A 17-year-old girl from Bangladesh reported to our hospital seeking to correct her lip and nose defect to enhance her appearance. Previously she was operated elsewhere for bilateral cleft lip & palate. Also the Abbe flap treatment done elsewhere had failed. As a result she had a very thin upper lip and her nose was broad & flattened giving her an unpleasant appearance.
Maxillofacial Surgeon Dr. S.M. Balaji performed a combined correction of the lip and nose defect. A costochondral rib graft was harvested and used to reconstruct the dorsum. A columellar strut graft was used to elevate the nose tip & reshape the nose. Immediately after surgery the nose appeared more sharp and defined.
In the specialized abbe-flap technique, a flap of tissue was taken from the lower lip, rotated across the mouth and sutured to the central, thin portion of the upper lip with the base of the flap still attached to the lower lip. Once blood supply is established, after about 3 weeks the flap will be divided making the upper lip more proportionate enhancing the appearance.
Maxillofacial Surgeon Dr. S.M. Balaji performed a combined correction of the lip and nose defect. A costochondral rib graft was harvested and used to reconstruct the dorsum. A columellar strut graft was used to elevate the nose tip & reshape the nose. Immediately after surgery the nose appeared more sharp and defined.
In the specialized abbe-flap technique, a flap of tissue was taken from the lower lip, rotated across the mouth and sutured to the central, thin portion of the upper lip with the base of the flap still attached to the lower lip. Once blood supply is established, after about 3 weeks the flap will be divided making the upper lip more proportionate enhancing the appearance.
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