Abbe Estlander Flap with Reinnervation

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

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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.

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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.

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Immediate Post- Operative Result.			Post Operative Result at one week.

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25 days post op.			5 wks post op first procedure Second procedure is undertaken

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2nd procedure operative plan.			Immediate post op result.


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8 Days Post Op Second Stage.			8 Days Post Op Second Stage.

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			2 Months Post Op Second Stage.

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3 Months Post Op Second Stage.			3 Months Post Op Second Stage. Note that the flap has regained function (reinervated).

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