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  • Title: Modification of the Abbé flap for reconstruction of the vermilion tubercle and Cupid's bow in cleft lip patients.
    Author: Takato T, Yonehara Y, Susami T, Uoshima K.
    Journal: J Oral Maxillofac Surg; 1996 Mar; 54(3):256-61; discussion 261-2. PubMed ID: 8600230.
    Abstract:
    PURPOSE: This article reports on the modification of the Abbé flap for correction of mild tightness of the corrected cleft lip deformity. PATIENTS AND METHODS: Twelve patients with a moderately tight lip deformity, from 16 to 35 years old, underwent this procedure. Nine had a unilateral deformity and 3 a bilateral deformity. The flap, which was taken from the central portion of the lower lip vermilion, was designed to repair the vermilion tubercle and the Cupid's bow. A tiny portion of skin was included to facilitate closure of the donor site. It was inserted into the center of the upper lip and the pedicle was divided 1 week after operation. RESULTS: Each patient showed a more natural contour of the vermilion tubercle and the Cupid's bow. The scarring of the donor site was inconspicuous. CONCLUSIONS: Use of modified Abbé flap to reconstruct the contour of the vermilion tubercle and the Cupid's bow makes the upper lip look more natural.
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