Medical definition of Estlander flap: lip reconstruction that is similar to the Abbe flap but involves defects including the commissure of the lip and a flap of tissue rotating around the lateral edge of the mouth.
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 that was similar to that originally described by Hierzel (Tommaso 2009 ). The Abbé-Estlander flap surgery is a cross-lip procedure that is valuable in repairing a defect on the lower lip using a full-thickness flap, consisting of the skin, muscle and mucosa, from the upper lip. 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.
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Postoperative probleMS were (1) providing nutritional support, (2) minimizing movement at the surgical site, and (3) partial wound dehiscence resulting in a salivary fistula. 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. Videos on this channel contain surgical procedures that may be graphic in 2021-01-29 The patient is a 12-year-old girl from Guwahati in Assam, India. She was born with a cleft lip and palate along with a cleft alveolus. Cleft lip surgery had 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.
The Abbe-Estlander flap is a full-thickness lip-switch flap rotated from mid lower lip to fill defects of the upper lip. In 1872, Estlander emphasized the importance of this flap. Abbe, in 1898, was the first to switch a lower lip flap into the upper lip for a cleft deformity.
Rea JL, Davis WE, Rittenhouse LK. Electromyographic examination of a left Gillies fan flap 29 months after operation and of a right Abbe-estlander flap 17 months after operation showed complete motor innervation of both. Estlander flap is a good choice for reconstruction of lateral or commissural defects of the lower lip. In patients with 50% to 80% defect, it is better to use bilateral reversed-Abbe instead of the Karapandzic flap. Abbe-Estlander flap.
Twenty of 29 patients had Abbe- and Estlander- (lip-switch) type flaps, which were composed of a musculomucosal pedicle of 1.25 to 1.50 cm and an attached skin/subcutaneous flap trimmed to fit the
Compare: Abbe flap. We performed surgical resection of the tumor and reconstructive surgery using an upper lip flap (Abbe-Estlander flap), followed by additional reconstruction a month later.
Abbe, in 1898, was the first to switch a lower lip flap into the upper lip for a cleft deformity. The lip-switch flap is …
2020-12-16 · Estlander Flap Description. Bernard and Von Burow were two 19th century surgeons who described the use of cheek tissue advancement Indications. This flap was originally described to reconstruct subtotal and total defects of the upper or lower lip. Advantages. The modified Bernard flap preserves
The neurotised estlander flap for lip reconstruction Summary.
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These cancers are more aggressive than those of the lower lip. Most are due to sun exposure. Defect after Excision.
26 Jan 2021 The Abbe and Estlander flaps are pedicled lip-switch flaps in which the pedicle must be divided, usually 3 weeks after interpolation. Abstract.
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The Abbé-Estlander flap surgery is a cross-lip procedure that is valuable in repairing a defect on the lower lip using a full-thickness flap, consisting of the skin, muscle and mucosa, from the upper lip.
FVC: forced vital Jun;61(6):743-9.  Piirila P, Hodgson U, Estlander T, Keskinen H, Saalo A,. Abbe Estlander Flap for Lip Reconstruction. Böckerna är ju djupt politiska, ganska långt från den rena litteratur .
16 Dec 2020 Estlander 35 described a single-stage full-thickness cross-lip flap based on the labial artery for closure of lower lip defects near the commissure
We report a case of residual noma defect of upper lip in a 6-year-old female child, which was reconstructed using Estlander flap. 2009-09-01 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. The surgical site healed well and the colt was left with a fully functional and In this case we used a modified Abbe-Estlander flap to achieve all our goals.
FIGURE 6. Estlander cross lip flap. (A) "V"-shaped incision diagramed around lower lip lesion and proposed upper lip flap outlined. (B) Lesion removed, flap rotated and sutured into defect. Flap is designed with height 1 to 2 mm greater than defect to be reconstructed 34. FIGURE 6. Estlander cross lip flap.
The traditional Estlander flap is a popular method for reconstructing small upper lip defects involving the oral commissure, but is insufficient for repairing larger defects. In 1995, Kriet et al. [ 4 ] successfully reconstructed a large defect of the upper lip using an extended Abbe flap. Estlander flaps are suited for patients presenting with a fullthickness defect of the lateral lip up to and including the commissure. Defects up to a quarter of the upper lip and one-third of the lower lip can usually be closed directly. Flap closure is more appropriate for defects of half to three-quarters of the upper or lower lip (FIG 2).
Most are due to sun exposure. Defect after Excision. 3. 4.