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The use of a modified abbé island flap to reconstruct primary lip defects of over 80 %

BACKGROUND: Lip reconstruction for defects greater than 80 % present a challenge in maintaining acceptable oral function and good aesthetic results. Abbé flaps offer an excellent reconstructive option but are limited to defects under 65 %. METHODS: We describe a two-stage “modified Abbé island flap”...

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Autores principales: Filimon, Sabin, Richardson, Keith, Hier, Michael P., Roskies, Michael, Mlynarek, Alex M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4886402/
https://www.ncbi.nlm.nih.gov/pubmed/27245580
http://dx.doi.org/10.1186/s40463-016-0148-0
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author Filimon, Sabin
Richardson, Keith
Hier, Michael P.
Roskies, Michael
Mlynarek, Alex M.
author_facet Filimon, Sabin
Richardson, Keith
Hier, Michael P.
Roskies, Michael
Mlynarek, Alex M.
author_sort Filimon, Sabin
collection PubMed
description BACKGROUND: Lip reconstruction for defects greater than 80 % present a challenge in maintaining acceptable oral function and good aesthetic results. Abbé flaps offer an excellent reconstructive option but are limited to defects under 65 %. METHODS: We describe a two-stage “modified Abbé island flap” technique whereby a full-thickness myocutaneous flap is combined with a modified Karapandzic flap, allowing for reconstruction of total and near total lip defects. RESULTS: Six patients underwent successful two-stage lower and upper lip reconstruction with this technique. Oral competence and satisfactory aesthetic outcomes were achieved in all six cases. There were no complications. Although microstomia was noted to a certain extent, we argue this impact to be less than the morbidity of a free flap that lacks sphincteric function. CONCLUSION: The “Modified Abbé Island Flap” can be used to reconstruct near-total lip defects using locally innervated, well-vascularized tissues that recreate the oral sphincter and restore oral competence. The combination of the conventional Abbé flap with a modified Karapandzic flap provides reliable results and significantly reduces operating time.
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spelling pubmed-48864022016-06-01 The use of a modified abbé island flap to reconstruct primary lip defects of over 80 % Filimon, Sabin Richardson, Keith Hier, Michael P. Roskies, Michael Mlynarek, Alex M. J Otolaryngol Head Neck Surg How I do it article BACKGROUND: Lip reconstruction for defects greater than 80 % present a challenge in maintaining acceptable oral function and good aesthetic results. Abbé flaps offer an excellent reconstructive option but are limited to defects under 65 %. METHODS: We describe a two-stage “modified Abbé island flap” technique whereby a full-thickness myocutaneous flap is combined with a modified Karapandzic flap, allowing for reconstruction of total and near total lip defects. RESULTS: Six patients underwent successful two-stage lower and upper lip reconstruction with this technique. Oral competence and satisfactory aesthetic outcomes were achieved in all six cases. There were no complications. Although microstomia was noted to a certain extent, we argue this impact to be less than the morbidity of a free flap that lacks sphincteric function. CONCLUSION: The “Modified Abbé Island Flap” can be used to reconstruct near-total lip defects using locally innervated, well-vascularized tissues that recreate the oral sphincter and restore oral competence. The combination of the conventional Abbé flap with a modified Karapandzic flap provides reliable results and significantly reduces operating time. BioMed Central 2016-05-31 /pmc/articles/PMC4886402/ /pubmed/27245580 http://dx.doi.org/10.1186/s40463-016-0148-0 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle How I do it article
Filimon, Sabin
Richardson, Keith
Hier, Michael P.
Roskies, Michael
Mlynarek, Alex M.
The use of a modified abbé island flap to reconstruct primary lip defects of over 80 %
title The use of a modified abbé island flap to reconstruct primary lip defects of over 80 %
title_full The use of a modified abbé island flap to reconstruct primary lip defects of over 80 %
title_fullStr The use of a modified abbé island flap to reconstruct primary lip defects of over 80 %
title_full_unstemmed The use of a modified abbé island flap to reconstruct primary lip defects of over 80 %
title_short The use of a modified abbé island flap to reconstruct primary lip defects of over 80 %
title_sort use of a modified abbé island flap to reconstruct primary lip defects of over 80 %
topic How I do it article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4886402/
https://www.ncbi.nlm.nih.gov/pubmed/27245580
http://dx.doi.org/10.1186/s40463-016-0148-0
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