Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases

Funayama, Norika; Matsunaga, Kazuhide; Takeshita, Akinori; Morita, Yoshihiro; Satake, Himeka; Kashiwagi, Takafumi; Ogasa, Emiko; Uzawa, Narikazu

doi:https://doi.org/10.1016/j.ajoms.2025.09.011

Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases

Funayama, Norika; Matsunaga, Kazuhide; Takeshita, Akinori et al.

Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology, 2025

アクセス数:21件（2025-11-01 22:51 集計）

固定URL: https://hdl.handle.net/11094/102813

閲覧可能ファイル

ファイル	フォーマット	利用条件	サイズ	利用開始日	説明
JOralMaxillofacialSurgMedPathol_2025	pdf	なし	278 KB	2026.09.16
Table1	xlsx	なし	10.5 KB	2026.09.16	Five patients details.
Table2	xlsx	なし	10.1 KB	2026.09.16	The total scores for scales across the five patients.
Fig.1	jpg	なし	649 KB	2026.09.16	Our Weber–Fergusson incision method.
Fig.2	jpg	なし	536 KB	2026.09.16	Intra-oral view after tumor resection and skin grafting.
Fig.3	jpg	なし	1.22 MB	2026.09.16	Schematic of the undermining and suturing of the upper lip.
Fig.4	jpg	なし	1.40 MB	2026.09.16	Incision design and facial findings at one year postoperatively for each patient.
Fig.5	jpg	なし	574 KB	2026.09.16	The patient and observer scar assessment scale.

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タイトル	Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases
著者	著者名 Funayama, Norika
	NRID 1000080368323 1000080368323 ORCID 0009-0006-7170-2757 0009-0006-7170-2757 researchmap permalink kazuhide kazuhide Scopus Author ID 7202702921 7202702921 著者名 Matsunaga, Kazuhide
	NRID 1000080899005 1000080899005 researchmap permalink oralsurg2 oralsurg2 Scopus Author ID 55995076600 55995076600 著者名 Takeshita, Akinori
	NRID 1000030590517 1000030590517 ORCID 0000-0002-5512-1534 0000-0002-5512-1534 researchmap permalink yoshi197 yoshi197 Scopus Author ID 16069264600 16069264600 著者名 Morita, Yoshihiro
	著者名 Satake, Himeka
	著者名 Kashiwagi, Takafumi
	著者名 Ogasa, Emiko
	NRID 1000030345285 1000030345285 Scopus Author ID 6603144046 6603144046 researchmap permalink read0212957 read0212957 ORCID 0000-0001-5390-6875 0000-0001-5390-6875 著者名 Uzawa, Narikazu
キーワード等	Maxillary malignant tumor
	Postoperative outcomes
	Upper lip morphology
	Weber–Fergusson incision
内容	Funayama N., Matsunaga K., Takeshita A., et al. Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology (2025); https://doi.org/10.1016/j.ajoms.2025.09.011.
抄録	A Weber–Fergusson incision is used to resect extensive tumors in the maxilla. Some reports have described postoperative scarring and upper lip asymmetry in cases in which a Weber–Fergusson incision was used. In this study, a Weber–Fergusson incision with two triangular flaps was applied to prevent postoperative scarring and upper lip asymmetry. Here, we present details of this surgical procedure and the postoperative outcomes in patients treated using it. Five patients having a maxillary malignant tumor underwent resection of the maxilla using a Weber–Fergusson incision, with the raw surface of the buccal mucosa undergoing skin grafting. For the upper lip incision, a 6 mm triangular flap was set 5 mm above the vermilion border within the philtrum on the white lip and a 6 mm triangular flap was set on the vermilion-mucosal junction of the red lip. The upper lip morphology was evaluated one year postoperatively. In all patients, postoperative scarring of the white lip and depression of the red lip were not noticeable, and both patient and observer assessments favorable. Our Weber–Fergusson incision method might be useful for obtaining good postoperative upper lip morphology in adult patients with a maxillary malignant tumor.
出版者	Elsevier Ltd
収録物名	Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology
刊行年月	2025-09-16
言語	英語
ハンドルURL	https://hdl.handle.net/11094/102813
PISSN	22125558
eISSN	22125566
関連情報 (isVersionOf)	DOI (出版社版) https://doi.org/10.1016/j.ajoms.2025.09.011
アクセス権	embargoed access
権利情報	© 2025. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
権利情報	The full-text file will be made open to the public on 16 September 2026 in accordance with the publisher's policy.
出版タイプ	Accepted Manuscript
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCMI資源タイプ	text
DCTERMS.bibliographicCitation	Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology. 2025
DC.title	Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases
DC.creator	Funayama, Norika
	Matsunaga, Kazuhide
	Takeshita, Akinori
	Morita, Yoshihiro
	Satake, Himeka
	Kashiwagi, Takafumi
	Ogasa, Emiko
	Uzawa, Narikazu
DC.publisher	Elsevier Ltd
DC.language' scheme='DCTERMS.RFC1766	英語
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2025-09-16
DC.identifier	https://doi.org/10.1016/j.ajoms.2025.09.011
DC.subject	Maxillary malignant tumor
	Postoperative outcomes
	Upper lip morphology
	Weber–Fergusson incision
DC.description	Funayama N., Matsunaga K., Takeshita A., et al. Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology (2025); https://doi.org/10.1016/j.ajoms.2025.09.011.
DCTERMS.abstract	A Weber–Fergusson incision is used to resect extensive tumors in the maxilla. Some reports have described postoperative scarring and upper lip asymmetry in cases in which a Weber–Fergusson incision was used. In this study, a Weber–Fergusson incision with two triangular flaps was applied to prevent postoperative scarring and upper lip asymmetry. Here, we present details of this surgical procedure and the postoperative outcomes in patients treated using it. Five patients having a maxillary malignant tumor underwent resection of the maxilla using a Weber–Fergusson incision, with the raw surface of the buccal mucosa undergoing skin grafting. For the upper lip incision, a 6 mm triangular flap was set 5 mm above the vermilion border within the philtrum on the white lip and a 6 mm triangular flap was set on the vermilion-mucosal junction of the red lip. The upper lip morphology was evaluated one year postoperatively. In all patients, postoperative scarring of the white lip and depression of the red lip were not noticeable, and both patient and observer assessments favorable. Our Weber–Fergusson incision method might be useful for obtaining good postoperative upper lip morphology in adult patients with a maxillary malignant tumor.
DC.rights	© 2025. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
DC.rights	The full-text file will be made open to the public on 16 September 2026 in accordance with the publisher's policy.
DC.format	102813
citation_title	Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases
citation_author	Funayama, Norika
	Matsunaga, Kazuhide
	Takeshita, Akinori
	Morita, Yoshihiro
	Satake, Himeka
	Kashiwagi, Takafumi
	Ogasa, Emiko
	Uzawa, Narikazu
citation_publisher	Elsevier Ltd
citation_language	英語
citation_date	2025-09-16
citation_journal_title	Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology
citation_doi	https://doi.org/10.1016/j.ajoms.2025.09.011
citation_public_url	https://hdl.handle.net/11094/102813

Weber–Fergusson incision with triangular flaps to improve postoperative upper lip morphology: A report of five cases

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