Defect-oriented reconstruction of extensive full-thickness lower lip defects using Fujimori gate flaps and Bernard–Burow–Webster advancement: a four-case series
- 1Oral Oncology Clinic, Research Institute and Hospital, National Cancer Center Goyang Korea
- 2Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University Seoul Korea
Abstract
Objectives: We describe defect-oriented technique selection and outcomes in all four patients who underwent immediate one-stage reconstruction after wide excision of lower lip squamous cell carcinoma during the study period.
Patients and Methods: Two total defects with bilateral commissural loss were reconstructed with bilateral Fujimori gate flaps, and two large central full-thickness defects with preserved commissures were reconstructed with bilateral Bernard–Burow–Webster advancement. Clinical records and serial photographs were reviewed.
Results: Frozen section and final margins were negative, and all flaps remained viable through the last outpatient follow-up. Median photographic and medical record follow-up periods were 122.5 days (range, 72-244) and 274.5 days (range, 136-758), respectively. No specific reconstructive complication was documented in Case 1. Case 2 had transient decreased sensation in the chin region through 2 weeks and drooling through 1 month, followed by improvement. Case 3 developed lower-lip ptosis, oral incompetence with drooling, marked firmness, restricted mobility, persistent food leakage and retention, and impaired eating. In Case 4, early stiffness, perceived reduction in oral aperture, and eating difficulty gradually improved. No secondary revision was performed.
Conclusion: Technique selection should consider defect extent and commissure status. Standardized functional assessment was unavailable, and this small, noncomparative series cannot establish superiority.
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BibTeX
@article{park2026defectoriented,
title = {{Defect-oriented reconstruction of extensive full-thickness lower lip defects using Fujimori gate flaps and Bernard–Burow–Webster advancement: a four-case series}},
author = {Sang Hyun Park and Yong-Seok Choi and Jong-Ho Lee and Sung Weon Choi and Joo-Yong Park},
journal = {Journal of the Korean Association of Oral and Maxillofacial Surgeons},
year = {2026},
month = oct,
doi = {10.5125/jkaoms.2026.52.5.259},
url = {https://doi.org/10.5125/jkaoms.2026.52.5.259},
note = {CC BY-NC 4.0},
}
RIS
TY - JOUR
TI - Defect-oriented reconstruction of extensive full-thickness lower lip defects using Fujimori gate flaps and Bernard–Burow–Webster advancement: a four-case series
AU - Sang Hyun Park
AU - Yong-Seok Choi
AU - Jong-Ho Lee
AU - Sung Weon Choi
AU - Joo-Yong Park
PY - 2026
DA - 2026/10/31
JO - Journal of the Korean Association of Oral and Maxillofacial Surgeons
DO - 10.5125/jkaoms.2026.52.5.259
UR - https://doi.org/10.5125/jkaoms.2026.52.5.259
AB - Objectives: We describe defect-oriented technique selection and outcomes in all four patients who underwent immediate one-stage reconstruction after wide excision of lower lip squamous cell carcinoma during the study period. Patients and Methods: Two total defects with bilateral commissural loss were reconstructed with bilateral Fujimori gate flaps, and two large central full-thickness defects with preserved commissures were reconstructed with bilateral Bernard–Burow–Webster advancement. Clinical records and serial photographs were reviewed. Results: Frozen section and final margins were negative, and all flaps remained viable through the last outpatient follow-up. Median photographic and medical record follow-up periods were 122.5 days (range, 72-244) and 274.5 days (range, 136-758), respectively. No specific reconstructive complication was documented in Case 1. Case 2 had transient decreased sensation in the chin region through 2 weeks and drooling through 1 month, followed by improvement. Case 3 developed lower-lip ptosis, oral incompetence with drooling, marked firmness, restricted mobility, persistent food leakage and retention, and impaired eating. In Case 4, early stiffness, perceived reduction in oral aperture, and eating difficulty gradually improved. No secondary revision was performed. Conclusion: Technique selection should consider defect extent and commissure status. Standardized functional assessment was unavailable, and this small, noncomparative series cannot establish superiority.
SN - 2234-7550
SN - 2234-5930
ER -