title: [An extremely long Abbé flap for simultaneous reconstruction of a defect of the upper lip and the columella].
abstract: X-ray treatment of a small haemangioma of the upper lip in a child led to severe health consequences, about 20 years later. Besides an extremely hypoplastic upper lip with whistle tip deformity, an exulcerated basal-cell carcinoma had developed upon the columella and the lower part of the nasal tip. The goal of the operation was to perform a radical excision of the tumor but also to obtain an aesthetically pleasing reconstruction of the upper lip and a simultaneous covering of the defect, resulting from the tumor excision on the columella and the nasal tip. To achieve this, we have chosen an Abbé-flap, with an extremely long cutaneous pedicle. While in Abbé-flaps the relation between muscular and cutaneous part usually is about 1:2, in this case it was about 1:5. With this flap it was possible to cover in one stage the defect in the upper lip, the columella and the nasal tip.
mesh_terms: D000328:Adult; D002280:Basal Cell Carcinoma / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008046:Lip / Q000601:surgery; D008048:Lip Neoplasms / Q000209:etiology / Q000601:surgery*; D009381:Neoplasms, Radiation-Induced / Q000209:etiology; D012225:Rhinoplasty; D013524:Surgical Flaps; D014964:X-Ray Therapy / Q000009:adverse effects
vernacular_title: Der überlange Abbé-Lappen zur simultanen Rekonstruktion eines Defektes im Bereiche der Oberlippe und der Columella.