Defekter och deformationer i munnen: orsaker, symptom

lip reconstruction techniques - Superatus Projektledning

Such defects may be the result of trauma, excision of neoplasm or other. Summary The Estlander flap is an axial-pattern, lip-switch technique used to reconstruct lip defects that include the oral commissure. We describe a neurotised modification that may confer functional advantages by preserving sensation and helping to maintain oral competence. This is achieved by preservation of the mental nerve branches to the lip and facial nerve branches to the orbicularis The wedge-shaped flap, based on the inferior labial artery, is rotated around the angle of the mouth into the defect. a The Estlander flap is cut through all layers of the lower lip. b The flap is rotated into the upper lip defect.

Estlander lip flap

An extension of the Estlander flap, the Gillies flap allows for subtotal or total lip reconstruction. This is accomplished through bilaterally expanding the tissue used to include areas lateral to the commissures. The flap is rotated to create new commissures while advanced medially to fill the defect (see image below). The modified Estlander flap is based more medially to the initially proposed flap and seeks to avoid lip commissure deformations. The technique used at our institution to reconstruct commissure defects abides by the principles described by 4 authors (Estlander 7 , Goldstein 8 , Robotti et al.

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@article{Yamauchi2009EstlanderFC, title={Estlander flap combined with an extended upper lip flap technique for large defects of lower lip with oral commissure.}, author={M. Yamauchi and T. Yotsuyanagi and K. Ezoe and T Below is a list of common and eponymous plastic surgery flaps with their classification and common usage. (NB - the terms interpolation flap and pedicle flap can be used interchangeably.) A vascularized full‐thickness Estlander flap was used to repair a defect involving approximately 40% of the left lower lip of a colt. Postoperative probleMS were (1) providing nutritional support, (2) minimizing movement at the surgical site, and (3) partial wound dehiscence resulting in a salivary fistula.

Defekter och deformationer i munnen: orsaker, symptom

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. 5. After 4 to 6 weeks the pedicle is divided and the lips are released. This account of the first cross-lip flap described an almost V-shaped full-thickness flap of the corner of the lower lip based on the lower labial artery that was rotated into the upper lip. Nearly 100 years later, in 1872, Estlander described a single-stage cross-lip flap used to reconstruct a lateral defect that involved the oral commissure Methods: From 2012 to 2016, five patients with T4 lower lip squamous cell carcinoma (SCC) underwent near-total and total lower lip resection and reconstruction with a combination of bilateral Karapandzic flap and double Abbé/Estlander/Stein flaps from the upper lip.

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e, f A The Abbe and Estlander flaps are useful in the reconstruction of large, full-thickness upper or lower lip defects. Such defects may be the result of trauma, excision of neoplasm or other. Se hela listan på emedicine.medscape.com THE ABBÉ AND ESTLANDER FLAPS IN THE SURGICAL MANAGEMENT OF THE LOWER LIP DEFECTS D.O. GRIGORESCU1,2 C. CORÂIU1,2 S. GRIGORESCU1,3 Abstract: From the morpho-functional point of view, the lips are life indispensable, as complex unit with the main aesthetic role at the level of the The Estlander flap is used for labial defects that include the commissure. The design of the flap is simple, and the pedicle becomes the new commissure and the transfer is completed in a single stage. We report a case of residual noma defect of upper lip in a 6-year-old female child, which was reconstructed using Estlander flap. Abbe-Estlander flap.
Kemi substitution og addition

General surgery. 3Q.Abbe-Estlander flap is used in the reconstruction. A. Buccal mucosa. B. Lip. C. Tongue.

5. After 4 to 6 weeks the pedicle is divided and the lips are released. Abbe Estlander Flap for Lip Reconstruction in a Patient With Skin Cancer of the Lower Lip. This flap has a named artery and an excellent blood supply. The pedicle of the flap is very small. The biggest disadvantage is that two operations are required and the patient must have his lips sewn together for 4 to 6 weeks. The Abbe and Estlander flaps are useful in the reconstruction of large, full-thickness upper or lower lip defects.
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This repair takes two surgeries and requires good planning to assure continuity of the vermilion border. A reverse Abbe flap (Estlander-Abbe flap) is the exact same flap only taken from the upper lip to reconstruct lower lip defects not involving the commissure. We will use the technique for the traditional Abbe flap for this chapter, but recognize the reverse flap is the same technique based on the superior labial artery. 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. 5.

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All The Hil Doc Eras—Estlander

The flap be- In this case we used a modified Abbe-Estlander flap to achieve all our goals. Results: The patient has satisfactory results in terms of aesthetic and functional outcome. Conclusion: The aim of the current work is to report a case of surgical therapy of the lower lip using a modified Abbe-Estlander flap. Estlander flap: translation. a triangular flap from the side of the lower lip used to fill a defect on the same side of the upper lip. Medical dictionary. Various methods of reconstructing lower lip partial defects have been reported, for example those using the upper lip such as the Abbe and Estlander flap techniques.

Estlander Operation

This is called an Abbe-Estlander flap. This repair takes two surgeries and requires good planning to assure continuity of the vermilion border. A reverse Abbe flap (Estlander-Abbe flap) is the exact same flap only taken from the upper lip to reconstruct lower lip defects not involving the commissure.

The surgical site healed well and the colt was left with a fully functional and Disclaimer: This channel is intended as an Encyclopedia for Medical Practitioners.