Basics and Applications of the Fusuma Sliding Flap: A Versatile Method for Reconstruction of Full-thickness Defects of the Lower Lip
Objectives: Many reconstruction techniques exist for full-thickness defects of the lower lip, which all have advantages and disadvantages. We performed lower-lip reconstruction using the Japanese Fusuma sliding flap method and obtained good results. Here, we introduce this method and report on its r...
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Japan Society of Plastic and Reconstructive Surgery
2025-07-01
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| Series: | Journal of Plastic and Reconstructive Surgery |
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| Online Access: | https://www.jstage.jst.go.jp/article/jprs/4/3/4_2024-0040/_pdf/-char/en |
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| author | Shogo Kasai Toshiharu Minabe Wataru Tsugu Satoshi Fukuzumi Kazuo Kishi |
| author_facet | Shogo Kasai Toshiharu Minabe Wataru Tsugu Satoshi Fukuzumi Kazuo Kishi |
| author_sort | Shogo Kasai |
| collection | DOAJ |
| description | Objectives: Many reconstruction techniques exist for full-thickness defects of the lower lip, which all have advantages and disadvantages. We performed lower-lip reconstruction using the Japanese Fusuma sliding flap method and obtained good results. Here, we introduce this method and report on its results, including long-term follow-up, and its details.
Methods: A lateral advancement flap from the cheek, pedicled on the facial artery, reconstructs the lower lip. If needed, a subcutaneous flap from the cranial nasolabial fold reconstructs the donor site of the first flap. We retrospectively examined nine patients with full-thickness, full-width lower-lip defects who underwent reconstructive surgery using the Fusuma sliding flap method between 2006 and 2021. The postoperative evaluation items were as follows: (1) survival of skin flaps, (2) appearance, (3) eating function, (4) perception, and (5) presence or absence of revision surgery.
Results: Regardless of the form or extent of defects, the flaps survived successfully in all cases, and their appearance, feeding function, and sensation were good. However, revision surgery was required for cases where defects exceeded the commissure.
Conclusions: Although the number of cases was small, and issues that the need to be addressed remain, this procedure is simple, highly versatile, and provides stable results. |
| format | Article |
| id | doaj-art-bc7c3b88f9e84b72a04d5857af3ad4a9 |
| institution | Matheson Library |
| issn | 2436-259X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Japan Society of Plastic and Reconstructive Surgery |
| record_format | Article |
| series | Journal of Plastic and Reconstructive Surgery |
| spelling | doaj-art-bc7c3b88f9e84b72a04d5857af3ad4a92025-08-03T23:45:47ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2025-07-01431131202024-0040Basics and Applications of the Fusuma Sliding Flap: A Versatile Method for Reconstruction of Full-thickness Defects of the Lower LipShogo Kasai0Toshiharu Minabe1Wataru Tsugu2Satoshi Fukuzumi3Kazuo Kishi4Department of Plastic Surgery, Saiseikai Utsunomiya HospitalDepartment of Plastic Surgery, Nissan Tamagawa HospitalDepartment of Plastic Surgery, Keio University School of MedicineDepartment of Plastic Surgery, Koga HospitalDepartment of Plastic Surgery, Keio University School of MedicineObjectives: Many reconstruction techniques exist for full-thickness defects of the lower lip, which all have advantages and disadvantages. We performed lower-lip reconstruction using the Japanese Fusuma sliding flap method and obtained good results. Here, we introduce this method and report on its results, including long-term follow-up, and its details. Methods: A lateral advancement flap from the cheek, pedicled on the facial artery, reconstructs the lower lip. If needed, a subcutaneous flap from the cranial nasolabial fold reconstructs the donor site of the first flap. We retrospectively examined nine patients with full-thickness, full-width lower-lip defects who underwent reconstructive surgery using the Fusuma sliding flap method between 2006 and 2021. The postoperative evaluation items were as follows: (1) survival of skin flaps, (2) appearance, (3) eating function, (4) perception, and (5) presence or absence of revision surgery. Results: Regardless of the form or extent of defects, the flaps survived successfully in all cases, and their appearance, feeding function, and sensation were good. However, revision surgery was required for cases where defects exceeded the commissure. Conclusions: Although the number of cases was small, and issues that the need to be addressed remain, this procedure is simple, highly versatile, and provides stable results.https://www.jstage.jst.go.jp/article/jprs/4/3/4_2024-0040/_pdf/-char/encarcinomasquamous celllipsurgeryplastic |
| spellingShingle | Shogo Kasai Toshiharu Minabe Wataru Tsugu Satoshi Fukuzumi Kazuo Kishi Basics and Applications of the Fusuma Sliding Flap: A Versatile Method for Reconstruction of Full-thickness Defects of the Lower Lip Journal of Plastic and Reconstructive Surgery carcinoma squamous cell lip surgery plastic |
| title | Basics and Applications of the Fusuma Sliding Flap: A Versatile Method for Reconstruction of Full-thickness Defects of the Lower Lip |
| title_full | Basics and Applications of the Fusuma Sliding Flap: A Versatile Method for Reconstruction of Full-thickness Defects of the Lower Lip |
| title_fullStr | Basics and Applications of the Fusuma Sliding Flap: A Versatile Method for Reconstruction of Full-thickness Defects of the Lower Lip |
| title_full_unstemmed | Basics and Applications of the Fusuma Sliding Flap: A Versatile Method for Reconstruction of Full-thickness Defects of the Lower Lip |
| title_short | Basics and Applications of the Fusuma Sliding Flap: A Versatile Method for Reconstruction of Full-thickness Defects of the Lower Lip |
| title_sort | basics and applications of the fusuma sliding flap a versatile method for reconstruction of full thickness defects of the lower lip |
| topic | carcinoma squamous cell lip surgery plastic |
| url | https://www.jstage.jst.go.jp/article/jprs/4/3/4_2024-0040/_pdf/-char/en |
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