Repair of a secondary cleft lip deformity with the Abbé flap in a pediatric patient
https://doi.org/10.52581/1814-1471/89/09
Abstract
Purpose of the study was to improve the results of treatment for children with secondary post-traumatic deformities of the upper lip.
Material and methods. An 11-year-old boy was admitted to our department of reconstructive plastic surgery with a post-traumatic scar on his upper lip, caused by an animal bite. An Abbe flap was used to correct the deformity and reconstruct the upper lip.
Results. After excising the scar tissue, a large defect in the upper lip formed. We used an Abbe flap to close the defect, which involved cutting out a flap from the lower lip and rotating it 180 degrees. The postoperative period went smoothly, and the results after 3 months were satisfactory.
Conclusion. Using the Abbe flap technique allows us to restore the normal anatomy of the upper lip in children with post-traumatic deformities.
About the Authors
A. A. Smirnov
Russian Children's Clinical Hospital – a branch of the N.I. Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Alexander A. Smirnov - pediatric surgeon, the Department of Reconstructive Plastic Surgery.
Build.1, 117, Leninsky Ave., Moscow, 119571
A. G. Narbutov
Russian Children's Clinical Hospital – a branch of the N.I. Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Anton G. Narbutov - Cand. Med. sci., head of the Department of Reconstructive Plastic Surgery.
Build.1, 117, Leninsky Ave., Moscow, 119571
References
1. Monson L.A., Khechoyan D.Y., Buchanan E.P., Hollier L.H. Jr. Secondary lip and palate surgery. Clin Plast Surg. 2014 Apr;41(2):301-309. doi: 10.1016/j.cps.2013.12.008. Epub 2014 Feb 13. PMID: 24607196
2. Cohn J.E., Nyirjesy S., Davis W.J. 3rd. Repair of a Secondary Cleft Lip Deformity With the Abbé Flap in a Pediatric Patient. Ear Nose Throat J. 2019 Jun;98(5):265-267. doi: 10.1177/0145561319837486. Epub 2019 Apr 2. PMID: 30935227
3. Abbe R. A new plastic operation for the relief of deformity due to double harelip. Plast Reconstr Surg. 1968 Nov;42(5):481-3. PMID: 4880838
4. Bagatin M., Most S.P. The Abbe flap in secondary cleft lip repair. Arch Facial Plast Surg. 2002 Jul-Sep;4(3):194-197. doi: 10.1001/archfaci.4.3.194. PMID: 12167080.
5. Erol O.O., Pence M., Agaoglu G. The Abbé island flap for the reconstruction of severe secondary cleft lip deformities. J Craniofac Surg. 2007 Jul;18(4):766-72. doi: 10.1097/scs.0b013e318068438b. PMID: 17667662
6. Koshy J.C., Ellsworth W.A., Sharabi S.E., Hatef D.A., Hollier L.H. Jr, Stal S. Bilateral cleft lip revisions: the Abbe flap. Plast Reconstr Surg. 2010 Jul;126(1):221-227. doi: 10.1097/PRS.0b013e3181dbc2ca. PMID: 20595869
7. Cutting C.B., Warren S.M. Extended Abbe flap for secondary correction of the bilateral cleft lip. J Craniofac Surg. Jan;24(1):75-78. doi: 10.1097/SCS.0b013e3182781fdc. PMID: 23348259
8. Lo L.J., Kane A.A., Chen Y.R. Simultaneous reconstruction of the secondary bilateral cleft lip and nasal deformity: Abbé flap revisited. Plast Reconstr Surg. 2003 Oct;112(5):1219-27. doi: 10.1097/01.PRS.0000080722.03558.33. PMID: 14504504.
9. Mokal N.J., Juneja M. Secondary bilateral cleft lip-nose deformity correction by rhinoplasty with simultaneous Abbe flap. Indian J Plast Surg. 2014 Jan;47(1):20-24. doi: 10.4103/0970-0358.129619. PMID: 24987200. PMCID: PMC4075212
10. Pshenisnov K.P., Abushkin I.A., Batyrev A.V. Plasticheskaya khirurgiya litsa. Rukovodstvo dlya vrachey [Facial plastic surgery. A Guide for doctors]. Moscow, GEOTAR-Media Publ., 2022. (In Russ.).
Review
For citations:
Smirnov A.A., Narbutov A.G. Repair of a secondary cleft lip deformity with the Abbé flap in a pediatric patient. Issues of Reconstructive and Plastic Surgery. 2024;27(2):82-86. (In Russ.) https://doi.org/10.52581/1814-1471/89/09
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