Upper lip reconstruction with Abbé flap in cleft lip sequelae. A case report

We present a case report of a 19- to 24-year-old female patient with bilateral Cleft of lip and palate sequelae. The following sequelae was treated: upper lip incompetence due to low volume and short length, congenital absence of the premaxilla with a large nasopalatine and nasoalveolar fistula at the union between primary and secondary palate (Pittsburgh V)(17), finally, malocclusion with a prognathic jaw. The treatment of the sequels was achieved by upper lip reconstruction with a transposition flap (Abbé flap) with the nutrition pedicle from the inferior labial artery, obturating removable over-denture to achieve fistulae closure and finally sagittal split mandibular ramus osteotomy for correction of mandibular prognathism.