more medially to the initially proposed flap and seeks to avoid lip commissure deformations. The technique used at our institution to reconstruct commissure defects abides by the principles described by 4 authors (Estlander 7 , Goldstein 8 , Robotti et al. 9 , … In five cases, defects located at the junction of the upper lip and the cheek were reconstructed with an Estlander flap. Four patients with a tight upper lip were corrected with an Abbé flap. Reconstruction methods applied to the upper lip defects are: transoral rotation flap (Abbe and Estlander), circumoral ad-vancement-rotation flap (Karapandzic and Gillies), perialar crescentic excision, reverse Yús flap, Bernard-von Burrow flap and Bernard-von Burrow flap with double-sided Webster modi-fication [4,5].
The second case was a 26-year-old male. He noticed a mass on the left upper lip and underwent biopsy, which revealed well differentiated squamous cell carcinoma. We performed a tumor excision and reconstruction using a lower lip flap. This account of the first cross-lip flap described an almost V-shaped full-thickness flap of the corner of the lower lip based on the lower labial artery that was rotated into the upper lip.
The modified Bernard flap preserves The neurotised estlander flap for lip reconstruction Summary. The Estlander flap is an axial-pattern, lip-switch technique used to reconstruct lip defects that include the Keywords.
Herein, we describe the operative technique of the Estlander flap for lip reconstruction. The traditional Estlander flap was designed in the proximity of the defect where one part of the flap border runs along the nasolabial fold. Moreover, to extend the entire upper lip, the incision line was designed along the columella base and the base of the nasal wing up to the nasal wing on the unaffected side (Figures 1 a, 2 a). The Abbe flap has an excellent cosmetic result when it is used to replace the entire philtrum of the upper lip.
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For such cases, the Estlander flap technique is often used, although displacement of the oral commissure is one of the remaining problems.
Such defects may be the result of trauma, excision of neoplasm or other. Abbe-Estlander flap was used for lip reconstruction in 10 subjects who required lip reconstruction following excision of carcinoma of lip, following traumatic maxillofacial injuries causing lip defects or correction of congenital lip deformities. Detailed history and …
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2012-07-18 2020-03-01 · The Estlander flap is a hardy local flap which can be used to reconstruct defects of 1/3-2/3 of both the upper and lower lip. Herein, we describe the operative technique of the Estlander flap for lip reconstruction. The Abbe-Estlander flap is a full-thickness lip-switch flap rotated from mid lower lip to fill defects of the upper lip. In 1872, Estlander emphasized the importance of this flap.
Lip reconstruction performed by Dr. Simon Madorsky at SCARS Center. Proceeding
Other two major techniques to reconstruct the defects between one third and two thirds lip length are lip-switching procedures, Abbe and Estlander flaps. keywords = flap (Clic here for more details about this article). 2/3. Tidiga rotation av en cross-lip flapp att reparera ett fel som orsakas av en mänsklig bite. En Estlander flapp användes på den femte dagen för återuppbyggnad, med någon
Abbé-Estlander) eller en fri vaskulariserad lambå.
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Reconstruction of oral commissure. Surgical flaps. Issue Date: Jun-2019. Publisher: Medip Academy. 19 Jun 2016 1.2 Diagram demonstrating (a–c) Abbe and (d,e) Estlander cross lip flaps for intermediate-size lip defects. The Abbe flap pedicle is divided ~ 14 R. Abbé (1851–1928), American surgeon; J. A. Estlander (1831–81), Finnish to the upper lip below the nose in order to correct inadequate lip length and fullness The flap is attached by means of a pedicle to maintain the blood supp A procedure to transfer a full-thickness flap of the lip from one side of the lip to the same side of the opposite lip. QUIZZES.
The technique can also be used when the defect involves the commissure. This is called an Abbe-Estlander flap. The Estlander" flap is similar to the Abbe flap, but in volves rotating the upper lip tissue around the lateral edge of the mouth (Fig 6). It is best used in situations where the defect involves the oral commissure, so that the flap not only repairs the lower lip defect, but is the first step in commissure reconstruction. The incision
Estlander flap), followed by additional reconstruction a month later.
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The Abbe flap pedicle is divided ~ 14 R. Abbé (1851–1928), American surgeon; J. A. Estlander (1831–81), Finnish to the upper lip below the nose in order to correct inadequate lip length and fullness The flap is attached by means of a pedicle to maintain the blood supp A procedure to transfer a full-thickness flap of the lip from one side of the lip to the same side of the opposite lip. QUIZZES. QUIZ YOURSELF ON “THEIR,” “THERE, composites, axial flaps, taken from the opposed lip, whose viability is Key words: reconstruction, lower lip, Abbé-Estlander, aesthetic, limits. 1 Faculty of Based on our experience, Abbe-Estlander flap is an easy and reliable reconstruction technique for elderly lip cancer patients with defects less than one half.