Abbe-Estlander flap reconstruction in infants with extensive upper lip defects following oncosurgery: Two case reports

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-02-11 DOI:10.1016/j.ijporl.2025.112252

Wei-Liang Chen , Dao-Wei Lin , Zi-Xian Huang , Bin Zhou , Rui Chen

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引用次数: 0

Abstract

Background

Surgical resection of malignant lip tumors and the reconstruction of extensive lip defects in infants pose significant challenges. We evaluated the effectiveness of the Abbe-Estlander (A-E) flap in repairing upper lip defects in infants following oncosurgery.

Case presentation

We present two cases of pediatric upper lip malignancies: an 18-month-old infant diagnosed with fibrosarcoma (FS) of the right upper lip (Case 1) and a 19-month-old infant diagnosed with rhabdomyosarcoma (RMS) of the left upper lip (Case 2). Both patients underwent surgical resection of the tumors followed by reconstruction of large upper lip defects using the A-E flap under general anesthesia via nasotracheal intubation. No complications were reported during the procedures. Postoperatively, neither patient received adjuvant chemotherapy. Both patients demonstrated acceptable aesthetic outcomes. Case 1 could use a straw, whereas Case 2 could breastfeed. At the 32- and 18-month follow-up, no recurrences were observed.

Conclusion

Surgical resection, followed by reconstruction with an A-E flap, is an effective and safe treatment for these tumors in infants. In addition, general anesthesia via nasotracheal intubation is a reliable anesthetic technique for these procedures.

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Abbe-Estlander皮瓣重建婴幼儿肿瘤术后大面积上唇缺损：2例报告

背景：唇部恶性肿瘤的手术切除和大面积唇部缺损的重建对婴幼儿唇部缺损的修复提出了重要的挑战。我们评估了Abbe-Estlander （A-E）皮瓣修复婴幼儿肿瘤术后上唇缺损的效果。我们报告了两例小儿上唇恶性肿瘤：一名18个月大的婴儿被诊断为右上唇纤维肉瘤（FS）（病例1），一名19个月大的婴儿被诊断为左上唇横纹肌肉瘤（RMS）（病例2）。这两名患者都接受了手术切除肿瘤，然后在全身麻醉下通过鼻气管插管使用a - e皮瓣重建大的上唇缺陷。手术过程中无并发症报告。术后两例患者均未接受辅助化疗。两例患者均表现出可接受的美学结果。案例1可以使用吸管，而案例2可以母乳喂养。在32个月和18个月的随访中，未观察到复发。结论手术切除加A-E瓣重建是治疗婴幼儿此类肿瘤安全有效的方法。此外，通过鼻气管插管进行全身麻醉是一种可靠的麻醉技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.