[Fleur-de-lis flap].

An Abbe flap with lateral vermilion extension (Fleur-de-lis flap) was used in four cases of secondary deformity of lip and palate with tightness and thinness of upper lip following primary cleft lip and palate surgery. The Abbe island flap was converted into fleur-de-lis flap with extensive mucosal wings to improve the fullness of the upper lip. The results were considered to be superior to those obtained by using an Abbe flap only. The balance between the lips was also improved. The technique is recommended in patients of secondary deformity of cleft lip with severe shortage and thinness of the lip vermilion.