Use of the Abbé flap in revision of the bilateral cleft lip-nose deformity.

Use of the versatile Abbé flap for lip-nose revision of a representative adult with bilateral cleft lip and palate is reported. The deformity is discussed, and the surgical plans are developed and executed. Presented is a technique for reliably securing the lateral orbicularis oris muscle components to the philtrum, which ensures viability of the transposed flap and provides functional continuity across the midline while accentuating the philtral dimple.