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Abbe Estlander Flap for Lip
Reconstruction in a
Patient With Skin Cancer of the Upper Lip
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1.
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2 |

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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. |
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3. |
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4. |

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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. |
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5.
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.
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