Research Article| Volume 40, ISSUE 2, P176-180, March 1987

The Abbe island flap for the correction of whistle deformity

  • H. Holmstro¨m
    Requests for reprints to: H. Holmstro¨m, MD, Plastic Surgery Department, Sahlgren's Hospital, 413 45 Go¨teborg,Sweden.
    Department of Plastic Surgery, Sahlgrenska Hospital, University of Go¨teborg, Go¨teborg, Sweden
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      An Abbe flap with the skin removed was used in four cases of whistle deformity after bilateral clefts. The Abbe flaps were converted into island flaps by incising the mucosa all around the pedicle. The results obtained were considered to be superior to those obtained by using neighbouring tissues from the upper lip as more bulk was supplied as well as a perfect lining for the reconstruction of the tubercle of the upper lip vermilion. The balance between the lips was improved. The technique is recommended for patients with severe shortage of vermilion in the midline.


        • Holmstro¨m H.
        The Abbe flap converted to an island flap.
        Scandinavian Journal of Plastic and Reconstructive Surgery. 1986; 20: 51
        • Kai S.
        • Ohishi M.
        Secondary correction of the cleft lip and nose deformity: A new technique for revision of whistling deformity.
        Cleft Palate Journal. 1985; 22: 290
        • Kapetansky D.I.
        Animation and cosmetic balance in repair of congenital bilateral cleft lips. A modified technique.
        Cleft Palate Journal. 1974; 11: 219
        • Tschopp H.M.
        Die Sekunda¨rbehandlung voroperierter doppelseitiger Lippenspalten mittels eines Muskel-Mukosa-La¨ppchens von der Unterlippe.
        Fortschritte der Kiefer- und Gesicht-Chirurgie. 1973; 16: 230