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

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 lower lip.  Most are due to smoking or sun exposure. Planned Excision. One-half of the lower lip required excision to remove the defect.  The lateral limb of the superior flap was moved medially to better preserve the lip's commisure.


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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.  Post op view before second stage
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Small rotation flaps are planned to rotate the divided lip back into position. 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.
  7. ae_postop3.jpg (43657 bytes)
  Two Month
Post-Op Result
8.   9.
Seven Month
Post-Op Result
The flap has become innervated and the flap's muscle constricts.
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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