Alveolar Bone, Upper Lip and Columellar Reconstruction With Composite Abbe Flap.

Bilateral cleft lip and palate repair usually requires secondary corrective intentions. Abbe flap is a useful option and has many modifications for revision surgeries of cleft lip nose deformities. Study evaluated a 23-year-old woman for secondary cleft lip nose correction. The authors performed a composite Abbe flap, which included mental bone for repairing the upper lip harmony, maintaining the columellar elongation and bridging central alveolar bone cleft. No complications were observed and aesthetic and functional improvement was maintained. Presented new modification of Abbe flap maintains not only upper lip relaxation (additional skin soft tissue replacement) and columellar lengthening (extended designed flap) but also alveolar cleft reconstruction (vascularized mental bone) by a composite flap. Also, this modification prevents additional surgeries for alveolar cleft repair in cleft lip nose patients.