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


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

 

1.

lip_cancer_2.jpg (66147 bytes)

2

ae_Plan1.jpg (73246 bytes)

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.
   

3.

ae_surg1.jpg (93308 bytes)

4.

ae_postop1.jpg (89646 bytes)

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
 
5. ae_Plan2.jpg (89903 bytes) 6. ae_surg2.jpg (82160 bytes)
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
     
  

Advertisement


For Continuing Medical Education Credits
Go To: 
 
Return to Ear Nose and Throat - U.S.A.
(Over 1000 pictures, 90 Videos and 250 pages of info.)
 

   
The Following Websites are Searched:  www.entusa.com, www.waent.org , www.ear-anatomy.com, www.occupationalhearingloss.com, www.cme-usa.org and www.tobacco-facts.info


Subscribe to a Mailing List for Ear, Nose & Throat Health Care Providers.  Be Notified of updates on  http://www.entusa.com  &
 http://www.waent.org
 

 

 
Number of Visits Since 12/17/2008 
 

Hit Counter
Copyright 1999, 2001,2002, 2003,2004, 2008, 2009 
Kevin T Kavanagh,  All Rights Reserved

Page Last Updated 08/18/2017 
( Site Map )
 
Advertisements

Google Ad space finances and sponsors ENT USA Websites. ENT USA, Cumberland Otolaryngology or Dr Kevin Kavanagh, MD do not endorse, recommend, referrer to or are responsible for the Advertisements or for the
content or claims made
in the Advertisements.