{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T12:44:27Z","timestamp":1782218667316,"version":"3.54.5"},"reference-count":7,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> Lip reconstruction for defects greater than 80\u00a0% present a challenge in maintaining acceptable oral function and good aesthetic results. Abb\u00e9 flaps offer an excellent reconstructive option but are limited to defects under 65\u00a0%. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> We describe a two-stage \u201cmodified Abb\u00e9 island flap\u201d technique whereby a full-thickness myocutaneous flap is combined with a modified Karapandzic flap, allowing for reconstruction of total and near total lip defects. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Six patients underwent successful two-stage lower and upper lip reconstruction with this technique. Oral competence and satisfactory aesthetic outcomes were achieved in all six cases. There were no complications. Although microstomia was noted to a certain extent, we argue this impact to be less than the morbidity of a free flap that lacks sphincteric function. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> The \u201cModified Abb\u00e9 Island Flap\u201d can be used to reconstruct near-total lip defects using locally innervated, well-vascularized tissues that recreate the oral sphincter and restore oral competence. The combination of the conventional Abb\u00e9 flap with a modified Karapandzic flap provides reliable results and significantly reduces operating time. <\/jats:p><\/jats:sec>","DOI":"10.1186\/s40463-016-0148-0","type":"journal-article","created":{"date-parts":[[2016,5,31]],"date-time":"2016-05-31T08:37:41Z","timestamp":1464683861000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["The use of a modified abb\u00e9 island flap to reconstruct primary lip defects of over 80\u00a0%"],"prefix":"10.1177","volume":"45","author":[{"given":"Sabin","family":"Filimon","sequence":"first","affiliation":[{"name":"McGill University, Faculty of Medicine, McIntyre Medical Building, 3655 Sir William Osler, H3G 1Y6, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, McGill University, Royal Victoria Hospital, 1001 Decarie Boulevard, H4A 3\u00a0J1, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Hier","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, McGill University, Jewish General Hospital, 3755 Cote-Sainte-Catherine street, H3T 1E2, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Roskies","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, McGill University, Royal Victoria Hospital, 1001 Decarie Boulevard, H4A 3\u00a0J1, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex M.","family":"Mlynarek","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, McGill University, Jewish General Hospital, 3755 Cote-Sainte-Catherine street, H3T 1E2, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,1,1]]},"reference":[{"key":"bibr1-s40463-016-0148-0","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2009.02.013"},{"key":"bibr2-s40463-016-0148-0","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181959457"},{"key":"bibr3-s40463-016-0148-0","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.09.062"},{"key":"bibr4-s40463-016-0148-0","doi-asserted-by":"publisher","DOI":"10.1097\/01.scs.0000246737.99718.87"},{"key":"bibr5-s40463-016-0148-0","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000080722.03558.33"},{"key":"bibr6-s40463-016-0148-0","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31817740f7"},{"issue":"4","key":"bibr7-s40463-016-0148-0","first-page":"485","volume":"33","author":"Whang KK","year":"2007","journal-title":"Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al]"}],"container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1186\/s40463-016-0148-0","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1186\/s40463-016-0148-0","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1186\/s40463-016-0148-0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T10:12:32Z","timestamp":1741687952000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1186\/s40463-016-0148-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["10.1186\/s40463-016-0148-0"],"URL":"https:\/\/doi.org\/10.1186\/s40463-016-0148-0","relation":{},"ISSN":["1916-0216","1916-0216"],"issn-type":[{"value":"1916-0216","type":"print"},{"value":"1916-0216","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1]]},"article-number":"35"}}