Journal of Maxillofacial and Oral Surgery

, Volume 18, Issue 2, pp 288–292 | Cite as

Secondary Correction of the Midline Defect of Upper Lip: A Report of Five Cases

  • Nandagopal VuraEmail author
  • Rajasekhar Gaddipati
  • Sudheer Ramisetti
  • Zaid Ali Khan
Original Article



Primary surgery of cleft lip and palate has dramatically improved with technical and material advances. Some adults who previously underwent surgery still have upper lip deformities or extensive scar, and they are occasionally seen for secondary treatment.


In our study, a total of five patients with secondary deformity of the upper lip with the scarred tissue with paucity of the muscle in the midline were operated using the modified Abbe flap.


With this technique, we were able to achieve the bulk in the midline over the upper lip and the functional integrity of the muscle was maintained.


Abbe flap Inferior labial artery Midline defect Secondary deformity 


Compliance with Ethical Standard

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical Standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Kroll SS (1999) Reconstruction of the large lip defects. Oper Tech Plast Reconstr Surg 6:21–227Google Scholar
  2. 2.
    Yoshimura Y, Nakajima T, Nakanishi Y, Yoneda K (1998) Secondary correction of bilateral cleft lip deformity with simultaneous abbe flap and nasal repair. J Craniomaxillofacial Surg 26:17–21CrossRefGoogle Scholar
  3. 3.
    Steinberg B (1996) Modification of the abbe flap for reconstruction of the vermilion tubercle and cupid’s bow in cleft lip patients. J Oral Maxillofac Surg 54:256–261CrossRefGoogle Scholar
  4. 4.
    Antia NH (1965) Primary abbe flap in bilateral cleft lip. Br J Plast Surg 19:215–219CrossRefGoogle Scholar
  5. 5.
    Jackson IT, Soutar DS (1980) The sandwich abbe flap in secondary cleft lip deformity. Plast Reconstr Surg 66(1):38–44CrossRefGoogle Scholar
  6. 6.
    Nyame TT, et al (2014) The abbe flap for upper lip reconstruction., interesting case, August 27
  7. 7.
    Akamatsu T, Tanaka R, Imagawa K (2009) Reconstruction of wide cleft lip scar by abbe flap and advancement flap from lateral upper lip. Tokai J Exp Clin Med 34(3):117–121Google Scholar
  8. 8.
    Converse JM, Hogan VM, Dupuis CC (1970) Combined nose-lip repair in bilateral cleft-lip deformities. Plast Reconstr Surg 45(2):109–118CrossRefGoogle Scholar
  9. 9.
    Cannon B, Murray JE (1952) Further observation on the use of split vermillion bordered flap. In: Annual meeting of the american association of the plastic surgeonsGoogle Scholar
  10. 10.
    Ohtsuka H, Nakaoka H (2009) Forked abbe´ flap for philtrum reconstruction. J Plast Reconstr Aesthet Surg 62:e484–e486CrossRefGoogle Scholar
  11. 11.
    Oki K, Ogawa R, Feng L, Hyakusoku H (2009) The inferior labial artery island flap. J Plast Reconstr Aesthet Surg 62:e294–e297CrossRefGoogle Scholar
  12. 12.
    Rea JL, Davis WE, Rittenhouse LK (1978) Reinnervation of an abbe-estlander and a gillies fan flap of the lower lip. Arch Otolaryngol 104:294–295CrossRefGoogle Scholar
  13. 13.
    Yonehara Y, Mori Y, Chikazu D, Saijo H, Takota T (2008) Secondary correction of bilateral cleft lip and nasal deformity by simultaneous placement of an Abbe flap, septal cartilage graft, and cantilevered iliac bone graft. J Oral Maxillofac Surg 65:581–588CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2018

Authors and Affiliations

  1. 1.Mamata Dental CollegeKhammamIndia

Personalised recommendations