Inverted flap lip plasty, Abbe's method, in the reconstruction of bilateral complete cleft lip sequelae: report of a case

Authors

  • Juan G. L. Miranda Department of Maxillofacial Surgery, Hospital Central Norte PEMEX, Mexico City, Mexico https://orcid.org/0009-0005-8883-8266
  • Mario D. G. Rodriguez Department of Maxillofacial Surgery, Hospital Central Norte PEMEX, Mexico City, Mexico
  • Obed H. G. Chavez Department of Maxillofacial Surgery, Hospital Central Norte PEMEX, Mexico City, Mexico
  • Eros R. R. Almeida Department of Maxillofacial Surgery, Hospital Central Norte PEMEX, Mexico City, Mexico https://orcid.org/0009-0006-6126-9486
  • Arianna R. Berrones Department of Maxillofacial Surgery, Hospital Central Norte PEMEX, Mexico City, Mexico https://orcid.org/0000-0003-1366-743X

DOI:

https://doi.org/10.18203/2349-2902.isj20232993

Keywords:

Sequelae, Cleft lip, Palate

Abstract

This study presents the case of a female patient treated between the ages of 19 and 24 years, with sequelae of complete bilateral cleft lip and palate. Sequelae treated include upper lip incompetence due to low lip volume and length, absence of premaxilla (due to unknown cause), conditioning a large naso alveolar and naso palatal fistula in the region of the primary and secondary palate junction (Pittsburgh V), and finally, dental malocclusion due to prognathism condition. Aforementioned sequelae were treated through upper labial plasty at the expense of translocation of pedicled lower labial flap in the lower labial artery, using Abbe's method; upper anterior removable partial anterior dental prosthesis, with sealing of the nasal cavity, and finally, Intraoral bilateral sagittal split osteotomies of mandibular ascending ramus, in order to reduce prognathism.

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Published

2023-09-28

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Section

Case Reports