Facial and Lip Reconstruction With Abby Estlander Flap, Skin Cancer, Kevin Kavanagh
Facial and Lip Reconstruction With Abbe Estlander Flap, Skin Cancer, Kevin Kavanagh

  Abbe Estlander Flap for Lip Reconstruction in a
Patient With Skin Cancer of the Lower Lip



A patient with a carcinoma of the Lower lip.  These cancers are less aggressive than those of the upper lip.  Most are due to smoking or sun exposure.

Planned Excision. One-Third of the lower lip (3.5 cm) required excision to remove the defect.




The width of the flap is equal to one-half the width of the defect.  The flap is based medially (towards the center) on a relatively thin pedicle. 

The superior flap is swung into position to fill the lower lip defect.

5. 6.
Immediate Post- Operative Result.



Post Operative Result at one week.



7. 8.

 25 days post op.



5 wks post op first procedure
Second procedure is undertaken


9. 10.
2nd procedure operative plan.
Immediate post op result.
11. 12.
8 Days  Post Op Second Stage.
8 Days  Post Op Second Stage.
2 Months  Post Op Second Stage.
14.   15.
3 Months  Post Op Second Stage. 3 Months  Post Op Second Stage.  Note that the flap has regained function (reinervated).


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