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- W1969102022 abstract "Nearly 60 years ago, Joseph Murray described several advancements to Bradford Cannon’s Abbe flap reconstruction of secondary bilateral cleft lips in order to simplify the technique and improve results. Unlike their predecessors, Drs. Cannon and Murray modified the Abbe flap by splitting its apex in order to obtain a symmetrical correction of the upper lip and allow the 2 suture lines to extend vertically and laterally past the base of the columella and disappear within the floor of the nose. Eighteen years later, Dr. Murray reviewed the evolution of his own secondary cleft lip reconstruction experience to include a new approach to advance the maxilla rather than set back the mandible. In this Signature Issue, we reflect on contemporary innovations in secondary bilateral cleft lip Abbe flap reconstruction. Today, we approach the secondary reconstruction of the bilateral cleft lip in 3 stages. First, we establish normal anatomic positioning of the midface. Second, we perform secondary cleft nasal surgery as necessary. Finally, only after the midfacial skeleton and nose have been treated do we proceed with Abbe flap reconstruction of the upper lip. We inset the Abbe flap a quarter of the way out on the columella and wrap the Abbe darts around the sides of the columella. We find that designing the Abbe flap this way avoids the saber cut-like notching at the lip-columella junction, redundant vermilion, and excess flap length, and it also reduces or eliminates the need for upper or lower lip scar revision." @default.
- W1969102022 created "2016-06-24" @default.
- W1969102022 creator A5061151938 @default.
- W1969102022 creator A5086568465 @default.
- W1969102022 date "2013-01-01" @default.
- W1969102022 modified "2023-09-23" @default.
- W1969102022 title "Extended Abbe Flap for Secondary Correction of the Bilateral Cleft Lip" @default.
- W1969102022 cites W1979894313 @default.
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- W1969102022 doi "https://doi.org/10.1097/scs.0b013e3182781fdc" @default.
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