A full thickness loss of middle one third of the upper lip is best reconstruted by -a) Naso labial flapb) Cheek flapc) Abey flapd) Estlander’s flap

**Core Concept**
The question requires knowledge of reconstructive surgical techniques, specifically for restoring the upper lip after a full-thickness loss. The correct answer depends on the location and extent of the defect, as well as the patient's overall health and aesthetic preferences.

**Why the Correct Answer is Right**
Estlander's flap is a type of transposition flap used to reconstruct the upper lip, particularly when the defect involves the middle one-third. This technique involves rotating a triangular flap from the cheek into the lip defect, preserving the oral commissure and maintaining lip function. The flap is based on the facial artery and vein, providing a reliable blood supply.

**Why Each Wrong Option is Incorrect**
* **Option A:** Naso-labial flap is a type of flap used for reconstructing the lower lip or cheek, but it is not the best choice for upper lip reconstruction, especially in the middle one-third.
* **Option B:** Cheek flap is a general term and could refer to various types of flaps, but it is not a specific technique for upper lip reconstruction. Cheek flaps may be used for other types of defects.
* **Option C:** Abey flap is not a recognized reconstructive surgical technique for upper lip reconstruction. It may be a distractor or a typo.

**Clinical Pearl / High-Yield Fact**
When reconstructing the upper lip, it's essential to preserve the oral commissure and maintain lip function. Estlander's flap is a reliable option for middle one-third defects, but other techniques may be preferred for different locations or patient factors.

**Correct Answer:** D. Estlander's flap