Reconstruction of the upper lip, columella and premaxilla with an extended Abbé flap: report of a case.
The resection of malignant tumours affecting the upper lip, columella, premaxilla and/or caudal septum requires reconstructive surgery, which does not always produce satisfactory results-either aesthetic or functional. We have designed a modification of the Abbé flap consisting of the extension of the distal portion of the latter over the chin, and the inclusion of a fragment of rib cartilage in this portion of the flap. The columella is reconstructed in this way, and the cartilage serves to buttress the pyramid tip and prevent its collapse. A case is reported, with good aesthetic and functional results. Other surgical procedures are discussed, analysing their advantages and inconveniences.
Zapater
Enrique
E
ENT Department, Oncological Institute of Valencia, Peris y Valero 159-5a, 46005 Valencia, Spain. ezapater@ctv.es
Simón
Eduardo
E
Ferrandis
Eduardo
E
Vendrell
Juan Bosco
JB
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D002356:Cartilage / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D008048:Lip Neoplasms / Q000601:surgery*; D008297:Male; D009300:Nasal Septum / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery*; D012225:Rhinoplasty; D013524:Surgical Flaps; D013536:Suture Techniques