What is an Abbe flap?
The Abbe flap is a full-thickness composite flap, involving the transfer of the skin, muscle, and mucosa of the central part of the lower lip to the upper lip.
What is rhomboid flap?
The rhomboid (Limberg) flap is a transposition flap that, like the bilobed flap and the Z-plasty, depends on the pliability of the adjacent skin, which can be determined by pinching various areas between the thumb and forefinger (2).
What is a transposition flap?
A transposition flap is a random pattern flap that borrows skin laxity from an adjacent area in order to fill a defect in an area with little or no skin laxity and, in the process, redirects the vectors of tension during closure.
How does a forehead flap work?
The tip of the flap, for the initial 1.5 to 2 cm, is raised in the subcutaneous plane with removal of subcutaneous fat and underlying frontalis muscle. This technique creates a thin, pliable flap that will conform nicely to the underlying osseocartilaginous structure of the nose.
Can lips be reconstructed?
A dynamic reconstruction with remaining lip tissue can provide superior results in terms of lip appearance and function in smaller lip defects. Reconstruction of large-scale defects often requires free-tissue transfer that provides static support of the lip.
When do you use a rhomboid flap?
Rhomboid flaps have been used in reconstruction of the cheek, temple, lips, ears, nose, chin, eyelids, and neck. The aesthetic and mechanical properties of these flaps, however, make them especially useful for reconstruction of small defects in the lower cheek, mid-cheek, and upper lip.
How do you make a rhomboid flap?
Rhomboid Flap Design with Pictures
- Draw a rhomboid shape around the lesion. A rhomboid is a symmetrical shape made up of two angles of 120° and two of 60°.
- Draw the Flap. The rhomboid flap has a “leg” to stand on, which is bent at the knee.
- Excise the Lesion and Connect the Letters.
- Flap Closure.
What is an interpolated flap?
An interpolation flap is a 2-stage tissue flap in which the base of the flap is not immediately adjacent to the recipient site. These flaps are used when insufficient tissue or mobility in nearby skin prevents coverage of a surgical defect with primary closure or an adjacent flap.
What is the difference between flap and graft?
How does a flap differ from a graft? A flap is transferred with its blood supply intact, and a graft is a transfer of tissue without its own blood supply. Therefore, survival of the graft depends entirely on the blood supply from the recipient site. Flap surgery is a subspecialty of plastic and reconstructive surgery.
What happens after forehead flap surgery?
The flap remains attached until the nose is fully healed. This is usually around 4 weeks. Once the nose has healed, the flap will be separated from the forehead. After the separation, the flap may be bulky and a thinning procedure to the skin on the nose may be required to achieve a better cosmetic appearance.
How much does lip reconstruction cost?
How much do lip implants cost?
| Procedure | Cost | Longevity |
|---|---|---|
| lip implantation | $2,000–$4,000 | long term |
| tissue grafting | $3,000–$6,000 | <5 years |
| fat grafting | $3,000–$6,000 | <5 years |
| lip fillers | $600–$800 | 6–8 months |
What is an Abbe flap reconstruction?
Reconstruction of substantial-sized upper lip defects may require an Abbe flap reconstruction to avoid excessive tightness and deformity. The design of the Abbe or lip switch flap harvested from the lower lip is important for a satisfactory aesthetic and functional result.
Why is the Abbe flap harvested from the lower lip?
The design of the Abbe or lip switch flap harvested from the lower lip is important for a satisfactory aesthetic and functional result. Harvest of the flap is performed to enable a definitive inset into the defect.
What is the difference between Estlander flap and Abbe flap?
The Estlander flap is more useful for more lateral defects that involve the commissure. Abbe flap is excellent for reconstruction of bilateral cleft lip patients with scarred or short philtrums. 3
How is upper lip reconstruction by Celsus and Abbe performed?
Fig. 6.21 Upper lip reconstruction by the method of Celsus (ca. 25 A.D.) and Abbe flap (1898). a Mobilization of the upper lip (see Fig 6.20) and three-layered incision of the Abbe flap (see Fig 6.22). b The Abbe flap is rotated into the upper lip defect. c About 20 days later the pedicle is divided and the small lip defects are closed.