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Defective cleft lip and nose correction using prolabium and Abbe flap technique

4/6/2014

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A 12 year old boy with bilateral cleft lip and palate reported to our hospital with the complaints of defective upper lip and ill-defined nose tip with depressed nasal bridge. His parents were not happy with the boy’s appearance and he was not able to spell few words due to defective upper lip which made him more depressed. 

Maxillofacial Surgeon Dr. S. M. Balaji skillfully planed to correct his upper lip defect as well as his ill- defined tip of the nose by following Abbe flap technique. Surgery was done in two stages. In the first step, prolabium was raised to increase the columellar length and nasal tip projection. And the cleft lip defect was corrected with Abbe flap technique were lower lip tissue was raised and attached to the upper lip defect region. In the second step, achieving good healing after 25 days the upper and lower lip was surgically separated and thus nose as well as lip defect correction was done simultaneously without many surgical scars. The boy and his family was very happy to see the enhanced appearance of the nose and well aligned upper and lower lips without any surgical scars.
Pre operative view showing very thin upper lip and flattened nose defect in a cleft child
Pre operative profile view showing over stretched upper lip with depressed nasal bridge and ill-defined tip of the nose
During procedure - Prolabium was raised to increase the colmellar length and nasal tip projection
Abbe flap technique- flap taken from lower lip and used to reconstruct defective upper lip
In the second stage, Abbe flap was divided and upper and lower lip was separated
Immediate post operative view showing improved profile appearance after nose & lip reconstruction
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