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 Upper Lip



Lip Pre Op Lesion.jpg (78384 bytes)


Lip Pre Op Resection.jpg (47011 bytes)

A patient with a carcinoma of the upper lip.  These cancers are more aggressive than those of the lower lip.  Most are due to sun exposure.

Defect after Excision.


Lip Pre Op Plan.jpg (42892 bytes)


Lip Surgery.jpg (55062 bytes)

A flap is created from the lower lip and sewn into position in the upper lip.  

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.

Facial Post Op.jpg (59546 bytes)


After 4 to 6 weeks the pedicle is divided and the lips are released.  By training the flap and with good circulation the flap can be released sooner in some patients.

Up Forehead Flap Forehead Flap - Flash Abbe Estlander Flap Abbe Estlander Flash Abbe Estlander Flap Abbe Estlander Flap Rotation Advancement Rotation Advancement Rhomboid Flap Rhomboid Flap Rhomboid Flap Bilobed Flap Bilobed Flap - Flash Nasolabial Flap Nasal Labial Flap Nasolabial Flap Nasolabial Flap Ear Reconstruction Nasolabial Flap Ear Reconstruction Ear Reconstct. Flash Flap Necrosis


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